nutrition & disease - faculty.uml.edufaculty.uml.edu/jhojnacki/83.123/documents/web 1st lectures...
TRANSCRIPT
![Page 1: NUTRITION & DISEASE - faculty.uml.edufaculty.uml.edu/jhojnacki/83.123/Documents/WEB 1ST LECTURES OVERVIEW... · Women’s Health Initiative •Large study funded by federal government-](https://reader031.vdocument.in/reader031/viewer/2022041408/5e187c95a0a2011e8a7a4d31/html5/thumbnails/1.jpg)
NUTRITION & DISEASEDr. Jerome L. Hojnacki
WHAT THE COURSE IS ABOUT
September 2010
![Page 2: NUTRITION & DISEASE - faculty.uml.edufaculty.uml.edu/jhojnacki/83.123/Documents/WEB 1ST LECTURES OVERVIEW... · Women’s Health Initiative •Large study funded by federal government-](https://reader031.vdocument.in/reader031/viewer/2022041408/5e187c95a0a2011e8a7a4d31/html5/thumbnails/2.jpg)
Diseases/disorders related to:
1. Nutrition
2. Physical Activity
Nutrition Affects All Generations
![Page 3: NUTRITION & DISEASE - faculty.uml.edufaculty.uml.edu/jhojnacki/83.123/Documents/WEB 1ST LECTURES OVERVIEW... · Women’s Health Initiative •Large study funded by federal government-](https://reader031.vdocument.in/reader031/viewer/2022041408/5e187c95a0a2011e8a7a4d31/html5/thumbnails/3.jpg)
Women’s Health Initiative
![Page 4: NUTRITION & DISEASE - faculty.uml.edufaculty.uml.edu/jhojnacki/83.123/Documents/WEB 1ST LECTURES OVERVIEW... · Women’s Health Initiative •Large study funded by federal government-](https://reader031.vdocument.in/reader031/viewer/2022041408/5e187c95a0a2011e8a7a4d31/html5/thumbnails/4.jpg)
Women’s Health Initiative
• Large study funded by federal government- started 1991
• Look at major causes disease & death in women
• 161,000 volunteers (ages: 50-79)
• Emphasize: biological differences: women vs. men
![Page 5: NUTRITION & DISEASE - faculty.uml.edufaculty.uml.edu/jhojnacki/83.123/Documents/WEB 1ST LECTURES OVERVIEW... · Women’s Health Initiative •Large study funded by federal government-](https://reader031.vdocument.in/reader031/viewer/2022041408/5e187c95a0a2011e8a7a4d31/html5/thumbnails/5.jpg)
In this course, learn about:
How to prevent these diseases:
people you love and care about
![Page 6: NUTRITION & DISEASE - faculty.uml.edufaculty.uml.edu/jhojnacki/83.123/Documents/WEB 1ST LECTURES OVERVIEW... · Women’s Health Initiative •Large study funded by federal government-](https://reader031.vdocument.in/reader031/viewer/2022041408/5e187c95a0a2011e8a7a4d31/html5/thumbnails/6.jpg)
Nutrition & Disease Overview
Nutrition:
• Taking in food
• Assimilation “You are what you eat”
• Growth
• Repair- wear/tear/injury
• All body activities
• Nutrients- stored- future use
![Page 7: NUTRITION & DISEASE - faculty.uml.edufaculty.uml.edu/jhojnacki/83.123/Documents/WEB 1ST LECTURES OVERVIEW... · Women’s Health Initiative •Large study funded by federal government-](https://reader031.vdocument.in/reader031/viewer/2022041408/5e187c95a0a2011e8a7a4d31/html5/thumbnails/7.jpg)
Hair mercury vs. fish consumption
![Page 8: NUTRITION & DISEASE - faculty.uml.edufaculty.uml.edu/jhojnacki/83.123/Documents/WEB 1ST LECTURES OVERVIEW... · Women’s Health Initiative •Large study funded by federal government-](https://reader031.vdocument.in/reader031/viewer/2022041408/5e187c95a0a2011e8a7a4d31/html5/thumbnails/8.jpg)
Nutrients: Chemical Substances Food
Energy
Structure
Regulate Body Processes
![Page 9: NUTRITION & DISEASE - faculty.uml.edufaculty.uml.edu/jhojnacki/83.123/Documents/WEB 1ST LECTURES OVERVIEW... · Women’s Health Initiative •Large study funded by federal government-](https://reader031.vdocument.in/reader031/viewer/2022041408/5e187c95a0a2011e8a7a4d31/html5/thumbnails/9.jpg)
Macronutrients
• Water
• Carbohydrates
• Fats
• Proteins
Micronutrients
• Vitamins
• Minerals
![Page 10: NUTRITION & DISEASE - faculty.uml.edufaculty.uml.edu/jhojnacki/83.123/Documents/WEB 1ST LECTURES OVERVIEW... · Women’s Health Initiative •Large study funded by federal government-](https://reader031.vdocument.in/reader031/viewer/2022041408/5e187c95a0a2011e8a7a4d31/html5/thumbnails/10.jpg)
Disease: Illness, Pathology
Acute: Rapid, Severe Symptoms, Short CourseInfectious: Smallpox, Malaria, Measles
Chronic: Long, Drawn OutInsidious: Lacking Early Symptoms-Going On In You Now, Unaware
![Page 11: NUTRITION & DISEASE - faculty.uml.edufaculty.uml.edu/jhojnacki/83.123/Documents/WEB 1ST LECTURES OVERVIEW... · Women’s Health Initiative •Large study funded by federal government-](https://reader031.vdocument.in/reader031/viewer/2022041408/5e187c95a0a2011e8a7a4d31/html5/thumbnails/11.jpg)
Link
Diet Disease
+
Physical Activity
(Lack of)
![Page 12: NUTRITION & DISEASE - faculty.uml.edufaculty.uml.edu/jhojnacki/83.123/Documents/WEB 1ST LECTURES OVERVIEW... · Women’s Health Initiative •Large study funded by federal government-](https://reader031.vdocument.in/reader031/viewer/2022041408/5e187c95a0a2011e8a7a4d31/html5/thumbnails/12.jpg)
How can food be bad for you?
Many people don’t understand/don’t believe/don’t care that:
there is a relationship between what they eat/amount of physical activity AND disease/death
![Page 13: NUTRITION & DISEASE - faculty.uml.edufaculty.uml.edu/jhojnacki/83.123/Documents/WEB 1ST LECTURES OVERVIEW... · Women’s Health Initiative •Large study funded by federal government-](https://reader031.vdocument.in/reader031/viewer/2022041408/5e187c95a0a2011e8a7a4d31/html5/thumbnails/13.jpg)
Diseases- Chronic
• Heart Disease
• Stroke
• High Blood Pressure
• Type 2 Diabetes
• Bone Thinning
• Cancers
• Obesity
![Page 14: NUTRITION & DISEASE - faculty.uml.edufaculty.uml.edu/jhojnacki/83.123/Documents/WEB 1ST LECTURES OVERVIEW... · Women’s Health Initiative •Large study funded by federal government-](https://reader031.vdocument.in/reader031/viewer/2022041408/5e187c95a0a2011e8a7a4d31/html5/thumbnails/14.jpg)
Diseases- Chronic
• Heart Disease
• Cancer
• Stroke
• High Blood Pressure
• Type 2 Diabetes
• Bone Thinning
• Obesity
![Page 15: NUTRITION & DISEASE - faculty.uml.edufaculty.uml.edu/jhojnacki/83.123/Documents/WEB 1ST LECTURES OVERVIEW... · Women’s Health Initiative •Large study funded by federal government-](https://reader031.vdocument.in/reader031/viewer/2022041408/5e187c95a0a2011e8a7a4d31/html5/thumbnails/15.jpg)
![Page 16: NUTRITION & DISEASE - faculty.uml.edufaculty.uml.edu/jhojnacki/83.123/Documents/WEB 1ST LECTURES OVERVIEW... · Women’s Health Initiative •Large study funded by federal government-](https://reader031.vdocument.in/reader031/viewer/2022041408/5e187c95a0a2011e8a7a4d31/html5/thumbnails/16.jpg)
Some diseases run in families
Genetic Risk
Modify your lifestyle: prevention
Develop a “Family Health History”
Starting place: family gatherings
![Page 17: NUTRITION & DISEASE - faculty.uml.edufaculty.uml.edu/jhojnacki/83.123/Documents/WEB 1ST LECTURES OVERVIEW... · Women’s Health Initiative •Large study funded by federal government-](https://reader031.vdocument.in/reader031/viewer/2022041408/5e187c95a0a2011e8a7a4d31/html5/thumbnails/17.jpg)
University California Berkeley
Controversy: Plan to collect cheek DNAswabs: 5000 freshmen
Test for variant genes affecting metabolism:
Alcohol, dairy products (lactose), folic acid
![Page 18: NUTRITION & DISEASE - faculty.uml.edufaculty.uml.edu/jhojnacki/83.123/Documents/WEB 1ST LECTURES OVERVIEW... · Women’s Health Initiative •Large study funded by federal government-](https://reader031.vdocument.in/reader031/viewer/2022041408/5e187c95a0a2011e8a7a4d31/html5/thumbnails/18.jpg)
Why? With this knowledge, students with genetic markers may decide to:
1. Drink less
2. Avoid dairy products
3. Eat more leafy green veggies
![Page 19: NUTRITION & DISEASE - faculty.uml.edufaculty.uml.edu/jhojnacki/83.123/Documents/WEB 1ST LECTURES OVERVIEW... · Women’s Health Initiative •Large study funded by federal government-](https://reader031.vdocument.in/reader031/viewer/2022041408/5e187c95a0a2011e8a7a4d31/html5/thumbnails/19.jpg)
Criticism: Privacy issues, misuse DNA samples, unproven technology
Berkeley drops plans
![Page 20: NUTRITION & DISEASE - faculty.uml.edufaculty.uml.edu/jhojnacki/83.123/Documents/WEB 1ST LECTURES OVERVIEW... · Women’s Health Initiative •Large study funded by federal government-](https://reader031.vdocument.in/reader031/viewer/2022041408/5e187c95a0a2011e8a7a4d31/html5/thumbnails/20.jpg)
Many Chronic Diseases
Start Early- Children
Problems Later in Life
![Page 21: NUTRITION & DISEASE - faculty.uml.edufaculty.uml.edu/jhojnacki/83.123/Documents/WEB 1ST LECTURES OVERVIEW... · Women’s Health Initiative •Large study funded by federal government-](https://reader031.vdocument.in/reader031/viewer/2022041408/5e187c95a0a2011e8a7a4d31/html5/thumbnails/21.jpg)
![Page 22: NUTRITION & DISEASE - faculty.uml.edufaculty.uml.edu/jhojnacki/83.123/Documents/WEB 1ST LECTURES OVERVIEW... · Women’s Health Initiative •Large study funded by federal government-](https://reader031.vdocument.in/reader031/viewer/2022041408/5e187c95a0a2011e8a7a4d31/html5/thumbnails/22.jpg)
US Congress Interested. Why?
