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Lecture Notes - Community Nutrition GCH 421 Chapter 1...

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Unformatted text preview: Community Nutrition GCH 421 Chapter 1 Opportunities in Community Opportunities Nutrition Nutrition Today: Divide into groups for project # I -Cost/nutrient Divide Analysis Analysis Divide into groups for field activity #1 - Health and Divide Fitness Expo. Come up with title Fitness Finish chapter 1: Opportunities in community nutrition Review web assignment #1, due next week. What is community nutrition? Community nutrition is a discipline that Community strives to prevent disease and enhance health by improving the public’s eating habits. habits. Community nutritionists attempt to improve Community the nutritional status of various groups such as homeless, immigrants, elderly, teenagers with eating disorders, athletes, those with disabilities. disabilities. What is a community? • A community is a group of people community who are located in a particular space (including cyberspace) who have shared values and interact within a social system. social • What are some examples of What communities? communities? Focuses of Community Nutrition People Those practicing community nutrition identify people Those who are nutritionally in need and gathers information about them to develop a program or service to help. about Policy A course of action chosen by the public authorities to course address a given problem. address Policy is what governments intend to accomplish Policy through laws, regulations, and programs. through Give an example of a nutrition policy. Programs Instruments used to seek behavior changes that Instruments improve nutritional status and health. improve Give an example of a nutrition program. Public Health and Community Interventions Community nutritionists typically work closely Community with other practitioners to initiate programs. with Public Health – Focuses on protecting and Public promoting people’s health through the actions of society. society. Originally public health efforts were focused on Originally sanitation and reducing infectious diseases. sanitation Today there are additional focuses on preventing Today chronic illnesses, achieving universal health services, and fostering better collaboration between public health agencies and other organizations involved in public health. organizations Community nutrition is one aspect of public Community health. health. The concept of health Health: The World Health Organization defines Health: health as a state of complete physical, mental, and social well-being, not merely the absence of disease. disease. Many factors influence health. “Understanding the causes of disease and ill health Understanding does not necessarily lead to an understanding of the causes of good health.” the Health can influence the overall productivity of a Health community. community. Health Promotion Health promotion is helping all people Health achieve their maximum potential for good health. health. Health promotion focuses on changing Health human behavior. human Intervention – is a health promotion activity Intervention aimed at changing the behavior of a target audience. audience. Examples of Nutrition Interventions Brochures Education class Television/radio campaigns Health fairs Health Kiosks Others? Talk to your neighbor and identify Others? 3 others others Levels of Prevention Efforts Primary Prevention Aimed at preventing disease by controlling risk Aimed controlling factors (factors associated with an increased probability of acquiring a disease). (Low fat cooking classes.) cooking Secondary Prevention Focuses on detecting disease through screening Focuses detecting and other forms of risk appraisal. and Tertiary Prevention Aims to treat and rehabilitate people who have Aims to experienced an illness or injury. experienced Levels of Intervention These can affect the individual, the community, or These certain systems. certain Primary Building awareness of the health problem Secondary Changing lifestyles Tertiary Creating a supportive environment for behavior Creating change change What are some examples of interventions? Health Objectives World Health Organization’s prerequisites for World health: health: Freedom from the fear of war Equal opportunities for all peoples Satisfaction of basic needs for food, clean Satisfaction water, and sanitation, decent housing, and education education The right to find meaningful work and perform The a useful role in society useful U.S. Examples of Health Objectives Healthy People 2000: National Health Promotion Healthy and Disease Prevention Objectives (published in 1990). 1990). Healthy People 2010: Understanding and Healthy Improving Health (published in 2000). Improving Goal 1: Increase quality of years of healthy life. Goal 2: Eliminate health disparities. Many nutrition-related activities are considered Many essential to the Healthy People 2010 because 4 of the leading causes of death are nutrition related: CHD, cancer, stroke, and diabetes. related: See chapter to see specific objectives. See chapter to see specific nutrition-related See objectives objectives Get together with a a partner and give Get specific examples of specific Interventions Determinants of health Outcomes assessments 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, 1988 (*BMI > 30, or ~ 30 lbs overweight for 5’4” woman) Mokdad A.H., CDC Obesity Trends* Among U.S. Adults: BRFSS, 1994 (*BMI > 30, or ~ 30 lbs overweight for 5’4” woman) Mokdad A H, et al. J Am Med Assoc 1999; 282:16 Obesity Trends* Among U.S. Adults BRFSS, 1998 (*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, 2000 (*BMI > 30, or ~ 30 lbs overweight for 5’4” woman) Mokdad A H, et al. J Am Med Assoc 2001; 286:10 Obesity Trends* Among U.S. Adults BRFSS, 2004 (*BMI ≥30, or ~ 30 lbs overweight for 5’ 4” person) No Data ≥25% <10% 10%–14% 15%–19% 20%–24% Obesity Trends* Among U.S. Adults BRFSS, 2005 (*BMI ≥30, or ~ 30 lbs overweight for 5’ 4” person) No Data 25%–29% <10% ≥30% 10%–14% 15%–19% 20%–24% Obesity Trends* Among U.S. Adults BRFSS, 2007 (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person) No Data 25%–29% <10% ≥30% 10%–14% 15%–19% 20%–24% Obesity Trends* Among U.S. Adults BRFSS, 1990, 1998, 2007 (*BMI ≥ 30, or about 30 lbs. overweight for 5’4” person) 1990 1998 2007 No Data 25%–29% <10% ≥30% 10%–14% 15%–19% 20%–24% Community vs Public Health Nutrition In your text, community nutrition is more broad In more than public health nutrition. than Community nutrition encompasses any nutrition Community program whose target is the community. program Public health nutrition refers to those community Public based programs conducted by a government agency whose official mandate is the delivery of agency health services to individuals living in a particular area. area. Community nutritionists are usually RD’s and Community public health nutritionists are often not. public Entrepreneurship in Community Nutrition Entrepreneurship – creating something of Entrepreneurship value through the creation of organization value Entrepreneur – One who undertakes the risk Entrepreneur of a business or enterprise of Intrapreneur – A risk taker whose job is Intrapreneur located within a corporation, company, or other organization other Community nutritionists can use an entrepreneurial approach Perform organizational and strategic planning Develop and implement a business or operating Develop plan plan Supervise the procurement of resources Manage the integration of financial, human, Manage physical, and material resources physical, Supervise coordination of services Supervise marketing functions Let’s look at emerging issues in community nutrition on page 26 of your text… 26 1. Food Marketing to Children and youth 2. School vending machines 3. Health claims 4. Plasma homocysteine levels and CHD 5. Seniors farmers’ markets and WIC farmers’ markets 5. With a partner, chose two of these issues and write a paragraph or two in response. We will then discuss in class. in ...
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