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California Indian Women: Good Nutrition for All
Traditional Lakota Foods: Preparing Wasna and Pa'Pa
U S D A releases Food guide Pyramid for Young Children
The Science and Art of Medical Nutrition Therapy for Diabetes: Maximizing Your Effectivess
Nutrasweet Rumors Laid To Rest

Weight-loss practices, nutrition beliefs, and weight-loss program preferences of urban American Indian women
Nancy E. Sherwood, P h D; Lisa Harnack, R D, Doctor P H; Mary Story, R D, P h D
The article describes health beliefs, weight concern, dieting practices, and weight-loss program preferences of American Indian women residing in an urban setting.

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AMERICAN INDIAN NUTRITION INFORMATION VIDEO!!!

California Indian Women: Good Nutrition for All
Based on a study conducted by University of California Cooperative Extension and Indian Health Services Clinics, the video reports on healthy food habits of American Indian women and their families throughout California. It also identifies what nutrition issues are important and need emphasis in our Indian communities. For example, the video encourages:

• Family unity - preparing and eating meals together
• Breastfeeding babies for six months or longer
• Introducing solid foods to babies at 4-6 months
• Eating more fruits and vegetables
• Healthier ways to prepare foods (broiling versus frying, etcetera)

California Indian Women: Good Nutrition for All was produced by the University of California Cooperative Extension and the Northern California Indian Development Council, Incorporated. It was taped within the participating communities located in Banning, Bishop, Porterville, and Trinidad, California.

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Indian Organizations may purchase the video @ $15.00 each, which includes postage and handling. Make payment to:
Indian Video, Cooperative Extension
Morgan Hall, Room 9 #3104
University of California
Berkeley, C A 94720-3104
All orders must be prepaid. Checks should be made payable to "U C Regents"

Now available on Video
Traditional Lakota Foods: Preparing Wasna and Pa'Pa

For Teachers and Health Educators
" Preparing Wasna and Pa'pa" (25 minutes), produced for the Lakota Nation, Elders from the Oglala Sioux Tribe demonstrates how meats were traditionally cut and prepared for drying. The Elders speak in Lakota and English as they perpare the foods. Wasna (Pemmicna) is prepared from the dried meat (Pa'pa), fat and berries. The use and importance of these foods in Lakota society is described. Modern and traditional methods of preparing these foods are described. Following the demonstration a Lakota Dietitian describes the main components of the traditional Lakota diet. The Lakota diet is promoted as an example of what is healthful for Lakota people.

This video was produced with funds from Indian Health Service and South Dakota State University. It was directed by Elaine Quiver, Director Foster Grandparent Program and Kibbe Conti, I. H. S. Nutritionist.

ORDER INFO:
To order, please return this order form with your check to:
Kibbe (McGaa) Conti,
6134 Wildwood Drive
Rapid City, S D 57702
phone inquiries: (605) 341-1477
alternate phone: (605) 545-0354
price per tape: $15.00 (plus $4.95 shipping within the U.S.)
Please provide your name, address, phone number and the check enclosed for
the amount of.

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A message from gwen Hosey, M S, A R N P, C D E H Q W National Diabetes Program
Three articles recently published in the Journal of the American Medical Association (J A M A). Each article gives clinical evidence that moderate physical activity can lead to health benefits. More important, these articles support physical activity counseling options beyond the traditional fitness center recommendations. Walking and other lifestyle activities do help! Read these articles, I think they will bolster your energy as you continue your work to support physical activity programs and changes within your communities.

Walking Compared with Vigorous Physical Activity and Risk of Type 2 Diabetes in Women - A Prospective Study; Frank B. Hu, M D, P h D, and others, J A M A, October 20, 1999-Volume 282, Number 15, pages 1433-1439
Benefits of Lifestyle Activity vs Structured Exercise; Michael Pratt, M D, M P H J A M A, January 27, 1999-Volume 29, Number 4, pages 375-376
Effects of Lifestyle Activity vs Structured Aerobic Exercise in Obese Women -A Randomized Trial- Ross E. Andersen, P h D, and others; J A M A, January 27, 1999-Volume 281, Number 4, pages 335-340
Comparison of Lifestyle and Structured Interventions to Increase Physical Activity and Cardiorespiratory Fitness - A Randomized Trial - Andrea L. Dunn, P h D, and others; J A M A, January 27, 1999-Volume 281. Number 4, pages 327-334.

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United States Department of Agriculture (U S D A) releases Food guide Pyramid for Young Children

On March 25, the U S D A released the Food guide Pyramid for Young Children. It is an adaptation of the original pyramid, with simplified messages and a focus on the food preferences and nutrition requirements of children two to six years old.

