243543 Evidence based nutrition recommendations for impacting health disparities

Monday, October 31, 2011: 3:06 PM

Yvonne Greer, MPH, RD, CD, CLC , Nutritionist Coordinator, City of Milwaukee Health Department, Preventive Health Services, Milwaukee, WI
Introduction: American Dietetic Association (ADA) is the nation's largest organization of food and nutrition professionals. ADA is committed to improving the nation's health and advancing the profession of dietetics through research, education and advocacy. One of ADA's most valued resources is the Evidence Analysis Library which houses summarized nutrition research with recommendations to guide nutrition practice. Utilizing a rigorous process for evidence analysis and guideline development, ADA recently published a set of conclusions on Nutrition and Health Disparities. Methods: ADA's evidence analysis process is a systematic review with five steps: Formulate Evidence Analysis Question, Conduct Literature Review for Each Question, Critically Appraise Each Report, Summarize Evidence, and Develop Conclusion Statement and Assign Grade. Specific Health Disparities questions were related to access to nutrition services, improving cultural competency through cross-cultural communication, effectiveness of nutrition intervention methods and impacting food security and health outcomes. Inclusion criteria included all ages, US population with attention to racial/ethnic groups, low income, low SES, medically uninsured or under-insured and geographically isolated. Health conditions included Diabetes, CVD, Overweight/Obese, and Breastfeeding. Results: Over 80 studies were reviewed, rated for quality and summarized, resulting in 12 conclusion statements each graded by the strength of the evidence. Discussion: Speaker will review the conclusion statements to highlight nutritional best practices in eliminating health disparities. Findings related to improved self efficacy, effective models of care, and enhanced cross-cultural communications will be emphasized. An interactive discussion will be facilitated on ways to use the findings to enhance future nutrition initiatives.

Learning Areas:
Administer health education strategies, interventions and programs
Assessment of individual and community needs for health education
Chronic disease management and prevention
Diversity and culture

Learning Objectives:
1. Name three characteristics of effective “cross-cultural communications” and its impact on eliminating health disparities. 2. Describe four models of nutrition care that promote healthy behaviors and/or improved health outcomes within health disparate populations. 3. State at least three evidence based strategies that have been shown to improve the food security and well being of health disparate populations.

Keywords: Nutrition, Health Disparities

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: Yvonne D. Greer, MPH, RD, CD, CLC, is Nutritionist Coordinator for the City of Milwaukee Health Department. For 20 years she has coordinated city wide nutrition initiatives targeting at-risk youth and families. She’s an appointee to both, the Governor’s Council on Physical Fitness and Health and Healthiest Wisconsin 2020 Strategic Leadership Team, State Health Plan-2020. Local, national and international recognitions and presentations include: The 2006 Milwaukee Youth Champion Award for the Youth Take Charge! Project; the 2000 American Dietetic Association Foundation Ross Award in Women’s Health; and Battling Childhood Obesity: Milwaukee Health Department Provides Leadership to Improve Nutrition and Physical Activity Environments in Schools, Families and Communities, and Faith-based Organizations, Poster, 2008 International Congress of Dietetics, Yokohama, Japan, September, 2008. She served as an expert workgroup member on the American Dietetic Association Health Disparities Evidence Analysis Project.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.