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Healthy Food makes LIFE
         better!!!
     Heather Cherry, RD
  Strength from Within, LLC
Obesity Epidemic!!
• 34% of adults in the US are clinically obese!
• Body Mass Index Chart
   – 5’10 male at 210 pounds
• Increases risk factors for:
   –   Diabetes
   –   Heart Disease
   –   High Blood Pressure
   –   Certain types of cancer
   –   Osteoarthritis
   –   Sleep Apnea
Obesity Trends* Among U.S. Adults
             BRFSS, 1985
           (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)




No Data   <10%   10%–14%
Obesity Trends* Among U.S. Adults
             BRFSS, 1990
           (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)




No Data   <10%   10%–14%
Obesity Trends* Among U.S. Adults
             BRFSS, 1995
           (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)




No Data   <10%   10%–14%    15%–19%
Obesity Trends* Among U.S. Adults
             BRFSS, 1997
            (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)




No Data   <10%    10%–14%    15%–19%    ≥20%
Obesity Trends* Among U.S. Adults
             BRFSS, 2001
            (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)




No Data   <10%    10%–14%    15%–19%    20%–24%   ≥25%
Obesity Trends* Among U.S. Adults
             BRFSS, 2004
            (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)




No Data   <10%    10%–14%    15%–19%    20%–24%   ≥25%
Obesity Trends* Among U.S. Adults
            BRFSS, 2006
           (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)




No Data   <10%   10%–14%    15%–19%    20%–24%   25%–29%    ≥30%
Obesity Trends* Among U.S. Adults
              BRFSS, 1990, 1998, 2006
           (*BMI ≥30, or about 30 lbs. overweight for 5’4” person)

             1990                                            1998




                                    2006




No Data   <10%      10%–14%   15%–19%   20%–24%   25%–29%    ≥30%
Diabetes
• Type II Diabetes is the inability to produce
  or use insulin.

• Insulin is a hormone that is needed to
  move sugar from the blood stream into the
  tissue to be processed further.
Diabetes
• American Diabetes
  Association states 20.8
  million children and adults
  are diabetic (7%
  population)
• Among people newly
  diagnosed with Diabetes,
  85% are overweight or
  obese

Ali H. Mokdad, et. al, “Actual Causes of Death in the United States, 2000,” JAMA. 2004;291:1238-1245.
Heart Disease
• What is it
Heart Disease
• According to the American heart
  association nearly 2400 American’s die of
  CVD each day.

• One death every 37 seconds.

• In 2004, 148,000 Americans under the
  age of 65 were killed by CVD.
   http://circ.ahajournals.org/cgi/report/circulationaha.107.187998
High Blood Pressure
• According to recent estimates, about one in
  three U.S. adults has high blood pressure, but
  because there are no symptoms, nearly one-
  third of these people don't know they have it. In
  fact, many people have high blood pressure for
  years without knowing it. Uncontrolled high
  blood pressure can lead to stroke, heart attack,
  heart failure or kidney failure. This is why high
  blood pressure is often called the "silent killer."
• American Heart Association
  recommended blood pressure levels
• Blood Pressure Category Systolic
  (mm Hg) Diastolic
  (mm Hg) Normalless than 120andless
  than 80Prehypertension120–139or80–
  89 HighStage 1140–159or90–99Stage
  2160 or higheror100 or higher
What do we do about all of
    this anyway???
Macronutrients:

• Carbohydrate: 4 calories per gram
• Protein: 4 calories per gram
• Fat: 9 calories per gram
• Water: 0
• Alcohol: 7 calories per gram
Carbohydrates
Glycemic Index
• The rate in which carbohydrate foods are
  converted into sugar.

• Example:
  – Brown Rice ~ 59
  – Instant White Rice ~ 91

• Fiber & Protein will slow down the break
  down of carbohydrates.
Food Label for Carbohydrates
• How much fiber is in the product?
  – Whole grain?


• Added sugar vs. natural fruit sugars or
  milk sugar.

• Total portion of carbohydrate.
Protein & Fats
Protein Sources
• Lean Proteins:
  – Chicken, turkey, most deli meat, cottage
    cheese, low-fat mozzarella/feta, round and
    loin red meats (sirloin, tenderloin), egg whites.
• Fatty Proteins:
  – Cheese, hamburger, whole eggs, sausage,
    bacon, prime rib, wings, brats.
  – Tofu, peanut butter
Protein Food Labels
• Total fat calories / total calories:
  – % fat of product
  – Should be very low
     • Example: poultry, pork
• Consider plant protein options:
  – Beans, soy powder, tofu, nuts
  – Cancer Association recommends no more
    then 18 oz of red meat a week (pork included)
Cholesterol
• Saturated fats and Trans fats increase bad
  cholesterol (LDL), triglycerides, and possible
  increase risk for cancer.

• Monounsaturated fats decrease bad cholesterol.

