consumer/professional
TRANSCRIPT
286 EDUCATIONAL MATERIALS IN REVIEW
five-tide series features nutrition and health information from CNN's magazine talk show "On the Menu." In each video, registered dietitian Carolyn O'Neal shares recipes, dietary hints and stories of real people who are successfully making lifestyle changes for better health.
The first in the series, "Eating Healthy for Life," provides a look at how Americans are modifYing their daily eating habits to incorporate more healthful foods, even when time for a healthful meal is limited. Suggestions for lowfut breakfust foods are provided, as well as for snacks at midday, healthful lunchtime fure, and lowfut suggestions for dining out at fust food restaurants.
"Eating Healthy when Dining Out" presents examples of how chefS from a variety of restaurants are lightening up menu items in response to consumer demands. Excellent gourmet tips are provided for "light" versions of French, Cajun, Southern, Cuban and Mexican style cooking. Most of the restaurants depicted are upscale; however, examples of healthful fust food restaurants selections are included.
"Healthy Eating for Weight Control" emphasizes the importance of making small, gradual changes in one's eating and exercise habits to ensure permanent weight loss. Several inspiring success stories are recounted, as well as examples of successful weight control programs. These include the "Healthy Dividends" program (Dairy Council, 1990), which focuses on fut budgeting to control weight, and the "Freedom from Fat" program developed by Kaiser Permanente, which emphasizes behavior modification as the key component for weight loss success.
Lowering total fut intake to improve cholesterol levels, lose weight and enhance one's energy level is the focus of "Eating Healthy for Heart Health." This video provides the most practical information of the series and includes tips on calculating one's daily fat allotment, reading labels to determine percent of calories from fat, distinguishing between cooking oils, and selecting lowfut products in the supermarket.
The fifth video, "Healthy Eating for Kids," discusses the growing problem of inactivity and obesity among young children. Ellen Satter and other experts in child nutrition comment on some ways that parents can promote more healthful eating at home, and offer some quick tips for fust and easy microwave cooking.
Each segment in this video series provides accurate information in an entertaining format. The film quality is excellent, and the short vignettes of real people successfully dealing with health and nutrition problems will give viewers encouragement to change unhealthful eating habits. The gourmet cooking tips will appeal to everyone; however, ftom a practical standpoint, the suggestions are geared to individuals with a fairly well-equipped kitchen.
The suggested target audience of the series is elementary through high school students; however, it is this reviewer's opinion that the series, with the exception of "Healthy Eating for Kids," would not appeal to a young audience. The references to such situations as business lunches and coffee breaks would make the "Eating Healthy" series more relevant for use in adult education classes on nutrition and health. Although these situations would not apply to a high school audience either, the teaching guide, which accompanies each video, orients the information contained in the films so it can be used to initiate discussions of such issues as weight control, healthful eating, and the importance of exercise in the lives of young teens.
Each teaching guide also provides useful background information that will enhance the instructor's knowledge of each topic. Discussion questions geared to junior high or high school level audiences will promote thinking skills. A glossary of terms, as well as the bibliography of resources, will assist those wanting more indepth coverage of each topic. In addition, a variety of activities are provided for classroom use. These include label reading, risk and diet assessment, evaluation of weight loss programs, and menu interpretation. All activity sheets are camera-ready for immediate use.
These films and the accompanying teaching guides will be a worthwhile investment for instructors teaching home economics and health/nutrition at the middle or high school level. The "Eating Healthy" series would also be highly recommended for use as part of a nutrition program for a middle to upper middle class adult audience. Turner MultiMedia has also put together Volume 2 in this series, which includes: "Eating Healthy on a Budget," "Eating Healthy for Sports," "Eating Healthy for the Best Years," and "A Taste of Eating Healthy."
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Consumer / Prrifessional Fit or Fat for the 90's, Bailey, c., 1991. From PBS Video, 1320 Braddock Place, Alexandria, VA 22314-1698, 112" VHS videocassette, 77 minutes, call 1-800-424-7963 for current price.
In this extremely entertaining and informative video, Covert Bailey, author of Fit or Fat?, explains in simple lay terms how viewers can lose body fut without sacrificing their health. Bailey presents a common sense approach to fitness that includes helping viewers understand how body fut is made and metabolized and an explanation of the various exercises that can contribute to increased fut breakdown and total fitness .
Anyone, from the professional working in the area of fitness and health to the sports enthusiast with limited knowledge of the subject, will find the scientific explanations useful. Using excellent graphics and many analogies, Bailey explains how cholesterol and sugar are metabolized, why a fit person bums fut more efficiendy than an overweight person, how lipid is synthesized and broken down in fut cells, and how individuals can "train" adipocytes to release fut . Caffeine is discussed in terms of its lipid releasing effect; however, Bailey cautions that caffeine consumption has its negative effects on athletic performance. The benefits of exercise as it relates to all fucets of metabolism and health are presented, as well as the negative consequences of being over fut.
The latter half of the film discusses which exercises are best for losing fut, as well as how to choose an exercise program that will assure success. Bailey's simple rules of thumb in starting an exercise program incorporate current principles in exercise science and will be easily remembered by viewers. One important point that was omitted from this discussion, however, is that individuals who are new to exerciSing should get a checkup or their physician's approval prior to starting any exercise program. Also, the point that anyone beginning an exercise program should start slowly and build gradually is not clearly stated and should be emphasized. The discussions of why many exercises may not be efficient "fut burners," the difference between anaerobic vs. aerobic activities and high vs. low intensity exercises with respect to their fut burning potential will be useful to viewers.
