1. HSC 4572 Clinical Nutrition
Valerie Schulz, MMSc, RD, LD/N, CDE

2. Introductions Instructor
Students: Pair up, preferably with someone you do not yet know
Find out:
First name
Fact remembered from HUN 2002
Discipline they are aiming for
Say your name first, then your partner
(I’m ______, and this is _______)

3. The Diet and Health Connection
Nutrition profoundly affects health.
Chronic diseases have a connection to a poor diet.
Which of these diseases are chronic?

4. Selected portions Chapter One
Diet –Health connection
Debilitating conditions that could have been prevented, if the persons had known and applied the nutrition principles
Heart disease
Diabetes
Some varieties of cancer
Dental disease
Adult bone loss

5. Selected portions Chapter One
So as health professionals, it IS our job, (even though not a dietitian)
to inform and encourage all patients/ clients we come in contact with to
Eat healthier to reduce those chronic issues
It is NOT appropriate to chuckle and gloss over the attempts at humor by the client. “I don’t like that rabbit food, I want my 12 oz steak – he-he-he”

6. Selected portions Chapter One
“Mr. Jones, what if you had a little bit of that steak sliced thin into your salad?
Or, how about a small amount of the steak sliced thin and sautéed with a good portion of vegetables?
Either of those options would help reduce your blood pressure…”

7. Genetics and Individuality
Inherited disease - condition that is passed from a parent to a child
Hemophilia, sickle cell anemia, Down syndrome, cystic fibrosis, and many others
Acquired disease - condition that is associated with infections, lifestyle behaviors or diet
Heart attack, diabetes, stroke, mineral or vitamin deficiencies

8. Genetics and Individuality
Choice of diet influences long-term health within the range set by genetic inheritance.
Nutrition has little influence on some diseases but strongly affects others.

9. Other Lifestyle Choices
Other Lifestyle Choices
Only two common lifestyle habits have a stronger influence on long-term health than dietary choices. Can you guess which?

10. Other Lifestyle Choices
Other Lifestyle Choices
Only two common lifestyle habits have a stronger influence on long-term health than dietary choices. Can you guess which?
Smoking & other tobacco use
Excessive alcohol consumption

11. Healthy People 2020

12. THE SCIENCE OF NUTRITION
Nutrition is a science so scientists and dietitians work together to develop studies that are well designed, controlled, and reviewed by other experts
Many studies take a long time to complete so information may not be available as quickly as most people would like it to be

13. The Scientific Approach

14. The Scientific Approach: Research Designs – 4 types
Examples of research design
Epidemiological study
This country’s food supply has more olive oil and they have less heart disease.
Lab study
Let’s prove that a vitamin
C deficiency leads to scurvy in these rats.

15. The Scientific Approach: Research Designs – 4 types
Case study:
This person eats too little iodine and has
goiter
Intervention study:
Let’s add foods with vitamin C to his diet and see if he gets fewer colds.

16. The Science of Nutrition
Review the research design terms in
Table 1-7 on page 15
AND
The anatomy of a research article,
Table 1-8, page 15

17. Once a finding is published, it is still only preliminary
Scientific Challenge
Once a finding is published, it is still only preliminary
One experiment does not “prove” or “disprove” anything
Must be duplicated, supported, and challenged by other scientists
A finding that has stood up to repeated rigorous testing may become a theory

18. Consumer Corner: Reading Nutrition News with an Educated Eye
Refereed journals: Review journals examine all available evidence on major topics; research journals report details of the methods, results and conclusions of recently completed experiments.

19. Behavior Change: Making Diet Changes
Nutrition knowledge is useful IF it helps people improve their diets.
People need to change behaviors.

20. Behavior change: Taking inventory and setting goals
Track food intake over several days and compare to standards
Set small, achievable goals in areas that need changing

21. Behavior change: Stages
Read the stages in Table 1-9, pg 18
Precontemplation
Contemplation
Preparation
Action
Maintenance
Adoption/Moving On

22. Motivation is based on rewards Rewards are affected by:
The Concept of Rewards
Motivation is based on rewards
Rewards are affected by:
Value
Timing
Costs
Probability

23. Summary: Behavior Change
Behavior change follows a predictable pattern.
Motivation is the force that moves people to act.
It is affected by the weights people give to the rewards and the consequences that will follow the action.

24. Nutrition on the Net

26. Nutrition on the Net
PUBMED ( Internet resource

27. Prepare for Class Two
Referring to syllabus, read the selected portions of Chapter One and Two