The Important Role of Nutrition in Heart Health July 16, 2020 at 3:00 PM ET Presenter: Penny M. Kris-Etherton, PhD, RD, FNLA, CLS Moderator: Andrea Baer, MS, BCPA
• All attendees are in listen only mode • If you can not hear, check the audio button on your personal computer to assure the sound is on. • Please type your questions into the chat box at any time during the presentation. The moderator will read your questions during the question and answer period. • The PDF version of the slides, as well as the recording of this presentation will be available on the Mended Hearts website following the event. • A Handout is available in the handout section of the website.
Mended Hearts’ mission is “to inspire hope and improve the quality of life of heart patients and their families through ongoing peer-to-peer support, education and advocacy.” The National Lipid Association’s (NLA) mission is “to enhance the practice of lipid management in clinical medicine.” The Foundation of the NLA’s mission is “to improve the welfare of patients and families affected by cholesterol and triglyceride problems.”
Andrea Baer, MS, BCPA Penny M. Kris-Etherton, PhD, RD, FNLA, CLS Executive Director Evan Pugh University Professor of Mended Hearts Nutritional Sciences Department of Nutritional Sciences The Pennsylvania State University
Healthy, Delicious, Nutritious and Budget-Friendly Foods Penny Kris-Etherton, PhD RDN FAHA FASN FNLA CLS
DISCLOSURES Research Grants Scientific Advisory Boards • • ACH Foods Inc Avocado Nutrition Sciences Advisors – Scientific Advisory Board • American Pistachio Growers • HumanN Scientific Advisory Board • Hass Avocado Board • Seafood Nutrition Partnership - Scientific • Advisory Council American Pecan Council • McCormick Science Institute • The Peanut Institute
Topics for Discussion • Dietary recommendations for heart health • Health and economic disparities • Navigating food deserts • Meal planning for families with time and financial considerations • Stretch your food dollar • Answers to your questions
Key Elements of Healthy Eating Patterns: Key Recommendations Consume a healthy eating pattern that accounts for all foods and beverages within an appropriate calorie level. A healthy eating pattern includes: A variety of vegetables from all of the subgroups — dark green, red and orange, • legumes (beans and peas), starchy, and other Fruits, especially whole fruits • Grains, at least half of which are whole grains • Fat-free or low-fat dairy, including milk, yogurt, cheese, and/or fortified soy • beverages A variety of protein foods, including seafood, lean meats and poultry, eggs, legumes • (beans and peas), and nuts, seeds, and soy products Oils • A healthy eating pattern limits: Saturated fats and trans fats, added sugars, and sodium • Information adapted from the 2015-2020 Dietary Guidelines for Americans. Available at DietaryGuidelines.gov.
Food Sources of Added Sugars Food Category Sources of Added Sugars in the U.S. Population Ages 2 Years and Older (Figure 2-10) Data Source: What We Eat in America (WWEIA) Food Category analyses for the 2015 Dietary Guidelines Advisory Committee. Estimates based on day 1 dietary recalls from WWEIA, NHANES 2009-2010. Information adapted from the 2015-2020 Dietary Guidelines for Americans. Available at DietaryGuidelines.gov.
Food Sources of Saturated Fats Food Category Sources of Saturated Fats in the U.S. Population Ages 2 Years and Older (Figure 2-12) Data Source: What We Eat in America (WWEIA) Food Category analyses for the 2015 Dietary Guidelines Advisory Committee. Estimates based on day 1 dietary recalls from WWEIA, NHANES 2009-2010. Information adapted from the 2015-2020 Dietary Guidelines for Americans. Available at DietaryGuidelines.gov.
Food Sources of Sodium Food Category Sources of Sodium in the U.S. Population Ages 2 Years and Older (Figure 2-14) Data Source: What We Eat in America (WWEIA) Food Category analyses for the 2015 Dietary Guidelines Advisory Committee. Estimates based on day 1 dietary recalls from WWEIA, NHANES 2009-2010. Information adapted from the 2015-2020 Dietary Guidelines for Americans. Available at DietaryGuidelines.gov.
Healthy U.S.-Style Eating Pattern at the 2,000-Calorie Level Information adapted from the 2015-2020 Dietary Guidelines for Americans. Available at DietaryGuidelines.gov.
