Palmetto Leaf

SCDA Newsletter/The Palmetto Leaf Spring 2010

A PUBLICATION OF THE SOUTH CAROLINA DIETETIC ASSOCIATION

PRESIDENT’S MESSAGE

Brook Harmon, MS, RD, LD

Inside this issue:

President’s Message 1,3

SCDA Board 2

2010 Annual Meeting 4

Talk SCDA to Your Employer 5

March to the Statehouse 6

Don’t Forget to Vote 6

ADA Member Benefits 7-10

ADA’s Me, Inc. 10

Columbia NNM Proclamation 11

Amy Joye Memorial Award 12

In the Spotlight 13

Keeping Young Bones Healthy 14-15

Art of Healthy Cooking 16

Diet Manual/Order Form 17-18

Visible or Invisible Veggies 19-20

Ads 21-23

Save the Date 24

Happy Spring! As I write this, we are under a Winter Weather

Warning so it is not feeling very Spring-like. No matter the weather,

this is an exciting time of year for SCDA. You have received the ballot

for SCDA‘s 2010-2011 board. I encourage you to vote. I also

encourage you to volunteer to be on your district‘s ballot or on

committees at the district and state level. The more volunteers we have

in the association the better we can meet the needs of members and

promote the RD as the expert on food and nutrition.

Speaking of the RD as the expert, SCDA‘s Annual Meeting registration is

open. The meeting will be held April 16th and 17th in Columbia, SC and

we will be discussing all of the ways we as dietitians can be experts in our

field. We have several things we are excited about this year:

Friday/Saturday format - We hope this helps those of you who

typically can‘t come to the meeting due to the necessity of

having to take two days off from work

Two-day registration that remains the same as last year‘s price

Flexible registration options (single days, workshops, and/or

single meal sessions)

Workshops that allow for the earning of higher level CEUs

On-line registration

Dessert Networking Reception – Let us eat chocolate

You should have received a Save-the-Date card in the mail providing you

directions on where you can get more information about the sessions

being offered and how to register for the event.

Continued page 3

Palmetto Leaf The

Spring 2010

2 SCDA Newsletter/The Palmetto Leaf Spring 2010

PRESIDENT Brook Harmon [email protected] PRESIDENT-ELECT Suzi Domel Baxter [email protected] TREASURER Heather Busby [email protected] PAST PRESIDENT Karen Schwartz [email protected] DELEGATE Mary Etta Moorchain [email protected] NOMINATING CHAIR Megan Bennett [email protected] NOMINATING CHAIR-ELECT Nina Crowley [email protected] DISTRICTS: CATAWBA PRESIDENT Leslie Young [email protected] CHARLESTON-TRIDENT PRESIDENT Holly Neal [email protected] COLUMBIA MIDLANDS PRESIDENT Corinne Cates [email protected] PEE DEE PRESIDENT Elizabeth Mills [email protected] PIEDMONT PRESIDENT Alex Lautenschläeger [email protected] PUBLIC POLICY CO-CHAIR Vivian Haley-Zitlin [email protected]

STATE POLICY CO-CHAIRS Rebecca Wrenn [email protected] Donna Quirk [email protected] STATE POLICY CHAIR-ELECT Krista Wolf [email protected] SCHOLARSHIPS & AWARDS CHAIR Erika Kirby [email protected] ADA FOUNDATION Beth Kunkel [email protected] REIMBURSEMENT CHAIR Lauren Jean Henderson [email protected] AHEC LIAISON Sandy Spann [email protected] PR MEDIA COORDINATOR Claire Stevens Tidwell [email protected] NEWSLETTER EDITOR Kimberly Baker [email protected] ANNUAL MEETING CHAIR Kathy Mercer [email protected] ANNUAL MEETING CHAIR ELECT Stacie Bullock [email protected] MEMBERSHIP CO-CHAIRS Chris Bannister [email protected] Deb Zippel [email protected] NEW MEMBERSHIP LIAISON Kassie Keys [email protected] COUNCIL ON PRACTICE Rita Haliena [email protected] OPERATIONAL MANUAL Karen Schwartz [email protected] EXECUTIVE DIRECTOR Donald Wood [email protected]

2009-2010 SCDA Board of Directors


President‘s Message continued

If you did not receive a card, go to www.eatrightsc.org and click on the link to the 2010 Annual Meeting Page.

We will be at the Marriott Hotel Downtown again this year. Room rates are listed and we encourage you to

stay at the hotel for ease of access to the meeting, free parking as a hotel guest, easy access to great meals

included with annual meeting registration (3 meals on Friday plus evening dessert reception and two meals on

Saturday), and lovely rooms. At dinner on Friday night, we will share the new Strategic Plan, learning more

about chocolate, and even better get to eat chocolate at the Dessert Networking Reception. Even if you can‘t

make Friday‘s sessions we encourage you to join your fellow dietitians for this event. Not only do you get

dinner and chocolate, you get a chance to network with dietitians from across the state. Another exciting

aspect of this year‘s meeting is the concurrent workshops on Saturday afternoon. Bring the family to the

meeting, send them to visit the EdVenture children‘s museum or Riverbanks Zoo while we learn how to

increase our political influence and visibility from Juliana Smith with ADA, learn how to get credentialed and

reimbursed for MNT from Jane White at the University of Tennessee, or learn the science and practice of

sports nutrition from Dan Benardot at Georgia State University. I look forward to seeing everyone in April.

