Your Prescription to Thrive-NutritionEducation at Workplace

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    Directions for: the RIGHT foods, With RIGHT Amounts, at RIGHT Time, In RIGHT Combos

    How Healthy EatingHow Healthy Eating

    &&an Active Lifestylean Active Lifestyle

    be Yoursbe Yours

    Your Prescription to thriveYour Prescription to thrive

    Nutrition education initiative at Workplaceutrition education initiative at Workplace

    Ms.Ms. ShailyShaily ChauhanChauhan && ShivaliShivali ChauhanChauhanNutritionist and Dietitiansutritionist and Dietitians

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    1.Diet1.Diet -- NutritionNutrition

    2.Physical activity2.Physical activity

    3.Health3.Health-- Know your numbersKnow your numbers

    Your Prescription to thriveYour Prescription to thrive 1

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    DietDiet -- NutritionNutrition

    Physical activityPhysical activity

    HealthHealth-- KnowKnowour numbersour numbers

    Your Prescription to thriveYour Prescription to thrive 2

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    Physical activity &Physical activity &

    body functionsbody functionsEnergy in =Energy in =

    Maintaining a Healthy Weight is a Balancing ActMaintaining a Healthy Weight is a Balancing Act 3

    consumedconsumed

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    Smart selection of FoodSmart selection of Food 6

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    All types of breads, preferablyAll types of breads, preferablywholegrainwholegrain

    FruitsFruits freshfresh

    VegetablesVegetables fresh and frozenfresh and frozen

    LegumesLegumes kidney beans, peaskidney beans, peas

    ReducedReduced--fat dairy productsfat dairy products

    Lean meat, fish and poultryLean meat, fish and poultry

    GREENGREEN Have PlentyHave Plenty 7

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    Because they:Because they:

    Are good sources of nutrients.Are good sources of nutrients.

    Contain less fat and/orContain less fat and/ora e sugar an or sa .a e sugar an or sa .

    Help to avoid an intake ofHelp to avoid an intake of

    ..

    Reasons to have these in plentyReasons to have these in plenty 8

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    Smart selection of FoodSmart selection of Food 9

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    Dairy foodsDairy foods

    Commercial bakery productsCommercial bakery productsLowFat

    HighFat

    Processed meatsProcessed meats

    Some savour biscuits, o corn, breadsSome savour biscuits, o corn, breads

    Some cakesSome cakes

    Some iceSome ice--creams, milkcreams, milk--based icebased iceconfections and dairy dessertsconfections and dairy desserts

    Fruit juicesFruit juices

    rea as cerea srea as cerea s re ne w a ere ne w a esugarssugars

    ORANGE: Select CarefullyORANGE: Select Carefully 10

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    Smart selection of FoodSmart selection of Food12

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    Soft drinksSoft drinks

    Energy drinksEnergy drinks

    Flavoured mineral waterFlavoured mineral waterSweets and Fried SnacksSweets and Fried Snacks

    Deep fried foodsDeep fried foods

    Crisps, chips and similar productsCrisps, chips and similar products astriesastries

    Chocolate coated and premium iceChocolate coated and premium ice--creamscreams

    CreamCream--filled buns/cakes/slicesfilled buns/cakes/slices

    Lar e serves of cakesLar e serves of cakes

    13

    RED: Have OccasionallyRED: Have Occasionally

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    Because they:Because they:

    lack adequate nutritional valuelack adequate nutritional value

    are high in fat and/orare high in fat and/or

    added sugar and/or saltadded sugar and/or salt

    can contribute excess caloriescan contribute excess calories

    Choose your occasion14

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    --

    HealthHealth-- Know ourKnow our

    Your Prescription to thriveYour Prescription to thrive 15numbersnumbers

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    If you drive to work or stores,If you drive to work or stores,park in a space far away frompark in a space far away fromthe door and walkthe door and walk

    Purchase aPurchase aConsider strengthConsider strengthpedometer aimpedometer aimfor 10,000for 10,000steps per daysteps per day

    training for 20 minutestraining for 20 minutes22--3 times per week3 times per week

