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NUTRITION 1101,2101, 2103, 2106, 2107 AND 3701 ARE NOW ARTS AND SCIENCE ELECTIVES FOR THE B.Sc.N. – please note the correction to 2101

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•Hard copy only for submission of essay ornutrition care management plan-please start early to work on this project

Please ensure you have the correct course syllabus -this is Nutrition 2105-please see correct course syllabus on my website (under Nutrition 2105)

Please note that only the online course syllabus version is the official version. please check the online version periodically to make sure that you have the most recent information.

The CBU Students’ Union is looking for tutors for this semester in all subject areas. Students who are interested must have attained an 80 in the course(s) they wish to tutor, as well as an overall 70 average in their most recent semester of study. Tutors are paid $12/hour, have flexibility in their schedules, and are allowed to work up to 15 hours per week. Tutoring is a great way to make some extra money, to help fellow students, and it looks great on a resume. If any students are interested, they can just visit the Students’ Union to fill out an application.

Lecture 2a 14 Jan 2013 Nutrition concerns including nutritional health and food consumption trends in Canada

About The Canadian Council of Food and NutritionTracking Nutrition Trends (TNT) - 1989-2009- produced by The Canadian Council of Food and Nutrition (CCFN) The Canadian Council of Food and Nutrition (CCFN) is a national, non-profit organization established in 2004 through the union of the mandates of the National Institute of Nutrition and the Canadian Food Information Council. The vision of CCFN is to be the multi-sectoral trusted voice for science and evidence-based food and nutrition policy and information in Canada. To successfully achieve its vision, CCFN acts as a catalyst in advancing the nutritional health and well-being of all Canadians by: •Championing evidence-based solutions to key nutrition issues affecting the nutritional health of Canadians; •Advocating for evidence-based nutrition policy in Canada; and •Promoting public understanding of food and nutrition issues.

For more information, visit www.ccfn.ca.

http://www.ccfn.ca/

About Tracking Nutrition Trends (TNT) Surveys

The Tracking Nutrition Trends (TNT) survey series was initiated in 1989 to investigate adult Canadians’ self-reported knowledge, attitudes and behaviour with respect to food and nutrition issues. Each wave of the series has built on the previous findings by tracking trends and developing a benchmark on emerging issues.

A brief summary of the 20 year report

The first trend is the rise in Internet access that has occurred. The TNT tracking clearly shows that the Internet rose from a minor information source in the late 1990s to a major source of information. It is now one of the most important sources of information and, significantly, one that is considered credible by many Canadians. The information role of the Internet is, of course, only one of the implications of this technology; it also has empowered people to join social communities and develop their own content. To date the implications of this change are unclear.

The second trend is that the information landscape around food and nutrition is constantly changing. This is well illustrated by the trans fat issue which rose quickly on the public agenda in the early years of the decade and then reached a plateau in the past few years. From 1997 to 2001, concern with trans fat in food rose from 40 to 59 per cent (very or somewhat concerned). In 2008, trans fat was just as much of a concern to Canadians as fat in general. As a result of this rising concern, the proportion of Canadians who indicated choosing food based on the amount of trans fat rose from 41 per cent (often or sometimes) in 2001 to 68 per cent in 2006, where it remained in 2008.

How Canadians perceive themselves Over the past four iterations of the TNT survey, more and more Canadians have indicated that their eating habits are excellent or very good. Now just over half (51% in 2008) feel this way. Although this is a self-rating, it corresponds very well with key nutrition-related behaviours. For example, 76 per cent of those who rated their health as excellent or very good in 2008 said they eat breakfast every day compared with 37 per cent of those who rated their health as poor. Because eating regular meals is a factor in overall health, it is clear that people who report eating poorly are facing challenges in acting on basic nutrition advice.

Certainly not all Canadians are knowledgeable about food and nutrition. In 2008, the TNT survey found that 38 per cent consider themselves to be very knowledgeable, which was up significantly from 2006 (26%) but only up marginally compared with 1997 (33%) when the question was first asked .

