Nutrition & Physical Activity Guidelines for Adolescents

Transcription

1 Nutrition & Physical Activity Guidelines for Adolescents Suzanne Haydu MPH RD Sangi Rajbhandari MPH Abby Silvester (MS Candidate/RD Intern, CWRU) Krista Flores RD Maternal, Child and Adolescent Health Division

2 Introduction Suzanne Haydu, MPH, RD

3 Agenda Introduction - Suzanne Haydu, MPH, RD, Nutrition and Physical Activity Coordinator, MCAH/CDPH What s New Sangi Rajbhandari MPH Most Recently Updated Abby Silvester Stories from the Field Krista Flores RD Questions/Answers

4 Objectives By the end of this webinar you will: 1. Be able to locate the Nutrition & Physical Activity Guidelines and related tools for adolescents on the web 2. Be able to competently use the tools located in the Nutrition & Physical Activity Guidelines when working with adolescents 3. Be especially familiar with the Fruits and Vegetables, Vegetarian Teens & Body Image and Disordered Eating sections

5 NUPA Guidelines for Adolescents Photo Source: ClipArt

6 Speakers Sangi Rajbhandari, MPH Abby Silvester MS Candidate Dietetic Intern Krista Flores, RD

7 What s New Sangi Rajbhandari, MPH

8 What s New

9 Updated Content Recent recommendations consistent with national guidance/research Addition of new chapter, Infant Feeding Use of MyPlate

10 Photographs Included

11 Colorful Handouts Affixed to the end of each section Made available on a separate webpage neshandouts.aspx

12 Increased Interactivity Links to outside resources embedded within the guidelines Links to handouts and other sections of the guidelines also included

13 Web Links Referenced/ Additional Resources Page Specific resources available for each section Additional resources page displays Title of resource Resource type URL (hyperlinks to resource websites)

14 Recent Sections Abby Silvester MS Candidate Dietetic Intern

15 NUPA Guidelines Reference and guide for case managers Interventions/Referrals Follow-Up Web Links Referenced/Additional Resources

16 Nutrition and Physical Activity Screen How to use the screen Use these screens to determine where the client needs improvement When applicable, additional screening available in specific sections

17 Fruits and Vegetables Vegetarian Teens Body Image and Disordered Eating

18 Fruits and Vegetables

19 Inside this Section Why are Fruits and Vegetables Important? Benefits of fruit and vegetable rich diet Why the Concern about Fruit and Vegetable Intake? CalTEENS, 2012 National Youth Risk Behavioral Surveillance System (YRBSS), 2013

20 Recommendations

21 Cups or Servings? Recommendation language changed from servings to cups and may be confusing Cups used in 2010 DGA and MyPlate Hyperlinks to resources that contain examples of what counts as a cup

22 Why do Adolescents Avoid Fruits and Vegetables? Availability Social Norms Perceptions Knowledge and/or Skills Parental Role Modeling

23 Interventions/Referrals Explanation of how to utilize the handouts Hyperlinks to handouts included

24 Handouts Fruit and Veggie Quiz Intervention activities Fruit and Vegetable Tips How to incorporate more fruits and veggies in the diet

25 More Handouts Be Sure to Get your Fruits and Veggies Eat a Colorful Variety of Fruits and Veggies

26 More Handouts Action Plan for Fruits and Veggies

27 Vegetarian Teens

28 Inside this Section What is a Vegetarian Diet? General information The Spectrum of Vegetarian Diets Definitions of common vegetarian diets Vegan / Raw Vegan Semi-Vegetarian

29 Why Teens Choose to Go Vegetarian Interest in animal rights Religious beliefs Health or wellness To lose weight Popular among friends Fitness Possible association with disordered eating

30 Nutritional Concerns Vegan diets Protein n-3 Fatty Acids Calcium and Vitamin D Iron Zinc Vitamin B 12 Pregnancy

31 Nutritional Concerns Table for quick reference Specific vegetarian diet Associated nutrients of concern Some sources of the nutrients

32 Additional Screening Food Habits screen first from the Nutrition and Physical Activity Screen chapter Is vegetarianism present? Additional screening What specific type of vegetarian diet is being followed?