    Walk onWalk onyouryourlunchlunch

    DisplayDisplayexerciseexercise

    Try exercisingTry exercisingTake theTake thestairsstairs

    Forward your Feet to your fitnessForward your Feet to your fitness 17

    prescription inprescription ina visible placea visible place

    groupgroup

    wheneverwheneverpossiblepossible

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    WalkingWalking

    SwimmingSwimming

    CyclingCycling

    JoggingJogging -- Minimum 20/30Minimum 20/30minutes/ daminutes/ da

    Fat Burning Physical activitiesFat Burning Physical activities18

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    COFFEECOFFEE

    CoffeeCoffee

    Mocha CoffeeMocha Coffee

    syrup)syrup)

    45 calories45 calories How many caloriesHow many calories

    19

    are n o ay s co eeare n o ay s co ee

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    COFFEECOFFEE

    CoffeeCoffee

    Mocha CoffeeMocha Coffeemocha syrup)mocha syrup)

    45 calories350 calories

    Calorie Difference: 305 calories20

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    Maintaining a Healthy Weight is a Balancing ActMaintaining a Healthy Weight is a Balancing ActCalories In = Calories OutCalories In = Calories Out

    How long will you have to walk in orderHow long will you have to walk in orderto burn those extra 305 calories?*to burn those extra 305 calories?*

    *Based on 55 -65 kg weight person21

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    a n a n ng a ea y e g s a a anc ng ca n a n ng a ea y e g s a a anc ng cCalories In = Calories OutCalories In = Calories Out

    If you walk 1 hour and 20 minutes, you

    will burn approximately 305 calories.*

    *Based on 55*Based on 55--65 kgs weight of person65 kgs weight of person22

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    CHICK EN STIR FRYCHICK EN STIR FRY

    20 Years Ago20 Years Ago TodayToday

    435 calories435 calories How man calories are inHow man calories are in

    2 cups2 cups todays chicken stir fry?todays chicken stir fry?

    23

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    CHICK EN STIR FRYCHICK EN STIR FRY

    20 Years Ago20 Years Ago TodayToday

    435 calories435 calories

    2 cups2 cups

    4 cups4 cups

    Calorie Difference: 430 caloriesCalorie Difference: 430 calories24

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    Maintaining a Hea t y Weig t is a Ba ancing ActMaintaining a Hea t y Weig t is a Ba ancing ActCalories In = Calories OutCalories In = Calories Out

    How long will you have to do aerobic

    dance to burn those extra 430 calories?*

    *Based on 55*Based on 55--65 kgs weight of person65 kgs weight of person25

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    Calories In = Calories OutCalories In = Calories Out

    If you do aerobic dance for 1 hour and 5 minutes

    you will burn approximately 430 calories.*

    *Based on 55*Based on 55--65 kgs weight of person65 kgs weight of person 26

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    COOKIESCOOKIES

    20 Years Ago20 Years Ago TodayToday

    55 calories55 calories1.5 inch diameter1.5 inch diameterHow many calories are inHow many calories are intodays large cookie?todays large cookie?

    27

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    COOKIESCOOKIES

    20 Years Ago20 Years Ago TodayToday

    55 calories55 calories1.5 inch diameter1.5 inch diameter 275 calories275 calories3.5 inch diameter3.5 inch diameter

    Calorie Difference: 220 calories28

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    Maintaining a Healthy Weight is a Balancing ActCalories In = Calories Out

    How long will you have to wash the car to

    burn those extra 220 calories?*

    *Based on 55*Based on 55--65 kgs weight of person65 kgs weight of person 29

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    Calories In = Calories OutCalories In = Calories Out

    If you wash the car for 1 hour and 15 minutes you

    will burn approximately 220 calories.*

    *Based on 55*Based on 55--65 kgs weight of person65 kgs weight of person 31

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    POPCORNPOPCORN

    270 calories270 calories

    How many caloriesHow many calories

    cupscups are n o ay s argeare n o ay s argepopcorn?popcorn?