Before 1965 Government Smaller $ Medical
Bills
1965: Medicare & Medicaid
Cost US Government
![Page 23: NUTRITION & DISEASE - faculty.uml.edufaculty.uml.edu/jhojnacki/83.123/Documents/WEB 1ST LECTURES OVERVIEW... · Women’s Health Initiative •Large study funded by federal government-](https://reader031.vdocument.in/reader031/viewer/2022041408/5e187c95a0a2011e8a7a4d31/html5/thumbnails/23.jpg)
Economic Implications:
• 2007 Health care = $2.4 Trillion
• $7,900/person
• >16% GDP
![Page 24: NUTRITION & DISEASE - faculty.uml.edufaculty.uml.edu/jhojnacki/83.123/Documents/WEB 1ST LECTURES OVERVIEW... · Women’s Health Initiative •Large study funded by federal government-](https://reader031.vdocument.in/reader031/viewer/2022041408/5e187c95a0a2011e8a7a4d31/html5/thumbnails/24.jpg)
![Page 25: NUTRITION & DISEASE - faculty.uml.edufaculty.uml.edu/jhojnacki/83.123/Documents/WEB 1ST LECTURES OVERVIEW... · Women’s Health Initiative •Large study funded by federal government-](https://reader031.vdocument.in/reader031/viewer/2022041408/5e187c95a0a2011e8a7a4d31/html5/thumbnails/25.jpg)
Companies & Medical Care Costs of
Employees
![Page 26: NUTRITION & DISEASE - faculty.uml.edufaculty.uml.edu/jhojnacki/83.123/Documents/WEB 1ST LECTURES OVERVIEW... · Women’s Health Initiative •Large study funded by federal government-](https://reader031.vdocument.in/reader031/viewer/2022041408/5e187c95a0a2011e8a7a4d31/html5/thumbnails/26.jpg)
Great Lake Industries, Michigan
If you exercise- pay lower premium
![Page 27: NUTRITION & DISEASE - faculty.uml.edufaculty.uml.edu/jhojnacki/83.123/Documents/WEB 1ST LECTURES OVERVIEW... · Women’s Health Initiative •Large study funded by federal government-](https://reader031.vdocument.in/reader031/viewer/2022041408/5e187c95a0a2011e8a7a4d31/html5/thumbnails/27.jpg)
• Concern: sedentary workers
• Carlson Companies- Minneapolis: 1 diabetic employee: $13,000/yearmedical/time off costs
• Report cards- monitor: cholesterol, blood pressure, blood sugar
• Incentives:cash/merchandise/reduced insurance cost/personal nurse
• Raytheon: workout rooms
![Page 28: NUTRITION & DISEASE - faculty.uml.edufaculty.uml.edu/jhojnacki/83.123/Documents/WEB 1ST LECTURES OVERVIEW... · Women’s Health Initiative •Large study funded by federal government-](https://reader031.vdocument.in/reader031/viewer/2022041408/5e187c95a0a2011e8a7a4d31/html5/thumbnails/28.jpg)
Exercise and Save Money
![Page 29: NUTRITION & DISEASE - faculty.uml.edufaculty.uml.edu/jhojnacki/83.123/Documents/WEB 1ST LECTURES OVERVIEW... · Women’s Health Initiative •Large study funded by federal government-](https://reader031.vdocument.in/reader031/viewer/2022041408/5e187c95a0a2011e8a7a4d31/html5/thumbnails/29.jpg)
NY Times 3/26/10
50-70%- nation’s health
care costs: preventable
Health Incentive Program
Developed by Virginia Group
• Companies monitor workers: on-linetracking- pedometers, accelerometers, heart-rate monitoring
• $100/month insurance premiums
![Page 30: NUTRITION & DISEASE - faculty.uml.edufaculty.uml.edu/jhojnacki/83.123/Documents/WEB 1ST LECTURES OVERVIEW... · Women’s Health Initiative •Large study funded by federal government-](https://reader031.vdocument.in/reader031/viewer/2022041408/5e187c95a0a2011e8a7a4d31/html5/thumbnails/30.jpg)
“Wal-Mart aims to promote health and environment” NY Times 6/22/06
1. 1.3 million US employees- largest workforce
2. Higher rates- heart disease & diabetesthan general public
3. Teach employees- take better care of themselves
4. Nutrition information
5. Help reduce health care spending
![Page 31: NUTRITION & DISEASE - faculty.uml.edufaculty.uml.edu/jhojnacki/83.123/Documents/WEB 1ST LECTURES OVERVIEW... · Women’s Health Initiative •Large study funded by federal government-](https://reader031.vdocument.in/reader031/viewer/2022041408/5e187c95a0a2011e8a7a4d31/html5/thumbnails/31.jpg)
Medical Tourism: Half million Americans treated overseas in 2006
![Page 32: NUTRITION & DISEASE - faculty.uml.edufaculty.uml.edu/jhojnacki/83.123/Documents/WEB 1ST LECTURES OVERVIEW... · Women’s Health Initiative •Large study funded by federal government-](https://reader031.vdocument.in/reader031/viewer/2022041408/5e187c95a0a2011e8a7a4d31/html5/thumbnails/32.jpg)
Who is this man?How is he related to nutrition?
“Winning is the most important thing in my life, after breathing. Breathing first, winning next.”
![Page 33: NUTRITION & DISEASE - faculty.uml.edufaculty.uml.edu/jhojnacki/83.123/Documents/WEB 1ST LECTURES OVERVIEW... · Women’s Health Initiative •Large study funded by federal government-](https://reader031.vdocument.in/reader031/viewer/2022041408/5e187c95a0a2011e8a7a4d31/html5/thumbnails/33.jpg)
George Steinbrenner1985
• Banned junk food in Yankee locker room
• Replaced by celery, carrots, salads, fruits, yogurt, juices, cheese
![Page 34: NUTRITION & DISEASE - faculty.uml.edufaculty.uml.edu/jhojnacki/83.123/Documents/WEB 1ST LECTURES OVERVIEW... · Women’s Health Initiative •Large study funded by federal government-](https://reader031.vdocument.in/reader031/viewer/2022041408/5e187c95a0a2011e8a7a4d31/html5/thumbnails/34.jpg)
Massachusetts Dept. Public Health
LIFESTYLE ½ deaths each year in US
American Cancer Society: 2007
1 in 3 cancer deaths related to:
OBESITY, PHYSICAL INACTIVITY,
AND NUTRITION
![Page 35: NUTRITION & DISEASE - faculty.uml.edufaculty.uml.edu/jhojnacki/83.123/Documents/WEB 1ST LECTURES OVERVIEW... · Women’s Health Initiative •Large study funded by federal government-](https://reader031.vdocument.in/reader031/viewer/2022041408/5e187c95a0a2011e8a7a4d31/html5/thumbnails/35.jpg)
How to Control Costs:
Buzz Words
• Health promotion
• Disease prevention
• HMO
• Behavioral/lifestyle modifications
• Stress management
• Early detection
• Screening
• Education (Nutrition)
![Page 36: NUTRITION & DISEASE - faculty.uml.edufaculty.uml.edu/jhojnacki/83.123/Documents/WEB 1ST LECTURES OVERVIEW... · Women’s Health Initiative •Large study funded by federal government-](https://reader031.vdocument.in/reader031/viewer/2022041408/5e187c95a0a2011e8a7a4d31/html5/thumbnails/36.jpg)
President Obama and Health Promotion
![Page 37: NUTRITION & DISEASE - faculty.uml.edufaculty.uml.edu/jhojnacki/83.123/Documents/WEB 1ST LECTURES OVERVIEW... · Women’s Health Initiative •Large study funded by federal government-](https://reader031.vdocument.in/reader031/viewer/2022041408/5e187c95a0a2011e8a7a4d31/html5/thumbnails/37.jpg)
Emphasis: Regular Exercise
![Page 38: NUTRITION & DISEASE - faculty.uml.edufaculty.uml.edu/jhojnacki/83.123/Documents/WEB 1ST LECTURES OVERVIEW... · Women’s Health Initiative •Large study funded by federal government-](https://reader031.vdocument.in/reader031/viewer/2022041408/5e187c95a0a2011e8a7a4d31/html5/thumbnails/38.jpg)
First Lady Michelle Obama
Let’s Move campaign against childhood
obesity: partners- government, science, medicine, business, educators, sports
![Page 39: NUTRITION & DISEASE - faculty.uml.edufaculty.uml.edu/jhojnacki/83.123/Documents/WEB 1ST LECTURES OVERVIEW... · Women’s Health Initiative •Large study funded by federal government-](https://reader031.vdocument.in/reader031/viewer/2022041408/5e187c95a0a2011e8a7a4d31/html5/thumbnails/39.jpg)
To fight childhood obesity: agreement-large food companies will remove 1.5trillion calories from food by 2015
![Page 40: NUTRITION & DISEASE - faculty.uml.edufaculty.uml.edu/jhojnacki/83.123/Documents/WEB 1ST LECTURES OVERVIEW... · Women’s Health Initiative •Large study funded by federal government-](https://reader031.vdocument.in/reader031/viewer/2022041408/5e187c95a0a2011e8a7a4d31/html5/thumbnails/40.jpg)
Major League Baseball joins Let’s Move
30 TV/radio ads aimed at families, women, daytime TV audience (young children)
Goal: “Kids born today reach adulthood at healthy weight”
Curtis Granderson Jeff Francoeur
Yankees Mets
![Page 41: NUTRITION & DISEASE - faculty.uml.edufaculty.uml.edu/jhojnacki/83.123/Documents/WEB 1ST LECTURES OVERVIEW... · Women’s Health Initiative •Large study funded by federal government-](https://reader031.vdocument.in/reader031/viewer/2022041408/5e187c95a0a2011e8a7a4d31/html5/thumbnails/41.jpg)
Trade Offs: So what? What does this mean to you?