Remember if you register by March 16th you get $50 off.

July 1st will be the 4 year anniversary of the S.C. Dietetics Licensure Act. One of our roles as dietitians and

SCDA members is to protect the health of SC citizens, which is the reason for licensure. Unfortunately, there

are still dietitians in our state who are unlicensed. For the majority of dietitians, no mater your area of

practice, the law will apply to you. I encourage you to visit LLR‘s web site at (http://www.llr.state.sc.us/POL/

Dietetics/)* to review the law. Contact LLR ((803) 896-4665) if you have questions about whether the law

applies to you. Do not assume you are exempt without first checking with LLR. If you have questions, contact

LLR right away. According to the law, practicing dietetics without a license can result in fines or

imprisonment. Please help us keep the citizens of South Carolina healthier by applying for licensure if you

have not already, contacting LLR if you have questions, and sharing this information with other dietitians in

the state. Thank you to our members who are licensed and keeping their license current!

This edition of the Palmetto Leaf marks my last letter to the membership as President. It has been a pleasure to

work with this year‘s SCDA Board and Donald Wood, SCDA‘s Executive Director; I have enjoyed hearing

from many of you over the course of the past year; and I look forward to continuing to serve you as Past-

President.

Brook Harmon, MS, RD, LD

SCDA President

http://www.eatrightsc.org

http://www.llr.state.sc.us/POL/Dietetics/)*

http://www.llr.state.sc.us/POL/Dietetics/)*


SCDA 2010 Annual Meeting Updates

Our 2010 Annual Meeting, ―The RD as the Expert‖ is

coming soon! We hope you are planning to join us on April

16th (Friday) and April 17th (Saturday) at the Marriott in

downtown Columbia for a great time of education,

networking, and round table discussions.

We want to alert you that the early bird registration

deadline is March 16th and can save you a considerable

amount on your registration. Also, it is not too late to join

ADA or renew your membership to save $100 on your full meeting registration. Registration can be done on-line

this year by simply going to the SCDA website at www.eatrightsc.org, and clicking on the Annual Meeting page.

You can view the full brochure, pay on-line by credit card, and also fill out a form to donate to our Silent Auction

for the benefit of the ADA Foundation and the Amy Joye Memorial Research Award. There is also a link to the

Marriott to reserve your room by March 16th with a SCDA discount.

If you need help getting your employer to pay for your meeting participation, please see the article “Talk SCDA

2010 to Your Employer” in this edition of the Palmetto Leaf.

We have made a decision to accept Late Breaking Abstracts until March 18th for poster presentation only.

These abstract presenters will still qualify for a $50 discount on their (non-student) full meeting registration.

Complete details for late breaking abstract submissions can be found on the Annual Meeting page of the website.

We also have decided to give back to the community as part of our annual meeting by

collecting food donations for the Harvest Hope Food Bank. You can earn a door prize raffle

ticket for every non-perishable food item you bring to the meeting. Suggested donations include:

canned meat and fish, stew, chili, soup, dry beans, peanut butter, canned fruits and vegetables,

canned juices, instant potatoes, rice, pasta, dry cereal, sugar, flour, shelf stable milk, and personal items (diapers,

wipes, soap, shampoo, toothpaste). The food bank would also appreciate your plastic or paper grocery bags and

egg cartons. They cannot accept home canned or baby food jarred products, cans without labels, or deer meat.

For full donation information please see www.harvesthope.org. We hope you will participate in this new endeavor

of the SCDA and be part of our 2010 Annual Meeting.

http://www.eatrightsc.org/

http://www.harvesthope.org/


Talk SCDA 2010 to Your Employer

Are you thinking of attending SCDA 2010, but aren’t sure if you’ll get the support both professionally and financially

from your employer?

Build a strong case for attending by sharing these top ten reasons.

Top 10 Reasons to Support Attendance At the

SCDA 2010 Annual Meeting “The RD as the Expert”

Friday, April 16th to Saturday, April 17th Columbia, South Carolina

10. Attendees will learn to immediately apply updated skills, education and cutting edge research to improve practice and performance in their workplace.

9. SCDA 2010 is the main annual meeting of the South Carolina Dietetic Association, designed for food

and nutrition professionals by their peers. 8. The Exhibit Hall will showcase over 20 vendors and expose attendees to innovative products and services

that can aid in better purchasing and practice decisions. 7. New practice and scientific research will be unveiled to attendees so they can apply it within their

respective fields of practice. 6. Networking events and round table discussions will help attendees with benchmarking, mentoring, and

professional growth. 5. Economically-priced workshops on Saturday afternoon will allow attendees to gain in-depth knowledge

on one of three timely topics. 4. Five keynote educational sessions will feature experts and cutting-edge information. 3. Six concurrent educational sessions (covering a total of 12 topics) will allow attendees to select topics of

their choice. 2. Columbia is centrally located and easily accessible, which saves travel time and cost. 1. Attendees will return to work refreshed and ready to infuse what they have learned into their practice,

thereby resulting in improved organizational performance.

The return on investment will be evident!


