State of the Plate Chef Cyndie Story, PhD, RD Culinary Solution Centers, LLC.

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1 State of the Plate 2009 Chef Cyndie Story, PhD, RD Culinary Solution Centers, LLC.

2 Mrs. Loette Hall

3 Obesity Trends* Among U.S. Adults BRFSS, 1990 (*BMI 30, or ~ 30 lbs. overweight for 5 4 person) No Data <10% 10% 14%

4 Obesity Trends* Among U.S. Adults BRFSS, 1991 (*BMI 30, or ~ 30 lbs. overweight for 5 4 person) No Data <10% 10% 14% 15% 19%

5 Obesity Trends* Among U.S. Adults BRFSS, 1992 (*BMI 30, or ~ 30 lbs. overweight for 5 4 person) No Data <10% 10% 14% 15% 19%

6 Obesity Trends* Among U.S. Adults BRFSS, 1993 (*BMI 30, or ~ 30 lbs. overweight for 5 4 person) No Data <10% 10% 14% 15% 19%

7 Obesity Trends* Among U.S. Adults BRFSS, 1994 (*BMI 30, or ~ 30 lbs. overweight for 5 4 person) No Data <10% 10% 14% 15% 19%

8 Obesity Trends* Among U.S. Adults BRFSS, 1995 (*BMI 30, or ~ 30 lbs. overweight for 5 4 person) No Data <10% 10% 14% 15% 19%

9 Obesity Trends* Among U.S. Adults BRFSS, 1996 (*BMI 30, or ~ 30 lbs. overweight for 5 4 person) No Data <10% 10% 14% 15% 19%

10 Obesity Trends* Among U.S. Adults BRFSS, 1997 (*BMI 30, or ~ 30 lbs. overweight for 5 4 person) No Data <10% 10% 14% 15% 19% 20%

11 Obesity Trends* Among U.S. Adults BRFSS, 1998 (*BMI 30, or ~ 30 lbs. overweight for 5 4 person) No Data <10% 10% 14% 15% 19% 20%

12 Obesity Trends* Among U.S. Adults BRFSS, 1999 (*BMI 30, or ~ 30 lbs. overweight for 5 4 person) No Data <10% 10% 14% 15% 19% 20%

13 Obesity Trends* Among U.S. Adults BRFSS, 2000 (*BMI 30, or ~ 30 lbs. overweight for 5 4 person) No Data <10% 10% 14% 15% 19% 20%

14 Obesity Trends* Among U.S. Adults BRFSS, 2001 (*BMI 30, or ~ 30 lbs. overweight for 5 4 person) No Data <10% 10% 14% 15% 19% 20% 24% 25%

15 Obesity Trends* Among U.S. Adults BRFSS, 2002 (*BMI 30, or ~ 30 lbs. overweight for 5 4 person) No Data <10% 10% 14% 15% 19% 20% 24% 25%

16 Obesity Trends* Among U.S. Adults BRFSS, 2003 (*BMI 30, or ~ 30 lbs. overweight for 5 4 person) No Data <10% 10% 14% 15% 19% 20% 24% 25%

17 Obesity Trends* Among U.S. Adults BRFSS, 2004 (*BMI 30, or ~ 30 lbs. overweight for 5 4 person) No Data <10% 10% 14% 15% 19% 20% 24% 25%

18 Obesity Trends* Among U.S. Adults BRFSS, 2005 (*BMI 30, or ~ 30 lbs. overweight for 5 4 person) No Data <10% 10% 14% 15% 19% 20% 24% 25% 29% 30%

19 Obesity Trends* Among U.S. Adults BRFSS, 2006 (*BMI 30, or ~ 30 lbs. overweight for 5 4 person) No Data <10% 10% 14% 15% 19% 20% 24% 25% 29% 30%

20 Obesity Trends* Among U.S. Adults BRFSS, 2007 (*BMI 30, or ~ 30 lbs. overweight for 5 4 person) No Data <10% 10% 14% 15% 19% 20% 24% 25% 29% 30%

21 Unhealthy Weight 1/3 rd of Americans are obese

22 Unhealthy Weight 2/3 rd of Americans are overweight or obese

23

24 Critical Ages 7-9 year olds 13 year olds Am J Clin Nutrition, 1994 Am J Clin Nutrition, 1999

25 Family If one parent is obese the child has 50% chance of becoming obese adult Both parents obese; increases risk to 80% Normal weight parents, obese risk 5-8% 5

26 Obesity-related health problems High cholesterol - heart disease Coronary artery disease- Early heart attacks Stroke Fractures or stress fractures/osteoarthritis Cancer Hypertension Diabetes (Type 2)

27 The Problem Obesity Threatens To Cut U.S. Life Expectancy -National Institute on Aging

28 Super-Size Size Me Who s Responsible?

29 Causes Genetics: Related but NOT responsible Manufactured food is dense with calories and fat U.S. food industry produces 3900 calories/day We can eat high calories very fast Chain eaters Portion distortion

