1 / 22

Start Living Healthy

Start Living Healthy. Seiji Yamada, MD, MPH. Nutrition and Your Health: Dietary Guidelines for Americans 2005 Dietary Guidelines Advisory Committee Report *Healthy Hawai‘i Initiative Provider Training. Nine Key Messages. Consume a variety of food Control calorie intake to manage body weight

elga
Download Presentation

Start Living Healthy

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Start Living Healthy Seiji Yamada, MD, MPH

  2. Nutrition and Your Health:Dietary Guidelines for Americans2005 Dietary Guidelines Advisory Committee Report*Healthy Hawai‘i Initiative Provider Training

  3. Nine Key Messages • Consume a variety of food • Control calorie intake to manage body weight • Be physically active every day • Fruits/vegetables/whole grains/low-fat milk • Choose fats wisely • Choose carbohydrates wisely • Cut down on salt • If you drink, use alcohol in moderation • Keep food safe to eat

  4. 1. Consume a variety of foods • within and among the basic food groups • while staying within energy needs • Promote intake of vitamin E, calcium, magnesium, potassium, and fiber by children and adults • Promote intake of vitamins A and C by adults

  5. 2. Control calorie intake to manage body weight • Calories do count - not the proportion of carbohydrates, fat, and protein in diet*NEJM 2003 May 22 • A calorie deficit of 50 to 100 calories a day allows weight maintenance in adults • Monitor weight regularly • Limit portion size

  6. 3. Be physically active every day • Moderate physical activity at least 30 mins. every day reduces risk of obesity, HTN, DM, CAD*Start Living Healthy message: 30 minutes, most days. • Many adults need up to 60 mins. to prevent weight gain • 60 to 90 minutes to prevent weight regain • Children and adolescents need 60 mins. on most days *role for pedometers?

  7. 4. Choose fats wisely • Limit animal fats & cholesterol • Limit trans fats (partially hydrogenated vegetable oils) • Reduced risk of sudden/CHD death associated with 2 servings of fish/week (pregnant, lactating women, children need to avoid mercury)

  8. 5. Choose carbohydrates wisely • Choose whole fruits rather than juices • Choose whole grains rather than refined grains • Reduce added sugars, especially sugar-sweetened beverages

  9. 6. Fruits & vegetables, whole grains, reduced-fat milk products • 2½ to 6½ cups of fruits and vegetables daily *Provider Training: children 5 servings, adult women 7, adult men 9 • Brown rice over white rice • Whole wheat over white bread • Adults: 3 cups skim or low-fat milk per day (Ca, Mg, K, vit D)

  10. 7. Choose and prepare foods with little salt • to lower blood pressure • Potassium-rich diets blunts effect of salt • Goal: < 2,300 mg sodium per day

  11. 8. If you drink alcohol, do so in moderation • Mortality reduction primarily seen in • Men > 45 years • Women > 55 years • Moderation • Men: up to two drinks per day • Women: up to one drink per day • Beer 12 oz., wine 5 oz., spirits 1.5 oz.

  12. 9. Keep food safe to eat • Foodborne diseases yearly toll in U.S. • 76 M illnesses • 325,000 hospitalizations • 5,000 deaths

  13. Putting it all together • Dietary Approaches to Stop Hypertension DASH diet (N Engl J Med. 1997 Apr 17;336(16):1117-24) • High fruits and vegetables • High in low-fat dairy • In hypertensives, reduced systolic BP by 11.4 mm Hg and diastolic BP by 5.5 mm Hg • DASH Sodium: Low salt • + 30 mins. physical activity

  14. *Idaho Plate Method • Healthy meal: 9 inch plate: • 1/2 vegetables • 1/4 carbohydrates • 1/4 protein • fruit and dairy on the side For Type 2 DM, for low-literacy, ESL

  15. Microeconomics • diets based on refined grains, added sugars, and added fats are more affordable • diets based on lean meats, fish, fresh vegetables, and fruit are not • Drewnowski A. Obesity and the food environment. Am J Prev Med 2004;27(3S):154–162.

  16. Control of lives is related to control of land, systems of productions, and the formal political and legal structures in which lives are embedded. -Paul Farmer. Infections and Inequalities.

  17. Microconomics • Supersizing phenomenon • Main cost of fast-food industry: labor • Marginal cost of additional food insignificant • Consumer feels he’s getting a better deal

  18. Economics • 3,800 calories of food a day produced for every American • 500 calories more than 30 years ago • Drives agribusiness imperative to induce consumers to eat more

  19. The Supply Side • Meat-packing plants: Nebraska; Greeley, Colorado • Migrant workers • Work conditions reminiscent of The Jungle • Marshallese: agribusiness in Oklahoma, chicken processing in Arkansas

  20. Marketing the Product • Marketing to children • McDonald’s Playlands • A good parent gives his children what they like • School cafeterias & vending machines

  21. Future directions • Limits on advertising to children • Junk food, soda machines out of schools • Shift government subsidies • from sugar and grain production • to fruits and vegetables • Discounted health insurance for workplace wellness programs • Focus on built communities

More Related