1.  Nutritional Counseling Unit 5 Nutrition Counseling – Unit 5 Tamara Hein, MPH, RD, LD, CDE Adjunct Professor

2. Counseling

3. Seminar Agenda  Fad Diets  Video Clip – science of weight loss  Project Unit 5  Case studies  Questions

4. Fad Diets  Nutrition Quiz Go to the link below and begin the quiz. It takes about 5 minutes. Return to class when completed.  http://old.eatright.org/videos/nnm/N NMWEBNEW/flashquiz.swf http://old.eatright.org/videos/nnm/N NMWEBNEW/flashquiz.swf

5. Fad Diet Definition  Definition: A diet that has popularity for a period of time. It generally promises a quick fix. Not all fad diets are unhealthy.  http://www.everydiet.org/fad_diets.ht m http://www.everydiet.org/fad_diets.ht m

6. Fad Diets  Overview of fad diets on a time line Click on the link and we will review this together  http://old.eatright.org/videos/nnm/timeli ne.swf http://old.eatright.org/videos/nnm/timeli ne.swf

7. FAD diets  Atkin’s (New 2010)  South Beach (recharged)  Blood Type  Slim Fast

8. Atkins Diet  The Claim: High carbohydrate diets contribute to fat, and limiting carbohydrates allows the body to burn fats.  What you eat?  Positives?  Negatives?  Is this a good choice for most people? http://www.everydiet.org/diet/atkins-diet

9. South Beach Diet/Recharged  The Claim: Good and bad carb’s, Decrease cravings, help with craving and weight loss.  What you eat?  Positives?  Negatives?  Is this a good choice for most people? http://www.everydiet.org/diet/south-beach-diet http://www.everydiet.org/diet/south-beach-diet-supercharged

10. Eating for Your Blood Type Diet  The Claim: There is a relationship between digestion and blood type.  What you eat?  Positives?  Negatives?  Is this a good choice for most people? http://www.everydiet.org/diet/blood-type-diet

11. Slim Fast Diet  The Claim: Drink a shake for breakfast and lunch and eat a sensible dinner to lose weight.  What you eat?  Positives?  Negatives?  Is this a good choice for most people? http://www.everydiet.org/diet/slimfast

12. Individualized Meal Plan  Characteristics?  Success Rates?

13. Science of Weight Loss  Video Clip George Blackburn Harvard Medical School http://www.huffingtonpost.com/2010/06/05/weight- loss-the-science-o_n_601423.html

14. Project Unit 5  Due EOD Tuesday, 9/28, 2010  75 points  APA format/references required  Questions?

15. Case Study #1- Lap Band Surgery J.T. is a 39 year old male who is coming to visit you because he is obese and has high cholesterol. The doctor’s office called prior to his visit to let you know he is interested in lap band surgery and in order for his insurance to agree to pay for the surgery; he needs to see you once a month for 12 months. The doctor’s office sent a current height of 6’2” and a weight of 395 lbs; however this was a stated weight because their scale only goes up to 350 lbs. But in your office the scale weighs up to 500 lbs. The doctor’s office also tells you he is currently drinking a high protein shake twice a day. J.T. comes in to see you. Labs: Fasting Glucose 105, Total Cholesterol 260 mg/dL, LDL 145 mg/dL, HDL 28 mg/dL, Triglycerides 450 mg/dL Meds: Tricor, Lasix What is the first thing you would do? What is his BMI? What do his labs mean to you? What stage of change is he in? What information would you collect from him? What education would you provide to him- how many calories would you give him? What other nutrient information would you provide him with? What goals would you establish with him?

16. Case Study #2- Follow up Weight Management R.M. is a 40 year old female that has seen you last month and is now coming in for a follow up appointment. She is trying to lose weight, but has not lost anything within the past month and in fact has gained 5 pounds. The first time you had seen her, she was only eating 1 meal per day and drinking 3-20oz bottles of Mountain Dew per day, snacked on chocolate kisses and was not a fan of fruits or vegetables, but could try to drink V8 and 100% fruit juice. She was unable to exercise because of her severe arthritis and back pain. The last time you had seen her, you had both discussed a 1600 calorie diet that broke down to 50% of total carbohydrates, 25% of total fat and 25% of total protein. The goals you had established at that time was for her to eat 3 meals at consistent times and find out if there was a water aerobics class at the local pool. Her height measured at 5’2” and her weight the first visit was 180 pounds and is currently 185 pounds. 1. What is her current BMI? Is her weight gain severe or not? 2. What is her stage of change? 3. What type of information would you provide her with? 4. What type of goals would you establish with her? 5. When would you follow up with her?

17. Questions? Thank you for attending seminar tonight!