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1 Wellness Integrative Med, Inc Family Physician: Rushia Butler MD, Clinical Therapist: Tyree Brinson, PsyD, Family Fitness Trainer Zola Ajanaku, CPT, Nutritionist, Ellen Muhammad, RD
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1 Wellness Integrative Med, Inc Family Physician: Rushia Butler MD, Clinical Therapist: Tyree Brinson, PsyD, Family Fitness Trainer Zola Ajanaku, CPT,

Dec 17, 2015

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Page 1: 1 Wellness Integrative Med, Inc Family Physician: Rushia Butler MD, Clinical Therapist: Tyree Brinson, PsyD, Family Fitness Trainer Zola Ajanaku, CPT,

1

Wellness Integrative Med, Inc

Family Physician: Rushia Butler MD, Clinical Therapist: Tyree Brinson, PsyD, Family Fitness Trainer Zola Ajanaku, CPT, Nutritionist, Ellen Muhammad, RD

Page 2: 1 Wellness Integrative Med, Inc Family Physician: Rushia Butler MD, Clinical Therapist: Tyree Brinson, PsyD, Family Fitness Trainer Zola Ajanaku, CPT,

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Choose MyPlate:Selected Consumer Messages

Page 3: 1 Wellness Integrative Med, Inc Family Physician: Rushia Butler MD, Clinical Therapist: Tyree Brinson, PsyD, Family Fitness Trainer Zola Ajanaku, CPT,

Just A Little Heart Attack3

Page 4: 1 Wellness Integrative Med, Inc Family Physician: Rushia Butler MD, Clinical Therapist: Tyree Brinson, PsyD, Family Fitness Trainer Zola Ajanaku, CPT,

Wellness Integrative MedResources Used

4

Dietary Guidelines for Americans, 2010 http://www.cnpp.usda.gov/DGAS2010-PolicyDocument.htm

ChooseMyPlatehttp://ChooseMyPlate.gov

Selected Messages for Consumershttp://www.cnpp.usda.gov/Publications/DietaryGuideline/2010/PolicyDoc/SelectedMessages.pdf

DGA2010 Slide Presentationhttp://www.cnpp.usda.gov/DGAs2010SlidePresentation.htm

Page 5: 1 Wellness Integrative Med, Inc Family Physician: Rushia Butler MD, Clinical Therapist: Tyree Brinson, PsyD, Family Fitness Trainer Zola Ajanaku, CPT,

MyPyramid is now …

5

Page 6: 1 Wellness Integrative Med, Inc Family Physician: Rushia Butler MD, Clinical Therapist: Tyree Brinson, PsyD, Family Fitness Trainer Zola Ajanaku, CPT,

… MyPlate 6

Page 7: 1 Wellness Integrative Med, Inc Family Physician: Rushia Butler MD, Clinical Therapist: Tyree Brinson, PsyD, Family Fitness Trainer Zola Ajanaku, CPT,

MyPlate update

MyPlate calls the former MyPyramid “Meat & Beans Group” the “Protein Group”

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Page 8: 1 Wellness Integrative Med, Inc Family Physician: Rushia Butler MD, Clinical Therapist: Tyree Brinson, PsyD, Family Fitness Trainer Zola Ajanaku, CPT,

MyPlate update

MyPlate calls the former MyPyramid “Milk Group” the “Dairy Group”

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Page 9: 1 Wellness Integrative Med, Inc Family Physician: Rushia Butler MD, Clinical Therapist: Tyree Brinson, PsyD, Family Fitness Trainer Zola Ajanaku, CPT,

Choose MyPlate “Menu” of Selected Consumer Messages

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1. Balancing calories

2. Foods to increase

3. Foods to reduce

Page 10: 1 Wellness Integrative Med, Inc Family Physician: Rushia Butler MD, Clinical Therapist: Tyree Brinson, PsyD, Family Fitness Trainer Zola Ajanaku, CPT,

Choose MyPlate “Menu”10

Balancing calories Enjoy your food,

but eat less

Avoid oversized portions

Page 11: 1 Wellness Integrative Med, Inc Family Physician: Rushia Butler MD, Clinical Therapist: Tyree Brinson, PsyD, Family Fitness Trainer Zola Ajanaku, CPT,

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Food is to be enjoyed!

