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Tips for Healthy Eating 
Consequences of a poor diet 
Explore factors that contribute to excess weight 
Provide recommendations for healthy eating 
Dave Elger, MA 
Area III Health Promotion Coordinator
Consequences of a Poor Diet 
in the U.S. 
• Obesity- 78 million adults, 12.5 million children 
• Diabetes- 26 million, 79 million are at risk 
• High blood pressure- Nearly 67 million 
• Heart disease- 80 million. Leading cause of death in U.S. for men 
and women (1 in 4, or close to 1 million per year). 
• Osteoporosis- 10 million, another 34 million have low bone 
density 
• Cancer- 1.2 million annually, 500,000 die. Over 30% are 
attributed to diet. 
• Metabolic Syndrome affects about 35% of adults
The Weight Gain You See Below IS 
NOT UNCOMMON! 
year Female PFC Male PFC 
2009 170 185 
2010 189 220 
2011 205* 243 
Body fat 34% 28% 
Fat wt. 70 lbs 68 lbs 
Ideal wt 164-173 206-213
The Army Struggles 
with Weight Loss 
Army Attempted wt 
loss 
Difficulty 
Meeting Wt 
Standard 
males 49.5% 18.2% 
females 72.2% 28.8% 
total 53.8% 19.7% 
2005 DOD Health Habits Survey
Does Army Food Contribute to Weight 
Gain? 
• If that were true, overweight soldiers would 
lose weight when the go on leave, and we 
know that’s usually not the case.
Inactivity? 
• Many soldiers gain weight following forced 
inactivity due to injury (or voluntary inactivity 
such as leave). 
I believe that weight gain during 
inactivity can be controlled with 
a change in diet.
The Toxic Food Environment Theory 
• The problem isn't so much people's lack of 
self-control, he said. It's a "toxic food 
environment"--the strips of fast-food 
restaurants along America's roadways, the 
barrage of burger advertising on television 
and the rows of candies at the checkout 
counter of any given convenience store. 
-Dr. Kelly Brownell
Too Much Sugar 
*high fructose corn syrup, sugar 
King size Coke 
at Burger King 
= 42 oz, 390 
calories, and 
104 grams of 
sugar! 
Now that’s ridiculous! 
•Liquids contribute 21% of total calorie 
intake in the U.S. 
•Average intake of soft drinks is more than 
50 gallons per person annually in the U.S.
1822, we ate the amount of added sugar in one 12 ounce 
can of soda every 5 days, while today we get that much 
sugar every 7 hours. 
.
Sources of sugar in the 
American diet- half or more 
are liquid!
Too Much Insulin 
• The problem is the (simple) carbohydrates in 
the diet, their effect on insulin secretion 
• Sugars—sucrose and high-fructose corn syrup 
specifically—are particularly harmful 
“Good Calories Bad Calories” - Gary Taubes
Average American Diet promotes 
insulin production
Gary Taubes 
 When insulin levels are elevated—either 
chronically or after a meal—we accumulate fat 
in our fat tissue. When insulin levels fall, we 
release fat from our fat tissue and use it for fuel. 
Conclusion: Reduce body fat by decreasing 
portions of simple carbohydrates (or perhaps 
by decreasing insulin resistance in the muscle)
Fruit and Vegetable Deficiency 
• Only 11%- 12% of Active duty personnel reported 
consuming three or more servings per day of fruits 
and vegetables. 
• On the other hand, more than 8% of service members 
reported consuming unhealthy snack foods at least 
two times per day and nearly 20% consume sugary 
drinks daily. 
2011 Health Related Behaviors Survey of 
Active Duty Military Personnel
Infrequent Eating 
Studies would strongly suggest that 
infrequent eating is almost always 
associated with higher body fat levels. 
-Within Day Energy Balance 
Don’t let yourself get too hungry by planning 
ahead.
Infrequent Eating 
• The long awaited vacation you’ve been saving up 
for is going to require 45 gallons of gasoline. 
Your tank only holds 15 gallons. How do you 
make the trip with only one stop? 
• That’s the analogy Dan Benardot uses to explain 
how the body responds to long periods without 
eating. In order to complete the trip, you have to 
find a way to expand the gas tank, or if you are 
human, store more fat.
