Food Pyramid for the Mummy - Pareen Shah M.D Amit Thakral M.D, MBA

Food Pyramid for the Mummy
Pareen Shah M.D
Amit Thakral M.D, MBA

Scenario
 We often think that the
key to a varied healthy diet
in infants depends on
proper nutritional guidance
given to the parents, but
what about this scenario

“A 7 month old infant seen
in the clinic continues to
get only formula because
her mother reports she
dislikes Stage 1 food and is
unable to find Stage 2 and 3
foods in her community….”

   This has opened the
    forum that physicians
    may at times make
    suggestions to a
    patient population
    without even knowing
    if the resources are
    available.
   Is this a common
    problem encountered
    in the Chester
    community?

The Realization..
 In many underserved communities, giving
  guidance based on knowledge of the
  availability of resources can be a
  problematic issue.
 Many health care workers that serve
  these areas are unaware of what is
  actually available in the communities that
  they serve.

 As health care professionals, it is
  important to understand what our
  patients have access to in order to
  provide better care.
 Health care providers need time, training,
  resources, and institutional support to
  improve their ability to communicate
  healthy recommendations.

Statement of the Problem
   As health educators to our patients, at
    times we are unaware of what resources
    are available in our respective
    communities

Purpose of the Study
•   Our primary overall goal is to improve our
    practice and give advice to our colleagues
    that will give us the power to provide better
    compassion and management for the
    patients in Chester, PA
•   In order to evaluate the knowledge our
    colleagues have, it is important to first
    collect information about the availability of
    which foods are and are not available in
    Chester, PA with regards to MyPlate 2011.

•   Learn more about the community for
    which we have the opportunity to serve.
•   Know which places offer nutritional value
    to our patients in order to inform our
    colleagues.
•   Help our colleagues give more concise
    advice to their patients.
•   Observe how much of this information is
    not only remembered, but actually put
    into practice.

Review Of Literature

Chester, PA
•   Population of 33,200
•   53 % of households in
    Chester consist of a
    female householder with
    no husband, but with
    children less than 18
    years of age.
•   36 % of the population is
    employed to educational,
    health, and social
    services.
•   Around 30% of
    households do not own
    a vehicle.

Children in the United States
In 2002, a study showed
• In children ages 7 to 24 months,
   18 to 33 percent consumed no
   servings of vegetables, and 23 to
   33 percent consumed no fruits.
• By age 15 to 18 months, french
   fries were the most common
   vegetable consumed by toddlers.
• By 19 to 24 months, 62 percent of
   toddlers consumed a baked
   dessert, 20 percent consumed
   candy, and 44 percent consumed a
   sweetened beverage on any given
   day.

Food Pyramid vs. MyPyramid

MyPlate

Lack of lifestyle change counseling
by healthcare providers

   lack of reimbursement
   insurance coverage
   insufficient time at patient visits.

Socioeconomic factors that expose
children to obesity

 ubiquitous availability of low costs
 high calorie foods from neighborhood fast
  food outlets
 cultural practices
 the cost of referrals for nutrition and
  physical-activity services

STATEMENT OF THE HYPOTHESIS

 •   Due to the differences of resources in
     particular areas, we feel that our
     colleagues may not be aware of what
     healthy foods may be available for children
     in Chester, PA.

Methods
3 phases

First phase- Data Collection
•   A field study investigating what foods are
    available in Chester, PA
     - will entail studying what inventory is
    available at grocery stores and markets
    in Chester, PA. We will also evaluate
    which eateries are popular and serve
    healthier options

Phase 2- Survey and Educate
• Self –administered multiple choice survey of
  health care providers’ understanding of
  availability of nutritional resources in the
  community and the ability to provide
  nutritional counseling
• Minimum of 50 people surveyed
• The results will help us educate our
  colleagues so that they can guide patients in
  the right direction to promote a healthy
  lifestyle

Phase 3- Post Intervention Survey
 This will be done 1 month later
 Will gauge the amount of knowledge
  retained from our presentation

Limitations of the Study
 Financial hardship in the Chester
  community- access and transportation
 Colleagues - time spent in the area
 Seasonal inventory
 Primary shopper

Significance of the Study
 Seek knowledge that will allow the
  effective exchange of information and
  collaboration with patients and their
  families
 Communicate effectively with those of a
  broad range of socioeconomic and
  cultural backgrounds

 Improves Practice-
  Based Learning by
  assimilating information
  that improves patient
  care, but provides self
  evaluation and life long
  learning
 The study will cover
  these duties by finding
  out better nutritional
  information for
  residents in the
  Chester community

References
   Demographics of Chester, Pennsylvania.
    (2010).CLRSearch. Retrieved on August 14th, 2011, from
    http://www.clrsearch.com/Chester_Demographics/PA/
   Boyle M, Lawrence S, Schwarte L, Samuels S, McCarthy
    WJ. Health Care Providers’ Perceived Role in Changing
    Environments to Promote Healthy Eating and Physical
    Activity: Baseline Findings From Health Care Providers
    Participating in the Healthy Eating, Active Communities
    Program. PEDIATRICS June 2009 Volume 123,
    Supplement 5. 293-300
   U.S Department of Agriculture. ChooseMyPlate.gov
    Website. Washington, DC. www.choosemyplate.gov
    .Accessed August 23, 2011