Eat Well, See Well! 2/4/18. Top 10 leading causes of death in the U.S. Health Care Costs. Nutrition and Disease PREVENTION.

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Eat Well, See Well! Top 10 leading causes of death in the U.S. 1. Heart disease 2. Cancer 3. Chronic lower respiratory disease 4. Accidents 5. Stroke 6. Alzheimer's disease 7. Diabetes 8. Influenza and pneumonia 9. Kidney Disease 10. Suicide Dr. Kris Kerestan Garbig krisgarbig@fuse.net Nutrition and Disease PREVENTION How many of the 10 leading causes of death are related to nutrition? 1. Heart Disease 2. Cancer 3. Stroke 4. Diabetes Health Care Costs Decreased health care costs Preventing deaths rather than treating disease Improve productivity in the workforce Improve the lives of millions of Americans and their families. Chronic Disease Leading Causes of Death and Disability in the United States Heart disease (46% of deaths with Cancer) Cancer (46% of deaths with HD) Type II Diabetes - Kidney disease, Amputations, New cases of Blindness Obesity 36% of all American adults Arthritis leading cause of disability 50% of ALL adults have one or more chronic health conditions 25% of all adults have two or more Role of Inflammation Linked to everything from most Chronic Diseases to Dry Eye Market for inflammation fighting foods expected to grow 7% by 2020 New inflammation fighting ingredients Tumeric Ginger Zoodle Cauliflower rice Nut milks Starbucks Chile Mocha 1

Fruit Veggies In 2015, over 37%of adolescents and 40% of adults said they ate fruit less than once a day. In 2015, 39% of adolescents and 22% of adults said they ate vegetables less than once a day. Too Much : Eat Less Over 1 in 3 adults have at least one type of cardiovascular disease. 90% of Americans aged 2 years or older consume too much sodium, increasing their risk of high blood pressure. #1 Salt. Consuming too much was associated with 9.5 % of deaths. #2 Red meat and processed meats such as bacon was linked to 8 % of the deaths. #3 Sugary drinks were a factor in 7.4 % of deaths. Not Enough : Eat More Low consumption of nuts and seeds was linked to about 9% of deaths. Diets low in seafood, whole grains and fruits and vegetables were found to contribute to about 6-8 % of deaths from heart disease and Type II DIA A Handful of Nuts 29 % reduction of Coronary Heart disease 21 % reduction of Cardiovascular disease 15 % reduction of Cancer 52 % reduced risk for Respiratory disease 39 % for reduced Diabetes 75 % reduced risk for Infectious disease Most of the risk reduction was achieved by eating an average of one ounce of nuts a day =two dozen almonds or 15 pecan halves. 2

Mediterranean Diet The Good News is we can take control over our health! Not our genetic predisposition, but our health! Olive oil Fruits Veggies Whole grains Nuts Fish Poultry Wine **Five year study showed 30% less development of cardiovascular disease than general low-fat diet. Diet and Lifestyle Reduced Heart Risks Reduced levels of Inflammation Heart Attack, Stroke, Alzheimer s, Other Chronic Disease Improved Weight Loss Better Blood Glucose control Reduced risk of Depression Diet and Lifestyle Take ti m e to rel ax an d en j oy every bi te Switch up your proteins Eat veggies all day long Diet and Lifestyle Eat whole-grain bread, pasta, rice and other grains Snack on nuts, seeds, low-fat cheese or dairy instead of processed snack foods Diet and Lifestyle Enjoy fruit for dessert Replace butter and margarine with olive oil as often as possible Moderate your consumption of alcohol to no more than a glass or two with a meal 3

Benefits Of Food To Certain Body Parts: Brain- salmon, tuna, sardines Bones- milk, fortified soy beverages Heart- baked potato, prune juice Lungs- broccoli, Brussel sprouts, bok-choy Benefits of Food to Certain Body Parts: Stomach- ginger Colon- beans and peas Prostate- green tea Ovaries- ice cream Nutrition and Vision 40% of Americans worry about losing their eyesight more than their ability to walk or hear. Age-Related Macular Degeneration Leading cause of vision loss and blindness in Americans over 65 1 in 4 Americans age 40 years and older suffer some sort of vision loss 43 million Americans suffer from AMD or Cataracts, the two leading causes of vision loss and blindness Cataracts Most common cause of vision loss in people over age 40 Mild to Moderate Blur Increased Light Sensitivity and Glare Dimming of Colors Nutrition and Vision American Eye-Q study shows ONLY 29% of Americans cope wi th visi on loss or other eye problems by increasing nutrients for healthy eyes Research shows a strong correlation between good nutrition and prevention of age related eye diseases 4

Nutrition and Vision Nearly 50% of Americans still believe that Carrots are the best food for good eye health True or False? Actually Dark Leafy Greens Spinach/Kale 5 Essential Nutrients for Healthy Vision 1. Lutein and Zeaxanthin 2. DHA/EPA 3. Vitamin C 4. Vitamin E 5. Zinc Lutein / Zeaxanthin Lutein / Zeaxanthin Most Powerful Combination of Anti-Oxidants Best Food sources include Bright Colorful veggies and fruit One cup 4X per week Dark Green Leafy Veggies Spinach Kale Collard Greens Broccoli Romaine Lettuce Green Beans Green Peas Yellow/Orange Fruit and Veggies Sweet Potatoes Yams Tangerines Oranges Corn Lutein / Zeaxanthin Recommended Dosage BEST source The Incredible Edible EGG!! Most easily absorbed by the body due to the fats they contain! 2 eggs 3X/week Preventative Dose for Healthy Adults 10 mg. Lutein / 2 mg. Zeaxanthin Family Hx. of AMD or Cataracts Between 10-20 mg. Lutein Between 2-8 mg. Zeaxanthin Personal Dx. of AMD or Cataract= 20 mg. Lutein / 10 mg. Zeaxanthin 5

