Presentation on theme: "Nutrition in American Indian Communities"— Presentation transcript:
1 Nutrition in American Indian Communities Kelli Wilson, MS RD LDKickapoo / Mvskoke Creek / Seminole
2 Access to Nutrition Services IHS Diabetes Care and Outcomes Audit, 201150% of American Indian / Alaska Native (AI/AN) people with diabetes received diet education.25% were seen by a Registered Dietitian for Medical Nutrition Therapy (MNT).
4 Native Americans suffer food insecurity and hunger at twice the rate of the general population. Food Research and Action Center, 2000
5 Community Food Insecurity A situation in which all community residents obtain a safe, culturally acceptable, nutritionally adequate diet through a sustainable food system that maximizes self-reliance and self justice, without resorting to emergency food choices.Community Food Insecurity
6 Environment vs Epigenetics Inadequate maternal nutrition during pregnancy is associated with a range of undesirable outcomes in the offspring, including obesity in childhood JACN 2004; 23Maternal diet during pregnancy epigenetically affects child’s adiposity at age 9 yrs Diabetes 2011; 60Inverse relationship between birth weight and risk of diabetes JAMA 2008; 300Fetuses of obese mothers develop insulin resistance in utero Diabetes Care 2009; 32Breastfeeding is most traditional form of feeding for early life nutritionEnvironment vs Epigenetics
7 Documentary – Unnatural Causes Unnatural causes, is inequality making us sick?“Bad Sugar”
14 Family and community are important Multi-generational households CULTUREFamily and community are importantMulti-generational householdsElders are valuedMeal planning is the responsibility of the females in the householdBread is a staple in the dietFrequent communal meals (feasts, gatherings for cultural and religious purposes)Cultural SnapshotAmerican Indian Community
15 Switching fat sources – from lard to oil SUGGESTSwitching fat sources – from lard to oilEating smaller portions of breadDecrease sugar-sweetened beveragesDecrease salt intake and cut down on added salts to foodEating meals on a schedule and avoiding late dinnersSmall, gradual changes in eating habitsIncrease fruits and vegetablesCultural SnapshotAmerican Indian Community
16 National American Indian and Alaska Native Heritage Month www. ihs National American Indian and Alaska Native Heritage Month
17 National Diabetes Month FREE!Various Resources AvailableFacts At-a-GlanceStandards of CareBest PracticesDiabetes AlgorithmsWeb-based CME TrainingPrintable MaterialsMedia ToolsClient Education ToolsThis webinar couldn’t be at a more perfect time! November is Native American Heritage Month, as well as National Diabetes Month. I’m going to share with you some resources that can help you in your practice as well as those counseling Natives on health living.I’ll be referencing the IHS Division of Diabetes website as well as other online resources.Some of the more popular items used are the Diabetes Algorithms, web-based CME trainings, and client education tools – which we’ll review a few of them today.
18 Indian Health Service Division of Diabetes Treatment and Prevention
19 Indian Health Service Division of Diabetes Treatment and Prevention
20 Indian Health Service Division of Diabetes Treatment and Prevention
21 Indian Health Service Division of Diabetes Treatment and Prevention Educator’s Tip Sheet to Use with My Native PlateClick on Printable Materials – Nutrition5 Key Focuses:Emotions and StressFinancesSocial GatheringsTraditional FoodsConvenience Foods
22 Indian Health Service Division of Diabetes Treatment and Prevention Downloadable Posters(Legal-Sized)Click on Printable Materials – Youth Diabetes PreventionBreastfeeding PromotionChildhood Obesity PreventionPhysical Activity Promotion