Nutrition May14talk
Upcoming SlideShare
Loading in...5
×
 

Nutrition May14talk

on

  • 714 views

This is a powerpoint presentation by Dr Martin Fried on healthy eating habits and on the consequences of severe obesity http://www.healthydays.info

This is a powerpoint presentation by Dr Martin Fried on healthy eating habits and on the consequences of severe obesity http://www.healthydays.info

Statistics

Views

Total Views
714
Views on SlideShare
709
Embed Views
5

Actions

Likes
0
Downloads
0
Comments
0

3 Embeds 5

http://www.slideshare.net 2
http://www.linkedin.com 2
http://www.slashdocs.com 1

Accessibility

Categories

Upload Details

Uploaded via as Microsoft PowerPoint

Usage Rights

© All Rights Reserved

Report content

Flagged as inappropriate Flag as inappropriate
Flag as inappropriate

Select your reason for flagging this presentation as inappropriate.

Cancel
  • Full Name Full Name Comment goes here.
    Are you sure you want to
    Your message goes here
    Processing…
Post Comment
Edit your comment
  • Prevalence of Overweight in Children and Adolescents The rate of adult obesity is alarming in itself (with 65 percent of adults already overweight or obese). However, what is more alarming is that 15 percent of America’s adolescents are now obese. This represents a tripling of the rate since 1980. The rate of obesity has doubled in adults, but it has tripled in our children. Another 15 percent of America’s children are at risk of obesity. They truly are overweight, just a bit away from obesity. People who become obese in childhood are more likely to end up moderately, severely, or extremely obese in adulthood. Right now five percent of Americans are extremely obese with a BMI 40 or greater. This number will increase significantly. The CDC decided not to use the term "obesity" to describe children for fear of stigmatizing them, but these children meet the criteria for obesity. The Institute of Medicine just finished its 2005 conference. In this conference, they referred to obesity in children rather than overweight. A change in terminology will most likely occur.
  • Assessing Obesity: What is BMI? Obesity is defined by the body-mass index (BMI), which is weight in kilograms divided by height in meters squared. A “normal” BMI is between 18.5 to 24.9. Overweight starts with a BMI of 25 and goes to 29.9. There are three classes of obesity, culminating in Class III called extreme or morbid obesity, which is a BMI of 40 or greater.
  • Drink portion sizes This slide is a nice illustration of the portion sizes that are continually increasing. A 16 oz. serving of soda is the smallest size available at some convenience stores. Serving sizes are available up to 64 oz. at a time. Think of this as 64 ounces of sugared soda. Sixty-four times twelve, or 800 calories, in one drink. For most U.S. women, that's half their calorie need for the day.
  • Medical Complications of Obesity The fat cell is an endocrine cell that is part of a very large endocrine organ. Obesity leads to a whole variety of medical complications listed here under a variety of organ systems illustrated here. Almost every system is impacted by increased amount of fat, some of that because of the products of fat cell production, some of it because of increased fat mass collectively making a substantial increase in risk.