The key message of the Food guide Pyramid for Young Children is variety. Fat restriction is deemphasized. The graphic shows foods that are commonly eaten by young children and foods they need to eat more often. Food group names have been simplified, and the number of servings recommended is a single number rather than a range. Pictures of children playing around the Pyramid reinforce the message that eating and physical activity go hand in hand.

The graphic and its supporting booklet may be downloaded from the U S D A Center for Nutrition Policy and Promotion's home page at U S D A gov To order single copies of the Pyramid, call 800-687-2258. Copies of the booklet may be ordered from the government printing office, 202-512-1800 ($5, stock# 001-000-04665-9).

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The Science and Art of Medical Nutrition Therapy for Diabetes: Maximizing Your Effectivess

• Reframe your role
• Update your knowledge
• Integrate food, physical activity, and medications
• Dispel nutrition myths
• Assess blood glucose monitoring records
• Communicate to improve outcomes

Overview
To maximize the effectiveness of medical nutrition therapy, it is essential that professionals be able to apply nutrition research to clinical practice. Outcomes improve when all components of diabetes management are balanced and integrated into an effective management plan. This involves having the latest information on diabetes, nutrition, physical activity, and medications and knowing how to use blood glucose monitoring data effectively. Of equal importance in today's health care environment is reframing the traditional role of the health care provider/educator towards an empowered educational approach. This workshop is designed to improve your knowledge and skills of diabetes management and to assist you in choosing and communicating the most important messages to your clients. It was developed in cooperation with Diabetes Care and Education, a dietetic practice group of the American Dietetic Association.

Audience
This program was designed for dietitians, nurses, pharmacists, and other health care professionals with an interest in maximizing their effectiveness in the science and art of medical nutrition therapy for diabetes.

For further information regarding the Content and Cost, Accreditation, Planning Committee and Presenters, and Program Sites represented in the A D A regions from September 1999 through March 2000. Please view the A D A website above.

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Nutrasweet Rumors Laid To Rest
American Diabetes Association statement, February 9, 1999
There have been unsubstantiated claims that the nonnutritive sweetner aspartame (brand name Nutrasweet) poses health risks for people with diabetes. Aspartame has been approved by the Food and Drug Administration (F D A), a governmental agency that conducts thorough scientific reviews to determine foods that are safe for public consumption. The American Diabetes Association follows F D A recommendations and recognizes that there is no credible scientific evidence linking aspartame to any health-related problems for people with diabetes

For all additives, including nonnutritive sweeteners, the F D A determines an acceptable daily intake (A D I), which is defined as the amount of food additive that can be safely consumed on a daily basis over a person's lifetime without any adverse effect, and includes a 100-fold safety factor. Actual intake of all nonnutritive sweeteners, including aspartame, is well below the A D I and therefore does not pose health risks.

The American Diabetes Association considers aspartame-as well as the other F D A-approved nonnutritive sweeteners saccharin, acesulfame K, and sucralose-acceptable sugar substitutes and a safe part of a diabetic meal plan.

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Soft Drinks
Kids who drink high amounts of soda consume more calories and drink less milk and fruit juices than other children. Researchers from the University of Minnesota examined the diets of a nationally representative survey of children two to 18 years old. Kids who drank an average of nine ounces of soda a day consumed about 2,018 calories daily, while those who avoided soft drinks only took in about 1,830 calories per day. The biggest soda drinkers also were the least likely to drink milk or fruit jucies, the researchers found. [Journal of the American Dietetic Association;Volume 99, Number 4; April,1999; pages 436-441.]

Briefly Noted
Obesity Drug
The Food and Drug Administration (F D A) approved a new weight control drug this week. Orlistat works by blocking an enzyme in the gastrointestinal system that is needed to digest fat, so that one-third of the fat that a person eats will be excreted instead of being digested. Orlistat, which is manufactured by Hoffman-LaRoche, will be sold under the trade name Xenical. It is recommended that the drug is taken three times a day for a year or longer. Hoffman-LaRoche expects to sell Xenical at $1.10 per capsule. Some health experts are not sold on the effectiveness of the drug, pointing out that obese people have only lost modest amounts of weight in clinical trials. Because the drug acts as a fat blocker, it also blocks absorption of beta-carotene and fat-soluble vitamins A, D, E and K. Orlistat can also cause diarrhea,flatulence, and oily stools.

Referenced from Nutrition Week Community Nutrition Institute
Volume X X I X Number 16 April 30, 1999 Washington, D C

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