Not Enough Fiber 
“Overweight/obese consistently report lower fiber intake 
than individuals with normal weight or overweight “ 
-Trends in dietary fiber intake in the United States, 1999- 
2008 
“The more calories you eat each day, the more fiber you 
need; teens and men may require upwards of 30 to 35 
grams per day or more. 
Yet the average American eats only 15 grams of dietary fiber 
a day.” 
-Harvard School of Public Health
Excess Fat, Salt, Sugar 
• “Foods high in fat, salt and sugar alter the 
brain's chemistry in ways that compel 
people to overeat” 
• “Conditioned hyper eating is a biological 
challenge, not a character flaw”- 
People do not 
crave vegetables!
Eating More Too Many Calories 
U.S. ave daily calorie intake 1970 vs 2003 (Economic Research Service data) 
1970 2003 >Cal/day 
• Fats, oils 53 86 216 
• Grains 136 194 188 
• Sugar, sweeteners 119 142 76 
• Meat, eggs, nuts 226 242 24 
• Vegetables 337 418 16 
• Fruit 242 275 14 
• Dairy 564 594 -11 
• Total 1,675 1,950 275
Medications That May Contribute to 
Weight Gain 
• Antidepressants 
• Steroids 
• Drugs to treat mood disorders, migraines, diabetes, high 
blood pressure, seizures, heart burn, asthma, arthritis, 
Possible mechanisms: > appetite, fluid retention, >fatigue, 
<metabolism, <glucose absorption 
If you suspect that you’re putting on weight because of a medication you’re 
taking, talk to your doctor. You may be advised to stop taking the medication, 
switch to one associated with less or no weight gain or even weight loss or 
take a lower dose. Never stop taking a drug without consulting your doctor
“Obesity and its causes have, in many ways, 
become woven into the fabric of our society”- 
-Harvard School of Public Health
What Can You Do?
Eat Less Processed Foods 
• Most of the foods that you eat should come 
from the refrigerator, not the pantry.
Don’t Eat Anything That Didn’t 
Exist 100 Years Ago!
Research what others are doing! 
Shapefit.com
Cut the Sugar*! 
*high fructose corn syrup 
Reducing or eliminating sugar in the diet is recognized 
by many as the most important dietary change you can 
make to improve health. 
One way to spot a food product with high quantities of 
sugar is to look at whether sugar, in one form or another, is 
listed as one of the first few ingredients on the food label.
American adults eat 22 teaspoons of sugar a day; teens eat 34 teaspoons 
Sugar is often disguised on food labels. 
Syrup Cane Crystals 
Corn sweetener Dehydrated Cane Juice 
Dextrin Dextrose 
Fructose Fruit juice concentrate 
Glucose High-fructose corn syrup 
Honey Lactose 
Maltodextrin Maltose 
Molasses Saccharose 
Sucrose Xylose
1822, we ate the amount of added sugar in one 12 ounce 
can of soda every 5 days, while today we get that much 
sugar every 7 hours. 
.
Sources of sugar in the 
American diet- half or more 
are liquid!
Insulin Resistance Diet 
• “It is not the carbohydrates that cause weight gain, but lack of 
protein and excess of carbohydrates in one sitting. The 
authors recommend carbs and protein be consumed in the 
ratio of 15g : 7 g. The max. amount of carb. Allowed per meal 
or snack is 30 g, and this must be linked with at least 14 g of 
protein. No more than 32 g of carbs may be consumed 
within 2 hours (1 cup rice= 44 gms) 
• -Cheryle R. Hart, M.D, and Mary kay Grossman 
R.D.
Carbohydrate Portions
Eat More Fruits and Vegetables 
“….poor diet rather than lack of exercise may play a key 
role in the weight gain observed in the military.”
Increase Availability F & V 
• Choose your dining facility over fast food as often as is 
possible 
• Eat an apple at lunch (goal= 1 apple per day) 
• Fill your plate with vegetables at least 2 meals every day 
• Bring cut up veggies to work 
• Include a fruit or vegetable for breakfast 
• Stock up at the commissary or off-post markets 
GOAL: 3 fruits and at least 5-6 servings of vegetables on 6 days a week 
A healthy weight loss nutrition plan must include an abundance of vegetables and fruit!!
