1. Decreasing Oversized Portions Lisa Steele Concordia University-Nebraska

2.  Oversized food portions contribute to the nation’s obesity epidemic and lead to other health risks and disease.  Hispanic adult men and women show higher rates of obesity.  The Information-Motivation-Behavioral Skills Model (IMB) helps to guide healthier behaviors  IMB Model is used in current practice to address oversized portions Introduction

4.  Food portions in the United States have increased and exceed federal standards.  Portions have increased due to oversized packaging of foods and high sugar drinks.  Fast food and restaurants are promoting larger and much cheaper portions. Background

5.  Hispanic adult men and women  Hispanic adult men and women are at a greater risk for developing obesity and other health risks associated with obesity.  35.7% U.S. adults are obese whereas 39.1% Hispanic adults in the U.S. are obese.  Lack of nutrition education, using nutrition facts label and determining appropriate portion sizes. Population

6.  The Information-Motivation-Behavioral Skills Model (IMB) helps to guide thinking about complex health behaviors. This models provides sufficient integrity for widespread application in health promotion.  Pathway constructs Information-Motivation-Behavioral Skills (IMB) Model

7.  CHAMP  Minority Health Initiative Project from the Office of Health Disparities and Healthy Equity. It promotes decreasing portion sizes with the use of the nutrition facts label and by tracking foods weekly with the use of nutrition logs  CUPS diet  Weight loss method that uses portion control based on food volume as determined by measuring cup increments  Snack Smart: Portion Control  Provides information on portion control for children and adults. The program promotes: reading the nutrition labels and choose snacks with low amounts of calories, sugar, and fat and avoiding snacks with a lot of sugar, salt, and fat. Use of IMB Model in Practice

8.  Decreases oversized food portions in Hispanic men and women in Hall County.  6 week educational program  The nutrition facts label  Identifying what portion sizes are healthy  Promotes healthier portion sizes using nutrition log Mission: Portion Control

9.  The program Mission: Portion Control increases the knowledge and skills related to the behavior of decreasing oversized portions.  Provides skills that are easy to adopt and implement into daily activities that promote behavior changes.  Decreasing oversized portions will decrease health risks and disease associated with obesity. Conclusion

10. Control Using Portions diet. (2014). Control using portions. Retrieved from https://www.thecupsdiet.com/index.cfm?action=cIntro.dspControl DiClemente, R. J., Salazar, L. F., & Crosby, R. (2013). Health behavior theory for public health: principles, foundations, and applications. Burlington, MA: Jones & Bartlett Mass.gov. (2014). Snack smart: portion control. Health and Human Services. Retrieved from http://www.mass.gov/eohhs/gov/departments/dph/programs/commun ty-health/mass-in-motion/healthy-living/portions/snack-smart.html Young, L., & Nestle, M. (2002). The contribution of expanding portion sizes to the us obesity epidemic. National Center for Biotechnology Information. Retrieved from http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1447051/ World Health Organization. (2003). Adherence to long term therapies-evidence for action. Retrieved from http://apps.who.int/medicinedocs/en/d/Js4883e/9.1.4.html References