e x a m II Flashcards
nutrition assessment
measurement of indicators of dietary status and occurrence
nutrition monitoring
intermittent times of assessment
nutrition surveillance
continuous assessment of nutritional status
NNMRRP - national nutrition monitoring and related research program
set of activities that provides info about the contribution diet has on the health of the US
who jointly organizes the NNMRRP?
HHS & USDA
what groups does the NNMRRP utilize?
non-institutionalized civilians 55+
children 2-6
women of reproductive age
individuals in nursing homes
DRIs
nutrient goals to be reached over time EARs RDAs AIs EER AMDR TI
Estimated Average Requirements (EAR)
requirement for a nutrient that supports a specific function
HALF the population
recommended daily allowances (RDAs)
insufficient daily amts to meet needs of nearly ALL americans
adequate intakes (AIs)
when there is insufficient data for an RDA
nutrient APPEARS to be sufficient
tolerable upper intake level (UL)
max daily amount that if exceeded could have negative health effects
problem definition and agenda setting
defining the nutritional problem
formation of alternatives
possible solutions to the problem are discussed
policy adoption
choosing the policy
policy implementation
putting the policy into action
policy evaluation
is the policy working?
policy termination
need was met, policy was too costly
obesity
BMI of 30 or higher - accumulation of excess adipose tissue
overweight
BMI of 25-29.9
why is obesity costly?
associated with chronic diseases
determinants of obesity
imbalance in energy by either a surplus of energy intake or lack of energy
risk factors of obesity
genetic, psychosocial, lifestyle factors, environmental
adult obesity interventions
clinical approaches
worksite health promotions
child/adolescent interventions
implemented in the school environment
decreasing screen time/increasing PA time
FAMILY involvement is VERY important
race/ethnic disparities
obesity rates are higher among Black and Hispanic communities
obesity paradox
it treats preventable illness rather than prevention
healthy people 2020 objectives
longer lives without preventable disease
achieve health equity
create social and physical environment that promote good health
private insurance
majority of insurance provided in the united states
fee-for-service insurance
encourage the physicians to provide more services than necessary
managed care insurance
improved quality of care with decreased cost
hmos
health maintenance organizations
provide comprehensive services; make money by keeping people healthy
PPOs
Preferred Provider Organization
not required to select a PCP –> greater out of pocket payment for provider
POS
from both in network and out of network providers … selection of PCP from a list of providers
government/public insurance
insurance provided by the government
medicare
largest health care insurer
people 65 and older
hospital insurance benefits, nursing facilities, some home healthcare
medicaid
entitlement program for low-income, aged, blind, disabilities, dependent children etc
high cost of healthcare
inflated; aging population; increased demand; continuing advancements
