Finding Nutrition in Lewis County

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Finding Nutrition in Lewis County

• A closer look at our food environment

Marie Milliren Tucker, MPH, RD, CN Health
Educator Lewis County Public Health Marie.tucker_at_l
ewiscountywa.gov
2
Personal Disclosures

• Not an extremist
• Not the food police
• Registered Dietitian/Certified Nutritionist
• MPH in Nutrition
• Health Educator
• Group Fitness Instructor
• New to WA still learning about food/Lewis Co.
• Food lover casual cook simple farmer
• all of these in my most humble opinion!

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Objectives

• MO motivate you to find better nutrition in
  Lewis County for your body, the economy, and
  the earth and maybe inspire a new career or
  special interest!
• Review recent food trends
• Describe the role of diet and health
• Discuss critical intervention ideas
• Reveal how nutrition/food impact policy
  writing, community development, land use,
  schools, people across the lifespan

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Food History

• The way we eat has changed more in the last 50
  years than in the previous 10,000 But the image
  used to sell the food is still the image of
  agrarian America. 1

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Food History A Brief Review

• Early American Food2
• Based on traditions and cultures
• Supported by the seasons, and ability to grow
  various foods
• Limited preservation methods (salting, pickling,
  smoking, drying) and transportation system
• Local/regional food dominated the plate
• Nothing to support convenience foods
• Social/Family life favored home-grown and
  home-cooked meals

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Food History A Brief Review (cont.)

• Industrialization (and refrigeration) 3 helped
  change our food climate
• As cities grew so did the distance b/w consumer
  and food source
• More people working away from home
• Factories canning, preserving, distributing
  mass production, mass marketing, product
  standardization
• Advent of fast food 4 (Automat, NYC, 1912 White
  Castle, Wichita, 1921 ) And convenience foods
• Finger foods to be eaten on the go
• From small burgers/fries to you name it!

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Food History A Brief Review (cont.)

• Government implements food regulation programs
  and subsidized food programs (NSLP 1946, WIC,
  CACFP, TEFAP, SNAP) changed the way our
  commodity crops are used and promoted 5
• Bigger problems
• Who knows how to cook anymore?
• Who knows what foods are nutritious?
• Who knows that big food corps dont support small
  farms?
• Who cares about small farms anyway?!

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Lewis County Farm Stats 6
1950 461 acres /farm 2007 76 acres /farm
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Problems

• Nearly half the money Americans spend on food is
  spent on food prepared away from home 7,8
• Lower in nutrient value, higher in calories
• Food deserts
• poor access to healthy and affordable food, may
  contribute to social and spatial disparities in
  diet and diet-related health outcomes. 9
• Loss of crop diversity (Monsanato Inc./Percy
  Schmeiser) 10
• Food Insecurity 11
• Not having access to enough safe and nutritious
  food for an active, healthy life.
• US imports more food than exports
• Loss of income/jobs for local area

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Diet and Health

• Obesity rivals Smoking as the nations leading
  killer
• Research has shown that as weight increases to
  reach the levels referred to as "overweight" and
  "obesity," the risks for the following
  conditions also increases12
• Coronary heart disease
• Type 2 Diabetes
• Cancers (endometrial, breast, colon)
• Hypertension
• Dyslipidemia
• Stroke
• Liver and Gallbladder disease
• Sleep apnea and respiratory problems
• Osteoarthritis (degeneration of cartilage and
  underlying bone within a joint)
• Gynecological problems (abnormal menses,
  infertility)

