Survival Skills

Kathryn A. Parker, RD., LD/N

Summer 2010

Experience

• Consultant – City of Gainesville

www.lifequest.cityofgainesville.org– Reedy Creek Fire Department – UF Diabetes Center of Excellence

www.diabetes.ufl.edu– Alachua County School Board

www.acsb.org/transportation/nufit– Healthy Communities Initiative

www.alachuacounty.us/healthycommunity

Oh my…….

Age-adjusted Percentage of U.S. Adults Who Were Obese or Who Had Diagnosed Diabetes

Obesity (BMI ≥30 kg/m2)

Diabetes

1994

1994

2000

2000

No Data <14.0% 14.0-17.9% 18.0-21.9% 22.0-25.9% >26.0%

No Data <4.5% 4.5-5.9% 6.0-7.4% 7.5-8.9% >9.0%

CDC’s Division of Diabetes Translation. National Diabetes Surveillance System available at http://www.cdc.gov/diabetes/statistics

2008

2008

7.165.037.97

5.676.78

4.48.03

5.637.84

5.938.39

3.0710.5

7.896.89

4.676.88

4.456.47

5.568.95

6.385.62

4.295.3

3.8

0 2 4 6 8 10 12

Total days lost per 20 work days

Peptic Ulcer

Sciatica/Back

Migraine

Neck/Back/Sp

Arthritis

High Risk

Heart Disease

Diabetes

Asthma

Ather Resp

Depression

Hypertension

Allergy

Average total days lost for those at risk for being overweight by disease for 13 of 17 diseases

surveyed in 1999

Not Obese

Obese

Association of obesity with illnesses/conditions, Florida BRFSS 2000

50.2

23.7

43.4

11.7

16.1

41.2

13.2

28.7

8.5

4.8

0 10 20 30 40 50 60

Has poor mental health10+ days/month

Has fair/poor health

Has arthritis

Has asthma

Has diabetes

Percent

Obese Not Obese

How Insulin Resistance Leads to Metabolic Syndrome

GainesvilleSun, Fall2000

How Restaurants Influence How We Eat

• A couple of studies were done in restaurants where 12 menu items we described with either a normal name like Chicken Breast or a name like Tuscan Sun-Kissed Breast of Chicken.

• Or, either Chocolate Cake or Belgian Black Forest Double Chocolate Cake.

• The foods were exactly the same.• After finishing their meal, they were asked about taste and texture.

People who ate the generically named items said, “The taste was OK” and they were “not very likely to order again.”

But when they ate the same foods that were descriptively named they said, “Gee that was good. I like the taste.” and “Yes they would order again.”

Grocery Stores Influence on Consumers

• An experiment was done in Philadelphia where signs were put up that said, “Apples: buy 18 for the weekend” or “Snickers bars: buy 12 for your backpack.”

• They weren’t on sale, but when people saw the sign, they typically bought one to two more than people who didn’t see the sign.

• This is a ubiquitous phenomenon called anchoring.

Variety Makes People Eat More

• People were given bowls of jelly beans and other colored candies.

• The bowls had either four or six different colors of candies.

• If the people were given four different colors, they ate about 40% less than if they were given six different colors.

Both bowls had the same number of jelly beans and they all tasted exactly the same!!!

Having more colors was more inviting.

Shapes of Glasses

• Kids at a health and fitness camp were given either a tall, skinny 22-ounce glass or a short, wide, 22-ounce glass.

• The kids who were given the short, wide glass estimated that they had poured less than the kids who were given the tall, skinny glass.

• In reality, they poured 77% more into the short, wide glasses.

Adults were fooled too!

• 48 Philadelphia bartenders were asked to pour a gin and tonic into either a highball glass or a short, wide tumbler.

• They were supposed to pour a shot-1 ½ ounces without using a shot glass. (They’re professionals, they know pouring)

• Although all the bartenders were experienced, they poured an average of 26% more alcohol into the wide tumbler than the highball glass.

• So if somebody’s job in pouring the right amount and even they can’t do it, what about the rest of us?

Larger Portions

• Movie goers in Chicago were randomly given either medium or really large buckets of popcorn.

• The people who were given big buckets ate roughly 50% more than the people who were given smaller buckets.

