nutrition matters: do your veggies have purpose? april 2013 network call
TRANSCRIPT
NUTRITION MATTERS: DO YOUR VEGGIES HAVE
PURPOSE?
April 2013 Network Call
Nutrition Matters
Nutrition and the four components Nutritional state of the network Working with stages of change Best Practices from the network
Why do we eat?
Why do we eat?
HungerEnergy
Nutrients
BoredomHabit
Emotional Comfort
Celebrations
Stress
FOOD
What do you eat?
What do you eat?
Food is Personal
“What is patriotism but the love of the food
one ate as a child?”
~Lin Yutang
Food is Personal
“It's difficult to think anything but pleasant thoughts while eating a
homegrown tomato.” ~Lewis Grizzard
Eat with Purpose
What the Research Tells Us
Physical Health Habits Aerobic activity,
strength, balance, and flexibility
Nutrition Sleep Preventative
screenings
Disease risk Heart Disease Stroke Diabetes Cancer Osteoporosis Depression Falls Alzheimer’s
disease
What the Research Tells Us
Why 5 A Day? Water ~ hydration, urinary tract health
Fiber ~ digestion & heart health
B6 ~ immune & cognitive function
Magnesium ~ muscles, nervous system, blood pressure, & sleep
Potassium ~ blood pressure
Antioxidants ~ visual function & heart health
Nutritional State of the Network
Nutrition Risk Less than 5 fruits & vegetables per day
OR BMI of 25 or greater
Successful Aging
0
10
20
30
40
50
60
70
80
90
100
79
71
Successful Aging Score IL
No nutrition risk n=195Nutrition risk n=1799
Physical Pain
Phys pain2.10
2.15
2.20
2.25
2.30
2.35
2.40
2.45
2.50
2.55
2.60
2.28
2.57
No nutrition risk n=195
Nutrition risk n=1799
Very severe
None
None
P < .05
Energy
Energy2.15
2.20
2.25
2.30
2.35
2.40
2.45
2.50
2.55
2.60
2.65
2.32
2.58 No nutrition risk n=195
Nutrition risk n=1799
Almost none
Very Much
Stages of Change
Maintaining for 6 months
50%
Recently Started19%
Plans to start in 30 days9%
Plans to start in 6 months
3%
No Plans for Change19%
Nutrition Risk Plans for Change n=1799 IL
Stages of Change
Pre-Contemplation
(19%)
Contemplation (3%)
Preparation(9%)
Action(19%)
Maintenance(50%)
Pre-Contemplation (19%)
No Plans for Change
“I already know you’ll tell me I can’t have dessert; I don’t need to go to Nourish”
Coaching Questions “It sounds like having the option to eat
dessert is important to you. What else is important to you?”
Contemplation (3%)
Plans for change in 6 months
“I know I should eat healthier but I’m not ready to make big changes. I’m thinking about attending Nourish sometime.”
Coaching Questions “What has inspired your decision to consider
attending Nourish?” “How might healthier food choices impact
your daily life?” “Tell me more about not being ready…”
Preparation (9%)
Plans for change in 30 days “I want to have energy to play with my
grandchildren, so I have signed up for the next session of Nourish to learn more about making healthy food choices”
Coaching Questions “You sound motivated to learn more!
How does Nourish fit into your schedule?”
Action (19%)
Making changes less than 6 months
“I attended Nourish last month and have been increasing my vegetable servings by 1 per day.”
Coaching Questions “What did you learn from Nourish that
you are now using? “How do you feel since increasing your
vegetable intake?”
Maintenance (50%)
Making changes 6 months or more
“After attending Nourish, I had the education I needed to make dietary changes. I used to eat only 2 servings per day of F & V. Now I eat 5 servings on most days and have more energy!”
Coaching Question “And now that you have more energy,
what would you like to do with it?”
Coaching Tips
Be Gentle Be Curious Be Affirming Ask permission before offering advice:
“How much do you know about…” “Would you like to learn more about…” “Would it be helpful for me to share some ideas
that have worked for other residents?” Coaching videos on MPL website Changing Your Habits: Steps to Better Healt
h article
Somerby of Mobile Best Practices
Nourish Better participation when twice a week
for 2 weeks Reminder calls to participants Food Samples Resident-inspired menu items
Somerby of Mobile Best Practices
Play Games!! Eat This, Not
That Blind Taste Test
Provide Nutrition Information for each food
Somerby of Mobile Best Practices
“Blue Zone” Initiative Book Club Blue Zone
entrees on menu Samples of Blue
Zone entrees
Somerby of Mobile Best Practices
Overcoming Resident Hesitation Keep some favorite foods
available It’s all about options Healthy choices should
look and sound appealing Staff education
Best Practices from the Network
Nutrition Matters ~ University Village Nutrition Demonstrations ~ La
Posada and University Village Add spinach to salad bar ~ MHKY Juice Bar ~ Somerby of Alpharetta Nutrition Information available to
residents ~ La Posada and University Village
Healthy Living Lunch ~ Querencia at Barrington
Resources
Health Weights for Healthy Older Adults article
Changing Your Habits: Steps to Better Health article online at Identify stages of change Tips for small steps at every stage
Coaching videos on MPL website Blue Zones Website
Blue Zones by Dan Buettner Eat This Not That by David Zinczenko
Thank you!