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What is Body Mass Index?
BMI (Wt in lbs x 703)
/ht in inches 2
Or visit http//www.nhlbisupport.com/bmi/
Important note BMI is not necessarily the best
nor is it the only way to gauge a persons health
12
Obesity Trends Among U.S. AdultsBRFSS Maps
13(BMI 30, or about 30 lbs overweight for a
54 person)
13
Obesity Trends Among U.S. AdultsBRFSS Maps
13(BMI 30, or about 30 lbs overweight for a
54 person)
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Obesity Trends Among U.S. AdultsBRFSS Maps
13(BMI 30, or about 30 lbs overweight for a
54 person)
15
Obesity Trends Among U.S. AdultsBRFSS Maps
13(BMI 30, or about 30 lbs overweight for a
54 person)
16
Obesity Trends Among U.S. AdultsBRFSS Maps
13(BMI 30, or about 30 lbs overweight for a
54 person)
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Obesity Trends Among U.S. AdultsBRFSS Maps
13(BMI 30, or about 30 lbs overweight for a
54 person)
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Other contributors?
Stress? Emotional/psych. disorders?
Food marketing
Physical Activity? Or lack
Genetics? 14
Cultural influences?
Sleep? Or lack thereof
Modern conveniences?
Medications?
Fun Link
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The law of supply and demand

• They offer what consumers will buy! I DO NOT
  BLAME THEM for obesity or anything else they
  have simply responded to our wishes. Dont sue
  them! Just stop supporting them!

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What is NOT working.

• 68 overwt/obese!
• Supplements
• Weight loss drugs
• Exercise equipment
• Diet programs
• Diet books
• Finger pointing
• 50 billion!! 15

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Critical Interventions What IS Working?

• Schools
• Farm to School
• Walk to School
• Recess before lunch
• Phys. Ed. Program Grants
• After school programs
• School Gardens

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Critical Interventions Whats Working?

• Community
• Farmers Market
• Community Trails
• Healthier, local fast food
• Worksite Wellness programs
• Lewis County Extension
• Master Gardeners
• Movies at Yardbirds
• Complete Streets
• Lewis County Table
• Lewis County Healthy Families Coalition

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The Cost of Going Local
Study conducted in Iowa during peak growing
season. A second part of the study looked at
prices for meat and eggs difficult to find
similar attributes at all venues but overall
found very comparable prices. 16
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Critical Interventions Whats Working?

• Other
• Insurance reduced costs for healthy weight
  work, with higher premiums for the
  overweight/obese.
• Local Government leaders listen to
  constituents! Then policy changes effect the
  greater population
• National Policy Legal Analysis Network
• Nutrition labeling of restaurant foods
• The language in health reform legislation would
  establish national standard labeling
  requirements, so consumers would see calorie
  information in the same format regardless of
  restaurant(more than 20, standard items), city or
  state.
• City laws banning/mandating food quality
• King County Nutrition Labeling Education Program
• Taxes on foods high in sugar or sodium
• NYC voluntary guidelines for limited sodium in
  restaurant foods
• LA fast food moratorium
• California ban on trans fats (effective Jan 1,
  2010, Gov. Schwarzenegger)

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Wake up and smell the farm fresh produce!

• Black Sheep Creamery - Adna, WA
  www.blacksheepcreamery.comFresh Aged Cheeses
• Boistfort Valley Farm Curtis, WA
  www.boistfortvalleyfarm.comCertified Organic
  Vegetables, Herbs, Flowers
• Childers Farm Winlock, WAFresh local produce
• Newaukum Valley Farm Adna, WA -
  http//www.newaukumvalleyfarm.comFresh
  Vegetables Flowers (products only available
  through CSA membership, farmers markets, or for
  purchase through restaurants)
• Prana Farms Toledo, WA http//www.pranafarms.c
  om - Fresh local produce
• Rose of Sharon Farm Chehalis, WA -
  http//www.roseofsharonfarm.comFarm Fresh Eggs,
  Honey, Vegetables
• Sweet Briar Herb Farm Onalaska, WAFresh Herbs,
  Herb Plants, Vegetables
• Winlock Meadow Farms Winlock, WA - Fresh local
  produce
• Many others! Keep searching dairy farms,
  chicken/beef/goat farmsetc.

