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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 .

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Health Promotion – The diet and disease connection

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Health promotion the diet and disease connection l.jpg

Health Promotion – The diet and disease connection

Lizann Powers Hammond

Shirley Broughton


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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


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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


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FOOD

Are consumers losing their

appetite for…

NUTRITION

International Food and Nutrition Information Council IFIC.org


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Many people find it difficult to separate valid recommendations from fad diet advice.

Web

Sites

Consumers are bombarded with nutrition information from a variety of sources.

TV and

Radio

News

Food

Labels

Medical

Experts

Popular

Magazines

Nutrition information is often seen as contradictory, even from equally valid sources.

Consumer

Fad

Diet

Gurus

Media

Images

Food

Ads

Friends

and

Family

Gov’t

Guidelines

SOURCE: IFIC Foundation, 2004


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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


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Consumers Say

  • 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


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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


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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


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Missing Ingredient

  • Tips – Where is the ACTION is!

  • Don’t just tell us what to do, tell us HOW to do it!

    Consumers


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Consumers need how-to information about nutrition information that is …

SIMPLE

POSITIVE

PRACTICAL

CONSISTENT


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Healthy is….

Active

Energetic

Confident

Smiling

Good complexion

Good Posture

Bright and wide eyed

Works out/ is fit

Positive Attitude

Well Rested

Consumers Definition of Health

Addressing the obesity debate: Consumers point of view IFIC 2003


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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.


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The Health Promotion Framework


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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.


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Medical Model

Problem/Condition

Diagnosis

Treatment

Alleviation of Condition


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Perspectives on Obesity

Medical Model

  • Weight is the problem.

  • Treatments focuses on weight loss.

  • Medical interventions are available to change body weight.


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Diet

Exercise

Prescription drugs

Behavior modification

Diet pills

Herbal remedies

Liposuction

Bariatric surgery

Acupuncture

Lotions/creams

Hypnosis

Stimulants

Weight Loss Methods


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The Magic Cure?

  • The medical model is the western cultural norm.

  • The search for a simple “magic cure” fits with the medical model.


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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.


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Physical

Diet and activity patterns, substance use?

Emotional

Stress levels, stress eating, emotional eating? ACE?

Social

Connection to others?

Intellectual

Mental stimulation, Happiness with life?

Spiritual

Connection to world and nature?

Exploration of Weight Issues


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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?


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The Life Balance Wheel


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Disease Prevention

Medical Model

  • Identify risk factors.

  • Intervention targets risk factors.

  • Often fear based, desire to avoid disease state.


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Disease Prevention

Health Promotion Model

  • Examine life balance and holistic well-being.

  • Focus in on maximizing health not just absence of disease.


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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.


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Diet and Disease Update

  • Heart Disease

  • Diabetes

  • Cancer


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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


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Diet and Heart DiseaseWhere we have been…

  • Saturated Fat

  • Cholesterol 

  • Vegetable oils 


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Diet and Heart DiseaseWhat’s New….

  • Trans fats 

  • Fish Oil 


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Diet and Heart DiseaseWhat’s in the News….

  • Nuts / Flaxseed -

    • Omega 3 vs Omega 6

  • Plant Sterols

  • Tropical Oils


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Diet and DiabetesWhere we have been…

  • Amount of Carbohydrate

  • Balanced diet


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Diet and DiabetesWhat’s new…

  • Maintain healthy weight

  • Physical activity

    30 minutes a day 

  • Dietary Fiber


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Diet and DiabetesWhat’s in the news…

  • Glycemic Index / Glycemic Load

  • High Fructose Corn Syrup

  • Cinnamon

  • Chromium


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Diet and CancerWhere we have been…

  • Low in fat, alcohol and salt.

  • High in whole grains, fruits and vegetables.


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Diet and CancerWhat’s New…

  • Phytochemicals

  • Antioxidants

  • Cruciferous vegetables

  • Omega-3 fatty acids


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Diet and Cancer:What’s in the news…

  • Supplements

  • Juicers

  • Sugar substitutes

  • Green tea

  • Soy products


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Energy Drinks

  • Contain significant amounts of caffeine and other legal stimulants.

  • Additional ingredients imply “health” benefits.


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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


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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.


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Take home messages

Science is Evolutionary Not Revolutionary

Simple, Positive, Practical, Consistent nutrition and health messages


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Thank you!


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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


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