“Food is not nutritious untilits eaten.”   ~ Smarter Lunchrooms 2011

Page 12: 1 Wellness Integrative Med, Inc Family Physician: Rushia Butler MD, Clinical Therapist: Tyree Brinson, PsyD, Family Fitness Trainer Zola Ajanaku, CPT,

Enjoy — but eat less! 12

Page 13: 1 Wellness Integrative Med, Inc Family Physician: Rushia Butler MD, Clinical Therapist: Tyree Brinson, PsyD, Family Fitness Trainer Zola Ajanaku, CPT,

Enjoy — but eat less! 13

Page 14: 1 Wellness Integrative Med, Inc Family Physician: Rushia Butler MD, Clinical Therapist: Tyree Brinson, PsyD, Family Fitness Trainer Zola Ajanaku, CPT,

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“Your stomach shouldn’t be a waist (waste) basket.”  ~ Author Unknown

Eat until “satisfied,” not “full”

Page 15: 1 Wellness Integrative Med, Inc Family Physician: Rushia Butler MD, Clinical Therapist: Tyree Brinson, PsyD, Family Fitness Trainer Zola Ajanaku, CPT,

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It takes about 20 minutes for stomach to tell your brain you’re full

15

20 min

utes

Page 16: 1 Wellness Integrative Med, Inc Family Physician: Rushia Butler MD, Clinical Therapist: Tyree Brinson, PsyD, Family Fitness Trainer Zola Ajanaku, CPT,

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Downsize portion size

The bigger the portion, the more people tend to eat

Page 17: 1 Wellness Integrative Med, Inc Family Physician: Rushia Butler MD, Clinical Therapist: Tyree Brinson, PsyD, Family Fitness Trainer Zola Ajanaku, CPT,

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“You better cut the pizza in four pieces, because I’m not hungry enough to eat six.” ~Yogi Berra

Page 18: 1 Wellness Integrative Med, Inc Family Physician: Rushia Butler MD, Clinical Therapist: Tyree Brinson, PsyD, Family Fitness Trainer Zola Ajanaku, CPT,

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Ph

oto

cou

rtesy of N

ation

al Can

cer Institu

te

Limit foodshigh in

sodium, added

sugars, and

refined grains

Page 19: 1 Wellness Integrative Med, Inc Family Physician: Rushia Butler MD, Clinical Therapist: Tyree Brinson, PsyD, Family Fitness Trainer Zola Ajanaku, CPT,

1919

Ph

oto

cou

rtesy of N

ation

al Can

cer Institu

te

Eatmore

nutrient-densefoods

Page 20: 1 Wellness Integrative Med, Inc Family Physician: Rushia Butler MD, Clinical Therapist: Tyree Brinson, PsyD, Family Fitness Trainer Zola Ajanaku, CPT,

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Another name for “nutrient-dense” foods is “nutrient-rich” foods

Page 21: 1 Wellness Integrative Med, Inc Family Physician: Rushia Butler MD, Clinical Therapist: Tyree Brinson, PsyD, Family Fitness Trainer Zola Ajanaku, CPT,

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Nutrient-dense vs. not nutrient-dense

Page 22: 1 Wellness Integrative Med, Inc Family Physician: Rushia Butler MD, Clinical Therapist: Tyree Brinson, PsyD, Family Fitness Trainer Zola Ajanaku, CPT,

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Nutrient-dense vs. not nutrient-dense

Page 23: 1 Wellness Integrative Med, Inc Family Physician: Rushia Butler MD, Clinical Therapist: Tyree Brinson, PsyD, Family Fitness Trainer Zola Ajanaku, CPT,

Nutrient-dense vs. not nutrient-dense23

Page 24: 1 Wellness Integrative Med, Inc Family Physician: Rushia Butler MD, Clinical Therapist: Tyree Brinson, PsyD, Family Fitness Trainer Zola Ajanaku, CPT,

Nutrient-dense foods andbeverages include ALL:24

Vegetables/fruits Whole grains Seafood Eggs Dry beans/peas Unsalted nuts/seeds Fat-free/low-fat milk/milk products Lean meats/poultry

