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1

nutrition assessment

measurement of indicators of dietary status and occurrence

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nutrition monitoring

intermittent times of assessment

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nutrition surveillance

continuous assessment of nutritional status

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NNMRRP - national nutrition monitoring and related research program

set of activities that provides info about the contribution diet has on the health of the US

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who jointly organizes the NNMRRP?

HHS & USDA

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what groups does the NNMRRP utilize?

non-institutionalized civilians 55+
children 2-6
women of reproductive age
individuals in nursing homes

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DRIs

nutrient goals to be reached over time
EARs
RDAs
AIs
EER
AMDR
TI

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Estimated Average Requirements (EAR)

requirement for a nutrient that supports a specific function
HALF the population

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recommended daily allowances (RDAs)

insufficient daily amts to meet needs of nearly ALL americans

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adequate intakes (AIs)

when there is insufficient data for an RDA
nutrient APPEARS to be sufficient

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tolerable upper intake level (UL)

max daily amount that if exceeded could have negative health effects

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problem definition and agenda setting

defining the nutritional problem

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formation of alternatives

possible solutions to the problem are discussed

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policy adoption

choosing the policy

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policy implementation

putting the policy into action

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policy evaluation

is the policy working?

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policy termination

need was met, policy was too costly

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obesity

BMI of 30 or higher - accumulation of excess adipose tissue

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overweight

BMI of 25-29.9

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why is obesity costly?

associated with chronic diseases

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determinants of obesity

imbalance in energy by either a surplus of energy intake or lack of energy

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risk factors of obesity

genetic, psychosocial, lifestyle factors, environmental

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adult obesity interventions

clinical approaches
worksite health promotions

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child/adolescent interventions

implemented in the school environment
decreasing screen time/increasing PA time
FAMILY involvement is VERY important

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race/ethnic disparities

obesity rates are higher among Black and Hispanic communities

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obesity paradox

it treats preventable illness rather than prevention

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healthy people 2020 objectives

longer lives without preventable disease
achieve health equity
create social and physical environment that promote good health

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private insurance

majority of insurance provided in the united states

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fee-for-service insurance

encourage the physicians to provide more services than necessary

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managed care insurance

improved quality of care with decreased cost

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hmos

health maintenance organizations
provide comprehensive services; make money by keeping people healthy

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PPOs

Preferred Provider Organization
not required to select a PCP --> greater out of pocket payment for provider

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POS

from both in network and out of network providers ... selection of PCP from a list of providers

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government/public insurance

insurance provided by the government

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medicare

largest health care insurer
people 65 and older
hospital insurance benefits, nursing facilities, some home healthcare

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medicaid

entitlement program for low-income, aged, blind, disabilities, dependent children etc

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high cost of healthcare

inflated; aging population; increased demand; continuing advancements