It is interesting that while Canadians’ stock of food and nutrition information has no doubt increased, there has been almost no movement in terms of knowledge of some relatively basic facts of nutrition since 1989. For example, 74 per cent of Canadians in 1989 knew that some types of dietary fibre can help reduce cholesterol in one’s blood, which is the same level as in 2008.

MORE SPECIFICS

-rise in internet use for nutrition information

-still little attention being paid to trans fats- do not really understand trans fats

MORE SPECIFICS continued

-little change in self rated health, self rated eating habits or self rated knowledge about nutrition (all still less than 50 %)-grasp of key nutrition facts (1989-2009) remains unchanged

-key nutrition facts are: 1) high fibre diet may help prevent colon cancer (about 80 %)2) reducing fat in the diet can lower blood cholesterol (about 80 %)3) some types of fibre help reduce blood cholesterol (about 75 %)4) fewer could name all four food groups or at least one food group5) all of above 3 plus understanding of glycemic index and omega 3's in health showed a small drop (2006 to 2008) -desire to maintain good health has dropped as has making improvements to eating habits and the importance of good nutrition

MORE SPECIFICS continued

-convenience of foods has become more important over the years

-percentage of people always reading food labels has remained fairly low and constant

-yet concern about dietary fat, cholesterol, fibre, salt, sugar, vitamins, caffeine and fibre has increased

-a small percentage increase in persons are selecting foods based on fat, cholesterol, fibre, salt, sugar, saturated and trans fat.

BOTTOM LINE NOT ALL CANADIANS ARE WALKING THE TALK. THEY KNOW WHAT HAS TO BE DONE BUT CANNOT BRING CONSISTENTLY THEMSELVES TO DO IT. CANADIANS AS A POPULATION JUST DO NOT GET IT.

Latest results from Tracking Nutrition Trends VII (2008) survey

Although eight out of 10 Canadians consider themselves very, or at least somewhat, knowledgeable about nutrition, the TNT VII reveals some interesting facts demonstratingthat we aren’t as nutrition savvy as we think we are. Here’s a closer look:.

Latest results from Tracking Nutrition Trends VII (2008) surveyFirst the bad news …• Nearly one quarter of those surveyed consider their health (25 per cent) and eating habits (26 per cent) to be poor or fair.

• Most Canadians (77 per cent) eat while engaged in another activity (e.g. watching TV, driving, checking e-mails) at least once a day. Eating while distracted leads to overeating by making you less focused on hunger signals and the amount of food you've eaten.

• Less than two thirds of Canadians eat breakfast (58 per cent) or lunch (62 per cent) daily,Skipping lunch or breakfast can reduce memory and concentration, and sabotage efforts to stay slim. Eating breakfast also kick-starts your metabolism and prevents you from over eating later in the day..


• Canadians eat out regularly, with 10 to 15 per cent eating out two or more times per week.

• Less than one quarter (22 per cent) of Canadians look for nutrition information while eating out.

Latest results from Tracking Nutrition Trends VII (2008) survey• Most Canadians (75 per cent) are keenly aware that omega-3 fatty acids (found in oily fish, flaxseed, walnuts and canola oil) are essential to a healthy diet, but we continue tobe confused when it comes to types of fat. Four in 10 Canadians mistakenly believe that non-hydrogenated (or soft) margarine contains less fat than butter (it doesn’t!), and another 21 per cent don't know. Thirteen per cent believe that hard, stick margarine is better for you than soft margarine and one-third of Canadians don't have a clue.


• Most of us know that reducing fat in the diet can lower cholesterol in the blood. But nearly two-thirds (63 per cent) of Canadians think that the amount of cholesterol you eat is a major factor affecting blood cholesterol. The truth is cholesterol in foods has little or no impact on most people's cholesterol levels. It's your intake of saturated and trans fats that matters most - both types raise LDL or “bad” cholesterol.


• Canadians are largely unaware of the adverse effects of trans fatty acids. This is surprising given the general trend to avoid trans fats. Less than one third (32 per cent) of Canadians know that trans fatty acids have the same effect as saturated fats. One quarter (24 per cent) of Canadians believe that trans fats do not have the same effect as saturated fat, and another one quarter (27 per cent) of Canadians simply do not know.


