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Community Nutrition
Lecture Notes - Exam 1
63
Other
Undergraduate 4
02/14/2011

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Term
Public Policy
Definition
-Sets the general tone for how an agency, group or government operates
-provides guidelines for setting priorities among competing goals, the allocation funds, selection of personnel, standards for program operations and future directions
Term
To be part of the agenda, what conditions must be met? (public policy)
Definition
1) a recognized problem exists
2) political circumstances must be right
3) placement of the issue on the policy agenda must be backed by some significant political entity
Term
Policy Agenda
Definition
set of problems to which policy makers give their attention
Term
Institutional Agenda
Definition
issues that are subject to public policy
Term
Policy Implementation
Definition
Process of putting a policy into action to accomplish a public good
Term
Who formulates policies?
Definition
legislative, executive and judicial branches of the government
Term
Formulation of policy
Definition
develops a mechanism to solve a problem, defines the problem further and support or opposition to it builds during this phase
Term
Who are policy implementers?
Definition
federal, state or local government employees
Term
Purpose is to determine whether a program is what? (4)
Definition
-Achieving it's stated goal(s)
-Reaching its intended audience
-Accomplishing what it was supposed to do
-Identifying who is benefiting from the policy
Term
Why may policies be terminated?
Definition
-public need was met
-nature of the problem changed
-government no longer had a mandate in the area
-the policy lost political support
-private agencies relieved the need
-a political system or sub-government ceased to function
-policy to costly
Term
Who makes policy in the US?
Definition
Congress, the president, courts
Term
Who makes up Congress?
Definition
Senate and House of Reps
Term
What are some issues of food safety?
Definition
-Environmental contaminants
-Pesticide residues
-Product tampering
-Nutritional imbalances
-Microbial contamination
-Product handling
-Food additives/fortication/enrichment
Term
What is a food additive?
Definition
substance added to foods in small amounts
Term
What is a food additives purpose?
Definition
to improve the quality (nutritionally or shelf life) of the food
-may also be added to change the food (dye or sweeteners) but must be low risk
Term
What did the Food Additive Amendment create?
Definition
GRAS (generally recognized as safe" list in 1958
Term
What is fortification?
Definition
the process of adding a nutrient not originally contained in the food
Term
When and where was the first food foritication take place? To what food?
Definition
Michigan in 1924 when iodine was added to salt
Term
In 1943, what were flour and bread enriched with?
Definition
Thiamin, Niacin, Riboflavin, and Iron
Term
Diabetes is the leading cause of what?
Definition
blindness and amputation
Term
Most hip fractures are caused by what?
Definition
Osteoporosis of ppl >50 yrs old who fracture a hip
Term
How many American adults are seriously overweight or obese?
Definition
Almost 2/3's - 61%
Term
Obesity rates in children have ________ over the last 2 decades.
Definition
doubled
Term
What percent of children and percentage of teens are obese?
Definition
14% and 12%
Term
According the the USDA, healthier diets could prevent at least __________ per year in ________________________.
Definition
$71 billion in medical costs, lost productivity and lost lives
Term
According to the CDC, state and federal governments spend _________ more to _______ disease than to ___________ it.
Definition
1000x more to treat than prevent
Term
T/F: Current investments to promote healthy eating and physical activity are insufficient.
Definition
True
Term
How much is the 5 A Day Program's annual communications budget?
Definition
3.6 million
Term
How much does tobacco control at the CDC receive? How much does the Division of Nutrition and Physcial Activity at the CDC receive?
Definition
Tobacco = 100 million
N and PA = 45 million
Term
T/F: The USDA does invest in nutrition programs, however, those programs are targeted primarily at low-income Americans, and little is done to promote healthy eating to the general public.