Page 25: 1 Wellness Integrative Med, Inc Family Physician: Rushia Butler MD, Clinical Therapist: Tyree Brinson, PsyD, Family Fitness Trainer Zola Ajanaku, CPT,

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Nutrition Facts Label doesn’t separate “added” & “naturally

occurring” sugars“Added” sugars are sugars and syrups added to foods or beverages during preparation or processing

1 teaspoon sugar = about 4g of added and/or naturally occurring sugar

Page 26: 1 Wellness Integrative Med, Inc Family Physician: Rushia Butler MD, Clinical Therapist: Tyree Brinson, PsyD, Family Fitness Trainer Zola Ajanaku, CPT,

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Other sugars occur “naturally” in foods like milk, fruit, and some vegetables – they aren’t the “added sugars” that are the concern

Page 27: 1 Wellness Integrative Med, Inc Family Physician: Rushia Butler MD, Clinical Therapist: Tyree Brinson, PsyD, Family Fitness Trainer Zola Ajanaku, CPT,

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Can you guess: Which food

has ADDED sugar according

to the ingredient list?A. INGREDIENTS: cultured pasteurized grade A nonfat milk, whey protein concentrate, pectin ...

B. INGREDIENTS: cultured grade A reduced fat milk, apples, high-fructose corn syrup, cinnamon, nutmeg, natural flavors, pectin ...

Page 28: 1 Wellness Integrative Med, Inc Family Physician: Rushia Butler MD, Clinical Therapist: Tyree Brinson, PsyD, Family Fitness Trainer Zola Ajanaku, CPT,

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Can you guess: Which food

has ADDED sugar according

to the ingredient list?A. INGREDIENTS: cultured pasteurized grade A nonfat milk, whey protein concentrate, pectin ...

B. INGREDIENTS: cultured grade A reduced fat milk, apples, high-fructose corn syrup, cinnamon, nutmeg, natural flavors, pectin ...

Page 29: 1 Wellness Integrative Med, Inc Family Physician: Rushia Butler MD, Clinical Therapist: Tyree Brinson, PsyD, Family Fitness Trainer Zola Ajanaku, CPT,

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Physical activity and diet important regardless of

weight!

Page 30: 1 Wellness Integrative Med, Inc Family Physician: Rushia Butler MD, Clinical Therapist: Tyree Brinson, PsyD, Family Fitness Trainer Zola Ajanaku, CPT,

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“My idea of exercise is a good brisk sit.” ~ Phyllis Diller

Page 31: 1 Wellness Integrative Med, Inc Family Physician: Rushia Butler MD, Clinical Therapist: Tyree Brinson, PsyD, Family Fitness Trainer Zola Ajanaku, CPT,

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Can you guess: How much WEEKLY physical activity should adults (age 18 and

over) do for substantial health benefits? A. 2 hours and 30 minutes of moderate-

intensive activity (i.e. 30 minutes, 5 times/week)

B. 1 hour and 15 minutes of vigorous-intensity activity (i.e. 15 minutes, 5 times/week)

C. Either A or B

Page 32: 1 Wellness Integrative Med, Inc Family Physician: Rushia Butler MD, Clinical Therapist: Tyree Brinson, PsyD, Family Fitness Trainer Zola Ajanaku, CPT,

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Can you guess: How much WEEKLY physical activity should adults (age 18 and

over) do for substantial health benefits? A. 2 hours and 30 minutes of moderate-

intensive activity (i.e. 30 minutes, 5 times/week)

B. 1 hour and 15 minutes of vigorous-intensity activity (i.e. 15 minutes, 5 times/week)

C. Either A or B

Page 33: 1 Wellness Integrative Med, Inc Family Physician: Rushia Butler MD, Clinical Therapist: Tyree Brinson, PsyD, Family Fitness Trainer Zola Ajanaku, CPT,

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Moderate aerobicactivityincreases breathing and heart rate somewhat

Page 34: 1 Wellness Integrative Med, Inc Family Physician: Rushia Butler MD, Clinical Therapist: Tyree Brinson, PsyD, Family Fitness Trainer Zola Ajanaku, CPT,

