Conscious Eating and Nutritional Healing

1. Conscious Eating and Nutritional Healing Sudeep S Sodhi MD FACG Affinity Health System, Gastroenterology

2. Fatty facts!! • by 2018 over 100 million Americans will be obese • we will be spending roughly $340 billion annually on obesity, a tripling of current levels • per capita spending will rise from $361 to over $1400 a year • http://www.fightchronicdisease.org/pdfs/CostofObesityReport-FINAL.pdf • November, 2009

3. 40 yr ago Then and Now Big Mac: 540 Cal Then 8000 products 1675/cal per day Woodstock then,1/7 obese Advertising Fast food 2.5 billion Wendy’s Bacon Deluxe 1150 cal Now supermarkets carry 48,000 Now 1950/cal/d Woodstock now 1/3 obese Now 11 billion For each $ advertising healthy/1100$ pushing fast food

4. Six Unhealthy Truths Truth #1: Chronic diseases are the #1 cause of death and disability in the U.S. Truth #2: Patients with chronic diseases account for 75% of the nation’s health care spending. Truth #3: About two-thirds of the rise in health care spending is due to the rise in the prevalence of treated chronic disease. Truth #4: The doubling of obesity between 1987 and today accounts for nearly 30% of the rise in health care spending. Truth #5: The vast majority of cases of chronic disease could be better prevented or managed. Truth #6: Many Americans are unaware of the extent to which chronic disease harms their health – and their wallets.

5. Caloric overload The U.S. produces some 3,800 calories a day, after export, for every man, woman, and child in the country; and elaborate marketing effectively peddles these excess calories to us. The continuous advent of new technology continuously reduces the necessary energy expenditure of a typical day.

6. Top Sources of Calories Among Americans 2 Years and Older 1. Grain-based desserts • Cake, cookies, pie, cobbler, sweet rolls, pastries, and donuts 2. Yeast breads • White bread and rolls, mixed-grain bread, flavored bread, whole-wheat bread, and bagels 3. Chicken and chicken mixed dishes • Fried and baked chicken parts, chicken strips/patties, stir-fries, casseroles, sandwiches, salads, and other chicken mixed dishes 4. Soda/energy/sports drinks • Sodas, energy drinks, sports drinks, and sweetened bottled water including vitamin water 5. Pizza Source: NHANES 2005-2006, Available at http://riskfactor.cancer.gov/diet/foodsources/

7. AHA added sugar guidelines • 25 gm woman (6 teaspoons) • 37.5 gm men (9 teaspoons) • 16 ounce bottle of soda has 44 gm (11 teaspoons) • Average intake 90 gm (22 teaspoons)

8. Food Sources of Added Sugars

9. 23 17 A little nutty… NuVal SCORE

10. Comparison of Consumption to Recommendations

13. Anti inflammatory diet

14. Lyons Heart Study • Lyon Diet Heart Study tested the effectiveness of a Mediterranean type diet on cardiovascular after a first myocardial infarction. After an average follow-up of 46 months, subjects following the modified Mediterranean-style diet had 72% fewer cardiovascular events. • events and 60% lower all-cause mortality

15. SHOPPER’S GUIDE TO PESTICIDES (ewg.org) • Clean 15 • Lowest in Pesticides • Onion • Avocado • Sweet Corn • Pineapple • Mango • Asparagus • Sweet Peas • Kiwi • Cabbage • Eggplant • Papaya • Watermelon • Broccoli • Tomato • Sweet Potato • Dirty Dozen • Buy These Organic • Peach • Apple • Bell Pepper • Celery • Nectarine • Strawberries • Cherries • Kale • Lettuce • Grapes (Imported) • Carrot • Pear Worst Best

16. Real Fibre?? Fiber One claims to have 4g of fiber,but most of the fiber comes from nontraditional sources such as chicory root that may not provide all of the traditional health benefits associated with fiber from whole grain foods.

17. Glycemic Index of Breads 40 70 69

18. Water • Appleton water good value 1.25 $ for a bottle of water will provide 200 gallons of water to your tap

19. Fish? What kind • Blue ocean institutes FISH PHONE text 30644 message FISH and kind you planning to buy • Alaskan Fish overall good, Alaska has most environmentally sound fishing practices • Wild planet Albacore canned Tuna is sustainable,BPA free

21. Salt of Life • Current Recc 2300mg/day(1teaspoon) • Most consume 3400mg/day • If over 40/AA/HTN less than 1500/day • ¾ of the salt comes from packaged foods and eating out, 10% is cooking /salt shaker, 10% natural in foods. • Cutting down to 1200 mg /day can prevent 92,000 deaths,66,000 strokes/year • Health benefits in 50% reduction in smoking • Cutting salt by 1200 mg will save more lives than by lowering the body wt of all obese people b:y 5% • NJEM 362: 2010

22. Food Sources of Sodium

23. Scrambled facts? Avoid cracked eggs,expired Put in refrigerator not door Cook thoroughly( no runny yolk) cook dishs to 160F Avoid raw cookie dough Avoid keeping cooked eggs at room temp> 2hr No hardboiled eggs > 1 wk old Wash hands Pasteurized eggs If you’re unsure of an egg’s freshness, see how it behaves in a cup of water: Fresh eggs sink; bad ones float. Caged ? Beak cut? Omega-3? White? Antibiotics Pesticides Small farms< 500 Hormones

24. How to Choose Packaged food? • Nothing more than five ingredients • No ingredients that I can not pronounce • Nothing Artificial • No Cartoons on the package

25. • Don’t be fooled by THE BIG LETTERS on the front of the package. Look at the label instead. The FIRST ingredient is always the biggest. • Avoid partially hydrogenated oil & high fructose corn syrup. • Avoid foods with a LONG ingredient list!