• Despite the overwhelming scientific evidence of the importance of a daily vitamin D supplement for Canadians, only 20 per cent report taking a single vitamin or mineralsupplement and four in 10 Canadians take a multivitamin supplement.


• Only 57 per cent of people regularly read food labels to seek out ingredient information, nutrient content and “best before” dates.

• Although 82 per cent of Canadians believe dietitians are the most credible source of nutrition information, most of us are getting nutrition information from more accessible sources like product labels (68 per cent), the Internet (51 per cent), magazines, newspapers and books (46 per cent), and friends and relatives (41 per cent).


• Canadians seem to have a short-term view of the impact of food on overall health – only 66 per cent said that “living longer” influences their food choices. For the majority of Canadians, maintaining good health (87 per cent), gaining energy or stamina (74 per cent), and weight management and body image (68 per cent) are factors that influence the food choices they make.

Latest results from Tracking Nutrition Trends VII (2008) survey• When it comes to food safety, only 32 per cent of Canadians are concerned about food handling, preparation or storage, and only 24 per cent are concerned about food additives or pesticides (17 per cent).

• Most of us aren't very concerned whether a food is organically grown, contains probiotics, has a low glycemic index, or is produced using biotechnology. Close toone-third of Canadians are not aware or don't car re about these factors.

• Only 10 per cent say they're concerned about where their food comes from (e.g. country of origin).


AND THE CONSEQUENCES OF THE BAD NEWS ARE:

http://www.diabetes.ca/documents/getinvolved/FINAL_Economic_Report.pdf


But the good news is…

• Half of us consider nutrition "very important" when deciding what to eat.

• The top five nutrient factors that sway our food decisions are: low in trans fat, made whole grains, low in sugar, low in sodium and contains omega-3 fats.


• Ninety-five per cent of Canadians who use food labels are able to find the information they need and use it to determine the nutrient and calorie contents of foods, to make comparisons among foods and to determine if the food contains a specific ingredient.

• We understand that some types of fibre can lower blood cholesterol and that a high fibrediet may help prevent colon cancer.

Latest results from Tracking Nutrition Trends VII (2008) survey• Canadians like to snack – an important way to keep blood sugar levels in check and prevent over-eating at the next meal. Sixty-seven per cent of Canadians report eating one or two snacks every day.

• Six out of 10 Canadians say they've made an effort in the past year to adopt a healthier diet. The top five improvements were eating more vegetables, more fibreand whole grains, less fat, less sugar and fewer calories.

• Canadians who never eat out (breakfast, lunch or dinner) rate both their eating habits and their health higher than those who do eat out.

Latest results from Tracking Nutrition Trends VII (2008) surveyTNT VII Methodology

The online sample for TNT VII was a random sample drawn from the TNS Canadian Facts proprietary consumer panel. The TNS panel is a community of interactive respondents that currently numbers more than 95,000 Canadians having a cross-section of sociodemographic characteristics. The sample was drawn to be representative of the Canadian population 18 years of age and older based on age, within gender and region (based on the 2006 Canadian Census).

Latest results from Tracking Nutrition Trends VII (2008) surveyTNT VII Methodology

In total, 9,012 invitations were sent and 2,003 surveys were completed, for a completion rate of 22 per cent. TNS Canadian Facts conducted all fieldwork, data processing and analysis in-house. The survey instrument was developed in consultation with CCFN and its advisory panel and was designed to build on and expand previous efforts.

2008 Our Health –Cape Breton District Health Authorityhttp://www.cbdha.nshealth.ca/IC2/intranet/includes/secure_file.cfm?ID=75&menuID=3

Fruits and Vegetables Consumption

Females were more likely than malesto consume the recommended daily servings of fruit and vegetables.

http://www.cbdha.nshealth.ca/IC2/intranet/includes/secure_file.cfm?ID=75&menuID=3


2008 Our Health –Cape Breton District Health Authorityhttp://www.cbdha.nshealth.ca/IC2/intranet/includes/secure_file.cfm?ID=75&menuID=3

Diabetes Rates Cape Breton Canada NS Males 12% 6% 8% Females 9% 5% 6%

BMI Cape Breton Canada NS Overweight 61.3% 48.5% 55.2% Obese 21.4% 16.0% 20.1%



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