Visual Benefits of Lutein / Zeaxanthin Increases macular pigment Internal sunglasses filtering blue light and absorbing damaging UV light as it enters the eye Decreases glare and glare recovery which is critical in night driving Improves low-light vision Alzheimer s Disease Study Less Macular Pigment Lower serum levels of L and Z Poor Visual Function Higher incidence of AMD DHA / EPA Essential Fatty Acids (Omega 3) DHA = Docosahexaenoic Acid EPA = Eicosapentaenoic Acid Recommended Dosage 1500 mg/day in healthy 2500 mg/day for Dry eye or AMD Cold water fleshy oily fish: Wild Salmon Wild Tuna Wild Mackerel Wild Trout Anchovies DHA / EPA Essential Fatty Acids Other fish: Halibut Scallops Snapper Other sources: Flax oil Lean Meat Eggs Visual Benefits of DHA / EPA Aids in Visual Development and Retinal Function (Neurological component) Decreases Dry Eye Symptoms (Anti-inflammatory component) Decreases Diabetic Retinopathy Decreases progression of AMD Protects against skin cancer Powerful Anti-oxidant and Boost to the Immune System Food Sources Citrus Fruits Oranges / Juice Grapefruit / Juice Apples Bananas Strawberries Peaches Kiwi Tomatoes Papaya Green peppers Vitamin C Veggies Spinach Cabbage Broccoli Potatoes Recommended dosage is 50mg/day 6

Supports the health of ocular blood vessels Decreases the risk of developing AMD and Cataracts Slows the progression of AMD by 25 % Visual Benefits of Vitamin C Vitamin E Powerful Anti-oxidant w/recommended dosage 400IU/day Slows Progression of AMD by 25% Decreases the risk of developing Cataracts Vitamin E Zinc Fortified Cereals Whole Grains Various nuts Ø Almonds Ø Pecans Ø Hazelnuts Ø Peanuts Ø Peanut Butter Other food sources: Safflower/corn oil Sunflower Seeds Pumpkin Seeds Sweet Potatoes Spinach Lettuce Beets Trace mineral responsible for transporting Vitamin A from the liver to the retina to produce melanin Recommended dosages Normal Healthy Adults = 8-11 mg. per day High Risk or AMD Patient = 40-80 mg. per day Food Sources include: Red Meats Liver Seafood Poultry Eggs Milk Zinc Other food sources: Yogurt Eggs Peas Baked Beans Whole Grains Visual Benefits of Zinc Slows the Progression and Stabilizes AMD along with Vits. C & E by producing melanin to protect the eyes Helps prevent Nyctalopia ( Night Blindness ) May decrease the formation of Cataracts Alzheimer Study Results 7

Night Vision Bilberry - helps improve night vision along with strengthening blood vessels in the eyes. Grape seed extract - helps improve night vision and slow down premature aging of the eyes Spices and Fennel Spices Turmeric Parsley Oregano Fennel Decreases IOP Prevents DIA Retinopathy Vitamin Supplementation Professional AMD Supplements USDA reports that 92 %of Americans do NOT receive sufficient Nutrients in their diets 50 % of all Americans use nutritional supplements for general health $ 27 billion a year spent on Multivitamins EyePromise (Zeavision) Restore- 4 mg lutein 8 mg Zeaxanthin Zeazanthin Zeazanthin and Lutein MaxiVision ( MedOp) Ocular Formula Eye Formula Whole Body Eye and Body QuantifEye MPS II Primary benefits of MPOD measurement are: v Identifies risk v Need for supplementation v Confirms that EyePromise supplementation is working OTC AMD Supplements Ocuvite PreserVision Icaps Others? 8

General Health Deficiencies Water Deficiency/Dehydration Sleep Deficiency Exercise Deficiency Vitamin D Deficiency Water Deficiency/Dehydration Symptoms: HA Fatigue Irregular Heart Beat Depression Low BP Treatment: Minimum of 8 Cups H2O/Day (Calculation Weight / 2 = # oz. H2O) Symptoms: HBP Diabetes Obesity Depression Heart Attack Stroke Treatment: 7 to 9 hours / night Sleep Deficiency Sleep and Mental Deterioration Strong link between sleep patterns and mental deterioration and Alzheimer's disease. Those who sleep 5 hours a day or less or 9 hours a day or more, have lower average mental functioning than participants who sleep seven hours per day. Exercise Deficiency Symptoms: Weight gain Tired Low energy Treatment: Minimum of 20 mins./day 5 days/week Cardio Exercise Goal: Total of 30 Min of Activity/Day Over 50% reduced risk of Diabetes 25% reduction of Heart disease when combined with weight training Weight loss Increase energy level Decrease fatigue Lighten mood 9

Heart Benefits Decrease Blood Pressure Decrease Blood Lipid Levels Decreased Blood Sugar Cardio Benefits Reduced DIA Decreased Heart Disease Decreased Osteoporosis Treatment: Vitamin D Deficiency 10 to 30 mins of sunlight per day Thanks for your Attention! It s been a pleasure!! Kris Kerestan Garbig, OD krisgarbig@fuse.net 10