March to the Statehouse SCDA’s Legislative Day Tuesday, March 23, 2010

Agenda 8:30 a.m.—Meet at the Capital City Club for Breakfast Cost: $5 to $10 depending on the number of participants Location: 1201 Main Street (corner of Main and Gervais). Parking: Parking is available in the garage at the corner of Lady and Assembly—enter off Lady Street).

SCDA members who attend are invited to extend personal invitations to their legislators to join them for breakfast. Please be prepared to purchase your legislators breakfast.

9:30 a.m.—10:00 a.m.—March to the Statehouse Speak to your legislators Watch the House and Senate conduct business Be introduced in both chambers to recognize National Nutrition Month Following the March to the Statehouse, you are invited to visit USC‘s Farmer‘s Market and participate in National Nutrition Month activities there. Please RSVP by March 18th to Donna Quirk via E-mail ([email protected]) or Rebecca Wrenn via E-mail ([email protected]).

Don’t Forget to Vote! Voting for the 2010-2011 SCDA Board is currently underway. The ballot and bios of the candidates can be

found on the SCDA website (www.eatrightsc.org) in the About SCDA menu under the Goverance link.

Ballots must be sent in to SCDA by Tuesday, March 30th to be counted.

SCDA Board positions that are up for election include:

President-Elect

Treasurer

Nominating Chair-elect

Delegate

Send your ballot to:

SCDA

PO Box 1763

Columbia, SC 29202


2010 ADA Member Benefits Update

By becoming one of the more than 70,000 members of the nation‘s largest organization of food and nutrition practitioners, you give yourself access to a wide variety of benefits, including information resources, educational opportunities, public policy initiatives, practice-based research, networking connections, and promotional tools. As a member of an affiliate dietetic association, you‘re well aware of at least one major benefit of ADA membership, but there are dozens of others— with new and improved offerings every year—that you might not know about. Of course, ADA wants you to take full advantage of all the opportunities that membership provides. Below is a listing of some of the newer resources ADA provides for its members, as well as those of particular interest to Affiliate members, accompanied by brief descriptions of their function. Please feel free to share this list with your colleagues. For a more extensive list of benefits, visit the members-only section of ADA‘s Web site at www.eatright.org or call the Member Service Center at 800/877-1500, ext 5000, Monday through Friday, 8:00 AM to 5:00 PM Central Standard Time.

NETWORKING & PROMOTION RESOURCES

Dietetic Practice Groups (DPGs): These 28 professional interest groups enable members to connect with peers and learn with others who have interests in these practice areas. DPGs include a vast array of specialties, such as Diabetes Care and Education, Food and Culinary Professionals, Weight Management, Women‘s Health, Pediatric Nutrition, Health Aging, and more. Member Interest Groups (MIGs): Member Interest Groups are groups of ADA members who have a common interest. Unlike dietetic practice groups or affiliates, member interest groups focus on areas other than the practice of dietetics or geographic location. As divisions of the national organization, MIGs reflect the many characteristics of ADA‘s membership and the public it serves. Current MIGs include the National Organization of Men in Nutrition (NOMIN), Chinese Americans in Dietetics and Nutrition (CADN), Latinos and Hispanics in Dietetics and Nutrition (LAHIDAN), the National Organization of Blacks in Dietetics and Nutrition (NOBIDAN), Fifty-Plus in Nutrition and Dietetics (FPIND), Filipino Americans in Dietetics and Nutrition (FADAN), and the newest addition, Muslims in Dietetics and Nutrition (MIDAN). National Nutrition Month Materials: National Nutrition Month (NNM), celebrated every March, is an annual nutrition education and information campaign created by ADA that‘s designed to focus attention on the importance of making informed food choices and developing sound eating and physical activity habits. ADA provides food and nutrition professionals with access to a wide variety of supporting materials to help convey this important message, including fact sheets, flyers, classroom guides and games, recipes, press releases, and event ideas. Registered Dietitian Day: March 10, 2010 was the third annual Registered Dietitian Day. This special occasion was created by the American Dietetic Association to increase the awareness of registered dietitians as the indispensable providers of food and nutrition services and to recognize RDs for their commitment to helping people enjoy healthy lives. Registered Dietitian Day promotes ADA and RDs to the public and the media as the most valuable and credible source of timely, scientifically-based food and nutrition information. Find a Registered Dietitian Online Referral Service: ADA‘s Find a Registered Dietitian online referral service is free to Active category members representing their own private practice, group practice or employer. Consumers and businesses search this Web-based site to connect with members who provide nutrition consulting service expertise.

Continued page 8

http://www.eatright.org


2010 ADA Member Benefits Update continued

Me, Inc., Online Branding Toolkit: ADA has developed this online branding toolkit to provide you with the resources needed to improve your brand, including communication tips, downloadable promotional flyers, developing your online presence and much more.