Increase Fiber Intake 
• Fruits, vegetables, beans, and nuts are high in fiber 
• Choose high fiber cereals 
• Purchase only whole wheat bread and pasta 
• Goal= 25-30 gms daily (Ave American diet = 15 gms) 
High fiber diets are low calorie, digest more slowly, and 
are linked to lower body weight.
Reduce Portions 
by Snacking and Not Skipping 
Meals 
More for less is not a better deal!
Make educated 
decisions when eating out 
Bacon Double Cheeseburger 12” Turkey and Ham 
Sub 
The sub weighs 3x as much as the cheeseburger- more filling
Burger King Whopper Value Meal 
• Calories 1370 
• Sodium 1560 mg 
• Total Fat 58 g 
• Saturated 14 g 
• Trans Fat 1 gm 
• Total Carbs 186 g 
• Sugars 88 g 
• Protein 32 g Medium fries= 49 grams of carbs 
Source: bk.com Medium Coke= 77 grams of carbs
Eat protein – 
at every meal 
• 25 grams 3 oz serving of beef, chicken or 
fish 
• 14 grams 2 oz of nuts or ½ cup cottage 
cheese 
• 8 grams 1 cup skim milk 
• 7 grams 1 egg 
Eat fish 2 x week! 
.5 to .75 gms per pound body wt per day
How Protein Plays a Role 
in Weight Loss 
• Helps to preserve muscle during weight loss 
• Serves as an effective appetite suppressant 
(filling) 
• Requires additional energy to metabolize 
A healthy weight loss nutrition plan should include .5-.75 grams of 
protein per lb body wt spread throughout the day
Eat More Like the Japanese! 
Very low fat, balanced. Highly processed, high fat, sugar 
Japanese vs American
Eat Slowly 
• It takes approximately 20 minutes from the 
time you start eating for your brain to send 
out signals of fullness 
• Eating slowly and feel full sooner
Eat Soup As a First Course 
• Subjects ate less calories after being given 
broth base soup compared to water before a 
meal and stayed satisfied longer. 
-From Volumetrics, Barbara Rolls, PhD
Use the Healthy Eating Plate
Sample Dinners
Plan Ahead 
• Don’t let yourself get too hungry 
• Pack your healthy snacks 
• Don’t shop hungry
You don’t have to be 
perfect! 
but remember.... 
“if you buy it you will eat it!” 
Why not exercise on that cheat day?
Use Technology 
• Fitbit uses a three-dimensional accelerometer 
to sense user movement and measure data 
such as the number of steps walked, quality of 
sleep, and other personal metrics
myfitnsspal.com 
• Free online nutrition 
and exercise tracker 
that provides the user 
with regular feedback 
on calories consumed 
and expended.
Eating Summary for 
Healthy Weight Loss 
• Replace processed foods with real food often. 
• Eliminate as much sugar as possible 
• 5-6 veggies plus 2 fruits daily 
• Eat 25 or more grams of fiber daily 
• Watch your portions of high carbohydrate/fat meals 
• Never let yourself get too hungry 
• Make wise decisions when eating out (do it sparingly) 
• Eat some protein at every meal 
• Eat nuts and beans daily 
• Plan ahead
Review 
Weight gain is likely due to a combination of 
the following factors- 
• Too many Calories consumed 
• Too much processed carbohydrate (sugar, etc 
including liquids) 
• Insulin resistance promoting fat storage 
• Reduced fat burning by muscle tissue
Healthy Foods Shopping List 
• Whole grains including cereal, pasta, rice, crackers, 
noodles, and bread. Make sure they are 100% whole 
wheat! 
• Vegetables-Get a mixture of colors- tomatoes, 
broccoli, spinach, carrots 
• Fruit- Take turns buying apples, bananas, citrus, 
berries, grapes, and other seasonal fruit. 
• Fish- 2 meals a week with tuna, mackeral, herring, 
sardines, or salmon as a side or main course 
• Beans- A scoop of kidney or pinto beans daily!
Healthy Foods List (cont.) 
• Eggs and other Protein- Eggs, poultry, lean meat, tofu 
• Olives- A good source of healthy fat, get a handful a 
day 
• Nuts- A couple handfuls a day. Enjoy a variety 
(almonds, peanuts, pecans, pistachio, walnuts) 
• Tea- Compounds found in tea are thought to provide a 
number of health benefits. 
