Nutrition and YouNutrition and You

Susan YimSusan Yim

TopicsTopics

• NutritionNutrition

• Overweight/ObesityOverweight/Obesity

• Food Guide PyramidFood Guide Pyramid

• Group ActivityGroup Activity

What is Nutrition?What is Nutrition?

• The process of the body using food to The process of the body using food to keep you alive.keep you alive.

Overweight & ObesityOverweight & Obesity

• Energy intake and Energy output Energy intake and Energy output ImbalanceImbalance

• According to the American Obesity According to the American Obesity Association (2002), “Obesity [is] on the Association (2002), “Obesity [is] on the verge of surpassing smoking as #1 cause verge of surpassing smoking as #1 cause of preventable death. Obesity is the of preventable death. Obesity is the second leading cause of unnecessary second leading cause of unnecessary deaths.”deaths.”

• 65 % Americans 65 % Americans

Prevalence of Overweight & Prevalence of Overweight & Obesity by Ethnicity in HawaiiObesity by Ethnicity in Hawaii

• Ranked Highest to lowest [%]Ranked Highest to lowest [%]– Hawaiian…………………………………………………………….69.3Hawaiian…………………………………………………………….69.3– Other/unknown………………………………………………..59.4Other/unknown………………………………………………..59.4– Caucasian…………………………………..........................49.3Caucasian…………………………………..........................49.3– Chinese………………………………………………………………46.6Chinese………………………………………………………………46.6– Filipino……………………………………............................46.3Filipino……………………………………............................46.3– Japanese…………………………………………………………...44.1Japanese…………………………………………………………...44.1

Hawaii Health Survey, 2003Hawaii Health Survey, 2003

5 approaches to treatment:5 approaches to treatment:

1. Behavior modification1. Behavior modification

2. Diet2. Diet3. Activity3. Activity4. Pharmacotherapy4. Pharmacotherapy-- 2 drugs approved by FDA 2 drugs approved by FDA

OrlistatOrlistat ((XenicalXenical))SibutramineSibutramine ((MeridiaMeridia))

5. Gastric surgery5. Gastric surgery

Body Mass Index [BMI]Body Mass Index [BMI]

BMI = (BMI = (            Weight in Pounds             )             Weight in Pounds             ) x 703x 703 (Height in inches) x (Height in inches) (Height in inches) x (Height in inches)

• BMI (kg/m^2)BMI (kg/m^2)1.1. Obesity-class I……………………………………...........30.0 – 34.9 Obesity-class I……………………………………...........30.0 – 34.9 2.2. Obesity-class II…………………………………………….35.0 – 39.9Obesity-class II…………………………………………….35.0 – 39.93.3. Extreme obesity-class III…………………………..Extreme obesity-class III…………………………..>>40404.4. Overweight……………………………………….................25.0 – Overweight……………………………………….................25.0 –

29.929.95.5. Normal/Healthy………………………………………………18.5 – Normal/Healthy………………………………………………18.5 –

24.924.96.6. Underweight…………………………………………………….<18.5Underweight…………………………………………………….<18.57.7. Possible eating disorder……………………………….<16 Possible eating disorder……………………………….<16

Food Pyramid: Old vs. NewFood Pyramid: Old vs. New

                                                    

Using Hand MeasurementsUsing Hand Measurements

• Tip of the thumb (to first knuckle) = 1 tsp.

• Whole thumb = 1 Tbsp.

• Palm of your hand or the size of a deck of playing cards = 3 ounces. (This is the portion size of cooked meat [protein] most people need at a meal.)

• Tight fist = 1/2 cup

• Loose fist or open handful = 1 cup

• These guidelines hold true for most women's hands. Check the size of your hand's measurements with measuring cups, spoons, and a scale.

Quick FactsQuick Facts

• 3500 Kcal = 1 pound3500 Kcal = 1 pound

• 1 can of soda = 150 Kcal1 can of soda = 150 Kcal

• Sugar contents of soda = Orange Sugar contents of soda = Orange JuiceJuice

• Water Recommendation 8 – 8oz./dayWater Recommendation 8 – 8oz./day– 2 32oz sports (water) bottle2 32oz sports (water) bottle

Quick TipsQuick Tips• Like Plate Lunch?Like Plate Lunch?

– Brown Rice vs. White RiceBrown Rice vs. White Rice– Tossed Salad w/dressing on side vs. Macaroni SaladTossed Salad w/dressing on side vs. Macaroni Salad

• Like Soda?Like Soda?– Regular vs. DietRegular vs. Diet– Diet vs. Iced TeaDiet vs. Iced Tea– Iced Tea vs. Water w/LemonIced Tea vs. Water w/Lemon

• Like Chocolate Bars?Like Chocolate Bars?– Chocolate Bars vs. Protein BarsChocolate Bars vs. Protein Bars

• Like Snacks/Desserts?Like Snacks/Desserts?– Ice Cream vs. Frozen YogurtIce Cream vs. Frozen Yogurt

• Add fresh FruitsAdd fresh Fruits

Group ActivityGroup Activity

BreakfastBreakfast

• Dunkin DonutsDunkin Donuts– Chocolate DonutChocolate Donut– Coffee with cream and sugarCoffee with cream and sugar

LunchLunch

• Typical Fast Food MealTypical Fast Food Meal– Large Cheese BurgerLarge Cheese Burger– Large French FriesLarge French Fries– Large CokeLarge Coke

DinnerDinner

• Plate Lunch-Typical Meal from Plate Lunch-Typical Meal from Zippy’s or BBQZippy’s or BBQ– Chicken KatsuChicken Katsu– White RiceWhite Rice– Macaroni SaladMacaroni Salad– Large CokeLarge Coke

Snacks/DessertSnacks/Dessert

• Potato ChipsPotato Chips

• Strawberry Pie from Anna Miller’sStrawberry Pie from Anna Miller’s

• Cookies and Cream Ice Cream from Cookies and Cream Ice Cream from Cold StoneCold Stone

Thank YouThank You

Questions?Questions?

Director of Dietetics Director of Dietetics ProgramProgram

• Anne C. Shovic, Ph.D., R.D.Anne C. Shovic, Ph.D., R.D.

Ag Sciences III #314 IAg Sciences III #314 I

Telephone: 956-3847Telephone: 956-3847

• e-mail: e-mail: shovicshovic@@hawaiihawaii..eduedu