UMHS Cardiac amp Pulmonary rehab Ashley Ritzo RDN CHWC CDE Similarities Maintain healthy BMI High nutrient density Balance meals Adequate fluid Low sodium Avoid unintentional weight loss ID: 735974
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10 Steps to a Healthy life
UMHS Cardiac & Pulmonary rehab
Ashley Ritzo, RDN CHWC CDESlide2
Similarities
Maintain healthy BMI
High nutrient density
Balance @ meals
Adequate fluid
Low sodium
Avoid unintentional weight
loss
May need to graze to be able to consume adequate calories and manage excessive fullness May need supplements to meet calorie needs
Avoid unintentional weight
g
ain
Avoid grazing to avoid consuming excess calories Slide3
10 steps to a healthy life
Avoid processed & refined foods
Choose nutrient dense foods
Eat more plantsChoose healthy fatsEat more Fiber: Especially soluble fiberUse healthy eating plate to guide portion sizes and balanceJust cook more, period
Stay hydratedModeration in alcohol intakeMaintain a healthy body weightSlide4
Avoid Processed & Refined foods
1Slide5
International Food Information Council
5 categories of processed foods:
Minimally
processed foods: washed, packaged fruits and vegetablesFoods processed for preservation: canned/frozen fruits and vegetablesMixtures of combined ingredients: Cake mixes, salad dressingsReady-to-eat Foods: breakfast cereals, lunch meats, carbonated beverages
Convenience: frozen meals/pizzasSlide6
Avoid Processed & refined foods
Highly processed foods have the right combination of
salt,
sugar and fat to light up receptors in the brain that is similar to the effects of drugs!Forms of processing that take away from the nutritional benefits of food (e.g. stripping wheat of its fiber
and naturally occurring vitamins and minerals to form refined flour) decrease the satiety and health benefits of
a foodSlide7
Choose nutrient dense foods
2Slide8
nu·tri·ent-dense
(
noo-tree-uhnt
-dens) adj
. 1 A term used to describe foods that provide vitamins, minerals and other substances that may have positive health effects with relatively few calories, sodium, added sugars or harmful fats: Muffins made with yellow squash are more nutrient dense than a standard muffin.Slide9
Eat more plants
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Eat more plantsSlide11Slide12
Eat more plants
Compared
with those in the lowest category of fruit and vegetable intake (less than 1.5 servings a day), those who averaged 8 or more servings
a day were 30 percent less likely to have had a heart attack or stroke. Individuals who ate more than 5 servings of fruits and vegetables per had roughly a
20 percent lower risk of coronary heart disease and stroke,
compared with individuals who ate less than 3 servings per day.Several studies report reduced serum or tissue levels of vitamin A, vitamin C, and vitamin E in individuals with COPD. (however, adequately powered studies have not been conducted to evaluate the effects of intake above the RDA.)Slide13
Choose healthy fats
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Type
Unsaturated
Saturated
Trans
About
This type of fat helps to improve cholesterol and is thought to be anti-inflammatoryAssociated with increased cholesterol levels and inflammationMan-made. Associated with heart disease and
cancer. Also known as hydrogenated oils.Sources
Plant-based oils like olive and canolaNuts and seeds
Fatty fish*Animal Fat (marbling, skin, milk fat)Some plants (coconut, palm)Processed foodsChoose healthy fatsgood
bad
uglySlide15
Increase fiber; Especially soluble fiber
5Slide16
Increase fiber; especially soluble fiber
Lower fiber
intake associated with
reduced measures of lung function. A diet rich in fiber-containing foods may play a role in improving lung healthSoluble
fiber forms gel – binds cholesterol in food and carries out of body so liver has to pull cholesterol from blood to carry out bodily functions, thus
lowering blood cholesterol levelsSoluble fiber has “prebiotic” effect – fermented by bacteria in colon and produces gasses that help fight inflammation and disease in the bodySlide17
Increase fiber; especially soluble fiber
Foods high in soluble fiber:
Food
Soluble Fiber
Asparagus
1.7Brussel sprouts2.0Sweet potato
1.8Turnip
1.7
Apricot1.8Mango1.7Orange
1.8
Food
Soluble Fiber
Black bean
2.4
Kidney bean
2.0
Navy bean
2.2
Cooked oat bran
2.2
Oat flakes
1.5
Flaxseeds, 1T
1.1
Total
Rec.
10-25 g/daySlide18
Use healthy eating plate to guide portion sizes and balance
6Slide19Slide20Slide21
Just cook more, period.
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+264 caloriesSlide23
Stay Hydrated
(fluid restriction when prescribed by your doctor)
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Moderation in alcohol intake
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Moderation in Alcohol intake
Men
Up to 2 drinks per day12
oz beer5 oz wine1.5 oz liquor women
Up to 1 drink per day12 oz beer5 oz wine
1.5 oz liquorSlide26
Maintain a healthy body weight
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Questions