Nutrition Patient Education
one page patient handout explaining the mediterranean diet (see attachment at bottom of this page)
BASIC NUTRITION INFORMATION ANTI-INFLAMMATORY DIET - better food pyramid, print out this pdf of an excellent mediterranean diet from all the food groups by andrew weil md
- be sure to focus on his recommended portion sizes
- anti inflammatory diet patient handout, u of wisconsin integrative medicine
- anti-inflammatory visual food pyramid
- african heritage food pyramid
- anti-inflammatory diet review, arthritis foundation
- nutrition label, pdf how to read by american heart association.
- glycemic index/load: choose good (complex) carbs over bad (insulin resistant) producing carbs
- (pure glucose=100) over 60=high, 45-60=moderate, below 45=low
- my food adviser, from ADA, look up food and see its calories, fat, carbs, sodium and healthy alterna
- what should i eat?, evidence-based info from 'the nutrition source', harvard school of public health
- managing fats, readable pdf by american heart association
- simple steps to preventing diabetes, exclnt handout from harvard's 'the nutrition source'
- 18 keys to healthy weight loss, berkeley wellness, an evidence based site and newsletter on wellness issues
- american diabetes association, nutrition and fitness information
- andrew weil.com, loaded with evidence-based nutrition information
DIET ASSESSMENT & MANAGEMENT TOOLSputting weight in perspective briefest advice: stop eating flour & sugar, and eat an abundance of fruits and vegetables
- bmi calculator: provided by nih. bmi is not based on exact science. some sub-cultures feel critical of this tool.
- bmi pdf
- waist: height ratio of >0.5 is consistent with central adiposity, which is highly correlated with insulin resistance
- weight loss calculator, can be done with patient in office, tells calories needed to maintain or lose weight.
- body weight simulator, nih research tool for most accurate calculation of calorie needs relative to activity level.
- dietary reference intake calculator, by iom, dri's tell nutrient needs
- includes link for a useful phone app for clinicians
- reap & wave, article with quick primary care nutrition assessment tools
food and activity awarenessgood first step is a food diary either using paper or an on-line tool. this alone can lead to weight loss. best if also connects mood to daily eating habits.- 1-day recall or typical day, ask pt to recall yesterday's food, drinks, snacks, dessert intake
- food & activity diary, from kaiser, includes mood & hunger ratings, print double sided, give 3 to track 3 days in a row (one should be weekend day)
- 3 day food record, use an app that tracks calories and nutrition:
Further Nutrition Information- nutritionfacts.org, summarizes evidence based nutrition info, with videos by dr. michael gregor
- authoritynutrition.com, evidence based nutrition info by nutritionists
- eating on the wild side, remarkable book that tells how to maximize nutrients in food choices. see this pdf to see many insights
- enclyclopedia of healthy foods, excellent inexpensive book that includes info on most foods' nutrients, and how to store and prepare whole foods
- youtube of ucsf lecture by dr robert lustig, 'sugar, the bitter truth'
- pediatric endocrinologist blames the obesity epidemic can on an increase in fructose consumption over 30 years
- fat chance, his readable book about this topic
- the longevity kitchen, rebecca katz ms excellent cook book that translates nutrition information into easy-to-prepare, tasty recipes
- food inc, documentary about the "food industrial complex" (on netflix)
- cowspiracy, documentary about cattle industry's impact on our health and the environment
| Nutrition Support Groups - weight watchers, covered by alameda alliance, find a meeting
- Fax referrals to: 877-813-5151 Health Programs Dept.
- E:mail: livehealthy@alamedaalliance.org
- Phone:
510-747-4577 Health Programs Line
- After attends first free meeting, will cover reg fee & will supply 5 coupons.
- After 4 wks, must supply them w/ a wt loss journal copy and then will get 5 more coupons. After that they will get 10 more coupons. Can be supported up to 1 year.
- overeaters anonymous, o.a., donation based 12-step group
- food addicts in recovery anonymous, stricter than OA, but useful for losing lots of weight, donation based 12-step group
- tops, take off pounds sensibly, low cost diet group, Castro Valley & San Leandro, a nominal annual fee
- senior healthy living councils, sponsored by alameda county public health to promote healthy eating among senior peers, located in senior centers and recreational centers
- mindful eating videos, free from center for mindful eating
- highland's bite to balance, see this youtube, nutrition education and food access for underserved
thurs 9-4pm enroll highland patients in CalFresh (i.e. food stamps program): appointment or drop-in, women’s clinic front desk bite to balance eligibility: bmi>30, CalFresh recepient, get fresh creds (50% bonus for fruits & veges), support groups, learn healthy cooking
Healthy Food Access low-incomes create great risk for obesity and metabolic problems due to lack of nutritious food due to cost and neighborhood food deserts - don't assume healthier alternatives are always more expensive than disease promoting processed non-whole foods, examples include:
- dried plums (prunes): super food with more anti-oxidants than blueberries and prevents constipation
- oatmeal: high fiber, lowers cholesterol, prevents constipation, high in minerals
- tap or bubbly water with lemon: alternative to high glycemic juices/sodas
- green tea: anti-oxidant super-drink
- whole fruit: nutrient loaded alternatives to high glycemic juices
- sweet potatoes: nutrient loaded and lower glycemic than russet potatoes
- low cost and healthy recipes
- alameda county farmer markets guide, search by city
- buying organic can be expensive. here are alternatives:
- grub box,csa (community supported agriculture) boxed fresh fruits and veggies from $10 for 7 lbs to $25 for 16 lb boxes
- dig deep farms, alameda county csa that employs marginalized workers, inexpensive
- imperfect produce, emeryville low-cost csa delivers cosmetically challenged produce
- urban adamah, free organic food stand grown in berkeley
- dirty dozen & clean 15, from the environmental working group
- clean 15 foods, foods that don't have to be organic: Avocados, Sweet corn, Pineapples, Cabbage, Sweet peas(frozen), Onions, Asparagus, Mangoes,
- Papayas, Kiwi, Eggplant, Grapefruit, Cantaloupe (domestic), Cauliflower, Sweet potatoes
- dirty dozen plus, should always be bought organic: Apples, Strawberries, Grapes, Celery,
- Peaches, Spinach, Sweet bell peppers, Nectarines (imported), Cucumbers, Cherry tomatoes, Snap peas (imported), Potatoes, Hot peppers, Blueberries (domestic)
- find a food bank, on-line locator
Supplements and Herbs
EVIDENCE-BASED INFORMATION ON SUPPLEMENTS & HERBS WHAT'S IN THE SUPPLEMENT YOUR PATIENT IS TAKING some supplements don't have what the label says is included - dietary supplement label data base, joint project by nih, find out what your patients' supplement labels say
- sources that assesses the actual content of supplements and reviews evidence-base:
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 Updating... Ċ Sharone Abramowitz MD, Feb 4, 2016, 2:07 PM Ċ Sharone Abramowitz MD, Feb 24, 2016, 12:32 PM Ċ Sharone Abramowitz MD, Jan 30, 2017, 4:16 PM
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