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Vigorous aerobic activity greatly increases heart rate and breathing

Page 35: 1 Wellness Integrative Med, Inc Family Physician: Rushia Butler MD, Clinical Therapist: Tyree Brinson, PsyD, Family Fitness Trainer Zola Ajanaku, CPT,

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Limit screen time orwatch and workout

Page 36: 1 Wellness Integrative Med, Inc Family Physician: Rushia Butler MD, Clinical Therapist: Tyree Brinson, PsyD, Family Fitness Trainer Zola Ajanaku, CPT,

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Getactive

10minutes

3timesa day

Short on time?

Page 37: 1 Wellness Integrative Med, Inc Family Physician: Rushia Butler MD, Clinical Therapist: Tyree Brinson, PsyD, Family Fitness Trainer Zola Ajanaku, CPT,

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You can live as if there’s no tomorrow ...

… but, tomorrow will probably come …

Page 38: 1 Wellness Integrative Med, Inc Family Physician: Rushia Butler MD, Clinical Therapist: Tyree Brinson, PsyD, Family Fitness Trainer Zola Ajanaku, CPT,

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“If I’d known I was going to live so long, I’d have taken better care of myself.”  ~Leon Eldred

Page 39: 1 Wellness Integrative Med, Inc Family Physician: Rushia Butler MD, Clinical Therapist: Tyree Brinson, PsyD, Family Fitness Trainer Zola Ajanaku, CPT,

Choose MyPlate “Menu”39

Foods toincrease

Make half your plate fruits and vegetables

Make at least half your grains whole grains

Switch to fat-free or low-fat (1%) milk

Page 40: 1 Wellness Integrative Med, Inc Family Physician: Rushia Butler MD, Clinical Therapist: Tyree Brinson, PsyD, Family Fitness Trainer Zola Ajanaku, CPT,

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Fill half your plate withfruits & veggies

Page 41: 1 Wellness Integrative Med, Inc Family Physician: Rushia Butler MD, Clinical Therapist: Tyree Brinson, PsyD, Family Fitness Trainer Zola Ajanaku, CPT,

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Pick a variety of vegetables from each vegetable subgroup

Page 42: 1 Wellness Integrative Med, Inc Family Physician: Rushia Butler MD, Clinical Therapist: Tyree Brinson, PsyD, Family Fitness Trainer Zola Ajanaku, CPT,

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… all cooked beans and peas, for example:

• Kidney beans

• Lentils• Chickpeas• Pinto beans

Did you know: The vegetable subgroup of “beans and peas

(legumes)” includes ...

Page 43: 1 Wellness Integrative Med, Inc Family Physician: Rushia Butler MD, Clinical Therapist: Tyree Brinson, PsyD, Family Fitness Trainer Zola Ajanaku, CPT,

43Green peas Green beans

The “beans and peas (legumes)” subgroup does

NOT include ...

Page 44: 1 Wellness Integrative Med, Inc Family Physician: Rushia Butler MD, Clinical Therapist: Tyree Brinson, PsyD, Family Fitness Trainer Zola Ajanaku, CPT,

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A. Vegetable

B. Protein

C. Both A and B

D. Neither A or B

Can you guess: What type of food are “beans and peas

(legumes)” considered?

Page 45: 1 Wellness Integrative Med, Inc Family Physician: Rushia Butler MD, Clinical Therapist: Tyree Brinson, PsyD, Family Fitness Trainer Zola Ajanaku, CPT,

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A. Vegetable

B. Protein

C. Both A and B

D. Neither A or B

Can you guess: What type of food are “beans and peas

(legumes)” considered?

