1. NUTRITION MATTERS: DO YOUR VEGGIES HAVE PURPOSE? April 2013 Network Call

2. Nutrition Matters  Nutrition and the four components  Nutritional state of the network  Working with stages of change  Best Practices from the network

3. Why do we eat?

4. Hunger Energy Nutrients Boredom Habit Emotional Comfort Celebrations Stress FOOD

5. What do you eat?

7. Food is Personal “What is patriotism but the love of the food one ate as a child?” ~Lin Yutang

8. Food is Personal “It's difficult to think anything but pleasant thoughts while eating a homegrown tomato.” ~Lewis Grizzard

9. Eat with Purpose

10. What the Research Tells Us Physical Health Habits  Aerobic activity, strength, balance, and flexibility  Nutrition  Sleep  Preventative screenings Disease risk  Heart Disease  Stroke  Diabetes  Cancer  Osteoporosis  Depression  Falls  Alzheimer’s disease

12. What the Research Tells Us Why 5 A Day?  Water ~ hydration, urinary tract health  Fiber ~ digestion & heart health  B6 ~ immune & cognitive function  Magnesium ~ muscles, nervous system, blood pressure, & sleep  Potassium ~ blood pressure  Antioxidants ~ visual function & heart health

13. Nutritional State of the Network  Nutrition Risk  Less than 5 fruits & vegetables per day OR  BMI of 25 or greater

14. Successful Aging

15. Physical Pain P <.05

16. Energy

17. Stages of Change

18. Pre- Contemplation (19%) Contemplation (3%) Preparation (9%) Action (19%) Maintenance (50%)

19. Pre-Contemplation (19%)  No Plans for Change  “I already know you’ll tell me I can’t have dessert; I don’t need to go to Nourish”  Coaching Questions  “It sounds like having the option to eat dessert is important to you. What else is important to you?”

20. Contemplation (3%)  Plans for change in 6 months  “I know I should eat healthier but I’m not ready to make big changes. I’m thinking about attending Nourish sometime.”  Coaching Questions  “What has inspired your decision to consider attending Nourish?”  “How might healthier food choices impact your daily life?”  “Tell me more about not being ready…”

21. Preparation (9%)  Plans for change in 30 days  “I want to have energy to play with my grandchildren, so I have signed up for the next session of Nourish to learn more about making healthy food choices”  Coaching Questions  “You sound motivated to learn more! How does Nourish fit into your schedule?”

22. Action (19%)  Making changes less than 6 months  “I attended Nourish last month and have been increasing my vegetable servings by 1 per day.”  Coaching Questions  “What did you learn from Nourish that you are now using?  “How do you feel since increasing your vegetable intake?”

23. Maintenance (50%)  Making changes 6 months or more  “After attending Nourish, I had the education I needed to make dietary changes. I used to eat only 2 servings per day of F & V. Now I eat 5 servings on most days and have more energy!”  Coaching Question  “And now that you have more energy, what would you like to do with it?”

24. Coaching Tips  Be Gentle  Be Curious  Be Affirming  Ask permission before offering advice:  “How much do you know about…”  “Would you like to learn more about…”  “Would it be helpful for me to share some ideas that have worked for other residents?”  Coaching videos on MPL website  Changing Your Habits: Steps to Better Health article Changing Your Habits: Steps to Better Health

25. Somerby of Mobile Best Practices  Nourish  Better participation when twice a week for 2 weeks  Reminder calls to participants  Food Samples  Resident-inspired menu items

26. Somerby of Mobile Best Practices  Play Games!!  Eat This, Not That  Blind Taste Test  Provide Nutrition Information for each food

27. Somerby of Mobile Best Practices  “Blue Zone” Initiative  Book Club  Blue Zone entrees on menu  Samples of Blue Zone entrees

29. Somerby of Mobile Best Practices  Overcoming Resident Hesitation  Keep some favorite foods available  It’s all about options  Healthy choices should look and sound appealing  Staff education

30. Best Practices from the Network  Nutrition Matters ~ University Village  Nutrition Demonstrations ~ La Posada and University Village  Add spinach to salad bar ~ MHKY  Juice Bar ~ Somerby of Alpharetta  Nutrition Information available to residents ~ La Posada and University Village  Healthy Living Lunch ~ Querencia at Barrington

31. Resources  Health Weights for Healthy Older Adults article Health Weights for Healthy Older Adults article  Changing Your Habits: Steps to Better Health article online at Changing Your Habits: Steps to Better Health  Identify stages of change  Tips for small steps at every stage  Coaching videos on MPL website Coaching videos  Blue Zones Website Blue Zones Website  Blue Zones by Dan Buettner  Eat This Not That by David Zinczenko

32. Thank you!