What is a Healthy Plate? From the National Lipid Association: ½ of the Plate is Vegetables and Fruits; ≈¼ is Fish, Poultry, Lean Meat, or Plant Protein and ≈¼ is Whole Grains (or Starchy Vegetables) https://www.lipid.org/sites/default/files/tearsheet_nutrition.pdf
Heart Disease Differs by Race & Ethnicity in the U.S. https://www.cdc.gov/nchs/hus/spotlight/HeartDiseaseSpotlight_2019_0404.pdf
Seven Simple Ways to Achieve Ideal Cardiovascular Health Reduce Blood Sugar Eat Right Control Cholesterol Lose Weight Get Moving Manage Blood Pressure Stop Smoking
Less than 1% of Americans are in ideal cardiovascular health. Living Better with Life’s Simple 7 American Heart Association
Prevalence of meeting ≥5 criteria for ideal cardiovascular health among US adults and children by race/ethnicity (2007-2008 and 2015-2016) Virani et al. Circulation. 2020 Mar 3;141(9):e139-e596.
Food Deserts are areas with both Poor Food Access and Low Area income. An Estimated 23.5 Million People Live in Food Deserts in the United States Kelli et al. J Am Heart Assoc . 2019;8:e010694.
Living In A Food Desert is Associated with a Higher Risk of Adverse Cardiovascular Events in those with Coronary Artery Disease Association between (A) food desert with incident myocardial infarction Kelli et al. J Am Heart Assoc . 2019;8:e010694.
THE EMPLOYMENT SITUATION — JUNE 2020 https://www.bls.gov/news.release/pdf/empsit.pdf
How the Covid-19 Crisis Upheaved Society Jan 20 First Patient With Wuhan Coronavirus Is Identified in the U.S. Jan 30 The WHO declared a global health emergency. Mar 15 The CDC recommended no gatherings of 50 or more people in the U.S. Apr 2 Cases topped one million, and millions lost their jobs. May 27 Coronavirus deaths in the U.S. surpassed 100,000 Etc …..
The Current Hunger Crisis in the U.S. Some Scenes at Food Banks
COVID-19 has Caused Record Levels of Food Insecurity in the U.S. Before the pandemic, the Boston Food Bank distributed 4 to 5 million pounds of food a month. • In March, it distributed 8 million pounds ; in April, 9.5 million pounds. • In May, it’s on track to distribute more than 10 million pounds . https://www.marketplace.org/2020/05/22/record-levels-of-food-insecurity-in-the-u-s-because-of-covid-19/
The Cost of Eating in the U.S. • The average meal cost was $3.02 in 2019. https://www.feedingamerica.org/sites/default/files/2019-05/2017-map-the-meal-gap-food-price-variation_0.pdf
Healthy Eating on a Budget – General Tips
Tips for Every Aisle – Healthy Grocery Shopping on a Budget
Tips for Every Aisle – Healthy Grocery Shopping on a Budget Fruits and Vegetables Find fruits and vegetables in the produce section, frozen foods and in the canned and pantry food aisles. Compare prices to find the best buys. • Buy “in season” produce. They are usually less expensive. Buy only what you can use before it spoils. For more info check out the “Seasonal Produce Guide” from SNAP -Ed Connection. • Try buying canned. Choose fruit canned in 100% fruit juice and vegetables with “low - sodium” or “no salt added” on the label. These products are just as nutritious as fresh, and often cost less. • If you have the freezer space, buy frozen vegetables without added sauces or butter. They are as good for you as fresh and may cost less. • Canned and frozen fruits and vegetables last much longer than fresh and it’s a quick way to add fruits and vegetables to your meal. • For a great resource on selecting healthy and affordable produce, check out Smart Shopping for Veggies and Fruits.
Tips for Every Aisle – Healthy Grocery Shopping on a Budget Grains Find grains in many areas of the store, including the bread, cereal, snack, and pasta and rice aisles. • Make half your grains whole grains. Throughout the store, check ingredient lists and pick the items that have a whole grain listed first. • Whole grains include whole wheat, brown rice, bulgur, buckwheat, oatmeal, whole- grain cornmeal, whole oats, and whole rye. • Rice and pasta are budget-friendly grains. • Choose hot cereals like plain oatmeal or whole grain dry cereal. • Try new whole grain snacks, like switching to whole-wheat crackers or popping your own popcorn. • For more information on grains, check out Choosing Whole-Grain Foods.
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