Page 46: 1 Wellness Integrative Med, Inc Family Physician: Rushia Butler MD, Clinical Therapist: Tyree Brinson, PsyD, Family Fitness Trainer Zola Ajanaku, CPT,

At least half your grains should be whole grains

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Page 47: 1 Wellness Integrative Med, Inc Family Physician: Rushia Butler MD, Clinical Therapist: Tyree Brinson, PsyD, Family Fitness Trainer Zola Ajanaku, CPT,

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BranEndosperm

Germ

Whole grains contain the entire grain seed or “kernel”

Page 48: 1 Wellness Integrative Med, Inc Family Physician: Rushia Butler MD, Clinical Therapist: Tyree Brinson, PsyD, Family Fitness Trainer Zola Ajanaku, CPT,

Partially whole grain products providing half or more whole grains per ounce-equivalent serving have at least either:

51% of total weight as whole grains OR

8g of whole grains

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Page 49: 1 Wellness Integrative Med, Inc Family Physician: Rushia Butler MD, Clinical Therapist: Tyree Brinson, PsyD, Family Fitness Trainer Zola Ajanaku, CPT,

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3 ways to eat half whole grains

2 oz. 100% whole grains, 2 oz. partly whole-grain products, & 2 oz. refined grain products

3 oz. 100% whole grains & 3 oz. refined-grain products

6 oz. partly whole-grain products

Page 50: 1 Wellness Integrative Med, Inc Family Physician: Rushia Butler MD, Clinical Therapist: Tyree Brinson, PsyD, Family Fitness Trainer Zola Ajanaku, CPT,

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A. INGREDIENTS: wheat flour, water, high fructose corn syrup, molasses, wheat, bran ...

B. INGREDIENTS: whole wheat flour, water, brown sugar ...

Can you guess: Which bread is highest in

WHOLE grains?

Page 51: 1 Wellness Integrative Med, Inc Family Physician: Rushia Butler MD, Clinical Therapist: Tyree Brinson, PsyD, Family Fitness Trainer Zola Ajanaku, CPT,

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A. INGREDIENTS: wheat flour, water, high fructose corn syrup, molasses, wheat, bran ...

B. INGREDIENTS: whole wheat flour, water, brown sugar ...

Can you guess: Which bread is highest in

WHOLE grains?

Page 52: 1 Wellness Integrative Med, Inc Family Physician: Rushia Butler MD, Clinical Therapist: Tyree Brinson, PsyD, Family Fitness Trainer Zola Ajanaku, CPT,

Switching to fat-free or low-fat (1%) milk makes a difference!

52

Whole 2% 1% Fat-free165

calories125

calories100

calories85

calories

Calories saved

40 65 80

Page 53: 1 Wellness Integrative Med, Inc Family Physician: Rushia Butler MD, Clinical Therapist: Tyree Brinson, PsyD, Family Fitness Trainer Zola Ajanaku, CPT,

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Can you guess: Which is more nutrient-dense?

A. Fat-free and low fat (1%) milk

B. Whole milk

C. They are equally nutrient-dense

Page 54: 1 Wellness Integrative Med, Inc Family Physician: Rushia Butler MD, Clinical Therapist: Tyree Brinson, PsyD, Family Fitness Trainer Zola Ajanaku, CPT,

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Can you guess: Which is more nutrient-dense?

A. Fat-free and low fat (1%) milk

B. Whole milk

C. They are equally nutrient-dense

Page 55: 1 Wellness Integrative Med, Inc Family Physician: Rushia Butler MD, Clinical Therapist: Tyree Brinson, PsyD, Family Fitness Trainer Zola Ajanaku, CPT,

Choose MyPlate “Menu”55

Foods to reduce Compare sodium

in foods like soup, bread, and frozen meals ― and choose the foods with lower numbers

Drink water instead of sugary drinks

Page 56: 1 Wellness Integrative Med, Inc Family Physician: Rushia Butler MD, Clinical Therapist: Tyree Brinson, PsyD, Family Fitness Trainer Zola Ajanaku, CPT,

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Can you guess: People ages 2 and older should reduce daily

sodium intake to less than …

A. 2,300 mg or 1,500 mg, depending on age/other individual characteristics

B. 2,300 mg or 3,000 mg, depending on age/other individual characteristics

Page 57: 1 Wellness Integrative Med, Inc Family Physician: Rushia Butler MD, Clinical Therapist: Tyree Brinson, PsyD, Family Fitness Trainer Zola Ajanaku, CPT,

