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

2. 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

3. 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)

4. 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)

5. 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)

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

7. 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

8. 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

9. 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)

10. 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)

11. 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

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

13. 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)

14. 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?

15. References
Tufts University (2012): [cited April 18, 2013] Available from: pyramid.html
USDA. (2010): [Cited April 18, 2013] Available from:
USDA. (2010): [Cited April ] Available from: tools/supertracker.html
National Institute On Aging. (March 26, 2013): [Cited April ] Available from:
Grossman A. Eating Right for Aging Gracefully. Tufts University Health & Nutrition Letter. (2012, Feb), [cited April 19, 2013]; 29(12): 4-5.