Scholarships vs. Stents
Taxes Wages Cost- cars, clothes
2006: GM $5 billion- health care: employees
$1000 added cost new car
![Page 42: NUTRITION & DISEASE - faculty.uml.edufaculty.uml.edu/jhojnacki/83.123/Documents/WEB 1ST LECTURES OVERVIEW... · Women’s Health Initiative •Large study funded by federal government-](https://reader031.vdocument.in/reader031/viewer/2022041408/5e187c95a0a2011e8a7a4d31/html5/thumbnails/42.jpg)
NY Times: 10/15/06Manufacturers sell $6 billion stents/yearCardiologists: $10-$15,000/implant
![Page 43: NUTRITION & DISEASE - faculty.uml.edufaculty.uml.edu/jhojnacki/83.123/Documents/WEB 1ST LECTURES OVERVIEW... · Women’s Health Initiative •Large study funded by federal government-](https://reader031.vdocument.in/reader031/viewer/2022041408/5e187c95a0a2011e8a7a4d31/html5/thumbnails/43.jpg)
1977 “Dietary Goals for US”
George McGovern & Senate Committee on Nutrition
“An epidemic of killer diseases- stroke, obesity, heart disease, diabetes, cancer linked to eating habits of Americans.”
Committee recommendations: return to more “natural” diet (less processed
foods)
![Page 44: NUTRITION & DISEASE - faculty.uml.edufaculty.uml.edu/jhojnacki/83.123/Documents/WEB 1ST LECTURES OVERVIEW... · Women’s Health Initiative •Large study funded by federal government-](https://reader031.vdocument.in/reader031/viewer/2022041408/5e187c95a0a2011e8a7a4d31/html5/thumbnails/44.jpg)
1980 US Department of Health and Human Services
“Dietary Guidelines for Americans”
first published
By law- updated every 5 years
![Page 45: NUTRITION & DISEASE - faculty.uml.edufaculty.uml.edu/jhojnacki/83.123/Documents/WEB 1ST LECTURES OVERVIEW... · Women’s Health Initiative •Large study funded by federal government-](https://reader031.vdocument.in/reader031/viewer/2022041408/5e187c95a0a2011e8a7a4d31/html5/thumbnails/45.jpg)
1985
![Page 46: NUTRITION & DISEASE - faculty.uml.edufaculty.uml.edu/jhojnacki/83.123/Documents/WEB 1ST LECTURES OVERVIEW... · Women’s Health Initiative •Large study funded by federal government-](https://reader031.vdocument.in/reader031/viewer/2022041408/5e187c95a0a2011e8a7a4d31/html5/thumbnails/46.jpg)
Dietary Guidelines for Americans 2005
Plant based diet
![Page 47: NUTRITION & DISEASE - faculty.uml.edufaculty.uml.edu/jhojnacki/83.123/Documents/WEB 1ST LECTURES OVERVIEW... · Women’s Health Initiative •Large study funded by federal government-](https://reader031.vdocument.in/reader031/viewer/2022041408/5e187c95a0a2011e8a7a4d31/html5/thumbnails/47.jpg)
2005 Dietary Guidelines for Americans
Quantitative
Fiber Vegetables & Fruits Exercise
Whole Grains, Nuts, Beans
Low Fat Dairy, Fish, Lean Meats
Saturated Fat & Trans Fat
Poly + Monounsaturated Fat
![Page 48: NUTRITION & DISEASE - faculty.uml.edufaculty.uml.edu/jhojnacki/83.123/Documents/WEB 1ST LECTURES OVERVIEW... · Women’s Health Initiative •Large study funded by federal government-](https://reader031.vdocument.in/reader031/viewer/2022041408/5e187c95a0a2011e8a7a4d31/html5/thumbnails/48.jpg)
Dietary Guidelines for Americans 2005
• Goals: Reduce risk of chronic diseases, lead longer, healthier lives
• Developed Expert Scientists
• Preponderance- scientific evidence
• Primary source nutrition information:
all health care professionals
• For Americans > age 2
![Page 49: NUTRITION & DISEASE - faculty.uml.edufaculty.uml.edu/jhojnacki/83.123/Documents/WEB 1ST LECTURES OVERVIEW... · Women’s Health Initiative •Large study funded by federal government-](https://reader031.vdocument.in/reader031/viewer/2022041408/5e187c95a0a2011e8a7a4d31/html5/thumbnails/49.jpg)
Two examples of eating patterns-range of calories:
USDA Food Guide
www.mypyramid.gov
Dietary Approaches to Stop Hypertension (DASH)
www.nutrition.gov
![Page 50: NUTRITION & DISEASE - faculty.uml.edufaculty.uml.edu/jhojnacki/83.123/Documents/WEB 1ST LECTURES OVERVIEW... · Women’s Health Initiative •Large study funded by federal government-](https://reader031.vdocument.in/reader031/viewer/2022041408/5e187c95a0a2011e8a7a4d31/html5/thumbnails/50.jpg)
Early Humans Dietary Deficiencies
beriberi, scurvy, rickets, protein calorie malnutrition- UNDERNUTRITION
Today in US- OVERNUTRITION-affluence
Over consumption: saturated fat
cholesterol, sugar, salt, alcohol, calories
Linked to “killer” diseases
![Page 51: NUTRITION & DISEASE - faculty.uml.edufaculty.uml.edu/jhojnacki/83.123/Documents/WEB 1ST LECTURES OVERVIEW... · Women’s Health Initiative •Large study funded by federal government-](https://reader031.vdocument.in/reader031/viewer/2022041408/5e187c95a0a2011e8a7a4d31/html5/thumbnails/51.jpg)
Some obese American children: 1000calories/day in sweetened drinks
Equal to: 59 sugars, 3 bottles soft drinks
![Page 52: NUTRITION & DISEASE - faculty.uml.edufaculty.uml.edu/jhojnacki/83.123/Documents/WEB 1ST LECTURES OVERVIEW... · Women’s Health Initiative •Large study funded by federal government-](https://reader031.vdocument.in/reader031/viewer/2022041408/5e187c95a0a2011e8a7a4d31/html5/thumbnails/52.jpg)
American DietPast- 1910 PresentMilk
Meat, fish,Grains (wheat, rice, Poultry,Corn)
Alcohol
Fresh fruit/vegetables SugarSoft Drinks
Plant protein (low fat, nocholesterol) Animal protein
(saturated fat & cholesterol)
More fiber: ProcessedFruits, vegetables, whole grains foods:
(canned,frozen)High Salt“Junk Foods”-High calorie low nutrients
![Page 53: NUTRITION & DISEASE - faculty.uml.edufaculty.uml.edu/jhojnacki/83.123/Documents/WEB 1ST LECTURES OVERVIEW... · Women’s Health Initiative •Large study funded by federal government-](https://reader031.vdocument.in/reader031/viewer/2022041408/5e187c95a0a2011e8a7a4d31/html5/thumbnails/53.jpg)
1st Point: Americans ate differently in past
Related to : cost of food, availability, technology
![Page 54: NUTRITION & DISEASE - faculty.uml.edufaculty.uml.edu/jhojnacki/83.123/Documents/WEB 1ST LECTURES OVERVIEW... · Women’s Health Initiative •Large study funded by federal government-](https://reader031.vdocument.in/reader031/viewer/2022041408/5e187c95a0a2011e8a7a4d31/html5/thumbnails/54.jpg)
2nd Point: Many people in world don’t eat like Americans
(But they are starting to!)
![Page 55: NUTRITION & DISEASE - faculty.uml.edufaculty.uml.edu/jhojnacki/83.123/Documents/WEB 1ST LECTURES OVERVIEW... · Women’s Health Initiative •Large study funded by federal government-](https://reader031.vdocument.in/reader031/viewer/2022041408/5e187c95a0a2011e8a7a4d31/html5/thumbnails/55.jpg)
People – other countries:
Starches Vegetables
Meat, Fat Sugar
Chronic Diseases
![Page 56: NUTRITION & DISEASE - faculty.uml.edufaculty.uml.edu/jhojnacki/83.123/Documents/WEB 1ST LECTURES OVERVIEW... · Women’s Health Initiative •Large study funded by federal government-](https://reader031.vdocument.in/reader031/viewer/2022041408/5e187c95a0a2011e8a7a4d31/html5/thumbnails/56.jpg)
Mediterranean Diet
Portugal, Spain, Italy, France, Greece,
Turkey, Israel
![Page 57: NUTRITION & DISEASE - faculty.uml.edufaculty.uml.edu/jhojnacki/83.123/Documents/WEB 1ST LECTURES OVERVIEW... · Women’s Health Initiative •Large study funded by federal government-](https://reader031.vdocument.in/reader031/viewer/2022041408/5e187c95a0a2011e8a7a4d31/html5/thumbnails/57.jpg)
Mediterranean Diet
Vegetables, fruits, legumes (beans &
peas) (fiber)
Fish, cereals
Unsaturated fat (olive oil)
Saturated fat
Dairy products, meat, poultry
Mild-moderate alcohol
Heart disease Alzheimer’s disease
![Page 58: NUTRITION & DISEASE - faculty.uml.edufaculty.uml.edu/jhojnacki/83.123/Documents/WEB 1ST LECTURES OVERVIEW... · Women’s Health Initiative •Large study funded by federal government-](https://reader031.vdocument.in/reader031/viewer/2022041408/5e187c95a0a2011e8a7a4d31/html5/thumbnails/58.jpg)
Mediterranean Food Pyramid
![Page 59: NUTRITION & DISEASE - faculty.uml.edufaculty.uml.edu/jhojnacki/83.123/Documents/WEB 1ST LECTURES OVERVIEW... · Women’s Health Initiative •Large study funded by federal government-](https://reader031.vdocument.in/reader031/viewer/2022041408/5e187c95a0a2011e8a7a4d31/html5/thumbnails/59.jpg)
Mediterranean Diet
Cholesterol levels Heart Disease
Longer Life Cancers
Mouth
Esophagus
Breast Cancer Stomach
Mediterranean vs. Lung
U.S. Women Intestine
![Page 60: NUTRITION & DISEASE - faculty.uml.edufaculty.uml.edu/jhojnacki/83.123/Documents/WEB 1ST LECTURES OVERVIEW... · Women’s Health Initiative •Large study funded by federal government-](https://reader031.vdocument.in/reader031/viewer/2022041408/5e187c95a0a2011e8a7a4d31/html5/thumbnails/60.jpg)
How Mediterranean Diet May Work
