DASH for Good Health Southern Style: Facilitators Training

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DASH for Good Health Southern Style
Facilitators Training

• Background and rationale health ministry
• What the Bible says about Gods plan for man
  focus on nutrition and holistic health
• Dietary Approaches to Stop Hypertension (DASH)
  DASH for Good Health Southern Style
• A 7-Step Plan to Better Health

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Stroke Belt Initiative 4 County Focus in SC
South Carolina has led the nation in stroke
deaths the past 75 years. Berkeley, Charleston,
Dorchester Orangeburg Counties have more stroke
deaths than the State average.
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Obesity The U.S. Leading Export?
Predicted Obesity Trends
Adapted from Kopelman, PG. Obesity As A Medical
Problem. Nature. 404635-643 2001
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Relation Between BMI Comorbidities
Women
Men
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Relative Risk
Body Mass Index
Body Mass Index
Willett WC, et al. N Engl J Med. 1999341427434.
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10-Year Risk of Developing Common Diseases by BMI
in Men

• BMI, kg/m2 DM HTN ?dz CVA
• 18.5-21.9 1.0 1.0 1.0 1.0
• 22.0-24.9 1.8 1.5 1.1 1.1
• 25.0-29.9 5.6 2.4 1.7 1.3
• 30-34.9 18.2 3.8 2.2 2.1
• gt35.0 41.2 4.2 2.4 2.5
• Field AE, et al Arch Int Med 20011611581-6.

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Metabolic Syndrome in NHANES III The Importance
of Obesity

• Metabolic syndrome prevalence,
• Category BMI Men Women
• Normal lt25.0 4.6 6.2
• Overweight 2529.9 22.4 28.1
• Obese gt30 59.6 50.0
• Park, et alArch Intern Med 2003163427436.

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Metabolic Syndrome

• Abdominal obesity
• Hyperinsulinemia
• High fasting plasma glucose
• Impaired glucose tolerance
• Hypertriglyceridemia
• Low HDL-cholesterol
• Hypertension

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Parade Magazine 1995 The 50 year old man in
the picture had 2 heart attacks between the ages
of 40 50 Because of medical disability, from
heart disease, he was no longer able to work and
support his family. It is very likely that this
man and his family are suffering the consequences
of access to excess that could have been
prevented with a biblical diet.
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Applying Parables to Foster the Success of the
Health Ministry

• A man was going from Jerusalem to Jericho, when
  he fell into the hands of robbers (hypertension
  and diabetes). They stripped him, beat him, and
  went away leaving him half dead. A priest and
  Levite passed by without helping. A Samaritan
  came along and took pity on the man. He bandaged
  his wounds, pouring on oil and wine. He put the
  man on his donkey, took him to an inn, and took
  care of him. The next day
  he said to the innkeeper. Look after
  him, and when I return, I will
  reim- burse you for
  any extra expense.
• Luke 103035.

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The Good Samaritan

• What he didnt do
• Act like the priest Levite
• Do a wallet biopsy
• Ask for more resources
• Lobby the Romans for security guards and donkey
  ambulances
• Form a group to study the problem

• What he did
• Stopped
• Had compassion
• Bandaged the wounds (immediate first aid)
• Arranged for recovery
• Paid for everything
• expecting NOTHING

. . . From everyone who has been given much, much
will be demanded and from the one who has been
entrusted with much, much more will be
asked. Luke 1248b
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Agape Love Sacrifice

• John 316. For God so loved the world that He
  gave . . .
• John 1513. Greater love has no one than this,
  that he lay down his life . . .
• Philippians 218.

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Lighten Up Forever LONG-TERM RESULTS
p lt0.001 vs. baseline Oexmann MJ, et al
Ethnicity Dis 200111817822.
N 105, 84 F, Age 56 yrs.
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The Spiritual Basis of ManThe foundation to
good health.