INFORMATION RESOURCES www.eatright.org: Newly redesigned, ADA‘s Web site is faster, more user-friendly, offers a more powerful search function, and can be personalized to meet your needs. The new eatright.org features five sections specifically targeted to members, students, the public, the media, and other health professionals, making it easier for all visitors to access the content they want. Build your MyADA profile and get involved with quick links to blogs, forums, surveys, and online communities—and get connected by easily subscribing to and sharing e-newsletters, RSS feeds, podcasts, and videos. And as always, eatright.org keeps you informed with 24/7 access to scientific and professional resources, and links that are essential for any food and nutrition practitioner. The secure, member-only site can be accessed using your member ID and password, and provides a wealth of information and programs in a location that guards your privacy. ADA NewsBytes: This monthly e-newsletter from ADA‘s Board of Directors informs members of developments affecting food, nutrition, and health topics, as well as ADA‘s legislative and regulatory priorities. Daily News: Opt in to receive this key resource for keeping abreast of the top news stories concerning dietetics and the profession. Delivered to your e-mail inbox every weekday morning, ADA‘s Daily News is a quick review of the nation‘s leading food, nutrition, and health headlines, with links directly to the articles. On the Pulse: More government-focused than ADA‘s Daily News, On the Pulse is a weekly e-newsletter on ADA‘s legislative and regulatory priorities in both Washington, DC, and state legislatures. It also addresses reimbursement, research findings, and practice-related issues. ADA New in Review: Formerly a section of the Journal, the new online exclusive ADA New in Review compiles abstracts and citations from nearly 200 different scientific and professional publications to convey fundamental knowledge in nutritional science that spans specialty practice. The monthly ADA New in Review e-mail alerts members to recent updates and provides an overview of each month‘s content, while the New in Review page at www.eatright.org/adanewinreview provides 24/7 access to both new material and archives.

CAREER RESOURCES

Center for Career Opportunities: The Center for Career Opportunities is a 1-day exhibit opportunity for FNCE exhibitors and other employers to meet face-to-face with qualified nutrition professionals who are interested in employment opportunities. Attendees are encouraged to bring their résumés in order to participate fully and get the most from the experience. Employers who have participated in the event have commented on the high caliber of potential recruits, and with attendees coming from across the country, you could find your next dietetics employee or employer at this event no matter where you are located. ADACareerLink: ADA‘s online job service allows you to post résumés, target searches by specialty and geographic location, respond directly to job listings, and receive e-mail alerts about new positions. For a fee, you can also recruit professionals for your organization. Access this indispensable service under the Career Center in the Member section of eatright.org.

Continued page 9

http://www.eatright.org

http://www.eatright.org/adanewinreview



Compensation and Benefits Survey of the Dietetics Profession 2009: This comprehensive report details compensation for dozens of core RD and DTR jobs, broken down by region, education, experience, supervisory and budget responsibility, and several other factors. You can also use this information to determine fair market value for your services by accessing the interactive salary calculation worksheet available at eatright.org, which is based on a statistical model developed with data from the survey. The worksheet offers a rough idea of what professionals with similar characteristics and in similar situations earn, on average, and provides a sense of the relative importance of each factor in predicting salaries. Members enjoy significantly reduced pricing for this downloadable report.

PRACTICE RESOURCES MNT Practice Resources: There is a wealth of information on ADA‘s Medical Nutrition Therapy (MNT) Web page to help members understand the business of dietetics. Consider it your one-stop shop for practice management education. Learn about codes for nutrition services, how to become a Medicare provider, private insurance reimbursement, tips to expand MNT coverage, telehealth, and more. Popular advocacy materials available for download include the MNT Works marketing toolkit, ADA‘s payer brochure for increasing MNT coverage, and a step-by-step billing presentation called ―Cracking the Code: Billing Potential beyond Medical Nutrition Therapy.‖ Access these resources at www.eatright.org/mnt. Hot Topics: Hot Topics are timely, one-page science-based answers to members‘ questions and issues that have a significant impact on consumer health. Responses are written in consumer-friendly language and are designed to clarify a controversy or debunk a nutrition myth. Some current hot topics address organic foods, bottled water, probiotics, stevia, and superfoods. Eat Right Messages: The Eat Right Messages Program is an online and print nutrition education program that is available on ADA‘s Web site as print-ready, two-page handouts in PDF format. Content includes a statement promoting registered dietitians and a special section where members can include personalized contact information. Evidence-Based Nutrition Practice Guidelines and Toolkits: Located in the Evidence Analysis Library, these guidelines provide disease-specific nutrition recommendations using a systematic approach that assures nutrition care is based on scientific evidence. Toolkits accompany the guidelines and provide Medical Nutrition Therapy tools used for documenting patient encounters and collecting outcomes.

EDUCATIONAL RESOURCES Center for Professional Development: The premier choice for lifelong learning, the Center for Professional Development offers conferences, workshops, meetings, lectures, live phone teleseminars and webinars, e-learning, CD-ROM and online courses, and audiotapes. ADA‘s professional development opportunities are easily accessed through the Center under the Professional Development tab on the Member section of eatright.org. Leadership Institute: ADA‘s Leadership Institute is an integrated, intensive, multiformat training program in the theory and practice of leadership in dietetics. The purpose of the program is to enhance the leadership competencies of ADA members both conceptually and interpersonally, through a combination of information, skill development, and practice-based educational experiences.

Continued page 10

http://www.eatright.org/mnt



Free Online Journal Continuing Professional Education (CPE): Since January 2008, ADA members have been able to easily complete their Journal CPE quizzes online at www.eatright.org. See which quizzes you‘ve already completed and take one that‘s still available to complete for credit. Quizzes are scored automatically online, and once all questions are answered correctly, CPE credit for completed quizzes may be added directly to your Professional Development Portfolio.