You are what you eat
![Page 61: NUTRITION & DISEASE - faculty.uml.edufaculty.uml.edu/jhojnacki/83.123/Documents/WEB 1ST LECTURES OVERVIEW... · Women’s Health Initiative •Large study funded by federal government-](https://reader031.vdocument.in/reader031/viewer/2022041408/5e187c95a0a2011e8a7a4d31/html5/thumbnails/61.jpg)
OXIDATION
• Oxidation: removing
electrons from molecules
• Happens normally during
metabolism
• Also- exposure air pollution,
cigarette smoke
![Page 62: NUTRITION & DISEASE - faculty.uml.edufaculty.uml.edu/jhojnacki/83.123/Documents/WEB 1ST LECTURES OVERVIEW... · Women’s Health Initiative •Large study funded by federal government-](https://reader031.vdocument.in/reader031/viewer/2022041408/5e187c95a0a2011e8a7a4d31/html5/thumbnails/62.jpg)
OXIDATION
• Oxidation: produces “highly
reactive” molecules: free radicals
• Damage: DNA, proteins, & fats in
cell membranes and blood
• Oxidative stress: free radicals
accumulate in body
• May cause cell death, cancer,
aging, damage to arteries
![Page 63: NUTRITION & DISEASE - faculty.uml.edufaculty.uml.edu/jhojnacki/83.123/Documents/WEB 1ST LECTURES OVERVIEW... · Women’s Health Initiative •Large study funded by federal government-](https://reader031.vdocument.in/reader031/viewer/2022041408/5e187c95a0a2011e8a7a4d31/html5/thumbnails/63.jpg)
OXIDATION
• Your body: built in protection-enzyme systems: anti-oxidation-protect against damage due to
oxidation
• Diet: Vitamin C, E , beta carotene (carrots), selenium (mineral):antioxidants: destroy reactive
molecules
![Page 64: NUTRITION & DISEASE - faculty.uml.edufaculty.uml.edu/jhojnacki/83.123/Documents/WEB 1ST LECTURES OVERVIEW... · Women’s Health Initiative •Large study funded by federal government-](https://reader031.vdocument.in/reader031/viewer/2022041408/5e187c95a0a2011e8a7a4d31/html5/thumbnails/64.jpg)
![Page 65: NUTRITION & DISEASE - faculty.uml.edufaculty.uml.edu/jhojnacki/83.123/Documents/WEB 1ST LECTURES OVERVIEW... · Women’s Health Initiative •Large study funded by federal government-](https://reader031.vdocument.in/reader031/viewer/2022041408/5e187c95a0a2011e8a7a4d31/html5/thumbnails/65.jpg)
How Mediterranean Diet May Work
• Cancer: fruits & veggies: antioxidants: protect DNA & cell
membranes
• Heart Disease: monounsaturated fat: blood cholesterol, blood fats resist
oxidation
• Aging & Alzheimer’s Disease:monounsaturated fat brain nerve cell membranes fluidity
![Page 66: NUTRITION & DISEASE - faculty.uml.edufaculty.uml.edu/jhojnacki/83.123/Documents/WEB 1ST LECTURES OVERVIEW... · Women’s Health Initiative •Large study funded by federal government-](https://reader031.vdocument.in/reader031/viewer/2022041408/5e187c95a0a2011e8a7a4d31/html5/thumbnails/66.jpg)
In general:
Affluence Meat
Heart Disease &
Cancer
![Page 67: NUTRITION & DISEASE - faculty.uml.edufaculty.uml.edu/jhojnacki/83.123/Documents/WEB 1ST LECTURES OVERVIEW... · Women’s Health Initiative •Large study funded by federal government-](https://reader031.vdocument.in/reader031/viewer/2022041408/5e187c95a0a2011e8a7a4d31/html5/thumbnails/67.jpg)
“A Bolshevik Big Mac”Newsweek November 17, 1986
“Last week both Pizza Hutand McDonald’s announced plans to introduce American-style fast food to the Soviet masses.”
![Page 68: NUTRITION & DISEASE - faculty.uml.edufaculty.uml.edu/jhojnacki/83.123/Documents/WEB 1ST LECTURES OVERVIEW... · Women’s Health Initiative •Large study funded by federal government-](https://reader031.vdocument.in/reader031/viewer/2022041408/5e187c95a0a2011e8a7a4d31/html5/thumbnails/68.jpg)
McDonald’s in Moscow: January 1990
Major change: Communism & foreign investment- 30,000 people served-
opening day
![Page 69: NUTRITION & DISEASE - faculty.uml.edufaculty.uml.edu/jhojnacki/83.123/Documents/WEB 1ST LECTURES OVERVIEW... · Women’s Health Initiative •Large study funded by federal government-](https://reader031.vdocument.in/reader031/viewer/2022041408/5e187c95a0a2011e8a7a4d31/html5/thumbnails/69.jpg)
NY Times June 20, 2006 “McDonald’s operating profit in France last year was second only to that of McDonald’s in
the United States.”
![Page 70: NUTRITION & DISEASE - faculty.uml.edufaculty.uml.edu/jhojnacki/83.123/Documents/WEB 1ST LECTURES OVERVIEW... · Women’s Health Initiative •Large study funded by federal government-](https://reader031.vdocument.in/reader031/viewer/2022041408/5e187c95a0a2011e8a7a4d31/html5/thumbnails/70.jpg)
NY Times International 1/25/06 “France battles a problem that grows and grows: fat.”
![Page 71: NUTRITION & DISEASE - faculty.uml.edufaculty.uml.edu/jhojnacki/83.123/Documents/WEB 1ST LECTURES OVERVIEW... · Women’s Health Initiative •Large study funded by federal government-](https://reader031.vdocument.in/reader031/viewer/2022041408/5e187c95a0a2011e8a7a4d31/html5/thumbnails/71.jpg)
NY Times 9/13/06 “The number of new diabetics now totals around 35 million” ….. “in a country better known for famine.”
![Page 72: NUTRITION & DISEASE - faculty.uml.edufaculty.uml.edu/jhojnacki/83.123/Documents/WEB 1ST LECTURES OVERVIEW... · Women’s Health Initiative •Large study funded by federal government-](https://reader031.vdocument.in/reader031/viewer/2022041408/5e187c95a0a2011e8a7a4d31/html5/thumbnails/72.jpg)
Before WW II
Plant foods
25-33% lower fat than Americans
Heart Disease
After WW II:
Industrialization
Meat Fat Heart Disease
Example: Japan
![Page 73: NUTRITION & DISEASE - faculty.uml.edufaculty.uml.edu/jhojnacki/83.123/Documents/WEB 1ST LECTURES OVERVIEW... · Women’s Health Initiative •Large study funded by federal government-](https://reader031.vdocument.in/reader031/viewer/2022041408/5e187c95a0a2011e8a7a4d31/html5/thumbnails/73.jpg)
NY Times 10/19/86 “McDonald’s sells more than $400million worth of food in Japan.”
![Page 74: NUTRITION & DISEASE - faculty.uml.edufaculty.uml.edu/jhojnacki/83.123/Documents/WEB 1ST LECTURES OVERVIEW... · Women’s Health Initiative •Large study funded by federal government-](https://reader031.vdocument.in/reader031/viewer/2022041408/5e187c95a0a2011e8a7a4d31/html5/thumbnails/74.jpg)
Anti-Obesity Campaign Japan
![Page 75: NUTRITION & DISEASE - faculty.uml.edufaculty.uml.edu/jhojnacki/83.123/Documents/WEB 1ST LECTURES OVERVIEW... · Women’s Health Initiative •Large study funded by federal government-](https://reader031.vdocument.in/reader031/viewer/2022041408/5e187c95a0a2011e8a7a4d31/html5/thumbnails/75.jpg)
What about China?
![Page 76: NUTRITION & DISEASE - faculty.uml.edufaculty.uml.edu/jhojnacki/83.123/Documents/WEB 1ST LECTURES OVERVIEW... · Women’s Health Initiative •Large study funded by federal government-](https://reader031.vdocument.in/reader031/viewer/2022041408/5e187c95a0a2011e8a7a4d31/html5/thumbnails/76.jpg)
![Page 77: NUTRITION & DISEASE - faculty.uml.edufaculty.uml.edu/jhojnacki/83.123/Documents/WEB 1ST LECTURES OVERVIEW... · Women’s Health Initiative •Large study funded by federal government-](https://reader031.vdocument.in/reader031/viewer/2022041408/5e187c95a0a2011e8a7a4d31/html5/thumbnails/77.jpg)
Good Medicine, Autumn 2006“Dramatic rise in overweight and obesity in China.”
• 2002 Nutrition & Health Survey: China had 184 million overweight, 31 million obese
• % diet from animal sources increased
8 25% during 20 year period
• Linked to rise in overweight/obesity
![Page 78: NUTRITION & DISEASE - faculty.uml.edufaculty.uml.edu/jhojnacki/83.123/Documents/WEB 1ST LECTURES OVERVIEW... · Women’s Health Initiative •Large study funded by federal government-](https://reader031.vdocument.in/reader031/viewer/2022041408/5e187c95a0a2011e8a7a4d31/html5/thumbnails/78.jpg)
McDonald’s: largest state-run union
in China
![Page 79: NUTRITION & DISEASE - faculty.uml.edufaculty.uml.edu/jhojnacki/83.123/Documents/WEB 1ST LECTURES OVERVIEW... · Women’s Health Initiative •Large study funded by federal government-](https://reader031.vdocument.in/reader031/viewer/2022041408/5e187c95a0a2011e8a7a4d31/html5/thumbnails/79.jpg)
“Epidemic of cardiovascular disease in Asia” American Heart Association, Council Connections, Fall 2006
• Cardiovascular disease was uncommon in Asia
• Now heart disease causes 30%deaths in many parts of Asia
• Linked to obesity and type 2diabetes
![Page 80: NUTRITION & DISEASE - faculty.uml.edufaculty.uml.edu/jhojnacki/83.123/Documents/WEB 1ST LECTURES OVERVIEW... · Women’s Health Initiative •Large study funded by federal government-](https://reader031.vdocument.in/reader031/viewer/2022041408/5e187c95a0a2011e8a7a4d31/html5/thumbnails/80.jpg)
People other countries
U.S.
