1. Healthy Adults l Goal = »“adults” = 21-65 YO »~40-45 YO, people start taking health care seriously l __________ = signs associated with likelihood of acquiring a disease l ____ and ________ can influence most current ____________ in the U.S.

2. Ten Leading Causes of Death in the U.S. (1900) RankCause of death 1 2 3 4 5 6 7 8 9 10 Pneumonia/influenza Tuberculosis Diarrhea and enteritis Heart disease Stroke Liver disease Accidents Cancer Diphtheria Meningitis Causes in which diet plays a part Causes in which alcohol plays a part

3. Ten Leading Causes of Death in the U.S. (2000) RankCause of death 1 2 3 4 5 6 7 8 9 10 Heart disease Cancer Stroke Lung diseases Accidents Diabetes Pneumonia/influenza Alzheimer’s disease Kidney disease Septicemia Causes in which diet plays a part Causes in which alcohol plays a part

4. Community Programs Targeting Adults l Food StampsSNAP l Food programs: »Commodity Supplemental Food Program »Child and Adult Care Food Program (CACFP) »USDA Food Recovery and Gleaning Program l Community health centers l Cooperative Extension Service »EFNEP »Family Nutrition Program (FNP) l TEFAP l Medicaid l Title V MCH funds l WIC

5. ____________ l “Access by all people at all times to sufficient food for an active and healthy life.” »________ food »adequate and _____ food »________ »for _________ life »acquired in ____________ ways

6. Poverty l Poverty guidelines »set by USDA »since 1965 »based on ____________ X 3.3 »adjusted annually according to ________________ l Thrifty Food Plan: »Emergency, short-term diet »one of 4 nutrition plans: Thrifty, Low-cost, Moderate, Liberal

7. Poverty l Poverty stats »$22,050 annually for a family of four (2009) »~37,000,000 hungry in the U.S. (Census Bureau, 2007) –11% of households –1 in ___ children l The ________ the income, the _______ the nutritional status of a family

8. Poverty l Poverty stats »$22,050 annually for a family of four (2009) »~46,200,000 poor in the U.S. (Census Bureau, 2010) = 15.1% (up from 14.3% in 2009) l The lower the income, the worse the nutritional status of a family

9. Food Stamp Program is now SNAP l Supplemental Nutrition Assistance Program l __________ program l Eligibility: »_________ gross income »_________ net income »certain exemptions to definition of net income »more income allowed if ________ in household

10. Food Stamp to SNAP changes l Eligibility: »asset limit “relaxed” in 2008 l $20 million authorized for pilot projects to increase fruit and vegetable intake, improve health status, reduce obesity l Food “stamps” eliminated; all benefits by EBT

11. SNAP Program l Goal = l Benefits: »provided via _______ »amount varies with income, size of household, housing costs, etc. »~ amount needed for the household unit to ________________

12. SNAP Program l Excludes RTE foods, medications, pet foods, tobacco, alcohol, cleaning supplies… l Education is via state plans l http://www.ers.usda.gov/Ambe rWaves/November08/Features/ AffordHealthyDiet.htm http://www.ers.usda.gov/Ambe rWaves/November08/Features/ AffordHealthyDiet.htm

13. Household expenditures l ________ income: »50% income on food, clothing, shelter (f/c/s) »16% on food l ________ income: »66% on f/c/s »23% on food l _________: »75% on f/c/s »30% on food

14. Food Stamp Program l In 1970, Food Stamps served 4.3 million people a month and cost $577 million; l In 2008, SNAP served 28.4 million people a month and cost $34.6 billion l Average benefit in 2009 = $101 a month per person »$3.37 a day http://www.fns.usda.gov/snap/faqs.htm#9

15. SNAP Program l Average benefit in Indiana in 2010 = $132.29 a month per person »$4.40 a day

16. Homework l Work out a menu for a day »$13.20 »one person l Price the menu l Analyze the menu for nutritional adequacy »use MyPlate l Due Thursday, November 17 l (alternative is to cost and analyze one day of your typical intake. Then indicate how your food costs compare to SNAP.)

17. Focus on SNAP Entitlement program? Who is eligible? What are the benefits? Are there restrictions? What is the goal/purpose? Is education mandated? Proven outcomes?

18. Maximum SNAP allotment http://www.fns.usda.gov/snap/faq s.htm#9 (October 2009 through September 2010) People in Household Maximum Monthly Allotment 1 $ 200 2 $ 367 3 $ 526 4 $ 668 5 $ 793 6 $ 952 7 $ 1,052 8 $ 1,202 Each additional person... $ 150

19. Persons in Family or Household 48 Contiguous States and D.C. 1 $10,830 2 14,570 3 18,310 4 22,050 5 25,790 6 29,530 7 33,270 8 37,010 For each additional person, add 3,740 2009 DHHS Poverty Guidelines http://aspe.hhs.gov/poverty/09poverty.shtml

20. Maximum SNAP allotment http://www.fns.usda.gov/snap/faq s.htm#9 (October 1, 2011 through September 30, 2012) People in Household Maximum Monthly Allotment 1 $ 200 2 $ 367 3 $ 526 4 $ 668 5 $ 793 6 $ 952 7 $ 1,052 8 $ 1,202 Each additional person... $ 150

21. Persons in Family or Househo ld 48 Contiguo us States and D.C.AlaskaHawaii 1$10,830$13,530$12,460 214,57018,21016,760 318,31022,83021,060 422,05027,57025,360 525,79032,25029,660 629,53036,93033,960 733,27041,61038,260 837,01046,29042,560 For each additional person, add 3,7404,6804,300 2010 DHHS Poverty Guidelines http://www.hhs.gov/opa/pdf/poverty-guidelines-2010.pdf