nutrition in american indian communities kelli wilson, ms rd ld kickapoo / mvskoke creek / seminole
TRANSCRIPT
Nutrition in American Indian CommunitiesKelli Wilson, MS RD LDKickapoo / Mvskoke Creek / Seminole
IHS Diabetes Care and Outcomes Audit, 2011
Access to Nutrition Services
50% of American Indian / Alaska Native (AI/AN) people with diabetes received diet education.
25% were seen by a Registered Dietitian for Medical Nutrition Therapy (MNT).
BARRIERS
Native Americans suffer food insecurity and hunger at twice the rate of the general population.Food Research and Action Center, 2000
Community Food Insecurity
A situation in which all community residents
obtain a safe, culturally acceptable,
nutritionally adequate diet through a
sustainable food system that maximizes self-
reliance and self justice, without resorting to
emergency food choices.
Environment vs Epigenetics
Inadequate maternal nutrition during pregnancy is associated with a range of undesirable outcomes in the offspring, including obesity in childhood JACN 2004; 23
• Maternal diet during pregnancy epigenetically affects child’s adiposity at age 9 yrs Diabetes 2011; 60
• Inverse relationship between birth weight and risk of diabetes JAMA 2008; 300
• Fetuses of obese mothers develop insulin resistance in utero Diabetes Care 2009; 32
• Breastfeeding is most traditional form of feeding for early life nutrition
Documentary – Unnatural Causes
Unnatural causes, is inequality making us sick?
www.unnaturalcauses.org
“Bad Sugar”
California Tribes
Indian Healthcare Delivery System
www.ihs.govCalifornia Area California Rural Indian Health Board
www.crihb.org
Traditional Foods in California TribesGame and Wild Fowl Seafood Nuts and Seeds
Grains and Beans Variety of Vegetables Fruits and Flowers
Common Commodity Foods:- Flour- Lard- Cheese Block- Powdered Eggs / Milk- Canned Meat
Government Issued Foods - Original
Versions of Fry Bread
CULTURE
Family and community are important
Multi-generational households
Elders are valued
Meal planning is the responsibility of the females in the household
Bread is a staple in the diet
Frequent communal meals (feasts, gatherings for cultural and religious purposes)
American Indian Community
Cultural Snapshot
SUGGEST
Switching fat sources – from lard to oil
Eating smaller portions of bread
Decrease sugar-sweetened beverages
Decrease salt intake and cut down on added salts to food
Eating meals on a schedule and avoiding late dinners
Small, gradual changes in eating habits
Increase fruits and vegetables
American Indian Community
Cultural Snapshot
National American
Indian and Alaska Native
Heritage Month
www.ihs.gov/HeritageMonth/
National Diabetes Month
FREE!Various Resources Available- Facts At-a-Glance- Standards of Care- Best Practices- Diabetes Algorithms- Web-based CME Training- Printable Materials- Media Tools- Client Education Tools
www.diabetes.ihs.gov
Indian Health ServiceDivision of Diabetes Treatment and Prevention
www.diabetes.ihs.gov
Indian Health ServiceDivision of Diabetes Treatment and Prevention
www.diabetes.ihs.org
Indian Health ServiceDivision of Diabetes Treatment and Prevention
www.diabetes.ihs.org
Indian Health ServiceDivision of Diabetes Treatment and Prevention
Educator’s Tip Sheet to Use with My Native Plate
Click on Printable Materials – Nutrition
5 Key Focuses:
1. Emotions and Stress2. Finances3. Social Gatherings4. Traditional Foods5. Convenience Foods
www.diabetes.ihs.gov
Indian Health ServiceDivision of Diabetes Treatment and Prevention
www.diabetes.ihs.gov
Downloadable Posters (Legal-Sized)
Click on Printable Materials – Youth Diabetes Prevention
• Breastfeeding Promotion• Childhood Obesity
Prevention• Physical Activity Promotion
Bre
astfe
ed
ing
Pro
motio
n
www.diabetes.ihs.gov
Youth
Dia
bete
s Pre
ventio
n
www.diabetes.ihs.gov
Youth
Dia
bete
s Pre
ventio
n
www.diabetes.ihs.gov
Alaska Native Tribal Health ConsortiumStore Outside Your Door
Am
erica
n D
iab
ete
s A
ssocia
tion
Native American Initiative | Awakening the Spirit www.diabetes.org/ats
AAIP Policy Brief
MVTO.“Thank You” in Muscogee Creek and Seminole Language
Pronounced “muh-doe”
Question and Answer