Adopt our diet
Develop our chronicdiseases
![Page 81: NUTRITION & DISEASE - faculty.uml.edufaculty.uml.edu/jhojnacki/83.123/Documents/WEB 1ST LECTURES OVERVIEW... · Women’s Health Initiative •Large study funded by federal government-](https://reader031.vdocument.in/reader031/viewer/2022041408/5e187c95a0a2011e8a7a4d31/html5/thumbnails/81.jpg)
NY Times 12/15/06
2004 US Census Bureau statistics:
Americans : “Fattest inhabitants of the planet”
![Page 82: NUTRITION & DISEASE - faculty.uml.edufaculty.uml.edu/jhojnacki/83.123/Documents/WEB 1ST LECTURES OVERVIEW... · Women’s Health Initiative •Large study funded by federal government-](https://reader031.vdocument.in/reader031/viewer/2022041408/5e187c95a0a2011e8a7a4d31/html5/thumbnails/82.jpg)
Globe 2/15/06 “Disneyland costumes getting supersized”
• Even the Mouse and the Duck are getting heavier;
• Disney redesigning costumes for heavier ride operators, shop clerks, waitresses;
• Women: sizes up to30; men’s pants: up to 58’’ waist
![Page 83: NUTRITION & DISEASE - faculty.uml.edufaculty.uml.edu/jhojnacki/83.123/Documents/WEB 1ST LECTURES OVERVIEW... · Women’s Health Initiative •Large study funded by federal government-](https://reader031.vdocument.in/reader031/viewer/2022041408/5e187c95a0a2011e8a7a4d31/html5/thumbnails/83.jpg)
Rest of course
• Eating out- fast food/restaurants
• How to read food labels
• “What I ate” : Before and After-Diet analysis
• Your body chemistry
• How you digest food
![Page 84: NUTRITION & DISEASE - faculty.uml.edufaculty.uml.edu/jhojnacki/83.123/Documents/WEB 1ST LECTURES OVERVIEW... · Women’s Health Initiative •Large study funded by federal government-](https://reader031.vdocument.in/reader031/viewer/2022041408/5e187c95a0a2011e8a7a4d31/html5/thumbnails/84.jpg)
• Dietary Guidelines for Americans 2005/2010- Specific Recommendations- importance
of each
![Page 85: NUTRITION & DISEASE - faculty.uml.edufaculty.uml.edu/jhojnacki/83.123/Documents/WEB 1ST LECTURES OVERVIEW... · Women’s Health Initiative •Large study funded by federal government-](https://reader031.vdocument.in/reader031/viewer/2022041408/5e187c95a0a2011e8a7a4d31/html5/thumbnails/85.jpg)
• Nutrition relationship to:
1) Heart Disease
2) Diabetes
3) Obesity
4) Cancer
5) Alcoholism
6) Eating Disorders
![Page 86: NUTRITION & DISEASE - faculty.uml.edufaculty.uml.edu/jhojnacki/83.123/Documents/WEB 1ST LECTURES OVERVIEW... · Women’s Health Initiative •Large study funded by federal government-](https://reader031.vdocument.in/reader031/viewer/2022041408/5e187c95a0a2011e8a7a4d31/html5/thumbnails/86.jpg)
Eating Out: Restaurants/Fast food
![Page 87: NUTRITION & DISEASE - faculty.uml.edufaculty.uml.edu/jhojnacki/83.123/Documents/WEB 1ST LECTURES OVERVIEW... · Women’s Health Initiative •Large study funded by federal government-](https://reader031.vdocument.in/reader031/viewer/2022041408/5e187c95a0a2011e8a7a4d31/html5/thumbnails/87.jpg)
![Page 88: NUTRITION & DISEASE - faculty.uml.edufaculty.uml.edu/jhojnacki/83.123/Documents/WEB 1ST LECTURES OVERVIEW... · Women’s Health Initiative •Large study funded by federal government-](https://reader031.vdocument.in/reader031/viewer/2022041408/5e187c95a0a2011e8a7a4d31/html5/thumbnails/88.jpg)
Eating Out: Take Control
• On average, how many times in a 7 day week do you eat out or use take out?
• Write it down _________
![Page 89: NUTRITION & DISEASE - faculty.uml.edufaculty.uml.edu/jhojnacki/83.123/Documents/WEB 1ST LECTURES OVERVIEW... · Women’s Health Initiative •Large study funded by federal government-](https://reader031.vdocument.in/reader031/viewer/2022041408/5e187c95a0a2011e8a7a4d31/html5/thumbnails/89.jpg)
Boston Globe 10/23/06
“Americans now eat more than one third of their meals outside the home.”
Conclusion: Restaurant food can have a significant influence on
your diet
![Page 90: NUTRITION & DISEASE - faculty.uml.edufaculty.uml.edu/jhojnacki/83.123/Documents/WEB 1ST LECTURES OVERVIEW... · Women’s Health Initiative •Large study funded by federal government-](https://reader031.vdocument.in/reader031/viewer/2022041408/5e187c95a0a2011e8a7a4d31/html5/thumbnails/90.jpg)
NY Times 10/22/06“Oh yeah, there’s a ballgame too.”
![Page 91: NUTRITION & DISEASE - faculty.uml.edufaculty.uml.edu/jhojnacki/83.123/Documents/WEB 1ST LECTURES OVERVIEW... · Women’s Health Initiative •Large study funded by federal government-](https://reader031.vdocument.in/reader031/viewer/2022041408/5e187c95a0a2011e8a7a4d31/html5/thumbnails/91.jpg)
Dinner in the Sky
• Table 180 feet up- by crane
• People strapped in
• Cost: $35,000
• Other countries:
Italy,
Turkey,
South Africa,
Dubai
![Page 92: NUTRITION & DISEASE - faculty.uml.edufaculty.uml.edu/jhojnacki/83.123/Documents/WEB 1ST LECTURES OVERVIEW... · Women’s Health Initiative •Large study funded by federal government-](https://reader031.vdocument.in/reader031/viewer/2022041408/5e187c95a0a2011e8a7a4d31/html5/thumbnails/92.jpg)
Michael Phelps- August 2008
at McDonald’s in Beijing
![Page 93: NUTRITION & DISEASE - faculty.uml.edufaculty.uml.edu/jhojnacki/83.123/Documents/WEB 1ST LECTURES OVERVIEW... · Women’s Health Initiative •Large study funded by federal government-](https://reader031.vdocument.in/reader031/viewer/2022041408/5e187c95a0a2011e8a7a4d31/html5/thumbnails/93.jpg)
Marketing Food
“Life Tastes Better with KFC”
“Eat Like a Man” Taco Bell
“Come Hungry, Leave Happy” IHOP
“Better-For You Choices” DDSmart
![Page 94: NUTRITION & DISEASE - faculty.uml.edufaculty.uml.edu/jhojnacki/83.123/Documents/WEB 1ST LECTURES OVERVIEW... · Women’s Health Initiative •Large study funded by federal government-](https://reader031.vdocument.in/reader031/viewer/2022041408/5e187c95a0a2011e8a7a4d31/html5/thumbnails/94.jpg)
Marketing Food to Children
![Page 95: NUTRITION & DISEASE - faculty.uml.edufaculty.uml.edu/jhojnacki/83.123/Documents/WEB 1ST LECTURES OVERVIEW... · Women’s Health Initiative •Large study funded by federal government-](https://reader031.vdocument.in/reader031/viewer/2022041408/5e187c95a0a2011e8a7a4d31/html5/thumbnails/95.jpg)
USDA- Restaurant Food
1)Serving size over the years
2)Restaurant food: more fat, saturated fat, cholesterol, and sodium than food cooked-home
3)More food- more calories
4)Restaurant food: less calcium, fiber, and iron
![Page 96: NUTRITION & DISEASE - faculty.uml.edufaculty.uml.edu/jhojnacki/83.123/Documents/WEB 1ST LECTURES OVERVIEW... · Women’s Health Initiative •Large study funded by federal government-](https://reader031.vdocument.in/reader031/viewer/2022041408/5e187c95a0a2011e8a7a4d31/html5/thumbnails/96.jpg)
Portion Distortion
![Page 97: NUTRITION & DISEASE - faculty.uml.edufaculty.uml.edu/jhojnacki/83.123/Documents/WEB 1ST LECTURES OVERVIEW... · Women’s Health Initiative •Large study funded by federal government-](https://reader031.vdocument.in/reader031/viewer/2022041408/5e187c95a0a2011e8a7a4d31/html5/thumbnails/97.jpg)
• McDonald’s- under pressure: serve healthier foods
• Black eye: book “Fast food nation”, film “Super size me”
• Morgan Spurlock:
1) Ate only McDonald’s- month
2) Vomited on camera
3) 25 pounds
![Page 98: NUTRITION & DISEASE - faculty.uml.edufaculty.uml.edu/jhojnacki/83.123/Documents/WEB 1ST LECTURES OVERVIEW... · Women’s Health Initiative •Large study funded by federal government-](https://reader031.vdocument.in/reader031/viewer/2022041408/5e187c95a0a2011e8a7a4d31/html5/thumbnails/98.jpg)
• 2004: McDonald’s dropped “Super size” menus
• 2007: Pressure from competitors:Introduced “Hugo”
• ADS- different languages
• 42 ounces• $0.89• 410 calories• 1955: largest drink:
7 ounces
![Page 99: NUTRITION & DISEASE - faculty.uml.edufaculty.uml.edu/jhojnacki/83.123/Documents/WEB 1ST LECTURES OVERVIEW... · Women’s Health Initiative •Large study funded by federal government-](https://reader031.vdocument.in/reader031/viewer/2022041408/5e187c95a0a2011e8a7a4d31/html5/thumbnails/99.jpg)
KFC: “Who’s the fattiest of them all?”4/26/10 NY Times
Double Down sandwich: 2 fried chicken breasts, bacon, cheese, special sauce
540 calories
![Page 100: NUTRITION & DISEASE - faculty.uml.edufaculty.uml.edu/jhojnacki/83.123/Documents/WEB 1ST LECTURES OVERVIEW... · Women’s Health Initiative •Large study funded by federal government-](https://reader031.vdocument.in/reader031/viewer/2022041408/5e187c95a0a2011e8a7a4d31/html5/thumbnails/100.jpg)
Calories Count
• NY City requires: “calorie counts”-near price: some restaurants
• Growing trend throughout US
• Why is this important?
![Page 101: NUTRITION & DISEASE - faculty.uml.edufaculty.uml.edu/jhojnacki/83.123/Documents/WEB 1ST LECTURES OVERVIEW... · Women’s Health Initiative •Large study funded by federal government-](https://reader031.vdocument.in/reader031/viewer/2022041408/5e187c95a0a2011e8a7a4d31/html5/thumbnails/101.jpg)
• Chili’s:
1) Chicken Caesar Salad: 1,010calories (76 grams- fat)
2) Classic sirloin steak: 540calories (42 grams- fat)
• Subway:
1) Tuna sandwich: 530 calories
2) Roast beef sandwich: 290calories
![Page 102: NUTRITION & DISEASE - faculty.uml.edufaculty.uml.edu/jhojnacki/83.123/Documents/WEB 1ST LECTURES OVERVIEW... · Women’s Health Initiative •Large study funded by federal government-](https://reader031.vdocument.in/reader031/viewer/2022041408/5e187c95a0a2011e8a7a4d31/html5/thumbnails/102.jpg)
What you can do: practical tipsCommon Sense
• Ask for “Nutrition Information” sheet
• Stop! Look at the food on your plate
• If too much- cut in half share with friend
bring home- refrigerate
(leftovers taste great)
![Page 103: NUTRITION & DISEASE - faculty.uml.edufaculty.uml.edu/jhojnacki/83.123/Documents/WEB 1ST LECTURES OVERVIEW... · Women’s Health Initiative •Large study funded by federal government-](https://reader031.vdocument.in/reader031/viewer/2022041408/5e187c95a0a2011e8a7a4d31/html5/thumbnails/103.jpg)
• Pick broiled, roasted, grilled,boiled, or steamed foods
• Avoid fried foods
• Ask server: “What kind of fat/oilwas used to cook food?”
