My plate: for the elderly Presented by: Molly Sandmann & Ashley O’Brien

Concepts to understand History behind myPyramid The transformation into myPlate Realizing there is myPlate for the elderly How to use myPlate for the elderly to inform family/clients about their nutritional care

History Wilbur Olin Atwater, Ph.D. (1) In 1917, the first USDA food guide appeared. It was titled “How to Select Foods” and was written by Caroline Hunt, a nutritionist for the USDA. (1) Foods recommended came in 5 groups: milk and meat cereals vegetables and fruit fats and fatty foods sugars and sugary foods. (1)

History continued... 1943: created the National Wartime Nutrition Guide (1) 1946: National Nutrition Guide This guide offered 7 food groups which supported the RDA requirements: Milk and milk products Meat, poultry, fish, eggs, beans, peas and nuts Bread, flour and cereals Leafy green and yellow vegetables Potatoes and sweet potatoes Citrus, tomato, cabbage, salad greens Butter, fortified margarine (1)

History continued… 1956, because of the confusion, the multiple food group recommendations were revised to the "Basic Four" recommendation. (1) 1992: USDA Food Pyramid (1) The latest development in the USDA Food Pyramid history has seen the pyramid dismantled in favor of the new and "easier" to understand USDA "My Plate.“ (1)

MyPlate Stated clear and concise Simple & easy to read Need: fruits, vegetables, grains, protein, and dairy to drink Shows certain sizes of each

MyPlate for the elderly Activity box More choices for fluids ½ for fruits & vegetables ¼ grains ¼ protein Middle section for good fats & oils Convenient, affordable, & readily available

What is the difference? MyPlate Confusing portions Unclear of certain types of food No activity recommendation MyPlate for Elderly Pictures of food Activity box Liquids can be considered anything Shows examples & choices

All the Amenities Bright colored vegetables Deep colored fruits Whole, enriched grains Low and non-fat dairy Dry beans and nuts Liquid vegetable oils Plenty of fluids Exercise is important Super tracker (3)

Super Tracker Super Tracker can help you plan, analyze, and track your diet and physical activity. Find out what and how much to eat; track foods, physical activities, and weight; and personalize with goal setting, virtual coaching, and journaling. (3) http://www.youtube.com/watch?v=MukLDO5kGh8

Serving Sizes 3 oz. of meat = deck of cards ½ cup = ½ a baseball 1 teaspoon = tip of finger 2 tablespoons = ping pong ball 1 cup of cereal = fist 1 pancake = DVD

Patient 65 year old man Diagnosed with Cardiovascular disease Recently became pre-diabetic Lives at home with wife Family lives relatively close Sedentary lifestyle

MyPlate for patient Low cholesterol Low-fat dairy products/oils Low sodium Limit red meats Sugar-free Fluid intake Consume whole grains Raise in activity level (2)

How you can help Concepts to question: Are the elderly individuals in your life aware of myPlate? Do they understand its value and use? Will you be able to teach them how to use it properly? Are they aware of the activity factor that ties into myPlate and their health? How will you as an RD take this information and put it into action?

References www.nutrition.tufts.edu. Tufts University (2012): [cited April 18, 2013] Available from: http://www.healthy-eating-politics.com/usda-food- pyramid.html www.choosemyplate.gov. USDA. (2010): [Cited April 18, 2013] Available from: www.choosemyplate.gov www.choosmyplate.gov. USDA. (2010): [Cited April 18. 2013] Available from: http://www.choosemyplate.gov/supertracker- tools/supertracker.html www.nia.nih.gov. National Institute On Aging. (March 26, 2013): [Cited April 18. 2013] Available from: http://www.nia.nih.gov/health/publication/healthy-eating-after-50 Grossman A. Eating Right for Aging Gracefully. Tufts University Health & Nutrition Letter. (2012, Feb), [cited April 19, 2013]; 29(12): 4-5.