33 Interventions Utilize the handouts to encourage a healthy vegetarian diet

34 Handouts Vegetarian Food Guide Tool to guide healthy vegetarian diet Tips for Vegetarians

35 More Handouts Smart Choices Activity sheet for teens Vegan Foods with Protein Includes serving size (in cups and ounces) Includes grams of protein each food provides

36 Body Image and Disordered Eating

37 Inside this Section What is Body Image? Poor Body Image Influences on Body Image Pressure from parents, teachers, friends Society

38 Inside this Section Risk Factors for Developing Disordered Eating Family dysfunction Focusing on weight Stress, anxiety, depression Trauma Poor Body Image can Lead to Disordered Eating

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40 Inside this Section Disordered Eating and Exercise Binge eating, anorexia nervosa, bulimia Other Specified Feeding or Eating Disorder Unspecified Feeding or Eating Disorders Orthorexia Nervosa (Orthorexia)

41 Inside this Section Eating Disorder Warning Signs Common Misconceptions You can tell by looking whether a person has an eating disorder. False. There are many people with eating disorders who are of average weight

42 Interventions How to Start the Conversation Krista Flores RD Dr. Judith Brisman How to Help Someone

43 Interventions/Referrals How to use handouts If an eating disorder is suspected, refer to a specialist Hyperlink to Additional Resources page

44 Handouts What is Body Image? Definition How it is shaped over time Develop a Positive Body Image Activity sheet

45 More Handouts Ask Yourself The Important People in My Life Accept All Body Shapes

46 Stories from the Field Krista Flores, RD Eating Recovery Center of California

47 Eating Disorders and Body Image By: Krista Flores, RD June 25, 2015

48 Outline How to approach and talk to an adolescent with an eating disorder Signs to Look For Body Image and Disordered Eating Screening Tool What to Say- Step by Step Questions and Answers

49 How to Approach and Talk to an Adolescent with an Eating Disorder Build rapport = trust and openness Express your concern in a relaxing and calm environment. Eating disorders have the highest mortality rate of any mental illness Discuss your worries sooner rather than later to prevent damaging physical and emotional effects of the eating disorder Know your limits Use your resources and refer

50 Signs to Look for Focused on weight for sports Dieting Weight changes Negative comments about food/body image Depression Perfectionist Food intake

51 Screening Tool Use of Screening Tool What to look for How to Interpret althyliving/childfamily/documents/mo- NUPA-02NutritionalRiskScreening.pdf

52 What to Say- Step by Step Set a time to talk Communicate your concerns Ask the adolescent to explore these concerns Avoid conflicts or a battle of wills Avoid placing shame, blame, or guilt regarding their actions or attitudes Avoid giving simple solutions Express your continued support Body Image and Disordered Eating Handouts (National Eating Disorders Association, 2015)

53 The Frontline The sooner an eating disorder is detected the sooner the adolescent can get treatment and have a better prognosis of recovery The adolescent and/or their family may be resistant to getting their child help Follow up, reassess, review handouts and provide support

54 Questions?

55 References National Eating Disorders Association. What should I say Accessed July 8, Prevention of Eating Problems with Elementary Children, Michael Levine, USA Today, July Shisslak, C.M., Crago, M., & Estes, L.S. (1995). The Spectrum of Eating Disturbances. International Journal of Eating Disorders, 18 (3): Zucker NL, Womble LG, Williamson DA, et al. Protective factors for eating disorders in female college athletes. Eat Disorders 1999; 7:

56 Questions?

57 Suzanne Haydu, MPH, RD Nutrition and Physical Activity Coordinator Maternal, Child & Adolescent Health Division Center for Family Health, California Department of Public Health (916) g/nutrition/pages/teenguidelines.aspx