Nutrition May14talk Nutrition May14talk Presentation Transcript

  • Healthy Nutrition Martin D. Fried, MD Physician Nutrition Specialist Pediatric Gastroenterologist 3200 Sunset Ave, Suite 100 Ocean NJ 07712 www.healthydays.info Phone 732-682-3425
  •  
  •  
  • What YOU Should Eat
    • 5 servings fruits and vegetables a day
    • Lean cuts of meat and poultry
    • Not to exceed 30% of calories from fat
    • Grilled, baked, steamed not FRIED
    • Don’t supersize
    • Catsup, mustard not mayo, dressings
    • Avoid sugar drinks
  •  
  • Omega 3 fats Anti-inflammatory
  • Brown vs White Rice
  • Healthy Choices
    • BODY MASS INDEX (BMI)
    • Weight (kg) /Height x Height(m)
    A Measure of Health .
  • Assessing Weight What Is BMI?
    • BMI
      • Evaluates weight relative to height
      • Replaced % ideal body weight as the primary criterion for assessing obesity
      • Correlates significantly with body fat, morbidity, and mortality
    NIH Natl Heart, Lung, and Blood Inst. Obes Res . 1998;6(suppl 2):51S. Willett WC et al. N Engl J Med . 1999;341:427. Category BMI Underweight < 18.5 Normal* 18.5 – 24.9 Overweight 25.0 – 29.9 Obesity ≥ 30.0 Class I 30.0 – 34.9 Class II 35.0 – 39.9 Class III ≥ 40.0
  • Relationship Between BMI and Comorbidities Is Positive, Willett WC, et al. N Engl J Med. 1999;341:427-434. Body Mass Index (kg/m 2 ) Relative Risk Women Men Body Mass Index (kg/m 2 ) Relative Risk 4 6 5 3 2 1 0 < 21 22 23 24 25 26 27 28 29 30 4 6 5 3 2 1 0 < 21 22 23 24 25 26 27 28 29 30 T2 diabetes Cholelithiasis Hypertension Coronary heart disease
  • Causes of BMI >30
    • What you eat
    • How much you eat
    • Activity level
    • Family History
    • Medical- Steroids, hypothyroid
    • Stressors- divorce, death, recent move
    • Depression
  • Healthy Choices
  • Portion Distortion
  • 45 calories 8 ounces 350 calories 16 ounces
  • 20 Years Ago Today 270 calories 630 calories BE AWARE OF PORTION SIZE
  • 16 oz 32 oz 44 oz 52 oz 64 oz 1 oz ≈ 12 calories Don’t Supersize
  • Difference: 500 calories 820 calories 320 calories TURKEY SUB 20 Years Ago Today
  • How long will you have to ride a bike to burn those extra calories? Maintaining a Healthy Weight is a Balancing Act Calories In = Calories Out
  • Ride a bike for 1 hour and 25min you burn 500 calories. Calories In = Calories Out
  •  
  • Shopping Hint
    • Don’t buy high calorie snacks
    • Don’t buy Potato chips or soft drinks
  • Regulation of Body Weight
    • Genes confer the potential for obesity
    • Environment determines whether and to what extent the potential is realized
  • ACTIVITY
    • increases your strength
    • lowers your stress and boosts your mood
    • helps control blood pressure and blood sugar
    • helps build healthy bones, muscles, joints
    • helps your heart and lungs work better
    • improves your self-esteem.
  • BE ACTIVE Find an activity you enjoy and do it regularly Regular daily activity makes you feel good
  • Hydrate with Water
  • Less Sugar Drinks
  • Be Active
    • Walk instead of ride in car
    • Use stairs instead of elevators
    • Aerobic class
    • Dog for long walk
  • Medical Complications of BMI > 95%ile
  • Visceral Adiposity: The Critical Adipose Depot Subcutaneous Fat Abdominal Muscle Layer Intra-abdominal Fat
  • Question
    • Which disease has the highest risk in association with BMI >95 th percentile?
      • Breast cancer
      • Diabetes
      • Cardiovascular disease
      • Osteoarthritis
      • Kidney stones
      • Hypertension
      • Abnormal Cholesterol
  • Diabetes
  • Medical Complications BMI>30 Pulmonary disease obstructive sleep apnea hypoventilation Fatty liver Steatosis, hepatitis Coronary disease Diabetes Dyslipidemia Hypertension GYN problems abnormal menses infertility polycystic ovarian syndrome Hip dislocation Skin - Acanthosis Nigrans Gallstones Cancer breast, uterus, cervix colon, kidney, prostate Gout Pancreatitis high triglycerides
  • High Cholesterol, Triglycerides
    • Coronary artery disease prematurely
    • Gallstones
    • Pancreatitis
  • Low in Cholesterol
  • Choose Whole Grains
  • Question
    • Which of the following is not part of the Metabolic Syndrome?
      • High HDL-cholesterol (> 50 mg/dL)
      • High blood pressure (> 130/85)
      • High Triglyceride (> 150 mg/dL)
      • fasting glucose (100-126 mg/dL)
      • waist circumference [> 35in (F) 40in (M)]
  • Metabolic Syndrome
    • Glucose intolerance
    • High triglycerides
    • Low HDL-cholesterol
    • High blood pressure
    • Insulin resistance
    • Abdominal Obesity
    Refined Carbohydrates
  • Metabolic Syndrome JAMA 2001;285:2486-2497 . Risk Factor Cut-Points M (waist) > 40 in F > 35 in Triglycerides ≥ 150 mg/dL HDL-C M < 40 mg/dL F < 50 mg/dL Blood Pressure ≥ 130/ ≥ 85 Fasting Glucose ≥ 110
  • Prevalence in Obesity Type 2 Diabetes 57% Gall bladder disease 30% Hypertension 17% Cardiovascular disease 17% Osteoarthritis 14% Breast Cancer 11% Uterine Cancer 11% Colon Cancer 11%
  • Relationship Between BMI and Risk of Type 2 Diabetes Mellitus Chan J et al. Diabetes Care 1994;17:961. Colditz G et al. Ann Intern Med 1995;122:481. Age-Adjusted Relative Risk Body Mass Index (kg/m 2 ) < 23 24 - 24.9 25 - 26.9 27 - 28.9 33 - 34.9 0 25 50 75 100 < 22 23 - 23.9 29 - 30.9 31 - 32.9 35 + 1.0 2.9 4.3 5.0 8.1 15.8 27.6 40.3 54.0 93.2 1.0 1.5 2.2 4.4 6.7 11.6 21.3 42.1 1.0 Men Women
  • Summary
    • The metabolic syndrome defined as central adiposity, hypertension, impaired fasting glucose and dyslipidemia is a major risk factor for heart disease and diabetes
    • Good eating habits, maintaining weight and daily physical activity can prevent these complications
  • Suggestions
    • 1) Don’t skip breakfast
    • People who eat breakfast lose more weight than those who skip it
    • 2) Don’t keep junk food in the house
    • When you feel stressed it wont be around
  • General Points
    • Portion size
    Healthy Choices
  • 610 Calories 6.9 ounces Difference = 400 Calories 20 Years Ago Today 210 Calories 2.4 ounces
  • How long will you walk to burn 400 calories?
  • Walk for 1 hour and 10 min to burn 400 calories.
  • Healthy Goals
    • Increase fruits and vegetables daily (5)
    • Limit processed/refined foods and saturated fats
    • Increase fiber
    • Portion Control
    • Daily activity
    • Eat at table, not in front of TV, computer
    • Try to keep healthy choices in the house
    • Dispose of poor food choices
    • Try not to eat within three hours of bed
  • Antioxidants in Dark Chocolate
  •  
  • RE Resveratrol
  • PEPPERONI PIZZA 20 Years Ago Today 500 calories 850 calories Calorie Difference: 350
  • How long will you have to play golf to burn 350 calories ? Maintaining a Healthy Weight is a Balancing Act
  • If you play golf (walking, carrying clubs) in 1 hour you burn 350 calories.* Calories In = Calories Out
  • Share a Meal
  • Conclusion Healthy Nutrition should include : Moderation (portion aware) Variety of foods Balance of intake with expenditure