Presentation on theme: "Health Promotion – The diet and disease connection"— Presentation transcript:
1Health Promotion – The diet and disease connection Lizann Powers HammondShirley Broughton
2Goals for today: Health Promotion -Consumer perspective Health Promotion FrameworkDiet and Chronic Disease what’s new?Heart DiseaseDiabetesCancerSorting through the evidence
3Communicating 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
4Are consumers losing their FOODAre consumers losing theirappetite for…NUTRITIONInternational Food and Nutrition Information Council IFIC.org
5Many people find it difficult to separate valid recommendations from fad diet advice. Consumers are bombarded with nutrition information from a variety of sources.WebSitesFoodLabelsTV andRadioNewsPopularMagazinesMedicalExpertsConsumerNutrition information is often seen as contradictory, even from equally valid sources.MediaImagesFadDietGurusFriendsandFamilyFoodAdsGov’tGuidelinesSOURCE: IFIC Foundation, 2004
7Consumers Say85% 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
8Consumers SayConsumers get most of their nutrition information from TV, newspapers, magazines.Consumers value the information form health professionals the most.Source: ADA Trends survey, 2002
9Consumers Say… 38% “I’m already doing it.” 30% “I know I should, But…” 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
10Consumers Say57% 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
12Missing Ingredient Tips – Where is the ACTION is! Don’t just tell us what to do, tell us HOW to do it!Consumers
13SIMPLE POSITIVE PRACTICAL CONSISTENT Consumers need how-to information about nutrition information that is …SIMPLEPOSITIVEPRACTICALCONSISTENT
14Consumers Definition of Health Healthy is….ActiveEnergeticConfidentSmilingGood complexionGood PostureBright and wide eyedWorks out/ is fitPositive AttitudeWell RestedAddressing the obesity debate: Consumers point of view IFIC 2003
15Consumers 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.
17Elements 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.
18Alleviation of Condition Medical ModelProblem/ConditionDiagnosisTreatmentAlleviation of Condition
19Perspectives on Obesity Medical ModelWeight is the problem.Treatments focuses on weight loss.Medical interventions are available to change body weight.
21The Magic Cure? The medical model is the western cultural norm. The search for a simple “magic cure” fits with the medical model.
22Perspectives on Obesity Health Promotion ModelBody weight above normal suggests a person is out of balance.Seek to discover underlying issues and restore balance to life.
23Exploration of Weight Issues PhysicalDiet and activity patterns, substance use?EmotionalStress levels, stress eating, emotional eating? ACE?SocialConnection to others?IntellectualMental stimulation, Happiness with life?SpiritualConnection to world and nature?
24Broadening the Focus Medical Model How can we get people to lose weight?Health Promotion ModelHow can we promote a holistic approach to health and well-being?
27Disease Prevention Medical Model Identify risk factors. Intervention targets risk factors.Often fear based, desire to avoid disease state.
28Disease Prevention Health Promotion Model Examine life balance and holistic well-being.Focus in on maximizing health not just absence of disease.
29Addressing Chronic Disease Medical ModelYou have an illness, symptoms are treated.Health PromotionYou can be well and optimize health through lifestyle, even with a disease.
30Diet and Disease Update Heart DiseaseDiabetesCancer
31Top 10 Killers Heart disease Cancer Stroke Chronic lower respiratory diseasesAccidents (unintentional injuries)DiabetesAlzheimer's diseaseInfluenza/PneumoniaNephritis, nephrotic syndrome, and nephrosisSepticemia
32Diet and Heart Disease Where we have been… Saturated Fat Cholesterol Vegetable oils
33Diet and Heart Disease What’s New…. Trans fats Fish Oil
34Diet and Heart Disease What’s in the News…. Nuts / Flaxseed -Omega 3 vs Omega 6Plant SterolsTropical Oils
35Diet and Diabetes Where we have been… Amount of CarbohydrateBalanced diet
36Diet and Diabetes What’s new… Maintain healthy weightPhysical activity30 minutes a day Dietary Fiber
37Diet and Diabetes What’s in the news… Glycemic Index / Glycemic LoadHigh Fructose Corn SyrupCinnamonChromium
38Diet and Cancer Where we have been… Low in fat, alcohol and salt.High in whole grains, fruits and vegetables.
39Diet and Cancer What’s New… PhytochemicalsAntioxidantsCruciferous vegetablesOmega-3 fatty acids
40Diet and Cancer: What’s in the news… SupplementsJuicersSugar substitutesGreen teaSoy products
41Energy DrinksContain significant amounts of caffeine and other legal stimulants.Additional ingredients imply “health” benefits.
42AHA Diet Recommendations Balance calories and activity – achieve/ maintain a healthy weightConsume a diet rich in fruits and vegetablesChoose Whole grains and High fiber foodsConsume fish, especially oily fish at least twice a weekLimit saturated fat and trans fat and cholesterolChoose and prepare with little or not saltAlcohol in moderationDiet and Lifestyle Recommendation Revision 2006: A Scientific Statement from AHA
43American Diabetes Association Guidelines - prevention Moderate weight loss (7%)Through Lifestyle changes150 minutes/week exerciseReduce calories / fatHigh Fiber Diet 14 gram / 1000 caloriesAmerican Diabetes Association: Clinical Practice Recommendations 2007
44American Cancer Society Nutrition and Physical Activity Guide Maintain a healthy weight throughout life.Adopt a physically active lifestyle.Eat a healthy diet, with an emphasis on plant sources.If you drink alcoholic beverages, limit consumption.American Cancer Society Nutrition and Physical Activity Guide
45Take home message: Type and Quality of Carbohydrates: Make half of your grains wholeEat more fruits and vegetablesType and Quality of Fats:Replace saturated fats with vegetable oilsEat 2 fish meals / weekLean meatsLow fat dairy
46Focus 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.
47Take home messages Science is Evolutionary Not Revolutionary Simple, Positive, Practical, Consistent nutrition and health messages
49ResourcesAmerican Diabetes Association: Clinical Practice Recommendations 2007Diet and Lifestyle Recommendations 2006: Scientific Statement from the AHAAmerican Journal of Public HealthInternational Food Information CouncilAmerican Dietetic Association Food and Nutrition Trends Survey