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NUTRITION

NUTRITION . Chelsea Lindeman & Anna Gleason . PURPOSE/RATIONALE. Poor nutrition Rising obesity rates Increased portion sizes Unhealthy weight control Disordered Eating Supplements. LITERATURE REVIEW. According to the YRBS… Not enough fruits and vegetables

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NUTRITION

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  1. NUTRITION Chelsea Lindeman & Anna Gleason

  2. PURPOSE/RATIONALE • Poor nutrition • Rising obesity rates • Increased portion sizes • Unhealthy weight control • Disordered Eating • Supplements

  3. LITERATURE REVIEW • According to the YRBS… • Not enough fruits and vegetables • Not enough milk, too much soda • Overweight and obesity • Losing weight in unhealthy ways  vomiting & laxatives

  4. LITERATURE REVIEWcontinued… • According to the World Health Organization (WHO) • Nutrition-related health problems  disability and premature death • Rising obesity rates

  5. LITERATURE REVIEWcontinued… • Healthy People 2020 objective • Decrease obesity • Increase fruit, vegetable, whole grain, and calcium intake • Decrease fat, sugar, and sodium intake.

  6. Teaching Point: Nutrition • MyPlate • Guide for a balanced meal • ½ fruits and vegetables, ½ grains and protein • Should also include dairy • Food Groups and Nutritional Content • Fruits • Vegetables • Grains • Dairy • Protein foods

  7. DATA & STATISTICS • Most U.S. youth do not meet the recommendations for eating 2½ cups to 6½ cups of fruits and vegetables each day. (CDC) • Empty calories from added sugars and solid fats contribute to 40% of daily calories for children and adolescents aged 2–18 years. (CDC) • Adolescents drink more full-calorie soda per day than milk. (CDC) • Most Americans don't get enough dietary fiber, vitamin A, vitamin C, calcium, and iron in their diets. (FDA)

  8. Teaching Point: Obesity • Definition: An abnormal accumulation of body fat associated with increased risk of illness, disability, and death. • Body Mass Index: • Calculated using weight and height • Correlates with amount of body fat (for most people) but does not directly measure it.

  9. DATA & STATISTICS • More than one-third of U.S. adults (35.7%) are obese. (CDC) • Approximately 17% (or 12.5 million) of children and adolescents aged 2-19 years are obese. (CDC) • Obese children are likely to stay obese into adulthood. (WHO)

  10. Teaching Point: Portion Sizes • Daily Caloric Intake: students should calculate based on their age, height, weight, and amount of physical activity • Breakfast: should contain about 20% of daily caloric intake • Normal Portion Sizes

  11. EXAMPLES 1 serving of meat = a deck of cards. 1 serving of fruit = a baseball 1 serving of cheese = 4 dice

  12. DATA & STATISTICS

  13. Teaching Point: Eating Disorders • Anorexia Nervosa: loss of appetite due to emotional states, such as anxiety, irritation, anger, and fear • Bulimia Nervosa: serious, potentially life-threatening eating disorder characterized by bingeing and purging. • Eating Disorders Not Otherwise Specified (EDNOS): do not meet the strict criteria for either Anorexia or Bulimia Nervosa, but who have significant concerns about eating and body image • Binge Eating Disorder: person loses control over eating and binges are not followed by purges so this may lead to significant weight gain

  14. DATA & STATISTICS • About 1% of female adolescents have anorexia and about 1-3% have bulimia. (ANAD) • 25% of girls and 11% of boys reported disordered eating and weight control symptoms severe enough to warrant clinical evaluation. (CDC) • 46.0% of students were trying to lose weight. 12.2% of students had not eaten for 24 or more hours to lose weight or to keep from gaining weight. 4.3% of students had vomited or taken laxatives. (YRBS)

  15. Teaching Point: Supplements • Steroids • Dangers: • Dietary supplements are not regulated • Whether in the form of pills, drinks, powders, or foods, they can have strong effects in the bodyand can lead to potentially dangerous reactions • Advertisement Claims • "All natural" on the bottle is no guarantee that a supplement is in fact all natural. • The FDA has discovered chemicals, prescription drugs, and steroids in some supplements.