• Low fat dairy- In moderation, low fat dairy products 
such as milk cheese, and yogurt provide calcium and 
are linked to lower risk of hypertension and diabetes.
If you eat this way 
your health will improve! 
Need to 
lose 
weight? 
1-2 lbs / 
week
Questions? 
Health Promotion 
Medical Clinic 
USAG Humphreys 
753-3253

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Eat healthy to lose weight oct14

  • 1. Tips for Healthy Eating Consequences of a poor diet Explore factors that contribute to excess weight Provide recommendations for healthy eating Dave Elger, MA Area III Health Promotion Coordinator
  • 2. Consequences of a Poor Diet in the U.S. • Obesity- 78 million adults, 12.5 million children • Diabetes- 26 million, 79 million are at risk • High blood pressure- Nearly 67 million • Heart disease- 80 million. Leading cause of death in U.S. for men and women (1 in 4, or close to 1 million per year). • Osteoporosis- 10 million, another 34 million have low bone density • Cancer- 1.2 million annually, 500,000 die. Over 30% are attributed to diet. • Metabolic Syndrome affects about 35% of adults
  • 3. The Weight Gain You See Below IS NOT UNCOMMON! year Female PFC Male PFC 2009 170 185 2010 189 220 2011 205* 243 Body fat 34% 28% Fat wt. 70 lbs 68 lbs Ideal wt 164-173 206-213
  • 4. The Army Struggles with Weight Loss Army Attempted wt loss Difficulty Meeting Wt Standard males 49.5% 18.2% females 72.2% 28.8% total 53.8% 19.7% 2005 DOD Health Habits Survey
  • 5. Does Army Food Contribute to Weight Gain? • If that were true, overweight soldiers would lose weight when the go on leave, and we know that’s usually not the case.
  • 6. Inactivity? • Many soldiers gain weight following forced inactivity due to injury (or voluntary inactivity such as leave). I believe that weight gain during inactivity can be controlled with a change in diet.
  • 7. The Toxic Food Environment Theory • The problem isn't so much people's lack of self-control, he said. It's a "toxic food environment"--the strips of fast-food restaurants along America's roadways, the barrage of burger advertising on television and the rows of candies at the checkout counter of any given convenience store. -Dr. Kelly Brownell
  • 8. Too Much Sugar *high fructose corn syrup, sugar King size Coke at Burger King = 42 oz, 390 calories, and 104 grams of sugar! Now that’s ridiculous! •Liquids contribute 21% of total calorie intake in the U.S. •Average intake of soft drinks is more than 50 gallons per person annually in the U.S.
  • 9. 1822, we ate the amount of added sugar in one 12 ounce can of soda every 5 days, while today we get that much sugar every 7 hours. .
  • 10. Sources of sugar in the American diet- half or more are liquid!
  • 11. Too Much Insulin • The problem is the (simple) carbohydrates in the diet, their effect on insulin secretion • Sugars—sucrose and high-fructose corn syrup specifically—are particularly harmful “Good Calories Bad Calories” - Gary Taubes
  • 12. Average American Diet promotes insulin production
  • 13. Gary Taubes  When insulin levels are elevated—either chronically or after a meal—we accumulate fat in our fat tissue. When insulin levels fall, we release fat from our fat tissue and use it for fuel. Conclusion: Reduce body fat by decreasing portions of simple carbohydrates (or perhaps by decreasing insulin resistance in the muscle)
  • 14. Fruit and Vegetable Deficiency • Only 11%- 12% of Active duty personnel reported consuming three or more servings per day of fruits and vegetables. • On the other hand, more than 8% of service members reported consuming unhealthy snack foods at least two times per day and nearly 20% consume sugary drinks daily. 2011 Health Related Behaviors Survey of Active Duty Military Personnel
  • 15. Infrequent Eating Studies would strongly suggest that infrequent eating is almost always associated with higher body fat levels. -Within Day Energy Balance Don’t let yourself get too hungry by planning ahead.
  • 16. Infrequent Eating • The long awaited vacation you’ve been saving up for is going to require 45 gallons of gasoline. Your tank only holds 15 gallons. How do you make the trip with only one stop? • That’s the analogy Dan Benardot uses to explain how the body responds to long periods without eating. In order to complete the trip, you have to find a way to expand the gas tank, or if you are human, store more fat.
