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

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Presentation on theme: "Nutrition in American Indian Communities Kelli Wilson, MS RD LD Kickapoo / Mvskoke Creek / Seminole."— Presentation transcript:

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

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

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 childs 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

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 FowlSeafoodNuts and Seeds Grains and BeansVariety of VegetablesFruits and Flowers

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

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13 Versions of Fry Bread

14 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) American Indian Community Cultural Snapshot

15 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 American Indian Community Cultural Snapshot

16 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

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 Educators Tip Sheet to Use with My Native Plate Click on Printable Materials – Nutrition 5 Key Focuses: 1.Emotions and Stress 2.Finances 3.Social Gatherings 4.Traditional Foods 5.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 Spiritwww.diabetes.org/ats

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31 AAIP Policy Brief

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

33 Question and Answer


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