    32

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    POPCORNPOPCORN

    20 Years Ago20 Years Ago TodayToday

    ca or esca or es5 cups5 cups

    ca or esca or es11 cups11 cups

    Calorie Difference: 360 caloriesCalorie Difference: 360 calories 33

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    Maintaining a Hea t y Weig t is a Ba ancing ActCalories In = Calories Out

    How long will you have to doswimming in order to burn the extra 360

    calories?*

    *Based on 55*Based on 55--65 kgs weight of person65 kgs weight of person 34

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    Calories In = Calories Out

    If you do water aerobics for 1 hour and 15

    minutes you will burn approximately 360 calories.*

    *Based on 55*Based on 55--65 kgs weight of person65 kgs weight of person 35

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    DietDiet -- NutritionNutrition

    Physical activityPhysical activity Know your ABCKnow your ABC

    HealthHealth-- Know yourselfKnow yourself

    Your Prescription to thriveYour Prescription to thrive 36

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    Know yourKnow your Body Mass IndexBody Mass Index

    NumbersNumbers Waist to Hip ratioWaist to Hip ratio

    A1C testA1C test BloodBloodSugar levelsSugar levels

    ABCsABCs

    B oo PressureB oo Pressure

    o es eroo es ero -- oooolipid levelslipid levels

    Manage yourself, it help lower your chances of having a heart attack, a stroke, or otherManage yourself, it help lower your chances of having a heart attack, a stroke, or other37

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    KnowKnow

    youryourNumbersNumbers

    Waist to hip ratioWaist to hip ratio

    Know ouKnow ouA1C testA1C test Blood Sugar levelsBlood Sugar levels

    ABCsABCs

    oo ressureoo ressure

    Blood lipid (fats) lab testsBlood lipid (fats) lab tests

    Body MassBody MassBMI is a measure which takes into account aBMI is a measure which takes into account a

    Index (BMI)Index (BMI)

    fat in adults.fat in adults.

    An accurate ways to determine when extra pounds translate into health risks.An accurate ways to determine when extra pounds translate into health risks. 38

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    KnowKnowourour

    Body Mass IndexBody Mass Index

    NumbersNumbers Waist to Hip ratioWaist to Hip ratio

    Know youKnow youABCsABCs

    A1C testA1C test Blood Sugar levelsBlood Sugar levels

    Blood PressureBlood Pressure

    Waist to HiWaist to Hi

    It is concerned not only with how much fat anIt is concerned not only with how much fat an

    adult has, but also where that fat is located onadult has, but also where that fat is located on

    the bod . The hi her the ratio the hi her thethe bod . The hi her the ratio the hi her theRatioRatio risk of heart disease and other obesityrisk of heart disease and other obesity--relatedrelated

    disorders.disorders.

    Contributing Factors:Contributing Factors: Waist Circumference: M >94, F >80 cmsWaist Circumference: M >94, F >80 cms 40

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    excellentexcellent goodgood averageaverage highhigh extremeextreme

    malemale < 0.85< 0.85 0.850.85 -- 0.900.90 0.900.90 -- 0.950.95 0.950.95 -- 1.001.00 > 1.00> 1.00

    femalefemale < 0.75< 0.75 0.750.75 -- 0.800.80 0.800.80 -- 0.850.85 0.850.85 -- 0.900.90 > 0.90> 0.90

    Distribution of fat is evaluated by dividing waist size by hip sizeDistribution of fat is evaluated by dividing waist size by hip size 41

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    KnowKnow Body Mass Index

    NumbersNumbers Waist CircumferenceWaist Circumference

    Know youKnow you

    A1C testA1C test Blood Sugar levelsBlood Sugar levels

    ss Blood PressureBlood Pressure

    Blood lipidBlood lipid(fats)(fats)

    lab testslab tests

    A is for the A1C test. It shows how well yourA is for the A1C test. It shows how well your

    A1C testA1C test Blood SugarBlood Sugar

    last 3 months.last 3 months. Have this blood test at leastHave this blood test at leasttwice a year. Your result will tell you whattwice a year. Your result will tell you what

    our avera e blood lucose level was for theour avera e blood lucose level was for the

    past 2 to 3 months.past 2 to 3 months.

