Transcript Diet and Disease Connection - Washington State University

Health Promotion –
The diet and disease connection
Lizann Powers Hammond
Shirley Broughton
Goals for today:
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Health Promotion -Consumer perspective
Health Promotion Framework
Diet and Chronic Disease what’s new?
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Heart Disease
Diabetes
Cancer
Sorting through the evidence
Communicating Science Based
Evidence
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The New Nutrition Conversation is all about
talking with consumers rather than at them to
find out what they are thinking and why when it
comes to nutrition.
International Food and Nutrition Information Council IFIC.org
FOOD
Are consumers losing their
appetite for…
NUTRITION
International Food and Nutrition Information Council IFIC.org
Consumers are
bombarded with
Food
nutrition
Labels
information
from a variety of
sources.
Popular
Web
Sites
TV and
Radio
News
Many people find it
difficult to separate
valid
recommendations
from fad diet
advice.
Medical
Experts
Magazines
Consumer
Fad
Diet
Gurus
Media
Images
Friends
and
Family
SOURCE: IFIC Foundation, 2004
Gov’t
Guidelines
Food
Ads
Nutrition
information is
often seen as
contradictory,
even from
equally valid
sources.
Consumers Say
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85% say that diet and nutrition are
important to them personally.
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Only 25% say they have made significant
changes to achieve a healthful diet.
Source: ADA trends survey, 2002
Consumers Say
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Consumers get most of their nutrition
information from TV, newspapers,
magazines.
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Consumers value the information form
health professionals the most.
Source: ADA Trends survey, 2002
Consumers Say…
About achieving a healthy nutritious diet…
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38% “I’m already doing it.”
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30% “I know I should, But…”
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32% “Don’t bother me.”
ADA Trends Survey 2002
Consumers Say
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57% agree “Based on the information I’ve
heard, I believe there are some foods I
should never eat.”
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54% believe “taking vitamin supplements
is necessary to ensure good health”
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33% believe “herbal dietary supplements
are safe because they are natural”
ADA Trends Survey 2002
Missing Ingredient
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Tips – Where is the ACTION is!
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Don’t just tell us what to do, tell us HOW
to do it!
Consumers
Consumers need how-to information
about nutrition information that is
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SIMPLE
POSITIVE
PRACTICAL
CONSISTENT
Consumers Definition of Health
Healthy is….
 Active
 Energetic
 Confident
 Smiling
 Good complexion
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Good Posture
Bright and wide eyed
Works out/ is fit
Positive Attitude
Well Rested
Addressing the obesity debate: Consumers point of view IFIC 2003
Consumers Definition of Health
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More broadly, consumers also describe
health holistically, involving components of
mental, emotional, and physical health.
They state all of these elements must
work together in contributing to good
health.
The Health Promotion Framework
Elements of Health Promotion
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Physical – Fitness and nutrition. Medical selfcare. Control of substance abuse.
Emotional - Care for emotional health.
Stress management, calming.
Social – Community, families, friends.
Intellectual – Education, achievement, career
development.
Spiritual – Love, hope, charity.
Medical Model
Problem/Condition
Diagnosis
Treatment
Alleviation of Condition
Perspectives on Obesity
Medical Model
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Weight is the
problem.
Treatments focuses
on weight loss.
Medical interventions
are available to
change body weight.
Weight Loss Methods
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Diet
Exercise
Prescription drugs
Behavior modification
Diet pills
Herbal remedies
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Liposuction
Bariatric surgery
Acupuncture
Lotions/creams
Hypnosis
Stimulants
The Magic Cure?
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The medical model is
the western cultural
norm.
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The search for a
simple “magic cure”
fits with the medical
model.
Perspectives on Obesity
Health Promotion Model
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Body weight above
normal suggests a
person is out of balance.
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Seek to discover
underlying issues and
restore balance to life.
Exploration of Weight Issues
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Physical
Diet and activity
patterns, substance
use?
Emotional
Stress levels, stress
eating, emotional
eating? ACE?
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Social
Connection to others?
Intellectual
Mental stimulation,
Happiness with life?
Spiritual
Connection to world
and nature?
Broadening the Focus
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Medical Model
How can we get people to lose weight?
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Health Promotion Model
How can we promote a holistic approach
to health and well-being?
The Life Balance Wheel
Disease Prevention
Medical Model
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Identify risk factors.
Intervention targets
risk factors.
Often fear based,
desire to avoid
disease state.
Disease Prevention
Health Promotion Model
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Examine life balance and
holistic well-being.
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Focus in on maximizing
health not just absence of
disease.
Addressing Chronic Disease
Medical Model
You have an illness,
symptoms are treated.
Health Promotion
You can be well and
optimize health through
lifestyle, even with a
disease.
Diet and Disease Update
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Heart Disease
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Diabetes
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Cancer
Top 10 Killers
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Heart disease
Cancer
Stroke
Chronic lower respiratory diseases
Accidents (unintentional injuries)
Diabetes
Alzheimer's disease
Influenza/Pneumonia
Nephritis, nephrotic syndrome, and nephrosis
Septicemia
Diet and Heart Disease
Where we have been…
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Saturated Fat
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Cholesterol 
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Vegetable oils 
Diet and Heart Disease
What’s New….
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Trans fats 
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Fish Oil
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Diet and Heart Disease
What’s in the News….
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Nuts / Flaxseed 
Omega 3 vs Omega 6
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Plant Sterols
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Tropical Oils
Diet and Diabetes
Where we have been…
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Amount of
Carbohydrate
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Balanced diet
Diet and Diabetes
What’s new…
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Maintain healthy
weight
Physical activity
30 minutes a day 
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Dietary Fiber 
Diet and Diabetes
What’s in the news…
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Glycemic Index /
Glycemic Load
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High Fructose Corn
Syrup
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Cinnamon
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Chromium
Diet and Cancer
Where we have been…
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Low in fat, alcohol
and salt.
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High in whole
grains, fruits and
vegetables.
Diet and Cancer
What’s New…
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Phytochemicals
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Antioxidants
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Cruciferous
vegetables
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Omega-3 fatty acids
Diet and Cancer:
What’s in the news…
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Supplements
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Juicers
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Sugar substitutes
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Green tea
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Soy products
Energy Drinks
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Contain significant
amounts of caffeine
and other legal
stimulants.
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Additional ingredients
imply “health”
benefits.
Take home message:
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Type and Quality of Carbohydrates:
 Make half of your grains whole
 Eat more fruits and vegetables
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Type and Quality of Fats:
 Replace saturated fats with vegetable oils
 Eat 2 fish meals / week
 Lean meats
 Low fat dairy
Focus on Lifestyle
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Eating behaviors:
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Eat plenty of fruits & vegetables daily.
Enjoy whole grain foods.
Choose lean meats and/or protein sources.
Select low-fat dairy products.
Drink adequate fluids.
Keep portion sizes reasonable.
Pick healthful snacks.
Listen to hunger and satiety signals.
Take home messages
Science is Evolutionary Not Revolutionary
Simple, Positive, Practical, Consistent
nutrition and health messages
Thank you!
Resources
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American Diabetes Association: Clinical
Practice Recommendations 2007
Diet and Lifestyle Recommendations
2006: Scientific Statement from the AHA
American Journal of Public Health
International Food Information Council
American Dietetic Association Food and
Nutrition Trends Survey