Quiz: How much time does your physician spend discussing nutrition and/or your diet with you?

The following questions were created to determine your interaction and confidence in your physician on the subject of nutrition and/or dieting. In addition, based on your responses, I urge you to read the CMS decision to cover "Obesity Therapy" and sign a petition to include the Registered Dietitian (RD), as a covered practitioner. Petition http://wh.gov/DWX 






Background/Definitions

Recently, the Centers for Medicare and Medicaid Services (CMS) approved coverage for "Obesity Therapy." Decision: CAG-00423N. As a registered dietitian and licensed nutritionist, I was pleased to hear people who suffer from obesity would be able to get assistance. However, I was surprised to learn the decision did not include the RD and would only cover the primary care physician with a specialty in family medicine, internal medicine, geriatric medicine, or pediatric medicine; or a nurse practitioner, clinical nurse specialist, or physician assistant.

None of the above mentioned practitioners (except the RD) have required courses in Obesity Therapy and many have limited nutrition education. The RD has the education and experience to implement an Obesity Therapy component, in addition to practitioners in the field of psychology.

Who is a Registered Dietitian?
A Registered Dietitian (RD) is a food and nutrition expert who has met academic and professional requirements including:
1. Earned a bachelor’s degree with course work approved by ADA’s Commission on Accreditation for Dietetics Education. Coursework typically includes food and nutrition sciences, medical nutrition therapy, physiology, microbiology, chemistry, biochemistry, psychology, sociology, foodservice systems management, business, computer science and economics. 
2. Completed an accredited, supervised practice program at a health-care facility, community agency or foodservice corporation; 
3. Passed a national examination administered by the Commission on Dietetic Registration; and
4. Completes continuing professional educational requirements to maintain registration.

Approximately 50% of RDs hold advanced degrees. Some RDs also hold additional certifications in specialized areas of practice, such as Adult Weight Management; Childhood and Adolescent Weight Management; Level 2 Adult Weight Management; pediatric or renal nutrition, nutrition support and diabetes education.
To learn more about the role of the RD visit http://www.eatright.org/

Quiz
1. Has your physician ever discussed nutrition and/or your diet with you?
   a. No        b. Not Sure            c. Yes

2. Has your physician ever said to you, “You need to go on a diet?”
    a. No       b. Not Sure            c. Yes

If you answered yes, please continue.
If you answered “not sure”, consider signing the petition.
 If no, you are probably in good health or you need a new doctor.

3. How much time did your physician (or nurse) spend on the following Nutrition and Dietary Assessments and Plan of Care Tools or Programs?

(1) Conduct a Dietary History 
   a. 0 to 1 minute    b. 1 minute to 3 minutes    c. Greater than 3 minutes

(2) Evaluate a Food Journal or Food Recall
   a. 0 to 1 minute    b. 1 minute to 3 minutes    c. Greater than 3 minutes

(3) Provide Diet Instructions
   a. 0 to 1 minute    b. 1 minute to 3 minutes    c. Greater than 3 minutes

(4) Teach Behavior Modification Techniques
   a. 0 to 1 minute    b. 1 minute to 3 minutes    c. Greater than 3 minutes

(5) Assist with Meal Planning 
   a. 0 to 1 minute    b. 1 minute to 3 minutes    c. Greater than 3 minutes

(6) Help with recipe modifications
   a. 0 to 1 minute    b. 1 minute to 3 minutes    c. Greater than 3 minutes


Score. Count the number of times you chose “a”, “b” and “c”. 
  a: _______            b. _______            c: ________

If you chose “a” and “b” more times than you chose “c”;
Please sign the Petition
Help Stop the Obesity Epidemic
Petition
http://wh.gov/DWX 

Conclusion
Obesity is a risk factor associated with numerous chronic diseases (heart disease, diabetes, cancer, etc). Over the last 20 years, the incidence of obesity in the U.S. has dramatically increased.