Today’s ADA Is Equipping You for Career Success ... New Me, Inc. Branding Toolkit As part of the American Dietetic Association‘s strategic plan, today‘s ADA is delivering on tactics to create a respected brand and to empower our members to be the nation‘s food and nutrition leaders. ADA‘s has developed a new electronic toolkit Me, Inc. This online branding toolkit will provide ADA members with resources to improve their individual brand. Take a moment to take a video tour, visit www.eatright.org/meincvideo. ADA has created www.eatright.org/meinc, offering members valuable resource tools at no cost. You‘ll find:

A handbook on effective communication tips A library of branding articles from the Journal of the American Dietetic Association A collection of customizable patient education and promotional flyers How-to materials on communicating your expertise and building professional portfolio at the same time: Publishing an article in the Journal Joining an Evidence Analysis Library Expert Workgroup Becoming an ADA media spokesperson Learning how to write articles for newspapers and Web sites that will get published. Other information showcases many networking opportunities available through ADA, including: Joining a Dietetic Practice Group or Member Interest Group Connecting to peers through ADA‘s Dietetic Community Staying up to date by accessing ADA‘s Blog and Facebook page Learning about volunteer and leadership opportunities.

The kit also highlights many lifelong learning opportunities through ADA‘s Center for Professional Development, including face-to-face learning at the Food & Nutrition Conference & Expo and other premier events; highlights of upcoming Webinars and teleseminars; and resources and articles to help members develop and enhance your Web presence. There are tips on:

Creating a Web site Recording a podcast Positioning yourself on social networking sites Writing a blog Creating videos.

Visit www.eatright.org/meinc today!

http://www.eatright.org/

http://www.eatright.org/meincvideo

http://www.eatright.org/meinc

http://www.eatright.org/meinc



Amy Joye Memorial Research Award submitted by Suzi Domel Baxter, PhD, RD, LD, FADA

[email protected]

803-777-1824 extension 12

As of March 8, 2010, a total of $64,895 has been raised.

Many thanks to the donors listed on SCDA‘s website at www.eatrightsc.org.

Additional donations (which are tax deductible) will enable a $5,000 nutrition research award to be made in Amy‘s memory on an annual basis through the ADA Foundation.

The donation form is on SCDA‘s website at www.eatrightsc.org on the yellow link ―Gifts in Honor of Amy F. Joye‖.

Upcoming fundraising events include the following:

1. At the SCDA 2010 Annual Meeting on April 16th (Friday) and April 17th (Saturday) at the Marriott in downtown Columbia, SC:

Raffle/silent auction (with proceeds split between the Fund and the ADA Foundation)

Sales of Jim Harrison items (e.g., note cards, prints) – the artist plans to be present for a couple of hours to sign/personalize purchases

2. At BlytheFest 2010 on May 14th (Friday from 5pm to 10pm) and May 15th (Saturday from 9am to 3pm) at Trinity United Methodist Church (where Amy‘s parents are members) in Blythewood, SC:

Sales of Jim Harrison items (e.g., note cards, prints) – the artist plans to be present for a couple of hours to sign/personalize purchases

We make a living by what we get; we make a life by what we give.

mailto:[email protected]




In the Spotlight

Being a full-time mom with a full-time job can be overwhelming at times, in addition be being an active SCDA

member. However many rewards can be gleaned from each of these roles. If you are a full-time mom with a

full-time job and want to be more active with SCDA, we have spotlighted Erika Kirby to get her perspective on

how to balance these three rewarding roles and receive the most benefits.

Erika Kirby

Director, DHEC Division of Nutrition, Physical Activity, and Obesity

SCDA Chair of Scholarships and Awards Committee

What is your perspective on balancing a career, SCDA activities and a family?

Good question… Yet, I don‘t believe there is a perfect answer… We all have so many things that we

must juggle and personally, some days are better than others. Some days I am thrilled when I get one thing

accomplished. Other days, I feel so empowered to impact things within my realm.

What are the benefits for you to being an active SCDA member in addition to working and being a mom?

I was an RD before being a mom and it is just a part of me. Involvement in SCDA helps me see the

broader scope of practice outside of just what I do and I believe very strongly that there is much to be gained

by having the recognition that while we all have our ‗piece‘ of the puzzle, that the puzzle is much more

powerful when all the pieces come together.