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Support Business that supports local farms

• Just Jordies Winlock, WA - http//www.justjordi
  es.comHomestyle Pickled Veggies Jellies
• LaPetit Ami Chehalis, WA - http//lepetitamifami
  lyrestaurant.com/Crepes, Quiche, Homemade
  candies
• Santa Lucia Coffee Centralia, WA -
  http//www.santaluciaroasters.comCoffee, Iced
  Lattes, Coffee Beans
• Local Flavors (at Thorbeckes gym) Chehalis,
  WA-http//www.winlockmeadowsfarm.com/
• a local, seasonal, whole-food menu.
• Northwest Food Works Chehalis, WA -
  http//www.nwfoodworks.comGourmet Lunches,
  Beverages, Baked Goods
• Once Upon a Thyme Chehalis, WA -
  http//thyme.millerparsons.com/
• Ginas Organics Centralia, WA -
  http//www.ginasorganics.com/

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Where to go from here

• Eat Seasonal foods better variety nutrition
• Eat Local foods know your farmer (protect your
  health), and support local economy
• Plan ahead and prepare foods at home a stitch
  in time saves nine
• Personal responsibility - until environment
  catches up!
• Farms/Food Bank Lecture next week and great
  extension of this discussion

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Questions??
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References

• Kenner, Robert and Schlosser, Eric. 2009. Food,
  Inc. USA, Magnolia Pictures.
• Mintz, Steven. Food in America.
  http//www.digitalhistory.uh.edu/historyonline/foo
  d.cfm
• Krasner-Khait, Barbara. History Magazine.
  Retrieved January 2010 from http//www.history-ma
  gazine.com/refrig.html
• Fast food restaurant. In Wikipedia. Retrieved
  January 2010 from http//en.wikipedia.org/wiki/Fa
  st_food_restaurant
• Pollan, Michael. The Omnivores Dilemma. The
  Penguin Press, 2006.
• USDA Census of Agriculture Washington State -
  County Data, 1950 and 2007.
• Guthrie JF, Lin B-H, Frazao E. 2002. Role of food
  prepared away from home in the American diet,
  1977-78 versus 1994-96 changes and consequences.
  J of Nutr Educ and Behav 34140-150

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References

• Nestle, Marion. Food Politics. The University of
  California Press, 2002.
• Beaulac J, Kristjansson E, Cummins S. A
  Systematic Review of Food Deserts, 1966-2007.
  Preventing Chronic Disease July 2009 Volume
  6Number 3.
• 10. Kingsolver, Barbara with Steven L. Hopp and
  Camille Kingsolver. Animal, Vegetable, Miracle A
  Year of Food Life. New York. HarperCollins,
  2007.
• Kyle, Susie. Lets Rally to Support Local Food.
  The Chronicle. 7 January, 2010. Voices Section.
• 12. NIH, NHLBI Obesity Education Initiative.
  Clinical Guidelines on the Identification,
  Evaluation, and Treatment of Overweight and
  Obesity in Adults. Available onlinehttp//www.nh
  lbi.nih.gov/guidelines/obesity/ob_gdlns.pdf
  (PDF-1.25Mb)

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References

• 13. Behavioral Risk Factor Surveillance Survey
  maps. Centers for Disease Control. Retrieved
  January 2010 from http//www.cdc.gov/obesity/data
  /trends.html
• 14. CDC Genetics and Obesity Feature. Centers for
  Disease Control. Retrieved January 2010 from
  http//www.cdc.gov/Features/Obesity/
• Freedhoff, Yoni and Arya Sharma. Lose 40 pounds
  in 4 weeks Regulating commercial weight loss
  programs. Canadian Medical Association Journal.
  February 17, 2009. 180(4)
• The Leopold Center for Sustainable Agriculture,
  Iowa State University. Is local food more
  expensive? Retrieved January 2010 from
  http//www.leopold.iastate.edu/pubs/staff/prices/s
  ummary.htm.
• Another good read Schlosser, Eric. Fast Food
  Nation The dark side of the all-American meal.
  Houghton Mifflin Company, 2001.