• Good: liquid, vegetable oils(canola, olive oil, corn oil)
• Bad: butter, lard
![Page 104: NUTRITION & DISEASE - faculty.uml.edufaculty.uml.edu/jhojnacki/83.123/Documents/WEB 1ST LECTURES OVERVIEW... · Women’s Health Initiative •Large study funded by federal government-](https://reader031.vdocument.in/reader031/viewer/2022041408/5e187c95a0a2011e8a7a4d31/html5/thumbnails/104.jpg)
• Ask server to hold MSG
• Look for “weight watchers”, “lighter fare”, “heart healthy”, “low fat”, “Best Bites” on menu
• Drink water with lemon instead of soft drinks
• Limit alcohol- calories without nutrients
• Use skim or low fat milk instead of cream in coffee
![Page 105: NUTRITION & DISEASE - faculty.uml.edufaculty.uml.edu/jhojnacki/83.123/Documents/WEB 1ST LECTURES OVERVIEW... · Women’s Health Initiative •Large study funded by federal government-](https://reader031.vdocument.in/reader031/viewer/2022041408/5e187c95a0a2011e8a7a4d31/html5/thumbnails/105.jpg)
• Use mustard or ketchup instead of mayo on sandwiches
• Consider egg substitutes orwhites instead of whole eggs
• Ask for salad dressing (non- or low-fat) on the side
![Page 106: NUTRITION & DISEASE - faculty.uml.edufaculty.uml.edu/jhojnacki/83.123/Documents/WEB 1ST LECTURES OVERVIEW... · Women’s Health Initiative •Large study funded by federal government-](https://reader031.vdocument.in/reader031/viewer/2022041408/5e187c95a0a2011e8a7a4d31/html5/thumbnails/106.jpg)
• Order baked potato or whole-grain (brown) rice instead of fries
• Consider fresh fruit or low fat yogurt for dessert
• Ask questions- You are paying for the food you eat- you have a right to know
![Page 107: NUTRITION & DISEASE - faculty.uml.edufaculty.uml.edu/jhojnacki/83.123/Documents/WEB 1ST LECTURES OVERVIEW... · Women’s Health Initiative •Large study funded by federal government-](https://reader031.vdocument.in/reader031/viewer/2022041408/5e187c95a0a2011e8a7a4d31/html5/thumbnails/107.jpg)
Dietary Guidelines for
Americans 2005
Just the Facts
Recommendations
![Page 108: NUTRITION & DISEASE - faculty.uml.edufaculty.uml.edu/jhojnacki/83.123/Documents/WEB 1ST LECTURES OVERVIEW... · Women’s Health Initiative •Large study funded by federal government-](https://reader031.vdocument.in/reader031/viewer/2022041408/5e187c95a0a2011e8a7a4d31/html5/thumbnails/108.jpg)
EXERCISE
![Page 109: NUTRITION & DISEASE - faculty.uml.edufaculty.uml.edu/jhojnacki/83.123/Documents/WEB 1ST LECTURES OVERVIEW... · Women’s Health Initiative •Large study funded by federal government-](https://reader031.vdocument.in/reader031/viewer/2022041408/5e187c95a0a2011e8a7a4d31/html5/thumbnails/109.jpg)
FOOD GROUPS
![Page 110: NUTRITION & DISEASE - faculty.uml.edufaculty.uml.edu/jhojnacki/83.123/Documents/WEB 1ST LECTURES OVERVIEW... · Women’s Health Initiative •Large study funded by federal government-](https://reader031.vdocument.in/reader031/viewer/2022041408/5e187c95a0a2011e8a7a4d31/html5/thumbnails/110.jpg)
WHOLE GRAINS
![Page 111: NUTRITION & DISEASE - faculty.uml.edufaculty.uml.edu/jhojnacki/83.123/Documents/WEB 1ST LECTURES OVERVIEW... · Women’s Health Initiative •Large study funded by federal government-](https://reader031.vdocument.in/reader031/viewer/2022041408/5e187c95a0a2011e8a7a4d31/html5/thumbnails/111.jpg)
VEGGIES
![Page 112: NUTRITION & DISEASE - faculty.uml.edufaculty.uml.edu/jhojnacki/83.123/Documents/WEB 1ST LECTURES OVERVIEW... · Women’s Health Initiative •Large study funded by federal government-](https://reader031.vdocument.in/reader031/viewer/2022041408/5e187c95a0a2011e8a7a4d31/html5/thumbnails/112.jpg)
FRUITS
![Page 113: NUTRITION & DISEASE - faculty.uml.edufaculty.uml.edu/jhojnacki/83.123/Documents/WEB 1ST LECTURES OVERVIEW... · Women’s Health Initiative •Large study funded by federal government-](https://reader031.vdocument.in/reader031/viewer/2022041408/5e187c95a0a2011e8a7a4d31/html5/thumbnails/113.jpg)
MILK, YOGURT, CHEESE
![Page 114: NUTRITION & DISEASE - faculty.uml.edufaculty.uml.edu/jhojnacki/83.123/Documents/WEB 1ST LECTURES OVERVIEW... · Women’s Health Initiative •Large study funded by federal government-](https://reader031.vdocument.in/reader031/viewer/2022041408/5e187c95a0a2011e8a7a4d31/html5/thumbnails/114.jpg)
LEAN MEAT, CHICKEN, FISH, BEANS,
PEAS, NUTS
![Page 115: NUTRITION & DISEASE - faculty.uml.edufaculty.uml.edu/jhojnacki/83.123/Documents/WEB 1ST LECTURES OVERVIEW... · Women’s Health Initiative •Large study funded by federal government-](https://reader031.vdocument.in/reader031/viewer/2022041408/5e187c95a0a2011e8a7a4d31/html5/thumbnails/115.jpg)
TOTAL FAT
![Page 116: NUTRITION & DISEASE - faculty.uml.edufaculty.uml.edu/jhojnacki/83.123/Documents/WEB 1ST LECTURES OVERVIEW... · Women’s Health Initiative •Large study funded by federal government-](https://reader031.vdocument.in/reader031/viewer/2022041408/5e187c95a0a2011e8a7a4d31/html5/thumbnails/116.jpg)
SATURATED FAT
![Page 117: NUTRITION & DISEASE - faculty.uml.edufaculty.uml.edu/jhojnacki/83.123/Documents/WEB 1ST LECTURES OVERVIEW... · Women’s Health Initiative •Large study funded by federal government-](https://reader031.vdocument.in/reader031/viewer/2022041408/5e187c95a0a2011e8a7a4d31/html5/thumbnails/117.jpg)
TRANS FAT
![Page 118: NUTRITION & DISEASE - faculty.uml.edufaculty.uml.edu/jhojnacki/83.123/Documents/WEB 1ST LECTURES OVERVIEW... · Women’s Health Initiative •Large study funded by federal government-](https://reader031.vdocument.in/reader031/viewer/2022041408/5e187c95a0a2011e8a7a4d31/html5/thumbnails/118.jpg)
CHOLESTEROL
![Page 119: NUTRITION & DISEASE - faculty.uml.edufaculty.uml.edu/jhojnacki/83.123/Documents/WEB 1ST LECTURES OVERVIEW... · Women’s Health Initiative •Large study funded by federal government-](https://reader031.vdocument.in/reader031/viewer/2022041408/5e187c95a0a2011e8a7a4d31/html5/thumbnails/119.jpg)
MONO + POLYUNSATURATED FATS
![Page 120: NUTRITION & DISEASE - faculty.uml.edufaculty.uml.edu/jhojnacki/83.123/Documents/WEB 1ST LECTURES OVERVIEW... · Women’s Health Initiative •Large study funded by federal government-](https://reader031.vdocument.in/reader031/viewer/2022041408/5e187c95a0a2011e8a7a4d31/html5/thumbnails/120.jpg)
SODIUM
![Page 121: NUTRITION & DISEASE - faculty.uml.edufaculty.uml.edu/jhojnacki/83.123/Documents/WEB 1ST LECTURES OVERVIEW... · Women’s Health Initiative •Large study funded by federal government-](https://reader031.vdocument.in/reader031/viewer/2022041408/5e187c95a0a2011e8a7a4d31/html5/thumbnails/121.jpg)
POTASSIUM
![Page 122: NUTRITION & DISEASE - faculty.uml.edufaculty.uml.edu/jhojnacki/83.123/Documents/WEB 1ST LECTURES OVERVIEW... · Women’s Health Initiative •Large study funded by federal government-](https://reader031.vdocument.in/reader031/viewer/2022041408/5e187c95a0a2011e8a7a4d31/html5/thumbnails/122.jpg)
SWEETS AND ADDED SUGARS
![Page 123: NUTRITION & DISEASE - faculty.uml.edufaculty.uml.edu/jhojnacki/83.123/Documents/WEB 1ST LECTURES OVERVIEW... · Women’s Health Initiative •Large study funded by federal government-](https://reader031.vdocument.in/reader031/viewer/2022041408/5e187c95a0a2011e8a7a4d31/html5/thumbnails/123.jpg)
FIBER
![Page 124: NUTRITION & DISEASE - faculty.uml.edufaculty.uml.edu/jhojnacki/83.123/Documents/WEB 1ST LECTURES OVERVIEW... · Women’s Health Initiative •Large study funded by federal government-](https://reader031.vdocument.in/reader031/viewer/2022041408/5e187c95a0a2011e8a7a4d31/html5/thumbnails/124.jpg)
ALCOHOL
![Page 125: NUTRITION & DISEASE - faculty.uml.edufaculty.uml.edu/jhojnacki/83.123/Documents/WEB 1ST LECTURES OVERVIEW... · Women’s Health Initiative •Large study funded by federal government-](https://reader031.vdocument.in/reader031/viewer/2022041408/5e187c95a0a2011e8a7a4d31/html5/thumbnails/125.jpg)
EATING SAFELY
![Page 126: NUTRITION & DISEASE - faculty.uml.edufaculty.uml.edu/jhojnacki/83.123/Documents/WEB 1ST LECTURES OVERVIEW... · Women’s Health Initiative •Large study funded by federal government-](https://reader031.vdocument.in/reader031/viewer/2022041408/5e187c95a0a2011e8a7a4d31/html5/thumbnails/126.jpg)
Dietary Guidelines for Americans 2010
“A call to action” DGA Advisory Committee
• “America experiencing public health crisisinvolving overweight and obesity
• American children: 1 in 3 overweight or obese
• Risk- heart disease and diabetes