Keeping Young Bones Healthy Dietary Treatment of Juvenile Osteoporosis

By Katherine Boyce, MS, RD, LD

As printed in TherapyTimes on January 31, 2010

Osteoporosis, characterized by low bone density, is a common diagnosis among post-menopausal women. Juvenile osteoporosis refers to the same condition in children. People with osteoporosis have an increased risk for bone fractures, which can be avoided or reversed with proper medical intervention. The Importance of Vitamin D and Calcium Juvenile osteoporosis is often caused by an underlying condition that adversely affects calcium or vitamin D regulation in the body, such as gastrointestinal malabsorption or kidney disease. Medical treatment includes addressing the underlying disease, while dietary treatment focuses on ensuring that the child has adequate vitamin D and calcium intake. Vitamin D is important because it promotes dietary calcium absorption and plays a regulatory role in bone mineralization. The child may absorb less than normal amounts of either vitamin or mineral, due to the underlying condition. In some cases, the child is on medication that adversely affects bone density, such as anti-seizure medication or steroids. Some patients do not have an underlying condition, in which case their osteoporosis is classified as idiopathic. To diagnose juvenile osteoporosis, doctors may order blood and urine tests in addition to requesting a DEXA scan, which measures the child‘s bone density. Doctors may prescribe oral supplementation if a deficiency exists and refer the child to be evaluated by a registered dietitian whose responsibility is to make the necessary dietary interventions to maximize the child‘s calcium and vitamin D intake, while promoting normal growth and development. Serum calcium and vitamin D levels may be monitored every three to six months until the levels are normalized. DEXA scans may be done annually. Eating the Right Diet The American Academy of Pediatrics recommends children under the age of 18 years consume 400IU of vitamin D each day, and 500-1300mg of calcium depending upon age. The best natural food source of vitamin D is the skin of wild fatty fish, such as tuna, mackerel or salmon. Egg yolks and cod liver oil contain smaller amounts of vitamin D. A dietitian may suggest that a child over the age of one year with juvenile osteoporosis eat wild fatty fish, egg yolks or cod liver oil, in various amounts, depending upon the child‘s vitamin D status and current intake. The dietitian may also recommend that the child eat foods that are naturally high in calcium, such as cheese, cow‘s milk, and yogurt on a consistent basis. Parents may find that the child will accept these foods as condiments, add-ons, and toppings onto foods with which the child is already familiar, such as adding extra cheese and milk to macaroni, serving yogurt dip with fruit for dessert and preparing oatmeal with milk instead of water. ―Picky eaters‖ who dislike the taste of these foods and children who lead vegetarian lifestyles may benefit from including non-animal foods that are fortified with vitamin D and calcium, such as orange juice, soy milk, bread, and cereal into their diet. The calcium and vitamin D content of commonly consumed food is available on National Institute of Health and United States Department of Agriculture Web sites. Continued page 15


Keeping Young Bones Healthy continued Challenges for Dietitians Fortifying the diet with adequate vitamin D and calcium to significantly improve deficiencies poses a challenge to the dietitian who treats a child with juvenile osteoporosis. For example, one cup of soy milk is equivalent to 100IU of vitamin D. Some children require 1000IU of vitamin D supplementation each day. A child would have to consume 10 cups of soy milk each day to meet this requirement. When dietary intervention is not enough, oral supplementation is prescribed. Common forms of calcium supplements include calcium carbonate (i.e. Tums®) and calcium citrate. Calcium carbonate should be taken after a meal, while calcium citrate is readily absorbed regardless of mealtime. Young patients may prefer chewable calcium supplements to solid pills. Ergocalciferol (vitamin D2) is a prescription vitamin D supplement available only in liquid form. The dietitian providing therapy to the child with juvenile osteoporosis must consider the child‘s meal times before making oral supplement, as well as dietary recommendations. Equally important to the child‘s intake of calcium and vitamin D is the amount of time the child is exposed to sunlight and engages in weight-bearing physical activity. Sunlight activates the form of vitamin D that is naturally present in skin. Every clothed child should be exposed to approximately two hours of sunlight per week in order to synthesize adequate vitamin D. Also, engaging in regular weight bearing physical activities promotes the maintenance of bone mass. The American Heart Association recommends that children receive a minimum of 60 minutes of moderate-to-vigorous exercise each day. Good examples of weight-bearing activities include stair climbing, brisk walking, running, hiking, and dancing. Parents should be educated on the positive effect that exposure to sunlight and weight-bearing activities have on their child‘s bone health and encouraged to make lifestyle changes that support them. Diet therapy provided to the child with juvenile osteoporosis must be maintained so long as the child has a calcium and vitamin D deficiency or the child‘s bone mass density remains low. Caffeine, salt, and high protein intakes inhibit calcium absorption and should be avoided. With appropriate care including mindful eating habits, a child with juvenile osteoporosis can expect an improvement in their condition. — Katherine Boyce, MS, RD, LD, is a Sodexo dietitian and manager of the outpatient nutrition department, counseling pediatric patients at the Medical University of South Carolina Hospital in Charleston, S.C. Questions and comments can be directed to [email protected].

Clinical Perspectives in GI Dysfunction

Katherine Boyce, MS, RD, LD filmed an informational video entitled, ―Clinical

Perspectives in GI Dysfunction‖ for Abbot Nutrition on January 29, 2010.

The link to the video is

http://sostv.com/public/Abbott/Vital/ABBOTT_SD_final.wmv

Join Us On Facebook!

SCDA now has a Facebook page! If you have a profile on Facebook search “South Carolina Dietetic Association” and join the group today. This is a great way to network with other dietitians across the state and get information and updates.