From: CDC, U.S. Obesity Trends National Obesity Trends 
“About one-third of U.S. adults (33.8%) are obese. Approximately 17% (or 12.5 million) of children and adolescents aged 2—19 years are obese. During the past 20 years, there has been a dramatic increase in obesity in the United States and rates remain high. In 2010, no state had a prevalence of obesity less than 20%. Thirty-six states had a prevalence of 25% or more; 12 of these states (Alabama, Arkansas, Kentucky, Louisiana, Michigan, Mississippi, Missouri, Oklahoma, South Carolina, Tennessee, Texas, and West Virginia) had a prevalence of 30% or more.”

In over 30 years as a practicing RD, I have never seen a primary care physician sit with a patient to go over a diet history, food recall, diet instruction, behavior modification, meal planning, and/or recipe modifications. My current doctor still provides diet handouts from pharmaceutical companies.

Based on the current CMS decision, the cost of Obesity will go higher, as people get larger because of inadequate "Obesity Therapy".

Please sign the Petition
Help Stop the Obesity Epidemic

Petition

http://wh.gov/DWX 

Florida State Representative Perman Welcomes Registered Dietitians in Support of Licensure

Registered dietitians, Barbara Truitt and Christina Wyatt visited with State Representative Steve Perman to discuss the importance of supporting the Dietitians / Nutritionists Licensure.
 
Perman, already a supporter offered suggestions when visiting elected officials. 

1. Public Health and Public Safety are important issues to everyone; show how supporting licensure will benefit our communities. 

2. Prior to a meeting, review elected officials’ interests and committees. Your presentation should emphasize how the RD is essential in achieving a positive outcome. 

3. Recommended meeting with the Florida’s Commissioner of Agriculture, Adam Putnam. Agriculture and Nutrition have a strong relationship. Working together will benefit the people of Florida.

How RDs Benefit
Public Health and Public Safety 

A registered dietitian (RD) is governed by strict guidelines of the Commission on Dietetic Registration of the American Dietetic Association and the Florida Dietetic Association in the areas of education; internships; experiences; and continuing education requirements, in order to maintain certification. 


The education of a RD focuses on timely, scientifically based food and nutrition information. The RD is an advocate in educating the consumer, media and other health care professionals on making informed food choices and developing sound eating and physical activity habits. The RD is a crucial member of the health care team; in assessing nutritional status, recommending appropriate plan of care, and maintaining follow-up. 


 Without licensure anyone can call themselves a nutritionist, regardless of education or training. Public health and public safety would be at risk.

December 11, 2011 UNICEF Assists Children Globally for 65 Years

UNICEF  was created on December 11, 1946 by the United Nations to provide children with food, clothing and health care. UNICEF believes nurturing and caring for children are the cornerstones of human progress. UNICEF is active in more than 190 countries and territories through country programs and National Committees.


History of UNICEF
Sir Roger Moore narrates a brief history of UNICEF, telling the story of a small UN agency founded to bring relief to the children in countries torn apart by WWII to the global force for health, education, and child protection it is today.

 

UNICEF Facts

Poverty contributes to malnutrition, which in turn is a contributing factor in over half of the under-five deaths in developing countries. Some 300 million children go to bed hungry every day. Of these only eight per cent are victims of famine or other emergency situations. More than 90 per cent are suffering long-term malnourishment and micronutrient deficiency. (State of the World’s Children, UNICEF, 2005)

In all developing regions, children in rural areas and children from poor households are more likely to be underweight due to lack of nutrition. (Progress for Children, UNICEF, 2010)

884 million people lack access to improved drinking water sources, and 84 per cent of them live in rural areas. (Progress for Children, UNICEF, 2010)

In wake of the floods, malnutrition threatens
thousands of children in Pakistan

 Shop UNICEF

Shop the UNICEF store and help children in need.
Every UNICEF card and gift you buy supports the efforts
to save children’s lives around the world.

Nutrition Gifts
UNICEF Cards and Gifts
UNICEF 2012 Children's Art Wall Calendar 

Nursery Tales Around the World Book

Kids Around the World

UNICEF: "Let's Heal the World"

Young people from different nationalities across the globe

are sending a message of peace and hope through music, 

as part of a UNICEF partnership with Limkokwing University 

of Creative Technology to help create a world fit for children. 