• Cost: treating obesity related diseases: $150 billion/year
• Best strategy: primary prevention starting in pregnancy and childhood
• High risk: native Americans, Blacks, Hispanics, low income groups
![Page 127: NUTRITION & DISEASE - faculty.uml.edufaculty.uml.edu/jhojnacki/83.123/Documents/WEB 1ST LECTURES OVERVIEW... · Women’s Health Initiative •Large study funded by federal government-](https://reader031.vdocument.in/reader031/viewer/2022041408/5e187c95a0a2011e8a7a4d31/html5/thumbnails/127.jpg)
2010: the average child eats:
365 calories/day in added sugars
433 calories/day in solid fats
798 calories/day (1/3 of total calorie intake)
![Page 128: NUTRITION & DISEASE - faculty.uml.edufaculty.uml.edu/jhojnacki/83.123/Documents/WEB 1ST LECTURES OVERVIEW... · Women’s Health Initiative •Large study funded by federal government-](https://reader031.vdocument.in/reader031/viewer/2022041408/5e187c95a0a2011e8a7a4d31/html5/thumbnails/128.jpg)
Dietary Guidelines for Americans 2010
Recommendations- based on 4 integratedfindings
#1 Reduce overweight and obese
Americans by decreasing overall calories and increasing physical
activity
![Page 129: NUTRITION & DISEASE - faculty.uml.edufaculty.uml.edu/jhojnacki/83.123/Documents/WEB 1ST LECTURES OVERVIEW... · Women’s Health Initiative •Large study funded by federal government-](https://reader031.vdocument.in/reader031/viewer/2022041408/5e187c95a0a2011e8a7a4d31/html5/thumbnails/129.jpg)
Dietary Guidelines for Americans 2010
How to do it:
• Know your calorie need: age, sex, activity
• Calories from added sugars, solid fats. refined grains
• Variety veggies, fruits, fiber-rich whole grains
• Sugar-sweetened drinks
• Eat smaller portions- high calorie foods
• Dining out: eat low calorie foods
• Physical activity
![Page 130: NUTRITION & DISEASE - faculty.uml.edufaculty.uml.edu/jhojnacki/83.123/Documents/WEB 1ST LECTURES OVERVIEW... · Women’s Health Initiative •Large study funded by federal government-](https://reader031.vdocument.in/reader031/viewer/2022041408/5e187c95a0a2011e8a7a4d31/html5/thumbnails/130.jpg)
Dietary Guidelines for Americans 2010
#2 Meet nutrient needs and maintain energy (calorie) balance
• Increase shortfall nutrients: potassium, fiber, Vitamin D, calcium, Omega 3 fats (seafood)
![Page 131: NUTRITION & DISEASE - faculty.uml.edufaculty.uml.edu/jhojnacki/83.123/Documents/WEB 1ST LECTURES OVERVIEW... · Women’s Health Initiative •Large study funded by federal government-](https://reader031.vdocument.in/reader031/viewer/2022041408/5e187c95a0a2011e8a7a4d31/html5/thumbnails/131.jpg)
How to do it:
• Shift eating to more plants foods
• Veggies
• Cooked dry beans and peas
• Fruits
• Whole grains
• Nuts and seeds
• Seafood
• Fat-free, low fat milk and milk products
• Eat moderate amounts: lean meats,poultry, eggs
![Page 132: NUTRITION & DISEASE - faculty.uml.edufaculty.uml.edu/jhojnacki/83.123/Documents/WEB 1ST LECTURES OVERVIEW... · Women’s Health Initiative •Large study funded by federal government-](https://reader031.vdocument.in/reader031/viewer/2022041408/5e187c95a0a2011e8a7a4d31/html5/thumbnails/132.jpg)
Dietary Guidelines for Americans 2010
#3 Decrease significantly: foods that are high in calories and low
in nutrients
![Page 133: NUTRITION & DISEASE - faculty.uml.edufaculty.uml.edu/jhojnacki/83.123/Documents/WEB 1ST LECTURES OVERVIEW... · Women’s Health Initiative •Large study funded by federal government-](https://reader031.vdocument.in/reader031/viewer/2022041408/5e187c95a0a2011e8a7a4d31/html5/thumbnails/133.jpg)
How to do it:
• Added sugars
• Solid fats
• Sodium
• Refined Grains
Why? Foods linked: to weight gain, high blood pressure, heart disease,
diabetes
![Page 134: NUTRITION & DISEASE - faculty.uml.edufaculty.uml.edu/jhojnacki/83.123/Documents/WEB 1ST LECTURES OVERVIEW... · Women’s Health Initiative •Large study funded by federal government-](https://reader031.vdocument.in/reader031/viewer/2022041408/5e187c95a0a2011e8a7a4d31/html5/thumbnails/134.jpg)
Dietary Guidelines for Americans 2010
#4 Meet 2008 Physical Activity Guidelines for Americans
• Decrease Sedentary Behavior
• Increase Physical Activity
![Page 135: NUTRITION & DISEASE - faculty.uml.edufaculty.uml.edu/jhojnacki/83.123/Documents/WEB 1ST LECTURES OVERVIEW... · Women’s Health Initiative •Large study funded by federal government-](https://reader031.vdocument.in/reader031/viewer/2022041408/5e187c95a0a2011e8a7a4d31/html5/thumbnails/135.jpg)
“Vegetable Prescriptions from the Doc”
![Page 136: NUTRITION & DISEASE - faculty.uml.edufaculty.uml.edu/jhojnacki/83.123/Documents/WEB 1ST LECTURES OVERVIEW... · Women’s Health Initiative •Large study funded by federal government-](https://reader031.vdocument.in/reader031/viewer/2022041408/5e187c95a0a2011e8a7a4d31/html5/thumbnails/136.jpg)
Massachusetts leader in nation: fight against obesity in children
3 health centers: get $ coupons from Doc
Good at Farmers’ markets for fruits & veggies
![Page 137: NUTRITION & DISEASE - faculty.uml.edufaculty.uml.edu/jhojnacki/83.123/Documents/WEB 1ST LECTURES OVERVIEW... · Women’s Health Initiative •Large study funded by federal government-](https://reader031.vdocument.in/reader031/viewer/2022041408/5e187c95a0a2011e8a7a4d31/html5/thumbnails/137.jpg)
Potato Chip Exercise
![Page 138: NUTRITION & DISEASE - faculty.uml.edufaculty.uml.edu/jhojnacki/83.123/Documents/WEB 1ST LECTURES OVERVIEW... · Women’s Health Initiative •Large study funded by federal government-](https://reader031.vdocument.in/reader031/viewer/2022041408/5e187c95a0a2011e8a7a4d31/html5/thumbnails/138.jpg)
HOW TO READ FOOD LABELS
• Assignment: Bring in food labels for every class
• Bring in Fast Food Nutrition Information sheets
• Print out nutrition information-restaurant WEB sites (Unos.com)
![Page 139: NUTRITION & DISEASE - faculty.uml.edufaculty.uml.edu/jhojnacki/83.123/Documents/WEB 1ST LECTURES OVERVIEW... · Women’s Health Initiative •Large study funded by federal government-](https://reader031.vdocument.in/reader031/viewer/2022041408/5e187c95a0a2011e8a7a4d31/html5/thumbnails/139.jpg)
Nutrition Facts (Food Labels)
•Best way to know about what you are eating and drinking
• All food labels uniform: same information, same order
![Page 140: NUTRITION & DISEASE - faculty.uml.edufaculty.uml.edu/jhojnacki/83.123/Documents/WEB 1ST LECTURES OVERVIEW... · Women’s Health Initiative •Large study funded by federal government-](https://reader031.vdocument.in/reader031/viewer/2022041408/5e187c95a0a2011e8a7a4d31/html5/thumbnails/140.jpg)
Two Groups of Nutrients
• Limit Some
• Increase others
![Page 141: NUTRITION & DISEASE - faculty.uml.edufaculty.uml.edu/jhojnacki/83.123/Documents/WEB 1ST LECTURES OVERVIEW... · Women’s Health Initiative •Large study funded by federal government-](https://reader031.vdocument.in/reader031/viewer/2022041408/5e187c95a0a2011e8a7a4d31/html5/thumbnails/141.jpg)
A Gram in the Hand
grams = g
milligrams = mg
1 gram = 1000 milligrams
![Page 142: NUTRITION & DISEASE - faculty.uml.edufaculty.uml.edu/jhojnacki/83.123/Documents/WEB 1ST LECTURES OVERVIEW... · Women’s Health Initiative •Large study funded by federal government-](https://reader031.vdocument.in/reader031/viewer/2022041408/5e187c95a0a2011e8a7a4d31/html5/thumbnails/142.jpg)
Peanut Exercise
![Page 143: NUTRITION & DISEASE - faculty.uml.edufaculty.uml.edu/jhojnacki/83.123/Documents/WEB 1ST LECTURES OVERVIEW... · Women’s Health Initiative •Large study funded by federal government-](https://reader031.vdocument.in/reader031/viewer/2022041408/5e187c95a0a2011e8a7a4d31/html5/thumbnails/143.jpg)
NUMBER EXERCISE
WRITE DOWN THESE
NUMBERS FROM LEFT TO RIGHT
4 4 7 9
![Page 144: NUTRITION & DISEASE - faculty.uml.edufaculty.uml.edu/jhojnacki/83.123/Documents/WEB 1ST LECTURES OVERVIEW... · Women’s Health Initiative •Large study funded by federal government-](https://reader031.vdocument.in/reader031/viewer/2022041408/5e187c95a0a2011e8a7a4d31/html5/thumbnails/144.jpg)
• Assignment
1. Count out 3 Cheerios
2. Hold them in your hand
3. Eat them if you want to
• Assignment
1. Count out exactly 18 grains of white or brown rice
2. Hold them in your hand
![Page 145: NUTRITION & DISEASE - faculty.uml.edufaculty.uml.edu/jhojnacki/83.123/Documents/WEB 1ST LECTURES OVERVIEW... · Women’s Health Initiative •Large study funded by federal government-](https://reader031.vdocument.in/reader031/viewer/2022041408/5e187c95a0a2011e8a7a4d31/html5/thumbnails/145.jpg)
