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The Fire Within : Extinguishing our Risks of Chronic Inflammation. November 2, 2012. Inflammation: What have you heard?. With a partner, write down what you’ve heard about inflammation and nutrition. Dr. Oz. http ://youtu.be/ c8NNM5hN9MU. Acute Inflammation 101. Pain Redness Immobility
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The Fire Within: Extinguishing our Risks of Chronic Inflammation November 2, 2012
Inflammation: What have you heard? With a partner, write down what you’ve heard about inflammation and nutrition.
Dr. Oz http://youtu.be/c8NNM5hN9MU
Acute Inflammation 101 Pain Redness Immobility Swelling Heat
Acute Inflammatory Response *Swelling, redness *Pain (Phagocytes, Macrophages)
Chronic Inflammation • Problem isn’t resolved quickly • Causes: • Obesity • Poor nutrition • Poor lifestyle habits • Autoimmune disorders • Mental/physical stress
Chronic Inflammatory Response Continuous Cycle
Pop-Quiz Question #1 Sarah has the flu. She has spent the entire day watching Lifetime movies and sipping Chamomile tea. Chronic or Acute?
Pop Quiz Question #2 Ben has been overweight for many years. Today, his doctor has informed him that his Body Mass Index (BMI) has reached 30. Chronic or Acute?
Pop Quiz Question #3 Tommy has been grounded by his mother after she discovered his regular smoking habits. He wanted to go out tonight, so he tried to escape his lonesome room by climbing out of his two-story bedroom window. Unfortunately, he didn’t make it out so well and ended up breaking his ankle. Chronic or Acute?
Your turn! Break into groups Draw a card from the basket Using your hand-outs, please report back to the group: Describe your group’s designated condition How is this condition related to inflammation?
TASK 2: What can we do? What lifestyle factors affect inflammation?
Dietary Factor of Inflammation: Antioxidants • Found in whole and colorful plant-based foods, are powerful cell protectors. • Defend our cells against damage. • Vitamins C, E, and A (found abundantly in whole fruits and vegetables) are examples of antioxidants.
Dietary Factor of Inflammation: Refined Carbohydrates • Too many refined carbohydrates in the diet: • When our diets lack fiber and include refined, sugary, and processed carbohydrates, our immune system goes haywire. • This overload of simple sugars causes a spike in “bad” cholesterol, and increases insulin resistance. • Inflammatory cells send-off chemicals that hinder insulin’s efforts • Bodies to remain in “defense mode”, continuously trying to fix our glucose and cholesterol levels.
Dietary Factor of Inflammation: Cholesterol Cholesterol Simulation Liver makes 75% of daily needs. LDL: The “bad” cholesterol HDL: The “good” cholesterol 1 in 6 American adults have high cholesterol *
Dietary Factor of Inflammation: Dietary Fats • Not all fats are equal • Fats implicated in inflammation: • Saturated • Trans • Fats protective against inflammation: • Monounsaturated • Polyunsaturated • More on this later…
Dietary Factor of Inflammation: Flavonoids • Found in dark chocolate, red wine, and virtually all fruits and vegetables • Over 6,000 substances may offer protection against excessive inflammation. • NIH – more research needs to be done to identify how and IF flavonoids impact inflammation. • One hypothesis: Flavonoids increase blood flow, decrease blood pressure • Folders contain hand-out on flavonoids
Lifestyle Factors affecting Inflammation • Healthy habits • Exercise • Quitting smoking • De-stress • Brush those teeth!
Your turn! Break into groups of 6 Discuss the following: Summarize what a diet looks like that causes inflammation. Describe what a diet would look like that protects from inflammation.
Also… How does this diet compare to MyPlate/DG2010 recommendations? Next, look at lifestyle factors. How do they compare to DG2010?
Take-away With a partner, discuss: A participant asks you about a recent Dr. Oz show, where he spoke about inflammation and nutrition. What would you tell this participant?
Task 3: A Further Look at Fats and Inflammation Grab a partner, and discuss: Think of a time that a participant asked you to recommend a healthy fat. What did you say?