• Exercise is the best for increasing good
  cholesterol (HDL). Also lowers triglycerides.
Fats:
• Saturated Fats:
  – High fat animal proteins, butter, palm oils,
    coconut oil
• Trans Fats:
  – Processed fats
  – Found in store bought cookies/crackers,
    margarines, fast foods
• Monounsaturated Fats:
  – Olive/canola/peanut oil, avocado, nuts
Fat Labels
• Look where the fat is coming from
  – Total fat
     • Saturated fat
     • Trans fat
     • Monounsaturated/Polyunsaturated
• Look at ingredient list
  – Hydrogenated fats
  – Palm oil/Palm kernel oil

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Complete Nutrition For Police Officers

  • 1. Healthy Food makes LIFE better!!! Heather Cherry, RD Strength from Within, LLC
  • 2. Obesity Epidemic!! • 34% of adults in the US are clinically obese! • Body Mass Index Chart – 5’10 male at 210 pounds • Increases risk factors for: – Diabetes – Heart Disease – High Blood Pressure – Certain types of cancer – Osteoarthritis – Sleep Apnea
  • 3. Obesity Trends* Among U.S. Adults BRFSS, 1985 (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person) No Data <10% 10%–14%
  • 4. Obesity Trends* Among U.S. Adults BRFSS, 1990 (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person) No Data <10% 10%–14%
  • 5. Obesity Trends* Among U.S. Adults BRFSS, 1995 (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person) No Data <10% 10%–14% 15%–19%
  • 6. Obesity Trends* Among U.S. Adults BRFSS, 1997 (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person) No Data <10% 10%–14% 15%–19% ≥20%
  • 7. Obesity Trends* Among U.S. Adults BRFSS, 2001 (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person) No Data <10% 10%–14% 15%–19% 20%–24% ≥25%
  • 8. Obesity Trends* Among U.S. Adults BRFSS, 2004 (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person) No Data <10% 10%–14% 15%–19% 20%–24% ≥25%
  • 9. Obesity Trends* Among U.S. Adults BRFSS, 2006 (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person) No Data <10% 10%–14% 15%–19% 20%–24% 25%–29% ≥30%
  • 10. Obesity Trends* Among U.S. Adults BRFSS, 1990, 1998, 2006 (*BMI ≥30, or about 30 lbs. overweight for 5’4” person) 1990 1998 2006 No Data <10% 10%–14% 15%–19% 20%–24% 25%–29% ≥30%
  • 11. Diabetes • Type II Diabetes is the inability to produce or use insulin. • Insulin is a hormone that is needed to move sugar from the blood stream into the tissue to be processed further.
  • 12. Diabetes • American Diabetes Association states 20.8 million children and adults are diabetic (7% population) • Among people newly diagnosed with Diabetes, 85% are overweight or obese Ali H. Mokdad, et. al, “Actual Causes of Death in the United States, 2000,” JAMA. 2004;291:1238-1245.
  • 14. Heart Disease • According to the American heart association nearly 2400 American’s die of CVD each day. • One death every 37 seconds. • In 2004, 148,000 Americans under the age of 65 were killed by CVD. http://circ.ahajournals.org/cgi/report/circulationaha.107.187998
  • 15. High Blood Pressure • According to recent estimates, about one in three U.S. adults has high blood pressure, but because there are no symptoms, nearly one- third of these people don't know they have it. In fact, many people have high blood pressure for years without knowing it. Uncontrolled high blood pressure can lead to stroke, heart attack, heart failure or kidney failure. This is why high blood pressure is often called the "silent killer."
  • 16. • American Heart Association recommended blood pressure levels • Blood Pressure Category Systolic (mm Hg) Diastolic (mm Hg) Normalless than 120andless than 80Prehypertension120–139or80– 89 HighStage 1140–159or90–99Stage 2160 or higheror100 or higher
  • 17. What do we do about all of this anyway???
  • 18. Macronutrients: • Carbohydrate: 4 calories per gram • Protein: 4 calories per gram • Fat: 9 calories per gram • Water: 0 • Alcohol: 7 calories per gram
  • 20. Glycemic Index • The rate in which carbohydrate foods are converted into sugar. • Example: – Brown Rice ~ 59 – Instant White Rice ~ 91 • Fiber & Protein will slow down the break down of carbohydrates.
  • 21. Food Label for Carbohydrates • How much fiber is in the product? – Whole grain? • Added sugar vs. natural fruit sugars or milk sugar. • Total portion of carbohydrate.
  • 23. Protein Sources • Lean Proteins: – Chicken, turkey, most deli meat, cottage cheese, low-fat mozzarella/feta, round and loin red meats (sirloin, tenderloin), egg whites. • Fatty Proteins: – Cheese, hamburger, whole eggs, sausage, bacon, prime rib, wings, brats. – Tofu, peanut butter
  • 24. Protein Food Labels • Total fat calories / total calories: – % fat of product – Should be very low • Example: poultry, pork • Consider plant protein options: – Beans, soy powder, tofu, nuts – Cancer Association recommends no more then 18 oz of red meat a week (pork included)
  • 25. Cholesterol • Saturated fats and Trans fats increase bad cholesterol (LDL), triglycerides, and possible increase risk for cancer. • Monounsaturated fats decrease bad cholesterol. • Exercise is the best for increasing good cholesterol (HDL). Also lowers triglycerides.
  • 26. Fats: • Saturated Fats: – High fat animal proteins, butter, palm oils, coconut oil • Trans Fats: – Processed fats – Found in store bought cookies/crackers, margarines, fast foods • Monounsaturated Fats: – Olive/canola/peanut oil, avocado, nuts
  • 27. Fat Labels • Look where the fat is coming from – Total fat • Saturated fat • Trans fat • Monounsaturated/Polyunsaturated • Look at ingredient list – Hydrogenated fats – Palm oil/Palm kernel oil

Notas do Editor

  1. We have never had an epidemic like this that we have been able to track so thoroughly and see. As I told you, this is conservative. About 60 million adults, or 30 percent of the adult population, are now obese, which represents a doubling of the rate since 1980.
  2. We have never had an epidemic like this that we have been able to track so thoroughly and see. As I told you, this is conservative. About 60 million adults, or 30 percent of the adult population, are now obese, which represents a doubling of the rate since 1980.