1. Chronic Disease

2. Nutrition And Chronic Disease
Leading causes of death in the U.S.

3. Chronic Disease and its Relationship
Chronic diseases usually are interrelated with other chronic diseases

4. Type 1 – Pancreas does not work, must receive insulin externally
Type 2 - Cells do not recognize the insulin in the body often to do with being overweight.
Gestational – During pregnancy the placenta secretes a hormone that builds sugar in your blood and the pancreas cannot make enough insulin. Once the baby is born the woman does not have diabetes.

5. Cardiovascular Heart Disease (CHD)
Atherosclerosis – Plaque in the arteries.
Caused by:
Stroke – Blood clots in the a artery and cuts off oxygen to the brain
Heart Attack - Blood flow that brings oxygen to the heart muscle is severely reduced or cut off completely
Hypertension – Blood pressure higher than 140 over 90 mmHg

6. Obesity More than one-third of American adults are obese.
That's more than 78 million people — more than the populations of Spain, Italy and the United Kingdom. Add the number of adult Americans who are overweight to that figure and the statistic is staggering: More than two-thirds of the population are not at a healthy weight.

7. Celiac Disease
Celiac disease is a serious genetic autoimmune disorder where the ingestion of gluten leads to damage in the small intestine.  It is estimated to affect 1 in 100 people worldwide.  Two and one-half million Americans are undiagnosed and are at risk for long-term health complications.
Intolerance to gluten (wheat, rye, barley)
Gluten = general name for storage protein (prolamins) found in these grains
An autoimmune condition triggered and sustained by the ingestion of gluten in genetically predisposed individuals
Causes an inflammatory damage of the mucosa of the small intestine with resulting malabsorption of nutrients

8. G.I. Disorders
Functional disorders are those in which the bowel looks normal but doesn't work properly. They are the most common problems affecting the colon and rectum, and include constipation and irritable bowel syndrome (IBS).
The primary causes for functional disorders include:
Eating a diet low in fiber
Not getting enough exercise
Traveling or other changes in routine
Eating large amounts of dairy products
Being stressed
Resisting the urge to have a bowel movement
Resisting the urge to have bowel movements due to pain from hemorrhoids
Overusing laxatives (stool softeners) that, over time, weaken the bowel muscles
Taking antacid medicines containing calcium or aluminum
Taking certain medicines (especially antidepressants, iron pills, and strong pain medicines such as narcotics)
Being pregnant

9. Copyright 2005 Wadsworth Group, a division of Thomson Learning