1. Healthy Adults l Goal = »“adults” = 21-65 YO »~40-45 YO, people start taking health care seriously l __________ = signs associated with likelihood of acquiring a disease l ____ and ________ can influence most current ____________ in the U.S.

2. Ten Leading Causes of Death in the U.S. (1900) RankCause of death 1 2 3 4 5 6 7 8 9 10 Pneumonia/influenza Tuberculosis Diarrhea and enteritis Heart disease Stroke Liver disease Accidents Cancer Diphtheria Meningitis Causes in which diet plays a part Causes in which alcohol plays a part

3. Ten Leading Causes of Death in the U.S. (2000) RankCause of death 1 2 3 4 5 6 7 8 9 10 Heart disease Cancer Stroke Lung diseases Accidents Diabetes Pneumonia/influenza Alzheimer’s disease Kidney disease Septicemia Causes in which diet plays a part Causes in which alcohol plays a part

4. Community Programs Targeting Adults l Food StampsSNAP l Food programs: »Commodity Supplemental Food Program »Child and Adult Care Food Program (CACFP) »USDA Food Recovery and Gleaning Program l Community health centers l Cooperative Extension Service »EFNEP »Family Nutrition Program (FNP) l TEFAP l Medicaid l Title V MCH funds l WIC

5. ____________ l “Access by all people at all times to sufficient food for an active and healthy life.” »________ food »adequate and _____ food »________ »for _________ life »acquired in ____________ ways

6. Poverty l Poverty guidelines »set by USDA »since 1965 »based on ____________ X 3.3 »adjusted annually according to ________________ l Thrifty Food Plan: »Emergency, short-term diet »one of 4 nutrition plans: Thrifty, Low-cost, Moderate, Liberal

7. Poverty l Poverty stats »$22,050 annually for a family of four (2009) »~37,000,000 hungry in the U.S. (Census Bureau, 2007) –11% of households –1 in ___ children l The ________ the income, the _______ the nutritional status of a family

8. Food Stamp Program is now SNAP l Supplemental Nutrition Assistance Program l __________ program l Eligibility: »_________ gross income »_________ net income »certain exemptions to definition of net income »more income allowed if ________ in household

9. Food Stamp to SNAP changes l Eligibility: »asset limit “relaxed” in 2008 l $20 million authorized for pilot projects to increase fruit and vegetable intake, improve health status, reduce obesity l Food “stamps” eliminated; all benefits by EBT

10. SNAP Program l Goal = l Benefits: »provided via _______ »amount varies with income, size of household, housing costs, etc. »~ amount needed for the household unit to ________________

11. SNAP Program l Excludes RTE foods, medications, pet foods, tobacco, alcohol, cleaning supplies… l Education is via state plans l http://www.ers.usda.gov/Ambe rWaves/November08/Features/ AffordHealthyDiet.htm http://www.ers.usda.gov/Ambe rWaves/November08/Features/ AffordHealthyDiet.htm

12. Household expenditures l ________ income: »50% income on food, clothing, shelter (f/c/s) »16% on food l ________ income: »66% on f/c/s »23% on food l _________: »75% on f/c/s »30% on food

13. Food Stamp Program l In 1970, Food Stamps served 4.3 million people a month and cost $577 million; l In 2008, SNAP served 28.4 million people a month and cost $34.6 billion l Average benefit in 2009 = $101 a month per person »$3.37 a day http://www.fns.usda.gov/snap/faqs.htm#9

14. Homework l Work out a menu for a day »$10.00 »one person l Price the menu l Analyze the menu for nutritional adequacy »use MyPyramid program l due next Thursday

15. Focus on SNAP Entitlement program? Who is eligible? What are the benefits? Are there restrictions? What is the goal/purpose? Is education mandated? Proven outcomes?

16. Maximum SNAP allotment http://www.fns.usda.gov/snap/faq s.htm#9 (October 2009 through September 2010) People in Household Maximum Monthly Allotment 1 $ 200 2 $ 367 3 $ 526 4 $ 668 5 $ 793 6 $ 952 7 $ 1,052 8 $ 1,202 Each additional person... $ 150

17. Persons in Family or Household 48 Contiguous States and D.C. 1 $10,830 2 14,570 3 18,310 4 22,050 5 25,790 6 29,530 7 33,270 8 37,010 For each additional person, add 3,740 2009 DHHS Poverty Guidelines http://aspe.hhs.gov/poverty/09poverty.shtml