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Nutrition in American Indian Communities

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Presentation on theme: "Nutrition in American Indian Communities"— Presentation transcript:

1 Nutrition in American Indian Communities
Kelli Wilson, MS RD LD Kickapoo / Mvskoke Creek / Seminole

2 Access to Nutrition Services
IHS Diabetes Care and Outcomes Audit, 2011 50% 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).

3 BARRIERS

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; 23 Maternal diet during pregnancy epigenetically affects child’s adiposity at age 9 yrs Diabetes 2011; 60 Inverse relationship between birth weight and risk of diabetes JAMA 2008; 300 Fetuses of obese mothers develop insulin resistance in utero Diabetes Care 2009; 32 Breastfeeding is most traditional form of feeding for early life nutrition Environment vs Epigenetics

7 Documentary – Unnatural Causes
Unnatural causes, is inequality making us sick? “Bad Sugar”

8 California Tribes

9 Indian Healthcare Delivery System
California Area California Rural Indian Health Board

10 Traditional Foods in California Tribes
Game and Wild Fowl Seafood Nuts and Seeds Grains and Beans Variety of Vegetables Fruits and Flowers

11 Government Issued Foods - Original
Common Commodity Foods: Flour Lard Cheese Block Powdered Eggs / Milk Canned Meat

12

13 Versions of Fry Bread

14 Family and community are important Multi-generational households
CULTURE Family and community are important Multi-generational households Elders are valued Meal planning is the responsibility of the females in the household Bread is a staple in the diet Frequent communal meals (feasts, gatherings for cultural and religious purposes) Cultural Snapshot American Indian Community

15 Switching fat sources – from lard to oil
SUGGEST Switching fat sources – from lard to oil Eating smaller portions of bread Decrease sugar-sweetened beverages Decrease salt intake and cut down on added salts to food Eating meals on a schedule and avoiding late dinners Small, gradual changes in eating habits Increase fruits and vegetables Cultural Snapshot American 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 Available Facts At-a-Glance Standards of Care Best Practices Diabetes Algorithms Web-based CME Training Printable Materials Media Tools Client Education Tools This 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 Plate Click on Printable Materials – Nutrition 5 Key Focuses: Emotions and Stress Finances Social Gatherings Traditional Foods Convenience Foods

22 Indian Health Service Division of Diabetes Treatment and Prevention
Downloadable Posters (Legal-Sized) Click on Printable Materials – Youth Diabetes Prevention Breastfeeding Promotion Childhood Obesity Prevention Physical Activity Promotion

23 Breastfeeding Promotion

24 Youth Diabetes Prevention

25 Youth Diabetes Prevention

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28 Alaska Native Tribal Health Consortium Store Outside Your Door

29 American Diabetes Association
Native American Initiative | Awakening the Spirit

30

31 AAIP Policy Brief

32 “Thank You” in Muscogee Creek and Seminole Language
MVTO. “Thank You” in Muscogee Creek and Seminole Language Pronounced “muh-doe”

33 Question and Answer


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