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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. Petitionhttp://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
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.
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.
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
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.
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.
I’m a Gardening Chef and Registered
Dietitian, sharing Healthy Lifestyle, Recipe, Food & Nutrition tips using
fresh Garden ingredients http://GardenCuizine.com
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.
"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
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 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.
"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.)
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.
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 Rightyour 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.
Choose MyPlate.
The
website features practical information and tips to help
Americans build healthier diets.
Let’s Moveis
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.
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.
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.
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 KidsAct
of 2010(HHFKA).
Improving child nutrition is the focal point of the Healthy, Hunger-Free
KidsAct
of 2010(HHFKA). The
legislation authorizes funding and sets policy forUSDA's
core child nutrition programs. The Healthy, Hunger-Free KidsAct
allows USDA, for the first time in over 30 years, opportunity to makereal
reforms to the school lunch and breakfast programs by improving thecritical
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."
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