• Scripture
• Genesis 127. God created man in his image
• John 424. God is spirit (so man is spirit)
• Matthew 44. Man does not live on bread
  (physical) alone but on every word . . . from the
  mouth of God (spiritual food). . .
• Psalm 119165a. Great peace have they who love
  your law (word, spiritual food) . . .
• Proverbs 1430a. A heart at peace gives life to
  the body. . .

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Creation and Nutritional History Gods Perfect
Plan for Man

• Before the corruption of Creation, man and all
  living creatures were herbivores (plant eaters)
• Genesis 12930. Then God said, I give you
  every seed-bearing plant on the face of the whole
  earth and every tree that has fruit with seed in
  it. They will be yours for food. And to all the
  beasts of the earth and all the birds of the air.
  . . Everything that has the breath of life in
  itI give every green plant for food.

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Biblical Advice on Good Food to Eat

• Genesis 29. And the Lord God made all kinds of
  trees grow out of the groundtrees that were
  pleasing to the eye and good for food.
• Daniel 112,15. Please test your servants for 10
  days. Give us nothing but vegetables to eat and
  water to drink. At the end of 10 days they
  looked healthier and better nourished than the
  young men who ate the royal food (see Proverbs
  2313.

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God Provides Good Gifts to His People Food in
the Promised Land

• Deuteronomy 878. For the Lord your God is
  bringing you into a good landa land with streams
  and pools of water, with springs flowing in the
  valleys and hills, a land with wheat and barley,
  vines (grapes) and fig trees, pomegranates, olive
  oil and honey, a land where bread will not be
  scarce and you will lack nothing.

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Food Brought to David During His Fugitive Years

• I Samuel 2518. Abigail lost no time. She took
  200 hundred loves of bread, two skins of wine, 5
  dressed sheep, 5 seahs of roasted grain, a 100
  cakes of raisins and 200 cakes of pressed figs. .
  .
• 2 Samuel 172829. . . . They also brought wheat
  and barley, flour and roasted grain, beans and
  lentils, honey and curds (yogurt), sheep and
  cheese from cows milk . . .

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Ezekiels 390-Day Heavenly Assigned Diet

• Ezekiel 4912. Take wheat and barley, beans and
  lentils, millet and spelt. . . And use them to
  make bread for yourself. . . . Weigh out 20
  shekels (8 ounces) of food to eat each day . . .
  Also measure out a sixth of a hin of water (2-1/2
  cups) and drink it at set times. . .
• Ezekiels Diet A mixture of whole grains and
  beans to create a complete protein bread along
  with water to drink.

Colbert D What would Jesus eat? Thomas Nelson
Publ., Nashville, 2002
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Jesus Knew that Fathers Gave Good Things to
Their Sons

• Matthew 78 9. Which of you, if his son asks
  for bread, will give him a stone? Of if he asks
  for a fish, will give him a snake? If you, then,
  though you are evil, know how to give good gifts
  to your children, how much more will your Father
  in heaven give good gifts to those who ask.
• Bread and Fish Good Gifts to Request Receive
• . . . give us this day our daily bread . . .

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Bread Fish are Good Gifts

• John 648. I am the bread of life. . . I am the
  living bread that came down from heaven.
• Matthew 1417 21. We have here only 5 loaves
  of bread and two fish . . . Bring them to me . .
  . He gave thanks and broke the loves . . . They
  all ate and were satisfied . . 5000 men besides
  women and children.
• John 219. When they landed, they saw a fire of
  burning coals there with fish on it, and some
  bread.
• The people in Jesus time ate bread and
• fish. He provided these as good gifts.

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Scriptural Blessings include Satiety and
Contentment

• Psalm 2226. The poor (meek, humble) will eat
  and be satisfied. . .
• Psalm 1035. Who satisfies your mouth (KJV) with
  good things, so that your youth is renewed like
  the eagles.
• Phil 412,13. Ive learned the secret of being
  content (at peace) in any and every situation,
  whether well fed or hungry . . I can do
  everything through him who gives me strength.