    The goal for A1C for most people is less than 7.The goal for A1C for most people is less than 7. 42

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    Blood Sugar

    CategoryCategory

    of aof a

    personperson

    FastingFasting

    ValueValue

    (mg/dl)(mg/dl)

    MaximumMaximum

    ValueValue

    ( mg/dl)( mg/dl)

    Value 2 hours afterValue 2 hours after

    consuming glucoseconsuming glucose

    ( mg/dl)( mg/dl)

    NormalNormal LessLessthan 120than 120 Less thanLess than160160 Less than 120Less than 120

    EarlyEarly

    DiabetesDiabetes

    120 to120 to

    140140160 to 180160 to 180 120 to 140120 to 140

    EstablishedEstablished

    DiabetesDiabetes

    MoreMore

    than 140than 140

    200 or200 or

    moremoreMore than 140More than 140

    43High blood glucose levels can harm your kidneys, feet, and eyesHigh blood glucose levels can harm your kidneys, feet, and eyes..

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    KnowyourNumbers

    Body Mass Index

    Waist Circumference

    Know youABCs

    A1C test Blood Sugar levels

    Blood Pressure

    Blood li id fats lab tests

    B is for Blood pressure. Blood pressure is theB is for Blood pressure. Blood pressure is the

    force of the blood pushing against the wallsforce of the blood pushing against the walls

    of the arteries.of the arteries.

    Prevention is better then CurePrevention is better then Cure 44

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    SystolicSystolicDiastolicDiastolic

    CategoryCategoryopop

    number)number)

    (bottom(bottom

    number)number)

    Less thanLess thanormaorma

    120120ess aness an

    PrehypertensionPrehypertension 120120139139 80808989

    High blood pressureHigh blood pressure

    ageage

    Stage 2Stage 2 160 or higher160 or higher 100 or higher100 or higher

    High blood pressure makes your heart work too hard. It can cause heart attack, stroke 45

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    KnowyourNumbers

    Body Mass Index

    Waist Circumference

    A1C test Blood Sugar levels

    Know youABCs

    Blood Pressure

    Blood lipid (fats) lab tests

    C is for Cholesterol. Bad cholesterol, or LDL,o es ero Blood lipidlevels

    can build up and log your blood vessels. It

    can cause a heart attack or a stroke.

    The LDL oal for most eo le is less than 100

    Contributing FactorsContributing Factors 46

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    Total Cholesterol( mg/dl)

    Under 200

    LDL (bad) Cholesterol( mg/dl)

    Under 100

    HDL (good) Above 40 (men)o es ero mg ove women

    r g ycer es mg n er

    Ref: Obesity: Preventing and Managing the Global Epidemic, 2000, WHORef: Obesity: Preventing and Managing the Global Epidemic, 2000, WHO 47

    Diet -Nut r i t ion

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    Pay attention to portions; avoid superPay attention to portions; avoid super--sizingsizing

    ,,Set regular times to eat: 3 meals and no more than 2 snacks per daySet regular times to eat: 3 meals and no more than 2 snacks per dayLimit high fat foodLimit high fat foodIncrease daily intake of fruits and vegetables: at least 5, aim for 7Increase daily intake of fruits and vegetables: at least 5, aim for 7--99Since fiber can increase the feeling of fullness, aim for 2Since fiber can increase the feeling of fullness, aim for 2--3 servings of3 servings of

    whole grain food per daywhole grain food per dayLimit sweetened beverages, drink water or nonfat or 1% milkLimit sweetened beverages, drink water or nonfat or 1% milk

    Phys ica l Ac t i v i t yTake the stairs whenever possibleTake the stairs whenever possiblePurchase a pedometer; aim for 10,000 steps per dayPurchase a pedometer; aim for 10,000 steps per day

    Display exercise prescription in a visible placeDisplay exercise prescription in a visible place

    Phys ica l Ac t i v i t y

    you r ve to wor or stores, par n a space ar away rom t e oor an wayou r ve to wor or stores, par n a space ar away rom t e oor an waIf you take public transportation, get off a stop early and walkIf you take public transportation, get off a stop early and walkWalk on your lunch breakWalk on your lunch breakTr exercisin with friends or a rouTr exercisin with friends or a rou

    Consider strength training for 20 minutes 2Consider strength training for 20 minutes 2--3 times per week3 times per week

    K now Your Num bersa s o p ra o,a s o p ra o,

    Blood Pressure & Blood Sugar & CholesterolBlood Pressure & Blood Sugar & Cholesterol

    Diet & Health Directions to thriveDiet & Health Directions to thrive 48

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    Nutrition

    Shaily Chauhan

    Health

    Nutrition Education Initiative at Workplace!! 47

    Diet