nutrition and wound healing jennifer kanetsky dietetic intern
TRANSCRIPT
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Nutrition and Wound Healing Jennifer KanetskyDietetic Intern
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Objectives
•Understand what nutrition is and its importance
•Identify the 3 macronutrients
•Identify healthier food choices
•Understand the importance of nutrition related to wounds
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Why is it important to be healthy?Being overweight or obese can lead to…•Hypertension•High cholesterol•Type 2 diabetes•Heart disease•Stroke•Gallbladder disease•Osteoarthritis•Sleep apnea•Cancer
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Why is it important to be healthy?Being underweight can also lead to problems…•Heart Disease•Diabetes•Breast Cancer•Slow wound healing•Infertility•Osteoporosis
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What is nutrition
•It is providing the proper nutrients to your body allowing for proper growth and development.
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Blood sugar control
•Blood sugar goals▫Pre-prandial: 90-130 mg/dL▫Post-prandial: <180 mg/dL
▫Each episode of blood sugar out of range can delay wound healing.
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What is in our food?
•Carbohydrates▫ 4 calories per gram
•Protein ▫4 calories per gram
•Fat▫ 9 calories per gram
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Carbohydrates
•50-60% of calories•Purpose:
▫Provide the body with energy▫Preferred energy source
•Types:▫Simple▫Complex
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Simple Carbohydrates
•Easily broken down•Provides quick energy•Excess converted to fat for storage
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Complex Carbohydrates
•Broken down more slowly▫More fiber
Broken down slowly = fuller longer = longer satiated
•Majority of carbohydrates in the diet should be complex
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Complex Carbohydrates
•Examples:▫1 slice whole-grain bread▫1 cup whole grain cereal▫½ cup cooked pasta or rice
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White Rice vs. Brown RiceWhite Rice Brown Rice
1 cup (158 g)• 206 calories• 0 g Fat• 55 mg Potassium• 1 g Fiber• 4 g Protein• 24 mg Magnesium• 0.8 mg zinc
1 cup (195 g)• 216 calories• 2g Fat (mono and
polyunsat)• 84 mg Potassium• 4g Fiber• 5g Protein• 86 mg magnesium• 1.2 mg zinc
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Protein• Purpose:
▫Promotes muscle and connective tissue growth; ▫Formation of antibodies to strengthen immune
system▫Foundation of hormones, enzymes, and blood cells
• Found in:▫ meats, poultry, and fish▫ beans and peas▫ tofu▫ eggs▫ nuts and seeds▫ milk & dairy products
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Protein Tips
• Choose leaner meats▫Substitute ground turkey for beef
• Get hooked on fish! Eat fish twice a week for a great source of protein!
•Include protein at every meal to curb feelings of hunger
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Fat—I can actually eat fat?
•20-30% of calories•Purpose:
▫Essential for absorption of some vitamins▫Protects body organs
•Types▫Saturated▫Unsaturated
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Saturated Fats
•The “bad” fat•Solid at room temperature
▫White, visible fat found in meats▫Dairy products
Whole milk Butter Cream Hard cheeses
▫Coconut and palm oils
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Unsaturated fats
•The “good” fat•Liquid at room temperature
▫Examples: Olive and canola oil Nuts/nut butters Fish oils Avocado
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Fat Tips
•Choose olive oil when cooking versus butter
•Choose low-fat or fat-free alternatives
•Avoid fried foods and bake or grill instead
•Substitute applesauce or plain yogurt for oil when baking
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Vitamins and Minerals•Vitamin C
▫Increases the strength of the wound as it heals, creates collagen in the skin, important in the creation of blood vessels, and helps with iron absorption.
•Vitamin A▫Helps fight off infection, controls inflammatory
response.•Zinc
▫Helps body synthesize proteins and develop collagen
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Beverages
•Don’t forget about liquid calories!•Beware of beverages with added sugars
▫Gatorade, energy drinks, soda, mixed drinks, sweetened coffees, even juices and vitamin waters
•Interesting fact according to the CDC:▫Over half of Americans consume sugary
drinks daily, particularly teens and young adults
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Coke:
8 oz of coke = 27 g sugar = 100 calories
20 oz bottle= 65 g sugar = 240 calories
If you had 8 oz/day = 700 calories/week
10 week course= 7,000 calories
To burn 100 calories:-Walk up 33 flights of stairs- Walk uphill for 15 minutes- Power walk for 20 minutes- Run 1 mile
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Vitamin Water:
8 0z. = 13 g sugar = 50 calories
1 Bottle = 33 g sugar = 125 calories
1 Bottle day = 875 calories/week
10 week TFG program = 8,750 calories
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Beverages
•Choose water as much as possible, but if you must…▫Try adding lemon to water▫Choose unsweetened tea or black coffee
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Healthy snack options
•An apple with 1-2 Tbsp PB•A piece of fruit with low fat string cheese•Greek low fat/nonfat yogurt•Whole grain crackers with fruit or
vegetables•Edamame
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Keys to a Healthy Diet
•Variety
•Moderation
•Balance
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Change of Plate?NewOld
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Change of Plate
•Grains- 6 servings▫Make half your grains whole grains
1 slice whole grain bread 1 cup whole grain cereal ½ cup rice/oatmeal
•Vegetables- 2 ½ -3 servings ▫Vary your veggies
1 cup raw spinach ½ cup broccoli 1 medium potato
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Change of plate
•Fruit- 2 servings▫Focus on fruit
½ cup strawberries 1 large banana ½ cup dried fruit
▫Dairy- 3 servings Get your calcium-rich foods
1 cup milk 1 cup yogurt 1 slice cheese
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Change of plate
•Protein- 5 ½ - 6 ½ ounces▫Go lean with protein
1 oz meat/ 1 slice turkey meat 1 egg ¼ cup cooked beans
•Oils- 6 teaspoons▫Choose healthier unsaturated oils
1 Tbsp. oil = 3 tsp. 2 Tbsp. peanut butter = 4 tsp. oil 2 Tbsp. Italian dressing = 2 tsp.
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Subway 6” Tuna
Subway 6” Turkey
Which do you think is better?
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Eat
This……Not That
Subway 6” Tuna
530 calories30 g Fat
Subway 6” Turkey
280 calories3.5 g Fat
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Bourbon Whopper
Whopper Jr.
Which do you think is better?
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Eat This…
…Not ThatBourbon Whopper
910 calories57 g Fat
Whopper Jr.
340 calories19 g Fat
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How many calories do I need?
•To burn 1 pound of fat you must burn 3,500 calories
•1 pound a week = 500 calories a day burned
•2 pounds a week = 1,000 calories a day burned
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Questions?