This film will be both motivational and informative for individuals who want to get
Journal of Nutrition Education Volume 25 Number 5
and stay fit pennanently. Although no specifics on diet are discussed, Bailey has produced several other films that may fit this bill. These include "Sugar and Other Carbohydrates" (30 minutes, $29.95) and "Steroids, Cholesterol and Other Fats" (30 minutes, $29.95) that both can be ordered from PBS Video. The film would be recommended for anyone interested in learning more about how to lose body fat through exercise.
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Consumer I Professional Eat Smart, 1991. From PBS Video, 1320 Braddock Place, Alexandria, VA 22314-1698, 112" VHS videocassette, 60 minutes, $39.95.
This video will help consumers separate fact from fiction when it comes to the dietdisease connection. "Eat Smart" focuses on heart disease and cancer and provides scientific evidence, translated into understandable facts, pertaining to the role of different nutrients in increasing cancer and heart disease risk. In addition, the film demonstrates how making small changes in the diet can significantly reduce risk for chronic disease.
The film is well-organized and the subject matter clearly presented. The first 30 minutes of the film discuss the scientific evidence used to formulate dietary recommendations for heart disease and cancer risk reduction. The evidence presented is based on the National/Research Council's report Diet and Health. Brief interviews with several nutrition researchers involved with the Framingham Heart Study, The Seven Country Study, and the Bogalusa Heart Study present supportive evidence for a link between saturated fat, cholesterol and heart disease. Several useful graphics are included to show how saturated fat contributes to plaque formation on artery walls. The diets
of two other countries (China and Southern Italy) are examined to demonstrate how increased consumption of grains, fruits, and vegetables and reduced meat intake can lead to reduced incidence of heart disease. Also included is a discussion of the role of antioxidants in heart disease prevention.
The role of fat in various forms of cancer is examined, and experts from the National Cancer Institute comment on the epidemiological evidence provided by animal studies that demonstrate the role of fat in cancer causation. Preventive dietary factors discussed include phytochemicals, fiber and antioxidants.
The second half of the film lists and discusses the recommendations put forth by the National Research Council to reduce risk of chronic disease. Practical suggestions are provided on ways to implement the recommendations, including tips on label reading and choosing lowfat products in the supennarket. This information will probably be a review for most viewers. The film discusses the law recently passed by Congress to develop a new labeling system. This segment of the video will soon need to be updated with the new labeling infonnation.
Quick tips are provided for dining out. Viewers are taken on location to Italy and China to examine how foods are prepared in restaurants in these countries. Although the prepared meals shown in the film will help to convince viewers that lowfat eating doesn't have to be boring, it would have been more helpful to take viewers to different ethnic restaurants in the U.S. and discuss how to decipher menu terminology. Healthful eating at the fast food restaurant is discussed briefly.
The film ends with a commentary on the future direction of nutrition research and policy in reducing the incidence of chronic disease. Mention is made of the food pyramid and how its first publication was rejected. This infonnation needs updating as well.
The film is of excellent quality and the information is accurate, although some needs to be updated. The film would be useful as an introduction to the topic of diet and disease for use in a high school health curriculum or adult education classes on nutrition. The film comes with copies of the Executive Summary of the report Diet and Health (National Academy of Sciences, 1989), the Dietary Guidelines for Americans (U.S. Dept. of Agriculture, 1990), and the Eatfor Health Food Guide (Giant Food Inc., 1991), which lists the calorie, fat, choles-
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terol, sodium, saturated fat and fiber content of hundreds offood items.
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CURRICULUM
Professional The Weigh to Eat! A Program for the Prevention of Eating Disturbances Among Adolescents, Neumark-Sztainer, D., 1992. From D. Neumark-Sztainer, Dept. of Medicine, Hebrew Univ.-Haddassah, P.O. Box 1200, Jerusalem, Israel, curriculum, $15.00.
The concept behind this curriculum is a good one-to prevent eating disorders by promoting good eating practices and a healthy body image in young people. The program contains many interesting activities; however, its usefulness is limited by the lack of background information, the lengthy units, and the complexity of some of the activities.
The curriculum contains 10 lessons, which cover the following topics: selfawareness of body image and social pressures, healthful eating, weight control, behavior modification, identifying abnormal eating behaviors, and learning to control societal influences. The setting for implementation is unclear. The lessons appear to be too long and involved for one classroom period (most would take one or more hours) and the content is unlikely to appeal to adolescents as an extra-curricular course. Although flexibility is encouraged in utilizing the curriculum, it would have been helpful for the author to provide suggestions as to how the lessons could be divided if time is limited.
Many of the nutrition concepts presented in the teacher's guide assume a fairly good nutrition knowledge, making the curriculum inappropriate for most teachers. The lesson on weight control involves having students plan a weight loss, gain or maintenance diet. Close monitoring of this activity by a trained nutrition professional is recommended to ensure that students utilized the information properly. Some of the student activities also appear too complex for many adolescents. Planning diets based on the exchange system, identifying changes in nutrition needs associated with adolescence, and recognizing the effects of adolescence on body and self-image are difficult activities, even for adults.
Many activities in this curriculum could be used to teach adolescents about good