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Can you guess: People ages 2 and older should reduce daily

sodium intake to less than …

A. 2,300 mg or 1,500 mg, depending on age/other individual characteristics

B. 2,300 mg or 3,000 mg, depending on age/other individual characteristics

Page 58: 1 Wellness Integrative Med, Inc Family Physician: Rushia Butler MD, Clinical Therapist: Tyree Brinson, PsyD, Family Fitness Trainer Zola Ajanaku, CPT,

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African Americans ages 2+

Adults ages 51+

People ages 2+with high blood pressure, diabetes, or chronic kidney disease

Groups reduced to 1,500 mg

Ages

2+

Page 59: 1 Wellness Integrative Med, Inc Family Physician: Rushia Butler MD, Clinical Therapist: Tyree Brinson, PsyD, Family Fitness Trainer Zola Ajanaku, CPT,

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Can you guess: How much sodium is in a teaspoon of

salt?

A. 1,300 mg

B. 2,300 mg

C. 3,300 mg

Page 60: 1 Wellness Integrative Med, Inc Family Physician: Rushia Butler MD, Clinical Therapist: Tyree Brinson, PsyD, Family Fitness Trainer Zola Ajanaku, CPT,

60

Can you guess: How much sodium is in a teaspoon of

salt?

A. 1,300 mg

B. 2,300 mg

C. 3,300 mg

Page 61: 1 Wellness Integrative Med, Inc Family Physician: Rushia Butler MD, Clinical Therapist: Tyree Brinson, PsyD, Family Fitness Trainer Zola Ajanaku, CPT,

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A. 30 mg

B. 250 mg

C. 470 mg

Can you guess: How much sodium is in 1 cup of this

food?

Page 62: 1 Wellness Integrative Med, Inc Family Physician: Rushia Butler MD, Clinical Therapist: Tyree Brinson, PsyD, Family Fitness Trainer Zola Ajanaku, CPT,

62

Can you guess: How much sodium is in 1 cup of this

food?

A. 30 mg

B. 250 mg

C. 470 mg

Page 63: 1 Wellness Integrative Med, Inc Family Physician: Rushia Butler MD, Clinical Therapist: Tyree Brinson, PsyD, Family Fitness Trainer Zola Ajanaku, CPT,

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Check labels Avoid adding salt (an

exception may be when baking yeast breads)

Eat fresh foods, frozen veggies

Request salt be left off when eating out

Use other seasonings

Easy ways to reduce sodium

Page 64: 1 Wellness Integrative Med, Inc Family Physician: Rushia Butler MD, Clinical Therapist: Tyree Brinson, PsyD, Family Fitness Trainer Zola Ajanaku, CPT,

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Drink fewer sugar-sweetened beverages

Consume smaller portions

Substitute water, unsweetened coffee and tea, and other beverages with few or no calories

Reduce sugar-sweetened beverage intake:

Page 65: 1 Wellness Integrative Med, Inc Family Physician: Rushia Butler MD, Clinical Therapist: Tyree Brinson, PsyD, Family Fitness Trainer Zola Ajanaku, CPT,

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Remember …

A variety of foods, in moderation, can fit into a healthy eating pattern if nutrient needs have been met without exceeding calorie limits.

Regular physical activity helps maintain calorie balance.

Page 66: 1 Wellness Integrative Med, Inc Family Physician: Rushia Butler MD, Clinical Therapist: Tyree Brinson, PsyD, Family Fitness Trainer Zola Ajanaku, CPT,

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THE END “The greatest wealth is health.” ~Virgil

Page 67: 1 Wellness Integrative Med, Inc Family Physician: Rushia Butler MD, Clinical Therapist: Tyree Brinson, PsyD, Family Fitness Trainer Zola Ajanaku, CPT,

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Wellness Integrative Med, Inc A New Approach to Medicine & Healthcare

Wellness Integrative Medical Center, Inc is a cooperative of medical health care professionals, including Clinical Psychologist Dr. Tyree Brinson, Behavioral therapist Kimberly Nelson, Phd, and Zola B. Ajanaku, Certified Family Fitness Trainer as well as Eric Paul Meredith, Registered Dietician.

We’re proud to come together as a collective team to offer our shared patient a unique comprehensive team approach to help them live their best life!