  • 17. Not Enough Fiber “Overweight/obese consistently report lower fiber intake than individuals with normal weight or overweight “ -Trends in dietary fiber intake in the United States, 1999- 2008 “The more calories you eat each day, the more fiber you need; teens and men may require upwards of 30 to 35 grams per day or more. Yet the average American eats only 15 grams of dietary fiber a day.” -Harvard School of Public Health
  • 18. Excess Fat, Salt, Sugar • “Foods high in fat, salt and sugar alter the brain's chemistry in ways that compel people to overeat” • “Conditioned hyper eating is a biological challenge, not a character flaw”- People do not crave vegetables!
  • 19. Eating More Too Many Calories U.S. ave daily calorie intake 1970 vs 2003 (Economic Research Service data) 1970 2003 >Cal/day • Fats, oils 53 86 216 • Grains 136 194 188 • Sugar, sweeteners 119 142 76 • Meat, eggs, nuts 226 242 24 • Vegetables 337 418 16 • Fruit 242 275 14 • Dairy 564 594 -11 • Total 1,675 1,950 275
  • 20. Medications That May Contribute to Weight Gain • Antidepressants • Steroids • Drugs to treat mood disorders, migraines, diabetes, high blood pressure, seizures, heart burn, asthma, arthritis, Possible mechanisms: > appetite, fluid retention, >fatigue, <metabolism, <glucose absorption If you suspect that you’re putting on weight because of a medication you’re taking, talk to your doctor. You may be advised to stop taking the medication, switch to one associated with less or no weight gain or even weight loss or take a lower dose. Never stop taking a drug without consulting your doctor
  • 21. “Obesity and its causes have, in many ways, become woven into the fabric of our society”- -Harvard School of Public Health
  • 23. Eat Less Processed Foods • Most of the foods that you eat should come from the refrigerator, not the pantry.
  • 24. Don’t Eat Anything That Didn’t Exist 100 Years Ago!
  • 25. Research what others are doing! Shapefit.com
  • 26. Cut the Sugar*! *high fructose corn syrup Reducing or eliminating sugar in the diet is recognized by many as the most important dietary change you can make to improve health. One way to spot a food product with high quantities of sugar is to look at whether sugar, in one form or another, is listed as one of the first few ingredients on the food label.
  • 27. American adults eat 22 teaspoons of sugar a day; teens eat 34 teaspoons Sugar is often disguised on food labels. Syrup Cane Crystals Corn sweetener Dehydrated Cane Juice Dextrin Dextrose Fructose Fruit juice concentrate Glucose High-fructose corn syrup Honey Lactose Maltodextrin Maltose Molasses Saccharose Sucrose Xylose
  • 28. 1822, we ate the amount of added sugar in one 12 ounce can of soda every 5 days, while today we get that much sugar every 7 hours. .
  • 29. Sources of sugar in the American diet- half or more are liquid!
  • 30. Insulin Resistance Diet • “It is not the carbohydrates that cause weight gain, but lack of protein and excess of carbohydrates in one sitting. The authors recommend carbs and protein be consumed in the ratio of 15g : 7 g. The max. amount of carb. Allowed per meal or snack is 30 g, and this must be linked with at least 14 g of protein. No more than 32 g of carbs may be consumed within 2 hours (1 cup rice= 44 gms) • -Cheryle R. Hart, M.D, and Mary kay Grossman R.D.
  • 32. Eat More Fruits and Vegetables “….poor diet rather than lack of exercise may play a key role in the weight gain observed in the military.”
  • 33. Increase Availability F & V • Choose your dining facility over fast food as often as is possible • Eat an apple at lunch (goal= 1 apple per day) • Fill your plate with vegetables at least 2 meals every day • Bring cut up veggies to work • Include a fruit or vegetable for breakfast • Stock up at the commissary or off-post markets GOAL: 3 fruits and at least 5-6 servings of vegetables on 6 days a week A healthy weight loss nutrition plan must include an abundance of vegetables and fruit!!