“Meet the Fats” • Raise “bad” cholesterol • Meats • Dairy • Coconut & Palm oils • Some snack foods Source: The American Heart Association Saturated Fats
“Meet the Fats” • Raise “bad” cholesterol • Lower “good” cholesterol • Fried foods • Baked goods • Snack foods • “Cream-filled” products • Some margarines Cheaper processing, longer shelf-life Look for: “Partially hydrogenated” Trans Fats
“Meet the Fats” • Lower “bad” cholesterol • May raise “good” cholesterol • Nuts • Seeds • Legumes • Avocados • Olive oil Monounsaturated Fats
“Meet the Fats” • Lower “bad” cholesterol • Two of interest today: Omega 6 & Omega 3 • Omega-6: • Poultry, eggs • Avocado • Cereals • Whole-grain breads • Vegetable oils • Omega-3: • Fatty fish • Flax seed • Walnuts • Soybeans Polyunsaturated Fats
The Perfect Ratio (Omega-6 to Omega-3) Most vegetable oils seen in fast-food, processed goods contain Omega-6. IDEAL 3:1 AMERICAN 10:1 to 25:1 Imbalance contributes to chronic inflammation! Why so disproportionate?!
Your Turn! • Which is better… Butter or Margarine? Break into groups and compare labels from various fat products. Place in order from: “Least-healthy choice” to “Healthiest choice”
Summary. Butter: made from animals, has saturated fat. Margarine: made from plants, may have trans fat. OPT FOR: tubs, liquids. Lowest amount of cholesterol, saturated fats, and calories.
Task 4: Wrap-Up! What have you learned today that you didn’t know prior to this session? How do you translate what you learned when communicating with program participants?
Dr. Oz: http://youtu.be/c8NNM5hN9MU • IwaleaEO, McGaw LJ, et al. Inflammation: the foundation of diseases and disorders. A review of phytomedicines of South American origin used to treat pain and inflammatory conditions. African J Biotech 2007;6(25):2868-85. • Dr. Kevin Frtische FNCE presentation: http://fnce.eatright.org/fnce/uploaded/634806422967163102-192.%20Fritsche.pdf • Harvard Nutrition Source- Fats and Cholesterol: Out with Bad, In with the Good: http://www.hsph.harvard.edu/nutritionsource/what-should-you-eat/fats-full-story/index.html#how-fat-moves-to-bloodstream • “Meet Sat” Biography: http://www.heart.org/HEARTORG/GettingHealthy/FatsAndOils/MeettheFats/Meet-Sat_UCM_305104_Article.jsp • “Meet Trans”: http://www.heart.org/HEARTORG/GettingHealthy/FatsAndOils/MeettheFats/Meet-Trans_UCM_305105_Article.jsp • “Meet Mon”: http://www.heart.org/HEARTORG/GettingHealthy/FatsAndOils/MeettheFats/Meet-Mon_UCM_305108_Article.jsp • “Meet Poly”: http://www.heart.org/HEARTORG/GettingHealthy/FatsAndOils/MeettheFats/Meet-Poly_UCM_305109_Article.jsp • http://www.heart.org/HEARTORG/Conditions/Cholesterol/AboutCholesterol/About-Cholesterol_UCM_001220_Article.jsp • Replacing Trans Fats article: http://cen.acs.org/articles/90/i11/Replacing-Trans-Fat.html • Healthier baking strategies handout: http://web.aces.uiuc.edu/vista/pdf_pubs/WISER.PDF • Great comparison charts of fat contents in products: http://pubs.ext.vt.edu/348/348-898/348-898.html • Simopoulos AP. The importance of omega-6/omega-3 essential fatty acids. Biomed Pharmacother 2002;56(8):365-79. • “Ban Wagon”: http://www.hsph.harvard.edu/review/spring07/spr07transfat.html • (Extra handout) Great look at trans fats history: http://www.hsph.harvard.edu/review/rvw_spring06/rvwspr06_transfats.html • (Extra handout) Trans fats drop in restaurants news article: http://www.sciencedaily.com/releases/2010/07/100714104103.htm • Xu H, Barnes GT, et al. Chronic Inflammation in fat plays a crucial role in development of obesity-related insulin resistance. J Clin Invest 2003; 112(12):1821-30. • (Extra handout) Homemade olive oil recipe: http://www.docaitta.com/2011/06/recipe-homemade-olive-oil-margarine.html • http://benthamscience.com/iad/samples/iad3-1/0009IAD.pdf • http://www.nature.com.ezaccess.libraries.psu.edu/ni/journal/v11/n4/full/ni0410-287.html • Sofi F, Cesari F, Abbate R, et al. Adherence to Mediterranean diet and health status: meta-analysis. BMJ 2008;337:a1344. • "Know Your Fats." Know Your Fats. American Heart Association, 11 Oct. 2012. Web. 27 Oct. 2012. <http://www.heart.org/HEARTORG/Conditions/Cholesterol/PreventionTreatmentofHighCholesterol/Know-Your-Fats_UCM_305628_Article.jsp>. Thank You