Nutrition May14talk
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This is a powerpoint presentation by Dr Martin Fried on healthy eating habits and on the consequences of severe obesity http://www.healthydays.info
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Nutrition May14talk
- 1. Healthy Nutrition Martin D. Fried, MD Physician Nutrition Specialist Pediatric Gastroenterologist 3200 Sunset Ave, Suite 100 Ocean NJ 07712 www.healthydays.info Phone 732-682-3425
- 6. Omega 3 fats Anti-inflammatory
- 7. Brown vs White Rice
- 11. Relationship Between BMI and Comorbidities Is Positive, Willett WC, et al. N Engl J Med. 1999;341:427-434. Body Mass Index (kg/m 2 ) Relative Risk Women Men Body Mass Index (kg/m 2 ) Relative Risk 4 6 5 3 2 1 0 < 21 22 23 24 25 26 27 28 29 30 4 6 5 3 2 1 0 < 21 22 23 24 25 26 27 28 29 30 T2 diabetes Cholelithiasis Hypertension Coronary heart disease
- 13. Healthy Choices
- 15. 45 calories 8 ounces 350 calories 16 ounces
- 16. 20 Years Ago Today 270 calories 630 calories BE AWARE OF PORTION SIZE
- 17. 16 oz 32 oz 44 oz 52 oz 64 oz 1 oz ≈ 12 calories Don’t Supersize
- 18. Difference: 500 calories 820 calories 320 calories TURKEY SUB 20 Years Ago Today
- 19. How long will you have to ride a bike to burn those extra calories? Maintaining a Healthy Weight is a Balancing Act Calories In = Calories Out
- 20. Ride a bike for 1 hour and 25min you burn 500 calories. Calories In = Calories Out
- 25. BE ACTIVE Find an activity you enjoy and do it regularly Regular daily activity makes you feel good
- 29. Medical Complications of BMI > 95%ile
- 30. Visceral Adiposity: The Critical Adipose Depot Subcutaneous Fat Abdominal Muscle Layer Intra-abdominal Fat
- 32. Diabetes
- 33. Medical Complications BMI>30 Pulmonary disease obstructive sleep apnea hypoventilation Fatty liver Steatosis, hepatitis Coronary disease Diabetes Dyslipidemia Hypertension GYN problems abnormal menses infertility polycystic ovarian syndrome Hip dislocation Skin - Acanthosis Nigrans Gallstones Cancer breast, uterus, cervix colon, kidney, prostate Gout Pancreatitis high triglycerides
- 39. Metabolic Syndrome JAMA 2001;285:2486-2497 . Risk Factor Cut-Points M (waist) > 40 in F > 35 in Triglycerides ≥ 150 mg/dL HDL-C M < 40 mg/dL F < 50 mg/dL Blood Pressure ≥ 130/ ≥ 85 Fasting Glucose ≥ 110
- 40. Prevalence in Obesity Type 2 Diabetes 57% Gall bladder disease 30% Hypertension 17% Cardiovascular disease 17% Osteoarthritis 14% Breast Cancer 11% Uterine Cancer 11% Colon Cancer 11%
- 41. Relationship Between BMI and Risk of Type 2 Diabetes Mellitus Chan J et al. Diabetes Care 1994;17:961. Colditz G et al. Ann Intern Med 1995;122:481. Age-Adjusted Relative Risk Body Mass Index (kg/m 2 ) < 23 24 - 24.9 25 - 26.9 27 - 28.9 33 - 34.9 0 25 50 75 100 < 22 23 - 23.9 29 - 30.9 31 - 32.9 35 + 1.0 2.9 4.3 5.0 8.1 15.8 27.6 40.3 54.0 93.2 1.0 1.5 2.2 4.4 6.7 11.6 21.3 42.1 1.0 Men Women
- 45. 610 Calories 6.9 ounces Difference = 400 Calories 20 Years Ago Today 210 Calories 2.4 ounces
- 46. How long will you walk to burn 400 calories?
- 47. Walk for 1 hour and 10 min to burn 400 calories.
- 50. Antioxidants in Dark Chocolate
- 52. RE Resveratrol
- 53. PEPPERONI PIZZA 20 Years Ago Today 500 calories 850 calories Calorie Difference: 350
- 54. How long will you have to play golf to burn 350 calories ? Maintaining a Healthy Weight is a Balancing Act
- 55. If you play golf (walking, carrying clubs) in 1 hour you burn 350 calories.* Calories In = Calories Out
- 56. Share a Meal
- 57. Conclusion Healthy Nutrition should include : Moderation (portion aware) Variety of foods Balance of intake with expenditure
Notas del editor
- Prevalence of Overweight in Children and Adolescents The rate of adult obesity is alarming in itself (with 65 percent of adults already overweight or obese). However, what is more alarming is that 15 percent of America’s adolescents are now obese. This represents a tripling of the rate since 1980. The rate of obesity has doubled in adults, but it has tripled in our children. Another 15 percent of America’s children are at risk of obesity. They truly are overweight, just a bit away from obesity. People who become obese in childhood are more likely to end up moderately, severely, or extremely obese in adulthood. Right now five percent of Americans are extremely obese with a BMI 40 or greater. This number will increase significantly. The CDC decided not to use the term &quot;obesity&quot; to describe children for fear of stigmatizing them, but these children meet the criteria for obesity. The Institute of Medicine just finished its 2005 conference. In this conference, they referred to obesity in children rather than overweight. A change in terminology will most likely occur.
- Assessing Obesity: What is BMI? Obesity is defined by the body-mass index (BMI), which is weight in kilograms divided by height in meters squared. A “normal” BMI is between 18.5 to 24.9. Overweight starts with a BMI of 25 and goes to 29.9. There are three classes of obesity, culminating in Class III called extreme or morbid obesity, which is a BMI of 40 or greater.
- Drink portion sizes This slide is a nice illustration of the portion sizes that are continually increasing. A 16 oz. serving of soda is the smallest size available at some convenience stores. Serving sizes are available up to 64 oz. at a time. Think of this as 64 ounces of sugared soda. Sixty-four times twelve, or 800 calories, in one drink. For most U.S. women, that's half their calorie need for the day.
- Medical Complications of Obesity The fat cell is an endocrine cell that is part of a very large endocrine organ. Obesity leads to a whole variety of medical complications listed here under a variety of organ systems illustrated here. Almost every system is impacted by increased amount of fat, some of that because of the products of fat cell production, some of it because of increased fat mass collectively making a substantial increase in risk.