World Diabetes Day November 14, 2011

World Diabetes Day (WDD) is celebrated every year on November 14th. The World Diabetes Day campaign is led by the International Diabetes Federation (IDF) and its association members. It joins millions of people worldwide in diabetes advocacy and awareness.

World Diabetes Day was created in 1991 by the International Diabetes Federation and the World Health Organization. World Diabetes Day became an official United Nations Day in 2007. The campaign draws attention to the issues of importance to the diabetes world and keeps diabetes in the public spotlight. Diabetes Education and Prevention is the World Diabetes Day theme for the period 2009-2013. 

The Global Diabetes Plan was launched on September 18, 2011. The latest figures from the International Diabetes Federation (IDF) reveal that currently 366 million people have diabetes, 4.6 million deaths are due to diabetes and US$ 465 billion is spent on care for diabetes. This disease is one of the century’s greatest health challenges and remains on a relentlessly upwards trajectory.

IDF has brought together world experts to develop a coherent framework of action to respond to the diabetes challenge.  These cost-effective solutions for action by governments, health care professionals and the global diabetes community are presented in IDF’s Global Diabetes Plan 2011-2021. (The presentation is available for download or viewing on video at http://www.idf.org/global-diabetes-plan-2011-2021)

The Big Blue Test is a program of the Diabetes Hands Foundation (DHF). It takes place every November 14 (World Diabetes Day). People with diabetes are invited to test their blood sugar at 2 pm (local time), do 14 minutes of activity, test again and share the results.

Meet Toby Smithson, RD, LDN, CDE

Toby Smithson is a Registered Dietitian, a Certified Diabetes Educator, a national spokesperson for the American Dietetic Association, and holds a certification in adult weight management. Toby was diagnosed with Type 1 diabetes in October, 1968, and has managed diabetes personally every single day since with no hint of complications. Toby founded DiabetesEveryDay to share her insights into successful diabetes self-management.

DiabetesEveryDay.com members enjoy 24/7 access to weekly menu selections, recipes (developed by dietitians for heart health and carbohydrate management), grocery lists and a unique library of video clips featuring Toby Smithson. New content is added weekly, Toby draws upon her own extraordinary diabetes management success to make this overwhelming responsibility for self-care both understandable and practical. She explores not only the nuts and bolts….medical issues, food and physical activity….but also everyday lifestyle, emotional challenges, stress, and life changing motivation; the real keys to success. To learn more, visit DiabetesEveryDay.com

Blue Circle Dance

About 500 employees, families and friends of Novo Nordisk from all around the world filmed themselves while dancing to 'Move your feet' by Junior Senior. The idea is to generate awareness for diabetes on World Diabetes Day 14 November 2011.

Dietitians in the News and Blog Up-dates November 9, 2011

Seven Favorite Paper.li Food and Nutrition Daily's

Paper.li is a content service. It enables people to publish newspapers based on topics they like and treat their readers to fresh news, daily. Paper.li believes people are the ones qualified to organize and oversee the content that matters most.

Kids Eat Right Daily; @kidseatright

A national campaign of the American Dietetic Association and ADA Foundation to promote healthy eating and prevent childhood obesity.

The Kids-Health-and-Nutrition Daily; @TwinToddlersDad

Blogger; always learning, researching and writing about toddler nutrition. Have an idea or question related to toddler nutrition? Drop me a line!

The Nutrition Tidbits Daily; @HealthCastleGlo

Editor-in-Chief for HealthCastle.com. Author of @GoUnDiet book. Dietitian and nutrition geek.

*How2Cook*Today; @how2cook4u

How2Cook4U hopes you will enjoy your cooking more and eating even more! 

Garden☼ Food and Nutrition News; @GardenCuizine

I’m a Gardening Chef and Registered Dietitian, sharing Healthy Lifestyle, Recipe, Food & Nutrition tips using fresh Garden ingredients http://GardenCuizine.com

 The Diva-Dietitian Daily; @DivaDietitian

The Skinny on Nutrition From Registered Dietitians around the Web. 

Fast Food World; @ValburgerElba

Social Fast Food

November 2011 Wellness News

Current News, Resources and Events in Nutrition, Food, Health, Environment, Safety and Disability Rights. Encourages awareness and inspires ideas for Journalists, Educators, Consumers and Health Professionals. Wellness News is up-dated daily. To view the entire Newsletter online click here or subscribe to Wellness News by adding your email address to the link on the left.