  16. DATA & STATISTICS • An estimated 15.2% of adults (women 20.6%, men 9.7%) had ever used a weight-loss supplement. • Five to 12 percent of male high school students and 1 percent of female students have used anabolic steroids by the time they are seniors

  17. STANDARDS The 8 NHES standards can be used to establish, support, and promote health enhancing behaviors in relation to nutrition.

  18. Standard 1: Core Concepts • Given the MyPlate worksheet, the learner will be able to list three positive outcomes of the results of eating a balanced diet in order to demonstrate their ability to predict how healthy behaviors can affect health status.

  19. Standard 2: Analyze Influences • Given a television, the learner will be able to tally the amount of food-related commercials that appear during a 30-minute program in order to demonstrate their ability to evaluate the effect of media on personal and family health.

  20. Standard 3: Access Information • Given three restaurants, the learner will be able to access the menu’s nutrition facts for each restaurant and record the nutrition facts for a meal of their choice in order to demonstrate their ability to determine the accessibility of products and services that enhance health.

  21. Standard 4: Interpersonal Communication • Given the skits, the learner will be able to demonstrate one way to ask for and one way to offer assistance for an eating disorder in order to demonstrate their ability to demonstrate how to ask for and offer assistance to enhance the health of self and others.

  22. Standard 5: Decision-Making • Given the “ingredients substitution” sheet the learner will be able to re-create five recipes and substitute unhealthy ingredients for healthier ingredients in order to demonstrate their ability to generate alternatives to health-related issues or problems.

  23. Standard 6: Goal-Setting • Given the nutrition goals assignment the learners will list five obstacles they might come across and how they will overcome them in order to demonstrate the ability to describe how personal health goals can vary with changing abilities, priorities, and responsibilities.

  24. Standard 7: Self-Management • Given the “my body in ten years worksheet” the learner will be able to discuss 3 of their future physical characteristics based on their current eating habits in order to demonstrate their ability to analyze the role of individual responsibility for enhancing health.

  25. Standard 8: Advocacy • Given the “media influences” article, the learner will be able to create a 30-45 second nutritional advocacy commercial in order to demonstrate their ability to influence and support others to make positive health choices.

  26. SUPPORT AGENCIES • HyVee • Bluff Country Coop • USDA Food and Nutrition Services (FNS) • Academy of Nutrition and Dietetics • MyPlate

  27. SUPPORT AGENCIES • Centers for Disease Control and Prevention (CDC) • Nutrition.gov • Rochester Wholesale • International Food Information Council Foundation • Food and Drug Administration (FDA)

  28. PSA • http://www.youtube.com/watch?v=kLy428LgoFo

  29. Exam Questions • 1. How is BMI calculated? • a. using age and height • b. using gender and weight • c. using weight and height • d. gender and height • 2. Bulimia Nervosa is characterized by… • a. binge eating • b. starving oneself • c. binging and purging • d. none of the above

  30. Exam Questions • 3. Obesity is associated with • a. heart disease • b. diabetes • c. death • d. all of the above • 4. All of the following are protein foods EXCEPT… • a. eggs • b. meat • c. beans • d. bread

  31. Exam Questions • 5. Daily caloric intake • a. can be calculated using just weight and height • b. should be the same for everyone • c. is exactly 2000 • d. varies based on age, height, weight, and amount of physical activity

  32. Conclusion • Research shows need for improvement • Nutrition education will promote, encourage, and support students to make healthy decisions • Choose most important topics and base instruction on standards

  33. Resources Austin, S.B., Ziyadeh, N, et al. (2009). Screening high school students for eating disorders: results of a national initiative. Preventing Chronic Disease: Public Health Research, Practice, and Policy, 5(4). Retrieved from http://www.cdc.gov/pcd/issues/2008/oct/07_0164.htm U.S. Department of Health and Human Services. (2012) Youth risk behavior surveillance — United States, 2011. Morbidity and Mortality Weekly Report, 61(4). Retrieved from http://www.cdc.gov/HealthyYouth/yrbs/ U.S. Department of Health and Human Services. (2012). Healthy people 2020 summary of objectives. Retrieved from http:// www.healthypeople.gov/2020/topicsobjectives2020/default.aspx World Health Organization (2012). Global strategy on diet, physical activity, and health: childhood overweight and obesity. Retrieved from http:// www.who.int/dietphysicalactivity/childhood/en/

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