NUTRITION AND EXERCISE FOR DAILY LIFE OVERVIEW ▪ Introduction and statistics ▪ Culture competence ▪ Nutrition and exercise are related to nurse ▪ Nutrition Care ▪ Health promotion • Statistics show that less than 23% of average American adults meet PA requirements. • 82.1 million US residents aged six and above don’t exercise at all. • 15,000 military applicants can’t qualify due to weight problems. ESSENTIAL EXERCISE STATISTICS US NUTRITION STATISTICS ▪ US eating habits don’t include the recommended amount of fruits, vegetables, whole grains, and dairy products. ▪ In a dieting statistics report, the CDC discovered that more than 97 million US adults are overweight. Cultural competence ▪ Food and eating customs are culturally diverse, and each person has unique heritage that may affect nutrition status. ▪ Newly arriving immigrants may be at nutritional risk for a variety of reason such as impact from prior country and unfamiliarity with new country. Period of adjustment required that is impacted by socioeconomic and cultural factors. Nutrition and exercise are connected with nursing • Eating a healthy balanced diet accompanied by regular exercise is essential in maintaining physical and mental health and well-being. Healthier lifestyles are also associated with improved sleep and mood. • Nurses are expected to promote healthier lifestyle choices from the point of admission through to discharge. Patient and nutritional assessment accompanied by appropriate lifestyle advice and an effective referral system are essential in supporting positive long-term behavioral change. Nurse’s role in nutrition care ▪ Conducting nutrition screening ▪ Performing assessment and intervention ▪ Providing mealtime assistance and nutrition support therapy ▪ Monitoring, managing or evaluating the impact of nutrient and dietary therapies. Nutrition Care Mal nutrition diagnosis Nutrition screening Nutrition care plan At risk determination Nutrition Assessment Monitoring & transition of care planning HEALTHY PEOPLE 2020 The Physical Activity objectives for Healthy People 2020 highlight how physical activity levels are positively affected by: • Structural environments, such as the availability of sidewalks, bike lanes, trails, and parks • Legislative policies that improve access to facilities that support physical activity New to Healthy People 2020 are objectives related to policies targeting younger children through: • Physical activity in childcare settings • Behavioral interventions to reduce television viewing and computer usage Exercise promotes health • • • Exercise for 60-90 minutes daily Turn sedentary time into active time Try different types of exercise such as running, Gym, swimming, sport, dancing, and yoga. • Exercise strengthens your heart and improves your circulation. • The increased blood flow raises the oxygen levels in your body. This helps lower your risk of heart diseases such as high cholesterol, coronary artery disease, and heart attack. • Regular exercise can also lower your blood pressure and triglyceride levels. Nutrition promotes health ▪ Six classes: Healthful diet also helps Americans reduce their risks 1. Carbohydrate: Grain, potatoes, starchy vegetables for many health conditions, including: 2. Fat : oils, nuts, and dairy product • Overweight and obesity 3. Protein: lean meat, nuts, eggs, dairy product 4. Vitamins: green vegetables 5. Minerals: meat, nuts, an fruit • High blood pressure 6. Water: drink at least 1 litter a day. • Type 2 diabetes • Malnutrition • Iron-deficiency anemia • Heart disease • Constipation Conclusion Nurses play important role in nutrition care. They promote health by educating patient about nutrition and exercise. Reference Guenter, P., Malone, A., & DiMaria-Ghalili, R. A. (2015). six steps to optimal nutrition care. The Essence of Nursing, 17-18. U.S. Department of Health and Human Services (HHS), Office of Disease Prevention and Health Promotion. 2008 Physical activity guidelines for Americans. Washington, DC: HHS; 2008. US Department of Health and Human Services and US Department of Agriculture (USDA). Dietary guidelines for Americans, 2005. 6th ed. Washington: US Government Printing Office, 2005 Jan. Villarreal, D. T., Apovian, C. M., Kushner, R. F., & Klein, S. (2005). Obesity in older adults: technical review and position statement of the American Society for Nutrition and NAASO, The Obesity Society. Obesity Research, 13(11), 1849–1863.