November 2011

November Highlights

American Diabetes Month Military Family Appreciation Month Diabetic Eye Disease Month Epilepsy Awareness Month Lung Cancer Awareness Month and COPD Awareness Month National Alzheimer's Disease Awareness Month National Healthy Skin Month National Long term Care Awareness National Marrow Awareness Month National Family Caregivers Month National Hospice Palliative Care National Stomach Cancer Awareness Month Pancreatic Cancer Awareness Prematurity Awareness Month National Adoption Month Family Stories Month World Vegan Month National Roasting Month Banana Pudding Lovers Month Gluten Free Diet Awareness Month National Fun with Fondue Month National Georgia Pecan Month National Pepper Month National Pomegranate Month Peanut Butter Lovers Month Raisin Bread Month Sweet Potato Awareness Month National Pet Cancer Awareness PTA Healthy Lifestyle Month MADD's Tie One On For Safety Holiday (11/16-12/31) Native American Heritage Month

Food Day 2011, What is a Serving Size?

"Food Day is October 24 and will continue to be in the years to come. Food Day seeks to bring together Americans from all walks of life, parents, teachers, and students; health professionals, community organizers, and local officials; chefs, school lunch providers, and eaters of all stripes to push for healthy, affordable food produced in a sustainable, humane way. We will work with people around the country to create thousands of events in homes, schools, churches, farmers markets, city halls, and state capitals."

Senator Tom Harkin (D-IA) and Representative Rosa DeLauro (D-CT) are the Honorary Co-Chairs for Food Day 2011, and the day is sponsored by the Center for Science in the Public Interest, the nonprofit watchdog group that has led successful fights for food labeling, better nutrition, and safer food since 1971. Like CSPI, Food Day will be people-powered and does not accept funding from government or corporations—though restaurants, supermarkets, and others are certainly encouraged to observe Food Day in their own ways.

Become a Food Label Detective
An Educated Consumer has the
Tools to Make Wise Decisions

6 FOOD DAY PRINCIPLES

1. Reduce diet-related disease by promoting safe, healthy foods.
2. Support sustainable farms and limit subsidies to big agribusiness.
3. Expand access to food and alleviate hunger.
4. Protect the environment and animals by reforming factory farms. 
5. Promote health by curbing junk-food marketing to kids. 
6. Support fair conditions for food and farm workers.

A special thank you to Marcela Lucena, Erik Bustillo, and the Florida International University, Student Dietetic Association for helping spread the word about Food Day.

World Food Day October 16, 2011

World Food Day was established by the Food and Agriculture Organization of the United Nations (FAO) in November 1979. FAO celebrates World Food Day each year on October 16th, the day on which the Organization was founded in 1945.

“FOOD PRICES – FROM CRISIS TO STABILITY” has been chosen as the 2011 World Food Day theme to shed some light on this trend and what can be done to mitigate its impact on the most vulnerable.

WORLD FOOD DAY 2011

On World Food Day 2011, let us look seriously at what causes swings in food prices, and do what needs to be done to reduce their impact on the weakest members of global society.

The objectives of World Food Day are to:

*Encourage attention to agricultural food production and to stimulate national, bilateral, multilateral and non-governmental efforts to this end;

*Encourage economic and technical cooperation among developing countries;

*Encourage the participation of rural people, particularly women and the least privileged categories, in decisions and activities influencing their living conditions;

*Heighten public awareness of the problem of hunger in the world;

*Promote the transfer of technologies to the developing world; and

*Strengthen international and national solidarity in the struggle against hunger, malnutrition and poverty and draw attention to achievements in food and agricultural development.


To learn more about World Food Day, visit the Food and Agriculture Organization of the United Nations (FAO).

Global Handwashing Day October 15th

Global Handwashing Day 2011 will involve millions of people in over 100 countries around the world. Global Handwashing Day (GHD) was created to:

• Foster and support a global culture of handwashing with soap.
• Shine a spotlight on the state of handwashing in every country.
• Raise awareness about the benefits of handwashing with soap.

