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DRI (Dietary Reference Intakes
- Nutrient goals to be achieved over time
- replaced the RDA
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EAR
Estimated average requirement for 50% of population
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AI
- Adequate intake
- used when insufficient evidence exists for EAR, RDA
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UL
- Upper limit
- tolerable upper level not associated with adverse effects in most pop
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Tables of Food Composition
- USDA
- Good for dietary surveys
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2010 Dietary Guidelines for Americans
- Written by USDA and HHS
- to prevent chronic disease
- Reduce solid fats, added sugars, and refined grains
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Physical Activity
- 30 minutes to reduce risk of chronic disease
- 60-90 minutes to manage body weight
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Healthy Eating Index
- USDA's overall measure of diet quality
- -measures how well Americans follow the guidelines
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Healthy People: National Health Program and Disease Prevention Objectives
- Surgeon General-HHS
- identifies broad goals for improving health
- behavior changes
2020 goals address nutrition & weight, heart disease & stroke, diabetes, oral health...
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Third Party Reibmursement
Payment by a third party for service rendered (Blue Cross, Medicare)
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Prospective Payment System; Diagnostic Related Groupings
Pts split into ICD's (international classification of disease-23)
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Stages of Change Model
- Pre-contemplation
- Contemplation
- Preparation
- Action
- Maintenance
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Health Belief Model
A person must perceive the severity and their susceptibility to the threat for the threat to be a behavior-motivating factor
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Program Intervention
- Primary: early screening for risks
- Secondary: recruiting those with condition
- Tertiary: as disease progresses
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Steps in Program Planning
- 1. Develop a mission statement
- 2. Set goals
- 3. Set objectives: quant and qualitative
- 4. Evaluate Alternative Strategies
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Budget Development
- 1. Prepare requests
- 2. Evaluate Revenue potential
- 3. formulate document
- 4. send to legislative body
- 5. Legislative review & authorize
- 6. Execute the budget
- 7. Evaluation and review
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Nutrition Monitoring & Evaluation
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