dietician presentation
TRANSCRIPT
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Susan HargreavesRegistered Dietitian
Obstructive Sleep Apnoea (OSA) Healthy Eating & Lifestyle
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OSA & Associated Health Risks
Asthma
Stroke
ObesityHeart Disease
T2 Diabetes
Metabolic Syndrome
Hypertension
Dyslipidaemia
InflammatoryDiseases
Risk Factors:
• Genetic
• Male
• Middle age
• Sedative drugs
• Snoring
• Heart Disease
• Metabolic Disorder
• Obesity
• Smoking
• Excess Alcohol
Associated Health Risks
Depression
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Healthy Lifestyle:
Mental Health
Physical
Diet Activity
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Individualised Advice
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Main Messages
Healthy Well Balanced Diet & Lifestyle– Regular Eating Pattern & Physical Activity – Food Portion Control– Glycaemic Index– Smoking, Alcohol & Caffeine
Media Headlines – fact or fiction?
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5 > portions
3 portions 3 portions
6-8 portions?
Foods high in salt
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Food Portions
55g/87kcal 39g/48kcal
58g/44kcal 58g/60kcal
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Food Portions: 1993 vs 2014
Medium Slice of White Bread
Chicken Curry with Rice
Steak & Kidney Pie
1993
Weight 36g 260g 160gCalories 85kcal 305kcal 425kcal
2014
Weight 40g 395g 240gCalories 95kcal 460kcal 640kcalIncrease 11% 52% 50%
Source: Informed No.53 Spring 2014 WCRF
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Glycaemic index
7 mmol
Time
Blood glucose
Pasta (40)Low GI
White bread (70)High GI
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Low/Medium GI High GI
Breakfast Cereals
Porridge OatbranAll BranSpecial KMuesli (no added sugar)
Corn/Bran FlakesRice KrispiesCoco PopsPuffed WheatCheerios
Breads Stoneground, Wholemeal Seeded/Multigrain/GranaryRyePitta breadRyvita
White/Brown breadBagelBaguetteRice cakesCrisp breadWater crackersRice/Pasta/
PotatoesPasta / Macaroni Noodles Brown or Basmati Rice CouscousNew Potatoes Quinoa
Mashed potatoWhite RiceJacket PotatoFrench FriesOven ChipsInstant MashPulses/Legumes
All Low/Med GI
All types of Beans, Sweetcorn, Peas, Chick peasLentils, Pearl barley
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Alcohol
What’s the limit?Women: 2 – 3 units per dayMen: 3 – 4 units per day1 or 2 alcohol-free days per week
Extra calories1 pint strong lager = 280kcal½ pint lager = 90kcal125ml glass white wine = 83kcal125ml glass red wine = 85kcalVodka and tonic = 85kcalGin and slimeline tonic = 52kcal1 glass (50ml) dry sherry = 58kcal
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Caffeine
Product Caffeine
Instant Coffee 45 - 75 mg/190 ml cup
Brewed Coffee (Filter or Percolated) 100 – 115 mg per 190 ml cup
Decaffeinated Coffee (Brewed or Instant) 4 mg per 190 ml cup
Tea 33 - 50 mg per 190 ml cup
Drinking Chocolate 1.1 – 8.2 mg per 200 ml cup(as per manufacturer’s instructions)
COLA (Regular & Diet) 11 – 70 mg per 330 ml can
Energy Drinks(With added caffeine and/or guarana) 28– 87 mg per 250 ml can
Chocolate 5.5 – 35.5 mg per 50g bar
Source: MAFF Food Surveillance Information Sheet 144, March 1998 & FSA Survey of Caffeine Levels in Hot Beverages, Food Information Sheet 53/04 April 2004.
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Special Diets?
Gluten or Wheat Free Polymeal (Anti-inflammatory/Paleodiet/Hunter-gatherer/Ape diets)
– 2 ½ cups of beans– ½ cup fresh blueberries - antioxidant– 1 cup cooked or ½ cup raw broccoli – 3 servings of whole grain– 1 serving soy– 1 cup cooked spinach – ½ cup sweet potatoes, carrots, pumpkin - beta-carotene antioxidant– 1 whole tomato– 1 ½ oz nuts– 1 tbsp. extra virgin olive oil– 1 oz dark chocolate – (flavonoids)– 150ml glass red wine – (resveratrol)– Wild salmon 4 times a week
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Any Questions?
Susan Hargreaves, Dietitian, St Mary’s Hospital