Why Handwashing with Soap?

Handwashing with soap is the most effective and inexpensive way to prevent diarrheal and acute respiratory infections, which take the lives of millions of children in developing countries every year. Together, they are responsible for the majority of all child deaths. Yet, despite its lifesaving potential, handwashing with soap is seldom practiced and difficult to promote.

Turning handwashing with soap before eating and after using the toilet into a habit could save more lives than any single vaccine or medical intervention, cutting deaths from diarrhea by almost half and deaths from acute respiratory infections by one-quarter. A vast change in handwashing behavior is critical to meeting the Millennium Development Goal of reducing deaths among children under the age of five by two-thirds by 2015.

Global Handwashing Day focuses on children because they suffer the most from diarrheal and respiratory diseases and deaths, but research shows that children can also be powerful agents for changing behaviors like handwashing with soap in their communities.


When should you wash your hands?
·         Before, during, and after preparing food
·         Before eating food
·         Before and after caring for someone who is sick
·         Before and after treating a cut or wound
·         After using the toilet
·         After changing diapers or cleaning up a child who has used the toilet
·         After blowing your nose, coughing, or sneezing
·         After touching an animal or animal waste
·         After touching garbage
 

For more information on handwashing with soap, including research, tools, and news visit www.globalhandwashing.org.

The Global Handwashing Day's theme video with
instructions for children on how to wash their hands properly.

It’s In Your Hands

Resources and References

1. CDC, Centers for Disease Control and Prevention, Handwashing:Clean Hands Save Lives

2. Global Handwashing Day 

3. Partnership for Food Safety Education, Fight BAC!  

4. The Scrub Club. A fun, interactive and educational Web site that teaches children the proper way to wash their hands. The site contains interactive games, educational music, downloadable activities for kids, educational materials for teachers and program information for parents.

5. Healthy Schools, Healthy People, It’s a SNAP!  (School Network for Absenteeism Prevention) program is a joint initiative of the CDC and American Cleaning Institute. This program seeks to improve hand hygiene habits to help prevent the spread of infectious disease and reduce related absenteeism. This grassroots, education-based effort can help improve health by making hand cleaning an integral part of the school day. Without proper hand cleaning, a single infection can quickly spread among students, teachers, family and friends.