30 Portion Distortion PEPPERONI PIZZA 20 Years Ago Today 500 calories 850 calories

31 Portion Distortion POPCORN 20 Years Ago Today 270 calories 5 cups 630 calories 11 cups

32 Portion Distortion SODA 20 Years Ago Today 85 Calories 6.5 ounces 250 Calories 20 ounces (becoming small)

33 Portion Distortion BAGEL 20 Years Ago Today 140 calories 3-inch diameter 350 calories 6-inch diameter

34 Portion Distortion CHEESEBURGER 20 Years Ago Today 333 calories 590 calories

35 Portion Distortion Wendy s Baconator = 900 calories Hardee s Monster Burger = 1400 calories

36 Portion Distortion FRENCH FRIES 20 Years Ago Today 210 Calories 2.4 ounces 610 Calories 6.9 ounces

37 Family-sized chicken nugget!

38 Calorie Counter How many calories should you consume?

39 A Healthy Weight Bottom Line: NO MAGIC PILL

40 Let s s take a supermarket tour

41 Trip to the Supermarket

42 Trip to the Supermarket Eat Well Stay Healthy Chicken Breasts 360 mg Sodium $5.32/lb vs. Chicken Breasts 50 mg Sodium $4.62/lb

43 The Market Certification/per serving: Total fat Sat fat Cholesterol Sodium Trans fat 3 g or less 1 g or less 20 mg or less 480 mg or less Less than ½ gram

44 Trip to the Supermarket

45 Trip to the Supermarket Chicken nuggets: Serving size: 4 Calories: 180 Fat: 9 gm (45%) Sodium: Fiber: 490 mg Can you say NONE?

46 Trip to the Supermarket

47 Trip to the Supermarket Honey Roasted Chicken Breast Serving size: Calories: 110 Fat: Sodium: 2/3 cup 1 gm 660 mg

48 Trip to the Supermarket

49 Trip to the Supermarket Fast Franks Serving size: 1 Calories: Fat: Sodium: Cost: 300 (without ketchup) 20 gm (60% fat) 830 mg $2.89 for 3 (almost a buck a dog)

50 Trip to the Supermarket

51 Trip to the Supermarket Light Beef Hotdogs on Whole Wheat Bun Serving Size: 1 Calories: 200 ( Fat: Sodium: Fiber: 200 (100 calories fewer than Frank) 8 gm (36% fat) 590 mg 2 gm in the bun Cost: $5.44 for EIGHT (.68)

52 Trip to the Supermarket Can you say Special Occasion?

53 Trip to the Supermarket

54 Trip to the Supermarket Country Crock Mac & Cheese Serving size: 1 cup Calories: 370 Fat: Sodium: 17 gm (41% fat) 940 mg

55 Trip to the Supermarket

56 Trip to the Supermarket Country Crock Mashed Potatoes Serving size: Calories: 180 Fat: Sodium: 2/3 cup 9 gm (45% fat) 470 mg

57 Trip to the Supermarket

58 Trip to the Supermarket Green Beans Serving size: ½ cup Sodium: 390 mg Green Beans: No Salt Added Serving size: ½ cup Sodium: 10 mg Frozen Green Beans No Sodium

59 Trip to the Supermarket

60 Trip to the Supermarket Kraft Mac & Cheese Serving size: 1 cup Calories: 290 Fat: 3.5 gm (made with FF milk) Sodium: 580 mg Note: Box says double the calcium at 25% Other boxes claimed 15 % calcium

61 Trip to the Supermarket

62 Trip to the Supermarket Capri Sun (21 feet of aisle space) First ingredient water Second ingredient High Fructose Corn Syrup

63 Trip to the Supermarket

64 Trip to the Supermarket Juicy Juice First ingredient apple juice Second ingredient grape juice Then kiwi juice Then strawberry juice And finally water

65 Trip to the Supermarket

66 Trip to the Supermarket Top Bottom

67 Trip to the Supermarket No sodium 80 mg/packet

68 Trip to the Supermarket Which one would you choose?

69 Trip to the Supermarket 60 Calories 2.5 gm Fat 230 mg Sodium 50 Calories 2.5 gm Fat 180 mg Sodium

70 Trip to the Supermarket

71 Trip to the Supermarket Multigrain Regular Serving size: 1 oz 1 oz Calories: Fat: 8 gm (48%) 8 gm (51%) Sodium: 135 mg 110 mg Fiber: 2 gm 1 gm

72 Trip to the Supermarket 8 grams of Fiber!

73 Adequate Fiber Fluffy Floaters or Sinkers?

74 Trip to the Supermarket High fructose Corn Syrup

75 Trip to the Supermarket

76 Trip to the Supermarket

77

78 Trip to the Supermarket 2 Tbsp = 14 mg Fat

79 The Supermarket Packed with nutritious foods: Lean meats Low fat dairy products Fruits Vegetables Whole grains

80 Nutrition Symbols in the Market 3-A-Day Sensible Solution Smart Choices made Easy Nutrition at a Glance

81 The decision to buy a product is made in a matter of seconds

82

83 ONQI Rankings Strawberries Broccoli Orange Banana 1% Milk Sunflower seeds Orange juice Diet soda Pretzels Regular soda

84 Changing the world over time like Alexandra Alex Scott

85 Questions?

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