Art of Healthy Cooking By

Health 1st, Heart Health, and Medical University Women's Club of the Medical University of South Carolina

"A R T of Healthy Cooking" is a beautiful art cookbook produced by three or-ganizations from the Medical University of South Carolina. It is a collection of 498 recipes, each with nutritional analysis. Registered Dietitians tweaked the recipes to make them heart-healthy and still tasty. All recipes contain 10% or less calories from saturated fat. Recipes were contributed by members of the Medical University Women's Club, artists, and the M U S C family. Select color plates are from the A R T Hospital‘s Contemporary Carolina Collection. The title of this cookbook is a tribute to the Ashley River Tower Hospital (A R T), which showcases a splendid collection of 873 original works by a diverse group of 54 artists who live in South Carolina. Each recipe was individually analyzed by our Registered Dietitians. These heart-healthy recipes are all Noted with detailed nutritional information (see Note on recipe below). The introduction contains an easy to understand daily nutritional chart, as well as discussions regarding what makes a recipe healthy. Within the 9 sections are "Special Considerations" for vegan, gluten free, and lactose free recipes as well as a complete section devoted to Vegetarian cuisine. 25 color plates of original works from the Ashley River Tower Hospital (A R T), tabbed dividers, a cookbook stand, and an origi-nal hard-cover designed by graphic artist, Wade Harris all contribute to the unique quality of this nutritional "art" cookbook.

Additional details about ―Art of Healthy Cooking‖ and purchasing information can be found on: http://www.cookbooksforsale.com/displayCookbook.php?id=101404

In Memoriam

Marcelle M. Scogin, an SCDA member from

Taylors, passed away on March 3, 2010. She retired

from the Greenville Hospital System where she was

a dietitian and food service director.

Marcelle was one of the founders of the South

Carolina Dietetic Association

and remained active in the

Piedmont Dietetic Association

until recently.


The 2008 SCDA Diet Manual

For Long Term Care Facilities

The SCDA Diet Manual for LTC facilities has been revised and is available for purchase for your facility.

There have been many updates, revisions and new information added to the diet manual to meet the needs of your

facility including:

Nutrition Care Process guidelines

Adaptive Eating Devices guide

DASH diet plan

Revision of the Food Guide Pyramid, Dietary Guidelines for Americans, American Heart Association

Diet and Lifestyle Recommendations, and Dietary Reference Index sections

Classification of Obesity per BMI and new BMI chart

Dysphagia Diet Information updates

JCAHO “Do Not Use” Abbreviations and National Patient Safety Goals

Gluten Free Information and references

Lactose Intolerance Information and references

Nutrition Guidelines for Adult Day Services/Congregate Meal Programs

Nutrition Tips for Parkinson’s Disease

Strategies for Thickening Liquids and Pureeing Foods

And more…

All this valuable information has been collated into a hard copy manual as well as a CD version for ease of use.

Individual manuals can be purchased or in a combination package with both manual and CD.

Please use the order form provided (or download from the SCDA website) to purchase copies for your facility.

Thank you for your support!

Kathy Birkett, RD, LD

Diet Manual Editor


South Carolina Diet Manual For Long Term Care Facilities, Revised 2008

ORDER FORM

*NEW CD version available Cost per CD/Manual Set $120.00 Shipping per CD/Manual Set $ 5.00 Total Price per CD/Manual Set $125.00 Cost per Manual only $50.00 Shipping per Manual only $ 5.00 Total Price per Manual only $55.00 Make check payable to: SCDA Mail check and order form to: SCDA PO Box 1763 Columbia, SC 29202 If you have any questions, please call the SCDA office at (803) 255-7223. ____________________________________________________________________________

Order Form Facility Name ________________________________________________________________ Contact Person _______________________________________________________________ Shipping Address______________________________________________________________ (No PO boxes please) City, State, Zip _______________________________________________________________ Telephone #:_________________________________________________________________ Number Purchased __________________________ Total Payment Enclosed _____________

Information entered by SCDA:

Date Manual mailed to Facility _________________________________ Initials____________