Definition
True
Term
Aging Objectives
Definition
-Max. the impact of nutrition care and services in the Older Americans Act and advance the concept of "healthy aging"
-Seek adequate funding for nutrition studies, programs, and services for older adults
Term
Child Nutrition Objectives
Definition
-Improve nutritional content of foods at school as well as through the WIC program
-Expand local school wellness policies and improve outcomes
Term
Food and Food Saftey Objectives
Definition
-Strengthen the government's capabilites to improve the safety of the food supply and provide accurate info about food and nutrition consumers
-Improve consumer protection and info about food, food ingredients, and dietary supplements
Term
Health literacy and Nutrition Advancement Objectives
Definition
Improve the nutritonal status of Americans and make this and nutrition and health literacy higher national priorities
-increase access to and awareness of safe and healthful foods in food assistance initiatives so that beneficiaries may "eat right"
-support continuous efforts to make the Dietary Guidelines for Americans more central to our national understanding of food, nutrition and health and the chosen guide for Americans in making dietary and physical activity choices
Term
Medical Nutrition Therapy and Medicare/Medicaid Objectives
Definition
-Reform health and health care policies so that they can help improve the health of Americans
-Assure access to quality health care through referrals to qualified professionals, where appropriate
-Increase payment rates for RD-provided MNT services
-Seek MNT expansion in more public and private programs
Term
Nutrition monitoring and research objectives
Definition
-Improve and expand nutrition research and related activities
-Fund NHANES
-Protect the program of work of the ARS and its Human Nutrition Research Centers, and increase federal investment in food, nutrition and health research
Term
Obesity/overwt/healthy wt mgmt objectives
Definition
-Adopt national strategy to prevent childhood obesity
-Put RDs on the front lines in addressing overwt and obesity in all populations
-Gain coverage for MNT
Term
Define Community
Definition
a group of people who are located in a particular space, have shared values, and interact within a social system
Term
Management is often called what according to Owen?
Definition
the art of getting things done through people
Term
Program management includes what 3 components?
Definition
-Planning
-Implementation
-Evaluation
Term
What is meant by the term planning?
Definition
Planning is a forward looking process through which the uncertainty about the future is reduced and orderly action toward results is initiated
Term
What the the steps in the Program Planning Process?
Definition
1) Conduct needs assessment
2) identify problems in community
3) prioritize and rank the problems
4) design the program
5) develop a budget
6) develop a marketing plan (nut. ed tool)
7) Evaluate the program's effectiveness
Term
Community Needs Assessment's provides info about what?
Definition
-nutrition and health problems in the community
-environmental and lifestyle factors influencing health
-community values (obtained through focus groups and interviews)
-available resources
Term
Community needs assessment is a process of evaluating what?
Definition
-the health and nutritional status of the community
-determining what the community's health and nutritional needs are
-identifying places where those needs are not being met
Term
What are other names for a Community Needs Assessment?
Definition
-community analysis and diagnosis
-health education planning
-mapping
Term
The community nutrition needs assessment should result in what kind of information?
Definition
-A description of nutrition-related problems in the defined community based on data
-An indication of the perceived or felt needs by members of the community
-Identification of avaialbe resources
-Establishment of priorities for nutrition planning
Term
What types of date should you collect for the community needs assessement?
Definition
-Qualitative data
-Quantitative data
-Key informant
Term
Qualitative Data
Definition
Opinions that describe or explain, this is subjective info, can be categorized or ranked but not quantified
Term
Quantitative Data
Definition
derived from a variety of databases, vital statistics
Term
Key informant
Definition
People who are "in the know" about the community
Term
Qualitative Data Types
Definition
-key informant interviews
-focus group interviews
-oral histories
Term
Quantitative Data Types
Definition
-Secondary data from a variety of sources both at the national and state level
-survey data both from individualized surveys done at the local level and from national data sets
Term
How to plan for data collecting
Definition
-Plan carefully the type of data to collect
-determine what info you need and which questions to ask
-think about sample size, data management, quality control and statistical analysis
-questions pertain to target pops nutritional problems, how they develop and factors that influence it
Term
What is a survey?
Definition
a systematic study of a cross-section of individuals who represent the target popluation
Term
What are most nutrition surveys interested in?
Definition
-Assessing food consumption in households or individuals
-measuring the nutrient intake of a certain popluation group
-studying the relationship of diet and nutritional status to health
-determining the effectiveness of an education program
-evaluating dietary patterns
Term
What is a Health Risk Appraisal?
Definition
a type of survey instrument used to characterize a population's general health status (often in magazines)
Term
What are the 3 main components of a health risk appraisal?
Definition
1) A questionnaire
2) Calculation that predict risk of disease
- An educational message or report to the participant
Term
What is the purpose of a health risk appraisal?
Definition
to alert individuals about their risky health behaviors and teach them ways to modify behaviors
Term
Define Screening.
Definition
a preventive health activity designed to identify disease by detecting it as soon as possible
Term
Where can a screening occur?
Definition
- clinic or community setting
Term
T/F: screenings should substitute for health care visits or routine medical monitoring.
Definition
False! they should NOT substitute!
Term
Define Health Status.
Definition
the condition of a population's or individual's health, including estimates of its quality of life and physical and psychosocial functioning
Term
Define Nutritional Status.
Definition
the condition of a population's or individual's health as influenced by the intake and utilization of nutrient and non-nutrients
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