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Major_Disease_States_and_Preventive_Care_fall_2012 (3)

Diabetes care 2010 nutrition and of calories should

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Diabetes Care. 2010
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Nutrition and Diabetes 15-20% of calories should come from protein 25-35% of calories should come from total fats Limit sodium intake to < 2.4 g/day Limit alcohol to 1 drink/day for women, 2 drinks/day for men Standards of Medical Care in Diabetes – 2010. American Diabetes Association (ADA). Diabetes Care. 2010
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Physical Activity and Diabetes Effects on patients with diabetes: Improves insulin resistance & lipid profile BP, weight, and CVD risk 150 min/week of moderate intensity aerobic OR 90 min/week of vigorous aerobic 30 minutes most days of the week No more than 2 consecutive days without exercise Resistance training 3 times/week Minimum of 48 hours rest between sessions Standards of Medical Care in Diabetes – 2010. American Diabetes Association (ADA). Diabetes Care. 2010
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Physical Activity and Diabetes Safety first! Medical evaluation Risk of: Hypoglycemia Hyperglycemia Standards of Medical Care in Diabetes – 2010. American Diabetes Association (ADA). Diabetes Care. 2010
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Diabetes: Risk Assessment Risk Calculator
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CANCER
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Cancer Most common  cancers Estimated new  cases in 2012 Estimated Deaths Nonmelanoma  skin > 2,000,000 < 1,000 Prostate 241,740 28,170 Breast 226,870 39,510 Lung 226,160 160,340 Colorectal 143,460 51,690 2nd leading cause of death www.cancer.gov Accessed Sept. 24, 2012
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Cancer: Risk Factors Genetics Tobacco use Environmental exposures Obesity Colon Breast Endometrial Kidney Esophagus
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Nutrition and Cancer 5-9 servings of fruits & veggies risk of the following cancers: Lung - Rectum Pharynx - Pancreas Esophagus - Ovaries Stomach - Larynx Colon - Bladder
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Physical Activity and Cancer Risk of colon & breast cancer Weight loss cancer risk Moderate intensity 30-45 minutes most days of the week
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WHAT ARE OTHER WAYS TO REDUCE THE RISK OF CANCER…?
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Cancer: Risk Assessment Breast Cancer Risk Tool
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OSTEOPOROSIS
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Osteoporosis 44 million Americans affected Osteoporosis: 8 million women, 2 million men Osteopenia: 34 million have low bone mass ½ of women & ¼ of men age ≥ 50 will suffer an osteoporotic fracture in their lifetime In 2005, it was estimated to be responsible for > 2 million fractures 297,000 hip fractures 547,000 vertebral fractures 397,000 wrist fractures 135,000 pelvic fractures 675,000 fractures at other sites www.nof.org Accessed Sept. 24, 2012
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Osteoporosis: Risk Factors Female gender Physical inactivity Smoking Low calcium & vitamin D intake Advanced age Medications Family history Caucasian or Asian Small stature Low body weight (< 125 lbs) Postmenopausal
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Nutrition and Osteoporosis Well-balanced diet Calcium intake Dietary Natural: milk, yogurt, cheese, broccoli, spinach Fortified: OJ, cereal Food labels: DV = 1000mg http://nof.org/aboutosteoporosis/prevention/calciumcalculator Recommendations: Age < 50: 1000 mg/day Age ≥ 50: 1200 mg/day www.nof.org ; Accessed Sept. 24, 2012
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Nutrition and Osteoporosis: Dietary Supplements Agents: Calcium Carbonate Calcium Citrate Calcium Gluconate Adverse effects: Constipation, GI upset Administration
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