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Community Nutrition. Community Nutrition…. Aims to prevent problems related both to food insufficiencies and excesses, and to promote well-being through a secure and safe food supply and healthful eating habits. Public Health Nutritionist. Responsible for planning organizing managing

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community nutrition1
Community Nutrition…
  • Aims to prevent problems related both to food insufficiencies and excesses, and to promote well-being through a secure and safe food supply and healthful eating habits
public health nutritionist
Public Health Nutritionist
  • Responsible for
    • planning
    • organizing
    • managing
    • directing
    • coordinating
    • evaluating
  • nutrition component of public health unit programming
public health nutritionist1
Public Health Nutritionist
  • Establishes links with related community nutrition programs
    • nutrition education
    • food assistance
    • social services
    • elder care
    • community based research
public health nutritionist2
Public Health Nutritionist
  • Focus on society
  • Promote health & prevent disease
  • Promotes healthy lifestyle
  • Works on issues that affect largest segments of community OR have greatest long-term health benefits
public health nutritionist3
Public Health Nutritionist
  • Targets underserved groups
  • Requires collaboration
  • Monitors health of community
    • to ensure programs respond to needs
    • needs assessment
prevention
Prevention
  • Three inter-related components:
    • personal health
    • community-based
    • social policies/systems-based
levels of prevention
Levels of Prevention
  • Three levels
    • Primary
    • Secondary
    • Tertiary
community practice settings
Community Practice Settings
  • Public Health Departments
  • Community Health Centres
  • Health Promotion Organizations
  • Health Charities
  • Homes
  • Family Resource Centres
  • Grocery Stores
  • ...
slide10

Organizations involved in community nutrition…

Support from Federal and Provincial Governments and the Private Sector

Voluntary Agencies

Food Aid Programs

Social Services

Self-help Groups

Public Health Agency

Day Care, Schools

Fitness Centres

Agricultural Extension

Work Site

Food Industry

Health Care Providers

(Obert, 1986 in Davis, 1989)

responsibilities in community nutrition
Responsibilities in Community Nutrition

Assessment

Planning

Evaluation

Implementation

nutrition guidelines
Nutrition Guidelines
  • How did nutrition professionals develop food guidance documents?

1. Recommended Nutrient Intakes

2. Canada’s Guidelines for Healthy Eating

3. Eating Well with Canada’s Food Guide

community nutrition in ns
Community Nutrition in NS
  • Nutrition for Health: An Agenda for Action (1997)
  • 4 strategic directions
    • Reinforce healthy eating practices
    • Support nutritionally vulnerable populations
    • Continue to enhance the availability of foods
    • Support nutrition research
community nutrition in ns1
Community Nutrition in NS
  • Healthy Eating Nova Scotia (2005)
    • A framework for comprehensive action on healthy eating
    • Provides an evidence-based, intersectoral, and strategic approach to improving the nutritional health of Nova Scotians
    • Priorities for Action:
      • Breastfeeding
      • Children and Youth
      • Food Security
      • Fruit and Vegetable Consumption
measuring obesity
Measuring Obesity
  • Body Mass Index
  • In adults
    • wt in kg / ht in m2
  • Children and Adolescents
    • BMI for age & sex
    • > 95th percentile overweight/obese
    • 85th – 95th at risk
evolution of overweight in canada
Evolution of Overweight in Canada

Boys and girls, 7 to 13 years old

33%

35

27%

30

25

20

1981

15

13%

11%

1996

10

5

0

Boys

Girls

(Katzmarzyk et al. 2001)

17

evolution of obesity in canada

12

10

8

6

1981

1996

4

2

0

Evolution of obesity in Canada

Boys and girls, 7 to 13 years old

10%

9%

2%

2%

Boys

Girls

Définition de Cole – Données de l’ELNEJ (Katzmarzyk et al. 2001)

18

childhood obesity
Childhood Obesity
  • What factors are associated with development of obesity?
      • Activity – TV/Cmpt AND ↓ PE classes
      • Minorities
      • Low income levels
      • Older children/youth
      • Become obese adults?
slide23

OBESITY PREVALENCE FACTORS

Energy Intake – Food Marketing

“Marketing approaches matter for public health. They influence our own – and in particular our children’s – patterns of behaviors. Given that they are designed to succeed, they have serious consequences for those at whom they are targeted.”

Gro Harlem Brundtland Director General of WHO Address to the 55th World Health Assembly 2002

Susan L. Roberts, JD, MS, RD

Drake University Agricultural Law Center

physical activity pacy 2001 2005
Physical Activity – PACY 2001-2005

Campagna, Wadsworth, et al., 2007

portion sizes
Portion sizes…

In the US, 67 % of persons reported eating everything in their plate regardless of the portion size

On average, people eat 30% more, when exposed to a portion 2 times bigger.

slide26

PUBLIC HEALTH STRATEGIES

REAL Action

  • Effective public policies
  • Appropriate infrastructure
  • Adequate funding
  • Monitoring & evaluation
  • Continuing research
required readings
Required Readings
  • Meldrum, & Willows, 2006. Food insecurity in university students. (online)
  • Glanville, & McIntyre, 2006. diet quality of Atlantic families headed by single mothers.