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IMMIGRANT HEALTH AND  NUTRITION COUNSELING JIAN GUAN, PHD. RNC.    SPRING 2010 OCASI PROFESSIONAL DEVELOPMENT CONFERENCE  MAY 14, 2010 Spring 2010 OCASI Professional  Development Conference   Thursday, May 13, 2010
Jian Guan, PhD. RNC.   ,[object Object],[object Object],[object Object],[object Object],[object Object]
Objectives ,[object Object]
Topics ,[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object]
1) Obesity and Nutrition ,[object Object]
Health Risk Classification According to Body Mass Index (BMI),  Health Canada,  2003 ** Overweight  25-27, CANADA, 1988 Classification  BMI Category (kg/m2) Risk of developing health problems Underweight <18.5 Increased Normal Weight 18.5 - 24.9  Least Overweight** 25.0 -29.9 Increased Obese Class I  30.0 - 34.9 High Obese Class II  35.0 - 39.9  Very high Obese Class III >=40.0  Extremely high
Health Canadian and  ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Waist circumference:  by gender and ethnicity  * WHO, 2000 ;  **CANADA, 2003 Waist circumference* by gender and ethnicity Male female European/Caucasian, Sub-Saharan Africans, Eastern Mediterranean, Middle Eastern >94 cm*  102 cm** (40 in) > 80cm*  88 cm** (35 in) South Asian, Malaysian, Asian, Indian,  Chinese, Japanese, Ethnic South and Central Americans 90 cm (35 in) 80 cm (32 in)
 
2) Heart Disease and Nutrition Gene-Nutrition
HDL and LDL ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Gene-Nutrition
Triglycerides and Atherosclerosis ,[object Object],Gene-Nutrition
3) Diabetes and Nutrition Consulling  ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
 
Diabetes – Good News  ,[object Object],[object Object],[object Object]
Number of Studies Conducted in T2D, Gene, and Diet Gene-Nutrition This figure shows many studies on T2D + diet,  interrelationship among gene, gene product, dietary food component and diseases.
What is diabetes? ,[object Object],[object Object],[object Object],[object Object],[object Object]
Types of Diabetes ,[object Object],[object Object],[object Object]
Type 1 diabetes ,[object Object]
Type 2 Diabetes ,[object Object],[object Object],[object Object]
Prediabetes ,[object Object],[object Object],[object Object]
“ Inflammation Gene-Nutrition the evil twin of oxidation. Where you find one, you find the other.&quot; --  neuroscientist James Joseph of Tufts University, 2006.  That include not only such obvious inflammatory conditions as asthma and rheumatoid arthritis, but also atherosclerosis, Alzheimer's disease, colon cancer and diabetes.
Diabetes and Healthy Lifestyle ,[object Object],[object Object],[object Object],[object Object]
STEP 1 -  Healthy Eating Habits ,[object Object],[object Object],[object Object]
STEP 2 -  Behavior Modification ,[object Object],[object Object],[object Object],[object Object],[object Object]
STEP 3  - Change Body Composition ,[object Object],[object Object],[object Object],[object Object]
The Glycemic Index ( GI) ,[object Object],[object Object],[object Object]
The Glycemic Index (GI) ,[object Object],[object Object],[object Object]
LOW GI WORKS BEST ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Fiber-Rich Foods ,[object Object],[object Object],[object Object],[object Object],[object Object]
Nutrition Supplements ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Antioxidants ,[object Object],[object Object],[object Object],Gene-Nutrition
Antioxidants ,[object Object],[object Object],[object Object],Gene-Nutrition
Enzymes ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Gene-Nutrition
Digestive Enzymes ,[object Object],[object Object],[object Object],[object Object],[object Object],Gene-Nutrition
Fresh Fruits Fresh raw fruits are loaded  with enzymes and when we  eat our foods raw 30% of the digestion is done for us by the food itself. When we cook our food over 110 degrees F, we destroy the living enzymes and our body must use its own enzymes for digestion robbing us of energy. Gene-Nutrition
Fiber ,[object Object],[object Object],[object Object],[object Object],Gene-Nutrition
High-Fiber Foods for Digestive Health ,[object Object],[object Object],[object Object],Gene-Nutrition
Vegetables ,[object Object],[object Object],[object Object],[object Object],Gene-Nutrition
Table for  Fiber-less and Fiber-rich food ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Gene-Nutrition
Advanced Nutrition Program ,[object Object],[object Object]
6 Reasons for N utrition Counselor ,[object Object],[object Object],[object Object],[object Object],[object Object]
Health and Nutrition Forum: June 5 ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Canadian Association of Nutri-Health Education  ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Canadian Association for Cancer Support CACA is built on a grassroots community cancer support group and managed by volunteer Board of Directors and volunteer members, many of them are cancer survivors and their family members.