National School Lunch Week October 10 – 14, 2011

"In the long view, no nation is healthier than its children, or more prosperous than its farmers." - President Harry Truman, on signing the 1946 National School Lunch Act. Through the Years The National School Lunch Program was created in 1946 when President Truman signed the National School Lunch Act into law. The National School Lunch Program is a federal nutrition assistance program. Through the years, the program has expanded to include the School Breakfast Program, Snack Program, Child and Adult Care Feeding Program and the Summer Food Service Program. In 1962, Congress designated the week beginning on the second Sunday in October each year as "National School Lunch Week." The video below looks at the school lunch program from the late 1930’s to the present day and includes President Obama signing the Healthy, Hunger-Free Kids Act. One can see from the photographs some of the changes in the foods provided. There is an increase in whole grains, fruits, vegetables, lean protein and lowfat dairy. (Part of the video has clips from a film produced by the USDA in the mid-60s.) School Lunch Resources  Organizations, Associations, and Programs  School Nutrition Association 2011 Theme: “School Lunch – Let’s Grow Healthy”  Recognized as the authority on school nutrition, the SNA has been advancing the availability, quality and acceptance of school nutrition programs as an integral part of education since 1946. The School Nutrition Association is a national, nonprofit professional organization.  Mission. To advance good nutrition for all children.  National Farm to School Month Farm to School is broadly defined as any program that connects schools (K-12) and local farms with the goal of serving healthy meals in school cafeterias, improving student nutrition, providing agriculture, health, nutrition education, and supporting local and regional farmers. Farm to School programs exist in all 50 states, but since Farm to School is a grassroots movement, programs are as diverse as the communities they serve. National Farm to School Month The National School Lunch Program (NSLP) is a federally assisted meal program operating in public and nonprofit private schools and residential child care institutions. It provides nutritionally balanced, low-cost or free lunches to children each school day. The program was established under the National School Lunch Act, signed by President Harry Truman in 1946. Kids Eat Right your source for scientifically-based health and nutrition information you can trust to help your child grow healthy. As a parent or caretaker you need reliable resources and you can find them here, backed by the expertise of nutrition professionals. Team Nutrition.  10 Tips Nutrition Education Series; Menu Planner for Healthy School Meals; Eat Smart. Play Hard.™ Materials. Campaign launched by USDA's Food and Nutrition Service (FNS) to encourage and teach children, parents, and caregivers to eat healthy and be physically active every day. Eat Smart. Play Hard.™ is about making America's children healthier. It's about practical suggestions that will help you motivate children and their caregivers to eat healthy and be active. Eat Smart. Play Hard.™ Campaign messages and materials are fun for children and informative for caregivers. Building Blocks for Fun and Healthy Meals; Fact Sheets For Healthier School Meals Choose MyPlate.  The website features practical information and tips to help Americans build healthier diets.  Let’s Move  is about putting children on the path to a healthy future during their earliest months and years. Giving parents helpful information and fostering environments that support healthy choices. Providing healthier foods in our schools. Ensuring that every family has access to healthy, affordable food. And, helping children become more physically active. Elmo Doesn't Fear Obama's School Lunch Elmo joins White House Chef Sam Kass in White House kitchen to talk about the importance of healthy and delicious school meals following President Obama's signing of the Healthy, Hunger-Free Kids Act. We Can. The We Can! GO, SLOW, and WHOA Foods fact sheet (pdf) can be posted on the refrigerator or used when grocery shopping. The We Can! Parent Tips - Snack (pdf) 100 Calories or Less tip sheet can help consumers choose vegetables, whole grains, and fat-free or low-fat (1 percent) milk for healthier snacks. Healthy Children  The American Academy of Pediatrics (AAP) and its member pediatricians dedicate their efforts and resources to the health, safety and well-being of infants, children, adolescents and young adults. Healthy Children - Nutrition; Food Allergies in Children Action for Healthy Kids, we believe there are ways to reduce and prevent childhood obesity and undernourishment. Learn how Action for Healthy Kids is working with schools, families and communities to help our kids learn to be healthier and be ready to learn. National Dairy Council® (NDC) Child Nutrition Fuel Up To Play 60 sponsored by National Dairy Council and the National Football League, in collaboration with United States Department of Agriculture (USDA). Fuel Up to Play 60 is an in-school program that encourages the availability and consumption of nutrient-rich foods, along with at least 60 minutes of daily physical activity. Fruits and Veggies More Matters   Additional Resources   The Chefs Move to Schools program, run through the U.S. Department of Agriculture, will help chefs partner with interested schools in their communities so together they can create healthy meals that meet the schools’ dietary guidelines and budgets, while teaching young people about nutrition and making balanced and healthy choices.   Healthy, Hunger-Free Kids Act of 2010 (HHFKA).  Improving child nutrition is the focal point of the Healthy, Hunger-Free Kids Act of 2010 (HHFKA). The legislation authorizes funding and sets policy for USDA's core child nutrition programs. The Healthy, Hunger-Free Kids Act allows USDA, for the first time in over 30 years, opportunity to make real reforms to the school lunch and breakfast programs by improving the critical nutrition and hunger safety net for millions of children.   Final Rule (pdf): Cooperation in USDA Studies and Evaluations, and Full Use of Federal Funds in Nutrition Assistance Programs Nondiscretionary Provisions of the Healthy, Hunger-Free Kids Act of 2010, Public Law 111-296 (6/29/11) Priceless: School Lunch   "Priceless" launched the One Tray campaign depicting the cafeteria tray as the conduit for a reformed school food system that supports healthy children, local farms, and smart schools. The video was created by three IATP Food and Society Fellows, Shalini Kantayya, Nicole Betancourt, and Debra Eschmeyer to raise awareness for the Child Nutrition Act.   Tom Vilsack, Secretary of Agriculture stated “National School Lunch Week reminds us how important it is that our children be healthy and active, that they not go hungry, and that they have access to nutritious meals."