Public health nutrition and individual choice Flashcards
Which cancer has convincing evidence for increased risk with poor food, nutrition?
Colon and rectal cancer
- Processed meat
- Alcoholic drinks
- Body fatness
What is lynch syndrome?
Hereditary non-polyposis colorectal cancer is thought to cause up to one in 25 bowel cancers
Name some immediate problems of obesity?
Technical difficulties- surgical complications
DVT
Chest infection
Wound infection
Pressure ulcers
Name some long term problems of obesity?
Dealing with a stoma
Chemotherapy
Recurrent cancer
Secondary primary cancer
Cardiovascular disease risk
Name the sociological influences?
Gender Age Ethnicity Socioeconomic status Income Eduction Marital status
What are the Scottish dietary goals regarding fruit and veg?
Consume at least 400g varied fruit and veg a day
What are the Scottish dietary goals regarding salt intake?
Reduce salt intake from around 9g to 6g/ day for adults
What are the Scottish dietary goals regarding red and processed meat?
Reduce average intake of red and processed meat to 70g/day.
What are the Scottish dietary goals regarding oily fish?
Increase intakes of oil-rich fish to one portion per person (140g)/ week
What are the Scottish dietary goals regarding fibre?
Increase intake of dietary fibre to 30g/ day for adults.
What are the Scottish dietary goals regarding % starchy carbohydrate intake?
Maintain intakes of starchy carbohydrates at 50% of total dietary energy.
What life circumstances can influence dietary intake?
Employment Unemployment Housing Conditions Education Family circumstances Area of residence
What are the influences on individual dietary change?
Awareness
Access and availability
Acceptability
Affordability
What has a minimal affect on dietary change when given alone?
Education
It must be attached to the right pricing, marketing and availability strategies
What are the cultural influences upon dietary change?
Habit/familiarity
Resistance to change
Marketing
What are the individual influencing factors on adherence to a gluten free diet?
Knowledge, understanding & information about CD and GF diet
Diet planning and preparation skills
Motivation
Stigmatisation and isolation
Symptoms
What are the external influencing factors on adherence to a gluten free diet?
Health professional’s & society’s knowledge about CD and GF diet
Cost, availability and choice of GF option
Food labelling
Presribed GFF
Taste of GF foods
Social support
What does absence of natural teeth result in?
Restricted range of food by their perceived ability to chew
What is the role of the doctor in dietary change?
> advocacy role
> Signpost
> Brief Intervention
- -assessment
- -obesity is a risk factor for many disorders
- -Nutrition is important (the doc says!)
> Provide written advice
> Refer to ? Dietitian or other health professionals for guidance
What are the key categories in designing an effective individualised dietary intervention?
Identification of high risk groups
Personal contact
Social support
Goal setting, self-monitoring
Personalisation and feedback based on action
What are the 5As?
Ask Assess Advise Agree Assist