By: Nicole Erickson, BA,

Masters of Dietetics and Human Nutrition Candidate Eastern Michigan University

Since Jessica Seinfeld published her cookbook, ―Deceptively Delicious,‖(1) it has become a popular practice to ―hide‖ vegetables and fruits. Foods like brownies with spinach and carrot puree, or chocolate pudding with avocado puree are being set before our children, who unsuspectingly gobble it down. The trend has caught such a craze the healthy foods are being hidden in more shelf products as well. Strolling down the supermarket aisles you can find chips that promise to provide ½ -1 serving of fruit or veggies, or juice mixes with a variety of vitamins a fruit. Parents are pleased to be providing good nutrition for their children, and the children are happy to be served such wonderful treats. However, is it good practice ―wrap‖ up our healthy foods in attractive packages and sugary treats? Will children brought up this way learn to like, to value, and to eat fruit and vegetables, simply for what they are or will they consume brownies and chocolate pudding thinking it is ―healthy‖ for the rest of their lives? The current food pyramid for children includes 1.5-3 cups of vegetables and 1-2 servings of fruit daily depending on the age and growth stage of the child. (2) The US Department of Health and Human Services ―Healthy People‖ goals specifically includes a goal for school age children to increase the daily servings of vegetables and fruit to the upper levels of those my pyramid recommendations. The goals further recommend that a 1/3 of those vegetables should be dark green or deep yellow. (3) Furthermore, fruit and vegetables are low fat foods that provide children with many health benefits. The vitamins and minerals these food choices provide are valuable for growth and maintenance at the cellular level of the growing child. Fruit and vegetables are also a good source of fiber, which plays a lifelong long role in prevention of chronic diseases in adulthood like heart disease, diabetes, hypertension, and even some cancers. (4) These facts make it easy to agree that the kid‘s pyramid goals are important and that it is well worth the effort of trying to integrate them into our children‘s diet. The question still remains how? How can we convince a child to eat their spinach and carrots? Seinfeld‘s answer, to make them ―invisible‖ suddenly seems very attractive. But what does hiding the healthy foods teach our children? Should we serve our kids pancakes made with butternut squash puree and sugary syrup, or should we serve them potato pancakes with creamed spinach sauce? What if we substitute fresh fruit for the syrup and still serve the pancakes with the vegetables pureed neatly out of sight? We, as dietitians should be aware that studies have shown that parent‘s tend to influence their children's dietary beliefs more than any other outside source. (5) In fact, recent independently conducted long term studies came to the conclusion that children pattern the eating habits and behaviors of the adults who are their role models. Additionally, the studies found those children‘s habits as adults are associated with parental eating behaviors and the quality of their parents‘ diet. (5, 6) Seinfeld even acknowledges this idea when she notes in the book‘s introduction that ―the most powerful lessons aren‘t taught…but the best parenting solutions are the ones that build good habits.‖ (1) It could thus be concluded that when a parent hides fruit and vegetables they are modeling the idea that healthy food is something that needs to be hidden. Is this really building good habits? Is hiding ANY food a good habit?

Continued page 20


Visible or Invisible Vegetables continued

I certainly do not want to teach my children that. Add this idea to the inarguable fact that, by hiding the fruit and vegetables, children are still not being taught to choose to eat them, nor are they learning that well prepared fruit and vegetables, in fact, taste good. A dietitian needs to keep these ideas in mind when speaking with parent‘s about their children‘s diet. Still, our clients protest: ―I can‘t get my 4 year old to eat peas!‖ Any parent knows how difficult it can be to reconcile healthy eating with the child‘s preferences. So, maybe there is a middle ground. Let‘s still serve peas with our macaroni, but perhaps smuggling a bit of cauliflower puree into the sauce is not a bad idea either - just don‘t forget to remind parents to be a good role model and sit down to enjoy the dish with their kids. Butternut pancakes for breakfast tomorrow? Fine, but let‘s call them that! Children will learn that vegetables can be fun and taste good too! Used with caution, Seinfeld‘s book can be a valuable source of such ideas and recipes. She even adds a few tips how to present the foods in fun ways. Nevertheless, it is our responsibility to teach parents that they should not get so busy hiding the fruit and vegetables that they forget to teach their kids to enjoy them in more traditional ways. Potato pancakes with spinach for dinner anyone? 1. Seinfeld, J. Deceptively Delicious. New York, NY: Melcher Media; 2007. 2. My Pyramid for Kids. The Kids page. Available at: http://www.mypyramid.gov/kids/index.html. Accessed October

20m 2008. 3. U.S. Department of Health and Human Services. Healthy People 2010. Washington, DC; January 2000. 4. Brown, J. Nutrition Through the Life Cycle. Belmont, CA: Thomson Wadsworth; 2008. 308-312. 5. Gattshall M, Shoup J, Marshall J, Crane L, Estabrooks P. The influence of parents‘ dietary beliefs and behaviors on

children's dietary beliefs and behaviors. The CYKIDS study. The International Journal of Behavioral and Nutrition and Physical Activity. 2008; 5 (3): 5980-5982.

6. Lumeng J, Cardindal T, Jankowski M, Kacirot N, Galman, S. Children's use of adult testimony to guide food selection. Appetite. 2008; 51 (2): 302-310.

http://www.mypyramid.gov/kids/index.html


In the food business for nearly a century, the Ajino-

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healthful products to Consumers around the Globe.

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taste.”

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are good for you, is Ajinomoto’s promise.

Link to www.ajiusafood.com for more information.

Ajinomoto Food Ingredients LLC, Chicago, IL Phone:

773-714-1436 Fax: 773-714-1431

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South Carolina Dietetic Association

PO Box 1763

Columbia, SC 29202 NONPROFIT ORG.

US POSTAGE PAID

COLUMBIA, SC

PERMIT # 137

Save the Date!!!

Upcoming Conferences and Education Opportunities

Public Policy Workshop Kickoff March 22, 2010

Legislative Day at the Statehouse March 23, 2010

SCDA Annual Meeting April 16—17, 2010

Self -study for Free CPE for Members

The ADA/CDR Code of Ethics has been developed into a two-hour self study featuring an audio

narration of a PowerPoint presentation. Titled "Ethics in Dietetics Practice‖ it offers tools and resources

for learning and applying the Code of Ethics, and will be a valuable addition to your professional library.

To learn more, go to http://www.eatright.org/pd_ethics

New Audio Options…You can now access any teleseminar or webinar offered by ADA‘s Center for

Professional Development at your convenience! Teleseminars and webinars are now also offered as audio

recordings with complete handout materials online. Your registration for this service includes unlimited

access for 30 days following purchase. Of course, audio CDs with all materials will continue to be

offered for those who wish to add the topic to their permanent audio libraries.

Palmetto Leaf

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