• When asked to estimate how many ounces or calories they had eaten, there was no difference between what the two groups reported.

Do We Notice?

• No.

• Philadelphia moviegoers were given medium or large buckets of stale, 14-day-old popcorn that tasted terrible.

• The people that got the large buckets ate 31% morn than the people who got the medium buckets.

• Both groups again thought they ate the same amount.

Are you getting the best nutrition for your dollar?

A comparison of foods purchased for $5.00 at Publix grocery store

Junk Foods

• ½ gallon Nesquik Chocolate milk

• family size mac & cheese

Total: $5.08

• Box of Lucky Charms

Total: $4.99

• Single serve pizza• 25.4 oz. Foster’s beer

Total: $5.28

• 1 Gallon Hawaiian Punch• Box of Pop Tarts

Total: $5.38

Junk Foods

• Pepsi 8 pack• Ready Bake cookies

Total: $6.08

• Dozen Krispy Cream Doughnuts

Total: $4.99

• Bag of Lay’s Classic potato chips

• 20 oz. Pepsi

Total: $5.38

Junk Foods

• Bag of Oreo cookies• 2 liter coke

Total: $5.68

• Publix frozen French Toast

• Mott’s Apple Punch juice

Total: $5.78

• ½ gallon Publix ice cream• King size pack m&m’s

Total: $5.38

Fruits & Vegetables

• Bag of Publix salad • 16 oz. frozen green

beans• 14 oz. bag frozen broccoli

Total: $5.27

• 2 quarts fresh strawberries

Total: $5.00

• 12-15 red apples• 1 lb. of seedless grapes

Total: $5.68

Fruits and Vegetables

• 16 oz. fresh baby carrots• 32 oz. frozen corn

Total: $4.38

• 2 lbs. Fresh cut fruit salad• 16 oz. bag of frozen peas

• 3 lbs. bananas• 16 oz. Frozen mixed fruit

Total: $5.06

Are you getting the best nutrition for your dollar?

A comparison of foods purchased for $5.00 at Publix grocery store

Junk foods• Total: $4.75

– 1 bag of Fritos

– 1 container cheese dip

• Total: $4.90– 6 doughnuts

– ½ gallon chocolate milk

• Total: $5.05– 1 pack slim jims

– 2 Liter coke

– 1 bag Onion Ring chips

• Total: $5.06– 1 lb bag M&Ms

– 1 bag chocolate covered peanuts

Junk foods• Total: $4.75

– Brownies (from Publix Deli)

– 1 bag Cheetos

• Total: $5.05– 1 bag Ruffles potato

chips

– 2 Reese’s sticks

– 1 doughnut

Fruits and Vegetables• Total: $4.04

– 16 oz bag green beans (frozen)

– 16 oz bag okra (frozen)

– 16 oz bag yellow squash (frozen)

– 16 oz bag broccoli (frozen)

• Total: $5.06– 12 oz bag blueberries

(frozen)

– 12 oz bag strawberries (frozen)

– 10 oz box mixed vegetables (frozen)

Fruits and Vegetables• Total: $4.83

– 1 head broccoli

– 1 lb tomatoes

– 1 lb carrots

– 1 bag celery

• Total: $5.01– 7 apples

– 4 lbs bananas

• Total: $4.43– 6 oranges– 1 lb grapes

• Total: $4.43– 16 oz bag mixed frozen veges– 16 oz bag carrots– 16 oz bag peas– 10 oz box spinach (frozen)

RESULTS

AVG CALS FROM $5 OF JUNK FOOD AND FRUITS/VEGETABLES

0

1000

2000

3000

4000

junk foods fruits/veg

RESULTS

AVG CHOS AND FAT FROM $5 OF JUNK FOOD AND FRUITS/VEGETABLES

0100200300400500

CHOS FAT

junk foods

fruits/veg

INTRODUCE MORE EXERCISE AT SCHOOL AND AT HOME

"Being responsible sometimes means pissing "Being responsible sometimes means pissing people off."people off."

Good leadership involves responsibility to the welfare of the group, whichmeans that some people will get angry at your actions and decisions. It'sinevitable, if you're honorable.

Colin Powell