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The New Food Guidance
System: My Pyramid
Jim’s Story
For 61-year-old retired construction manager Jim Turpin, of
Kettering, it all began on Super Bowl Sunday 2004. The pain
By Terry Lunsford, Dietetic Intern and Rebecca Lee, Registered Dietitian
that he had dismissed as a muscle pull had worsened, and at
the urging of his wife and grandson Andy, he wound up in
Miami Valley’s Emergency Department. “One look at the X-ray
and they sent me to surgery,” Jim says. His diagnosis of diverticulitis called for a colostomy to rest his colon and let it heal.
From a Patient’s Point of View
At first glance, a teenage girl and a 61-year-old man may
The food guide pyramid has a new
In Moderation
Variety
But that was just the beginning – five more surgeries were
look. The U.S. Department of Agriculture
needed to correct a variety of problems that arose.
has updated its 13-year-old pyramid
wider at the bottom and narrower
five food groups and oils. Foods from
based on the 2005 Dietary Guidelines.
toward the tip of the pyramid. The wider
all groups are needed each day to stay
Here’s what’s new!
base represents foods with little or no
healthy. Each food guide makes a
saturated or trans fats or added sugar.
unique contribution to meeting your
Choose these foods more often. The
nutritional needs.
“One morning a petite lady with a big smile came into my
not seem to have much in common. But a look at their medical
room,” Jim remembers. Tanya Clary, RN, MSN, came to help
histories shows they have both undergone painful illnesses
care for Jim’s wounds and teach Jim’s wife Marian, how to
and multiple surgeries, including colostomies. These two also
care for his stoma, the opening where drainage is eliminated
share a deep admiration for the staff at Miami Valley Hospital’s
from his surgically-shortened colon. Tanya introduced a wound
Enterostomal Rehabilitation Center.
therapy that helped Jim’s wounds heal at a faster rate.
A Personal Touch
The new “My Pyramid” stresses an
Notice that food group bands are
narrow top represents foods within each
individualized approach to healthy
group that contain added sugar and
eating and exercise habits. The food is
saturated or trans fats.
“Except in cases
of emergency
surgery, we
begin with a
complete
assessment of
the patient
before his or
her surgery..”
Tanya Clary, RN, MSN
After surgery, as the patient is recovering from anesthesia,
how they like to dress,
whether they have use
of their hands or eyesight
problems, anything that
could affect the placement of the stoma. With that information, we determine the
best location. We also talk with patients about the emotional
support they anticipate from relatives and friends, and help
your personalized calorie level by filling
This is represented by the different
in your age, gender, and activity level.
he or she receives the first lesson in the care of their stoma.
widths of the food group bands. The
See how many servings of each food
“Today,” Adrian points out, “hospital stays have dropped from
milk, and meat and beans. The number
widest band is grains, then vegetables,
group fit into your calorie level and find
two weeks to about three days. That’s why follow-up care is so
of servings from each food group
and milk. Fruit is wider than meat and
meal patterns, menu suggestions and
important.”
depends on age, gender, and activity
beans, and oil is the thinnest band. The
worksheets.
level; how many calories you need for
widths are a general guide of how much
a healthy weight.
food a person should choose from each
Patients return to the center for evaluation a week after
returning home, with follow-ups at four and six weeks. Adrian
and Tanya check patients’ skin, ask about diet, review care of
the stoma, determine what style appliances are best for them,
and ask about relationships with caregivers. Beyond these
scheduled appointments, the staff is always available to discuss
any question a patient may have. And because people can feel
Dayton Ostomy Association support group whose meetings
what the patient does,
tool found at www.MyPyramid.gov. Find
Proportionality
right are grains, vegetables, fruits, oils,
isolated by this surgery, the staff puts them in touch with the
“We need to understand
represents a food group. From left to
Interactive
My Pyramid is a web-based, interactive
categorized into food groups. Each of
the colored bands in the pyramid
The six colored bands represent the
Adrian and Tanya attend.
“Our goal is to take the fear out living with this kind of
surgery,” Adrian explains. To do that, they tell patients that they
are joining a rather exclusive club that includes actress
Staying Active
The person climbing the steps on the
lean meats, and healthy fats.
need to be physically active each day.
This is the first time the USDA food
guidance system has included
recommendations for physical activity.
Recommendations for exercise include:
▲ 30 minutes on most days of the week
to prevent chronic disease;
▲ 60 minutes on most days of the week
to manage your weight and prevent
O’Neil. With the help of the Enterostomal Rehabilitation Center,
unhealthy weight gain;
For more information, contact the Enterostomal
Rehabilitation Center at 937/208-3780.
emphasis on whole grains, low fat dairy,
My Pyramid represents you and the
Barbara Barrie, golfer Al Geiburger and the late Senator Tip
nothing should slow them down.
food group. My Pyramid places an
▲ 90 minutes every day for weight loss.
Raisin Bran Muffins
Yield: 30 (muffins) servings
6 1/2 cups Raisin Bran®
5 cups whole wheat flour
2 tsp. salt
5 tsp. baking soda
1 1/2 cups packed brown sugar
1)
2)
3)
4)
1 - 15 oz. can pumpkin
2 Tbsp. cinnamon
1/2 cup canola oil
8 beaten egg whites
1 qt. buttermilk
Mix together all dry ingredients.
Then mix in buttermilk, canola oil, and egg whites.
Grease muffin tins or use muffin cups, and fill 3/4 of the way full.
Bake at 400°F for 15-20 minutes. Batter will keep up to 6 weeks
in the refrigerator.
Per serving: Cholesterol 1 mg; Fiber 4 g; Calories 205, Fat 4 g, Sodium 498 mg, Calories from Fat 17%
them with issues surrounding sexuality and self-image. We
build trust and a close rapport.”
6
Miami Valley Hospital
For other current nutrition information, go to www.miamivalleyhospital.com. Click on
“Healthy Living” then “Health Information.”
ProHealth 11