3 Cheerios or 18 grains of rice = 300 milligrams
300 milligrams = your cholesterol limit for one day
![Page 146: NUTRITION & DISEASE - faculty.uml.edufaculty.uml.edu/jhojnacki/83.123/Documents/WEB 1ST LECTURES OVERVIEW... · Women’s Health Initiative •Large study funded by federal government-](https://reader031.vdocument.in/reader031/viewer/2022041408/5e187c95a0a2011e8a7a4d31/html5/thumbnails/146.jpg)
Reading Food Labels: a Simple Method
Based on 2000 calorie “reference” diet
Two categories of nutrients:
1) Limit per day
2) Goals per day
![Page 147: NUTRITION & DISEASE - faculty.uml.edufaculty.uml.edu/jhojnacki/83.123/Documents/WEB 1ST LECTURES OVERVIEW... · Women’s Health Initiative •Large study funded by federal government-](https://reader031.vdocument.in/reader031/viewer/2022041408/5e187c95a0a2011e8a7a4d31/html5/thumbnails/147.jpg)
Ingredients: Listed from highest to lowest in amount
• Good words: 100% whole-grain, whole wheat, fiber, vitamin A, vitamin C, vitamin E, calcium, iron
• Not so good words: hydrogenated, partially hydrogenated, sodium, salt, sugar, sucrose, glucose, high fructose corn syrup, corn syrup, maple syrup, fructose
![Page 148: NUTRITION & DISEASE - faculty.uml.edufaculty.uml.edu/jhojnacki/83.123/Documents/WEB 1ST LECTURES OVERVIEW... · Women’s Health Initiative •Large study funded by federal government-](https://reader031.vdocument.in/reader031/viewer/2022041408/5e187c95a0a2011e8a7a4d31/html5/thumbnails/148.jpg)
![Page 149: NUTRITION & DISEASE - faculty.uml.edufaculty.uml.edu/jhojnacki/83.123/Documents/WEB 1ST LECTURES OVERVIEW... · Women’s Health Initiative •Large study funded by federal government-](https://reader031.vdocument.in/reader031/viewer/2022041408/5e187c95a0a2011e8a7a4d31/html5/thumbnails/149.jpg)
![Page 150: NUTRITION & DISEASE - faculty.uml.edufaculty.uml.edu/jhojnacki/83.123/Documents/WEB 1ST LECTURES OVERVIEW... · Women’s Health Initiative •Large study funded by federal government-](https://reader031.vdocument.in/reader031/viewer/2022041408/5e187c95a0a2011e8a7a4d31/html5/thumbnails/150.jpg)
![Page 151: NUTRITION & DISEASE - faculty.uml.edufaculty.uml.edu/jhojnacki/83.123/Documents/WEB 1ST LECTURES OVERVIEW... · Women’s Health Initiative •Large study funded by federal government-](https://reader031.vdocument.in/reader031/viewer/2022041408/5e187c95a0a2011e8a7a4d31/html5/thumbnails/151.jpg)
![Page 152: NUTRITION & DISEASE - faculty.uml.edufaculty.uml.edu/jhojnacki/83.123/Documents/WEB 1ST LECTURES OVERVIEW... · Women’s Health Initiative •Large study funded by federal government-](https://reader031.vdocument.in/reader031/viewer/2022041408/5e187c95a0a2011e8a7a4d31/html5/thumbnails/152.jpg)
![Page 153: NUTRITION & DISEASE - faculty.uml.edufaculty.uml.edu/jhojnacki/83.123/Documents/WEB 1ST LECTURES OVERVIEW... · Women’s Health Initiative •Large study funded by federal government-](https://reader031.vdocument.in/reader031/viewer/2022041408/5e187c95a0a2011e8a7a4d31/html5/thumbnails/153.jpg)
![Page 154: NUTRITION & DISEASE - faculty.uml.edufaculty.uml.edu/jhojnacki/83.123/Documents/WEB 1ST LECTURES OVERVIEW... · Women’s Health Initiative •Large study funded by federal government-](https://reader031.vdocument.in/reader031/viewer/2022041408/5e187c95a0a2011e8a7a4d31/html5/thumbnails/154.jpg)
![Page 155: NUTRITION & DISEASE - faculty.uml.edufaculty.uml.edu/jhojnacki/83.123/Documents/WEB 1ST LECTURES OVERVIEW... · Women’s Health Initiative •Large study funded by federal government-](https://reader031.vdocument.in/reader031/viewer/2022041408/5e187c95a0a2011e8a7a4d31/html5/thumbnails/155.jpg)
![Page 156: NUTRITION & DISEASE - faculty.uml.edufaculty.uml.edu/jhojnacki/83.123/Documents/WEB 1ST LECTURES OVERVIEW... · Women’s Health Initiative •Large study funded by federal government-](https://reader031.vdocument.in/reader031/viewer/2022041408/5e187c95a0a2011e8a7a4d31/html5/thumbnails/156.jpg)
![Page 157: NUTRITION & DISEASE - faculty.uml.edufaculty.uml.edu/jhojnacki/83.123/Documents/WEB 1ST LECTURES OVERVIEW... · Women’s Health Initiative •Large study funded by federal government-](https://reader031.vdocument.in/reader031/viewer/2022041408/5e187c95a0a2011e8a7a4d31/html5/thumbnails/157.jpg)
![Page 158: NUTRITION & DISEASE - faculty.uml.edufaculty.uml.edu/jhojnacki/83.123/Documents/WEB 1ST LECTURES OVERVIEW... · Women’s Health Initiative •Large study funded by federal government-](https://reader031.vdocument.in/reader031/viewer/2022041408/5e187c95a0a2011e8a7a4d31/html5/thumbnails/158.jpg)
![Page 159: NUTRITION & DISEASE - faculty.uml.edufaculty.uml.edu/jhojnacki/83.123/Documents/WEB 1ST LECTURES OVERVIEW... · Women’s Health Initiative •Large study funded by federal government-](https://reader031.vdocument.in/reader031/viewer/2022041408/5e187c95a0a2011e8a7a4d31/html5/thumbnails/159.jpg)
![Page 160: NUTRITION & DISEASE - faculty.uml.edufaculty.uml.edu/jhojnacki/83.123/Documents/WEB 1ST LECTURES OVERVIEW... · Women’s Health Initiative •Large study funded by federal government-](https://reader031.vdocument.in/reader031/viewer/2022041408/5e187c95a0a2011e8a7a4d31/html5/thumbnails/160.jpg)
![Page 161: NUTRITION & DISEASE - faculty.uml.edufaculty.uml.edu/jhojnacki/83.123/Documents/WEB 1ST LECTURES OVERVIEW... · Women’s Health Initiative •Large study funded by federal government-](https://reader031.vdocument.in/reader031/viewer/2022041408/5e187c95a0a2011e8a7a4d31/html5/thumbnails/161.jpg)
![Page 162: NUTRITION & DISEASE - faculty.uml.edufaculty.uml.edu/jhojnacki/83.123/Documents/WEB 1ST LECTURES OVERVIEW... · Women’s Health Initiative •Large study funded by federal government-](https://reader031.vdocument.in/reader031/viewer/2022041408/5e187c95a0a2011e8a7a4d31/html5/thumbnails/162.jpg)
![Page 163: NUTRITION & DISEASE - faculty.uml.edufaculty.uml.edu/jhojnacki/83.123/Documents/WEB 1ST LECTURES OVERVIEW... · Women’s Health Initiative •Large study funded by federal government-](https://reader031.vdocument.in/reader031/viewer/2022041408/5e187c95a0a2011e8a7a4d31/html5/thumbnails/163.jpg)
![Page 164: NUTRITION & DISEASE - faculty.uml.edufaculty.uml.edu/jhojnacki/83.123/Documents/WEB 1ST LECTURES OVERVIEW... · Women’s Health Initiative •Large study funded by federal government-](https://reader031.vdocument.in/reader031/viewer/2022041408/5e187c95a0a2011e8a7a4d31/html5/thumbnails/164.jpg)
![Page 165: NUTRITION & DISEASE - faculty.uml.edufaculty.uml.edu/jhojnacki/83.123/Documents/WEB 1ST LECTURES OVERVIEW... · Women’s Health Initiative •Large study funded by federal government-](https://reader031.vdocument.in/reader031/viewer/2022041408/5e187c95a0a2011e8a7a4d31/html5/thumbnails/165.jpg)
![Page 166: NUTRITION & DISEASE - faculty.uml.edufaculty.uml.edu/jhojnacki/83.123/Documents/WEB 1ST LECTURES OVERVIEW... · Women’s Health Initiative •Large study funded by federal government-](https://reader031.vdocument.in/reader031/viewer/2022041408/5e187c95a0a2011e8a7a4d31/html5/thumbnails/166.jpg)
![Page 167: NUTRITION & DISEASE - faculty.uml.edufaculty.uml.edu/jhojnacki/83.123/Documents/WEB 1ST LECTURES OVERVIEW... · Women’s Health Initiative •Large study funded by federal government-](https://reader031.vdocument.in/reader031/viewer/2022041408/5e187c95a0a2011e8a7a4d31/html5/thumbnails/167.jpg)
WISE TriSum Lay’s Baked
Ingred. Veg. oil, one Partially Starch, sugar, corn oil,
of following hydrogenated soy- salt, soy lecithin
oils, salt bean oil, salt
Serving 28g (16 chips) 28g (20 chips) 28 (15 chips)
Calories 150 150 110
Fat (g) 10 9 1.5
Sat Fat (g) 3 2.5 0
T-Fat (g) 0 3.5 0
Chol. (mg) 0 0 0
Na (mg) 190 115 180
![Page 168: NUTRITION & DISEASE - faculty.uml.edufaculty.uml.edu/jhojnacki/83.123/Documents/WEB 1ST LECTURES OVERVIEW... · Women’s Health Initiative •Large study funded by federal government-](https://reader031.vdocument.in/reader031/viewer/2022041408/5e187c95a0a2011e8a7a4d31/html5/thumbnails/168.jpg)
Recommendations- general
• Eat balanced diet: all food groups, every day
• Be physically active daily
• Eat fewer calories
• Make wiser food choices
• Nutrients from food- not supplements (pills)
• Flexible
• Accommodate: different racial/ethnic groups, vegetarians