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C3 immigrant health and nutrition counselling

  • 1. IMMIGRANT HEALTH AND NUTRITION COUNSELING JIAN GUAN, PHD. RNC. SPRING 2010 OCASI PROFESSIONAL DEVELOPMENT CONFERENCE MAY 14, 2010 Spring 2010 OCASI Professional Development Conference Thursday, May 13, 2010
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  • 7. Health Risk Classification According to Body Mass Index (BMI), Health Canada, 2003 ** Overweight 25-27, CANADA, 1988 Classification BMI Category (kg/m2) Risk of developing health problems Underweight <18.5 Increased Normal Weight 18.5 - 24.9 Least Overweight** 25.0 -29.9 Increased Obese Class I 30.0 - 34.9 High Obese Class II 35.0 - 39.9 Very high Obese Class III >=40.0 Extremely high
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  • 9. Waist circumference: by gender and ethnicity * WHO, 2000 ; **CANADA, 2003 Waist circumference* by gender and ethnicity Male female European/Caucasian, Sub-Saharan Africans, Eastern Mediterranean, Middle Eastern >94 cm* 102 cm** (40 in) > 80cm* 88 cm** (35 in) South Asian, Malaysian, Asian, Indian, Chinese, Japanese, Ethnic South and Central Americans 90 cm (35 in) 80 cm (32 in)
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  • 11. 2) Heart Disease and Nutrition Gene-Nutrition
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  • 17. Number of Studies Conducted in T2D, Gene, and Diet Gene-Nutrition This figure shows many studies on T2D + diet, interrelationship among gene, gene product, dietary food component and diseases.
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  • 23. “ Inflammation Gene-Nutrition the evil twin of oxidation. Where you find one, you find the other.&quot; -- neuroscientist James Joseph of Tufts University, 2006. That include not only such obvious inflammatory conditions as asthma and rheumatoid arthritis, but also atherosclerosis, Alzheimer's disease, colon cancer and diabetes.
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  • 37. Fresh Fruits Fresh raw fruits are loaded with enzymes and when we eat our foods raw 30% of the digestion is done for us by the food itself. When we cook our food over 110 degrees F, we destroy the living enzymes and our body must use its own enzymes for digestion robbing us of energy. Gene-Nutrition
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  • 46. Canadian Association for Cancer Support CACA is built on a grassroots community cancer support group and managed by volunteer Board of Directors and volunteer members, many of them are cancer survivors and their family members.

Notas do Editor

  1. This figure shows many studies on T2D + diet, interrelationship among gene, gene product, dietary food component and diseases its function remains largely unknown. the limitations, difficulties and urgent need to be explored further to integrate environment into omics analysis are reviewed and discussed Well-designed and highly-powered studies are needed to unravel the complexity of gene-nutrient interactions underlying T2DM A lot of work need to be done and explored to understand interrelationship among gene, gene product, dietary food component and diseases. Those information will provides a new vision and knowledge on disease predisposition and nutritional requirements , such a goal is still far off and much more research is required before we can reliably include genetic factors in the risk – benefit assessment of nutrients and diets.