  • 34. Increase Fiber Intake • Fruits, vegetables, beans, and nuts are high in fiber • Choose high fiber cereals • Purchase only whole wheat bread and pasta • Goal= 25-30 gms daily (Ave American diet = 15 gms) High fiber diets are low calorie, digest more slowly, and are linked to lower body weight.
  • 35. Reduce Portions by Snacking and Not Skipping Meals More for less is not a better deal!
  • 36. Make educated decisions when eating out Bacon Double Cheeseburger 12” Turkey and Ham Sub The sub weighs 3x as much as the cheeseburger- more filling
  • 37. Burger King Whopper Value Meal • Calories 1370 • Sodium 1560 mg • Total Fat 58 g • Saturated 14 g • Trans Fat 1 gm • Total Carbs 186 g • Sugars 88 g • Protein 32 g Medium fries= 49 grams of carbs Source: bk.com Medium Coke= 77 grams of carbs
  • 38. Eat protein – at every meal • 25 grams 3 oz serving of beef, chicken or fish • 14 grams 2 oz of nuts or ½ cup cottage cheese • 8 grams 1 cup skim milk • 7 grams 1 egg Eat fish 2 x week! .5 to .75 gms per pound body wt per day
  • 39. How Protein Plays a Role in Weight Loss • Helps to preserve muscle during weight loss • Serves as an effective appetite suppressant (filling) • Requires additional energy to metabolize A healthy weight loss nutrition plan should include .5-.75 grams of protein per lb body wt spread throughout the day
  • 40. Eat More Like the Japanese! Very low fat, balanced. Highly processed, high fat, sugar Japanese vs American
  • 41. Eat Slowly • It takes approximately 20 minutes from the time you start eating for your brain to send out signals of fullness • Eating slowly and feel full sooner
  • 42. Eat Soup As a First Course • Subjects ate less calories after being given broth base soup compared to water before a meal and stayed satisfied longer. -From Volumetrics, Barbara Rolls, PhD
  • 43. Use the Healthy Eating Plate
  • 45. Plan Ahead • Don’t let yourself get too hungry • Pack your healthy snacks • Don’t shop hungry
  • 46. You don’t have to be perfect! but remember.... “if you buy it you will eat it!” Why not exercise on that cheat day?
  • 47. Use Technology • Fitbit uses a three-dimensional accelerometer to sense user movement and measure data such as the number of steps walked, quality of sleep, and other personal metrics
  • 48. myfitnsspal.com • Free online nutrition and exercise tracker that provides the user with regular feedback on calories consumed and expended.
  • 49. Eating Summary for Healthy Weight Loss • Replace processed foods with real food often. • Eliminate as much sugar as possible • 5-6 veggies plus 2 fruits daily • Eat 25 or more grams of fiber daily • Watch your portions of high carbohydrate/fat meals • Never let yourself get too hungry • Make wise decisions when eating out (do it sparingly) • Eat some protein at every meal • Eat nuts and beans daily • Plan ahead
  • 50. Review Weight gain is likely due to a combination of the following factors- • Too many Calories consumed • Too much processed carbohydrate (sugar, etc including liquids) • Insulin resistance promoting fat storage • Reduced fat burning by muscle tissue
  • 51. Healthy Foods Shopping List • Whole grains including cereal, pasta, rice, crackers, noodles, and bread. Make sure they are 100% whole wheat! • Vegetables-Get a mixture of colors- tomatoes, broccoli, spinach, carrots • Fruit- Take turns buying apples, bananas, citrus, berries, grapes, and other seasonal fruit. • Fish- 2 meals a week with tuna, mackeral, herring, sardines, or salmon as a side or main course • Beans- A scoop of kidney or pinto beans daily!
  • 52. Healthy Foods List (cont.) • Eggs and other Protein- Eggs, poultry, lean meat, tofu • Olives- A good source of healthy fat, get a handful a day • Nuts- A couple handfuls a day. Enjoy a variety (almonds, peanuts, pecans, pistachio, walnuts) • Tea- Compounds found in tea are thought to provide a number of health benefits. • Low fat dairy- In moderation, low fat dairy products such as milk cheese, and yogurt provide calcium and are linked to lower risk of hypertension and diabetes.
  • 53. If you eat this way your health will improve! Need to lose weight? 1-2 lbs / week
  • 54. Questions? Health Promotion Medical Clinic USAG Humphreys 753-3253