Health Promotion – The diet and disease connection Lizann Powers Hammond Shirley Broughton.
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Transcript of Health Promotion – The diet and disease connection Lizann Powers Hammond Shirley Broughton.
Health Promotion – The diet and disease connection
Lizann Powers Hammond
Shirley Broughton
Goals for today:
Health Promotion -Consumer perspective Health Promotion Framework Diet and Chronic Disease what’s new?
Heart Disease Diabetes Cancer
Sorting through the evidence
Communicating Science Based Evidence
The New Nutrition Conversation is all about talking with consumers rather than at them to find out what they are thinking and why when it comes to nutrition.
International Food and Nutrition Information Council IFIC.org
FOOD
Are consumers losing their appetite for…
NUTRITION
International Food and Nutrition Information Council IFIC.org
Food Labels
PopularMagazines
Media Images
Friendsand
Family Gov’tGuidelines
FoodAds
FadDiet
Gurus
MedicalExperts
TV and Radio News
WebSites
Consumer
Many people find it difficult to separate
valid recommendations
from fad diet advice.
Nutrition information is often seen as contradictory,
even from equally valid
sources.
Consumers are bombarded with nutrition information from a variety of sources.
SOURCE: IFIC Foundation, 2004
Consumers Say
85% say that diet and nutrition are important to them personally.
Only 25% say they have made significant changes to achieve a healthful diet.
Source: ADA trends survey, 2002
Consumers get most of their nutrition information from TV, newspapers, magazines.
Consumers value the information form health professionals the most.
Source: ADA Trends survey, 2002
Consumers Say
Consumers Say…
About achieving a healthy nutritious diet…
38% “I’m already doing it.”
30% “I know I should, But…”
32% “Don’t bother me.” ADA Trends Survey 2002
Consumers Say
57% agree “Based on the information I’ve heard, I believe there are some foods I should never eat.”
54% believe “taking vitamin supplements is necessary to ensure good health”
33% believe “herbal dietary supplements are safe because they are natural”
ADA Trends Survey 2002
Missing Ingredient
Tips – Where is the ACTION is!
Don’t just tell us what to do, tell us HOW to do it!
Consumers
Consumers need how-to information
about nutrition information that is …
SIMPLEPOSITIVEPRACTICALCONSISTENT
Consumers Definition of Health
Healthy is…. Active Energetic Confident Smiling Good complexion
Addressing the obesity debate: Consumers point of view IFIC 2003
Good Posture Bright and wide eyed Works out/ is fit Positive Attitude Well Rested
Consumers Definition of Health
More broadly, consumers also describe health holistically, involving components of mental, emotional, and physical health. They state all of these elements must work together in contributing to good health.
The Health Promotion Framework
Elements of Health Promotion
Physical – Fitness and nutrition. Medical self-care. Control of substance abuse.
Emotional - Care for emotional health.
Stress management, calming. Social – Community, families, friends. Intellectual – Education, achievement, career
development. Spiritual – Love, hope, charity.
Medical Model
Problem/Condition
Diagnosis
Treatment
Alleviation of Condition
Perspectives on Obesity
Medical Model
Weight is the problem.
Treatments focuses on weight loss.
Medical interventions are available to change body weight.
Weight Loss Methods
Diet Exercise Prescription drugs Behavior modification Diet pills Herbal remedies
Liposuction Bariatric surgery Acupuncture Lotions/creams Hypnosis Stimulants
The Magic Cure?
The medical model is the western cultural norm.
The search for a simple “magic cure” fits with the medical model.
Perspectives on Obesity
Health Promotion Model
Body weight above normal suggests a person is out of balance.
Seek to discover underlying issues and restore balance to life.
Exploration of Weight Issues
PhysicalDiet and activity patterns, substance use?
EmotionalStress levels, stress eating, emotional eating? ACE?
Social
Connection to others? Intellectual
Mental stimulation, Happiness with life?
Spiritual
Connection to world and nature?
Broadening the Focus
Medical Model
How can we get people to lose weight?
Health Promotion Model
How can we promote a holistic approach to health and well-being?
The Life Balance Wheel
Disease Prevention
Medical Model
Identify risk factors. Intervention targets
risk factors. Often fear based,
desire to avoid disease state.
Disease Prevention
Health Promotion Model
Examine life balance and holistic well-being.
Focus in on maximizing health not just absence of disease.
Addressing Chronic Disease
Medical Model
You have an illness, symptoms are treated.
Health Promotion
You can be well and optimize health through lifestyle, even with a disease.
Diet and Disease Update
Heart Disease
Diabetes
Cancer
Top 10 Killers Heart disease Cancer Stroke Chronic lower respiratory diseases Accidents (unintentional injuries) Diabetes Alzheimer's disease Influenza/Pneumonia Nephritis, nephrotic syndrome, and nephrosis Septicemia
Diet and Heart DiseaseWhere we have been…
Saturated Fat
Cholesterol
Vegetable oils
Diet and Heart DiseaseWhat’s New….
Trans fats
Fish Oil
Diet and Heart DiseaseWhat’s in the News….
Nuts / Flaxseed - Omega 3 vs Omega 6
Plant Sterols
Tropical Oils
Diet and DiabetesWhere we have been…
Amount of Carbohydrate
Balanced diet
Diet and DiabetesWhat’s new…
Maintain healthy weight
Physical activity
30 minutes a day
Dietary Fiber
Diet and DiabetesWhat’s in the news…
Glycemic Index / Glycemic Load
High Fructose Corn Syrup
Cinnamon
Chromium
Diet and CancerWhere we have been…
Low in fat, alcohol and salt.
High in whole grains, fruits and vegetables.
Diet and CancerWhat’s New…
Phytochemicals
Antioxidants
Cruciferous vegetables
Omega-3 fatty acids
Diet and Cancer:What’s in the news…
Supplements
Juicers
Sugar substitutes
Green tea
Soy products
Energy Drinks
Contain significant amounts of caffeine and other legal stimulants.
Additional ingredients imply “health” benefits.
Take home message:
Type and Quality of Carbohydrates: Make half of your grains whole Eat more fruits and vegetables
Type and Quality of Fats: Replace saturated fats with vegetable oils Eat 2 fish meals / week Lean meats Low fat dairy
Focus on Lifestyle
Eating behaviors: Eat plenty of fruits & vegetables daily. Enjoy whole grain foods. Choose lean meats and/or protein sources. Select low-fat dairy products. Drink adequate fluids. Keep portion sizes reasonable. Pick healthful snacks. Listen to hunger and satiety signals.
Take home messages
Science is Evolutionary Not Revolutionary
Simple, Positive, Practical, Consistent nutrition and health messages
Thank you!
Resources
American Diabetes Association: Clinical Practice Recommendations 2007
Diet and Lifestyle Recommendations 2006: Scientific Statement from the AHA
American Journal of Public Health International Food Information Council American Dietetic Association Food and
Nutrition Trends Survey