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A Diet Rich in Fruits, Vegetables, Whole Grains,
Beans, Nuts and Low Fat Dairy Products Lowers
Blood Pressure The Dietary Approaches to Stop
Hypertension Eating Plan
DASH for Good Health Southern Style!
Appel, et al N Engl J Med 199733611171124.
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Dietary Approaches to Stop Hypertension
(DASH) Fruits Vegetables Low-fat dairy products
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DASH Eating Plan Real Life

• Nutrient / goal Actual Control
• K (mg/d) 4700 2878177 1898115
• Ca (mg/d) 1240 76358 61939
• Mg (mg/d) 500 29421 1599
• Vit C (mg/d) 266 17916 6911
• Fruit (N/d) 4-5 3.80.4 1.00.2
• Veg (N/d) 4-5 2.30.3 0.90.1
• LF Dairy (N/d) 2 0.60.1 0.20.1

Lopes HF, et al Hypertension 200341422430.
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Effects of DASH on Blood Pressure
Lopes H, et al Hypertension, 2003.
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Reducing Dietary Fat from 44 to 27, Lowering
Body Weight 89 Limiting Cigarette Smoking 50
Decreased Heart Disease gt50 in Men
SD sudden death
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After the Fall and Flood Man Became Omnivorous

• Genesis 924. The fear and dread of you will
  fall upon all the beasts of the earth and all the
  birds of the air, upon every creature that moves
  along the ground . . . Everything that lives and
  moves will be food for you. Just as I have given
  you the green plants, I now give you everything.

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A Rebellious People Suffer From Unhealthy
Cravings

• Numbers 14,3233 The rabble with them began to
  crave other food . . If only we had meat to eat
  . . . All that day and night and all the next day
  the people went out and gathered quail. . . But
  while the meat was still between their teeth . .
  . The anger of the Lord burned against the
  people, and He struck them with a severe plague.

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Scriptural Warnings on the Relationship of Man to
Food

• Ecclesiastes 67. All mans efforts are for his
  mouth, yet his appetite is never satisfied.
• Micah 612-14. Her rich men are violent her
  people are liars . . . therefore, I have begun to
  destroy you . . . because of your sins. You will
  eat but not be satisfied.
• Philippians 318,19. . . Many live as enemies of
  the cross. . . their destiny is destruction,
  their god is their stomach.

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Biblical Warning About Eating Royal (Rich) Food

• Proverbs 231-3. Avoid rich (royal) food and
  gluttony. When you sit to dine with a ruler
  (royal food), note well what is before you, and
  put a knife to your throat if you are given to
  gluttony. Do not crave his delicacies, for that
  (royal) food is deceptive.

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The Cost of Deceptive Royal Food

• HUNGER Insatiable appetite (Eccl 67, Phil
  318,19)
• UP WITH Obesity, Fatigue, Sleep Apnea
• 3 FREE HIGHS Blood Pressure, Sugar, Cholesterol
• ATTACKS FAILURE of brain, heart, kidney
• CANCERS of the Breast, Colon, Esophagus, Kidney,
  Prostate, Uterus
• WORN OUT PARTS Loss of Nature, Old Timers
  disease, Arthur(itis)

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Trading 6-Packs Not all Change in the Past
2000 Years is Positive. Access to Excess and the
Consequence of Royal Food
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The Cost of Fast Food Obesity

• In 2001, Americans spent more than 110 billion
  or 21,000/minute on fast food.

• The annual cost of obesity alone is twice as
  large as the fast food industrys total revenues.

Schlosser, E. Fast Food Nation. Houghton Mifflin
Co. 2001.
Schlosser, E. Fast Food Nation. Houghton Mifflin
Co. 2002, 2001.
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• Americans now spend more
• money on fast food than on
• higher education
• personal computers
• computer software
• new cars

Schlosser, E. Fast Food Nation. Houghton Mifflin
Co. 2001.
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The typical American consumes 3 hamburgers and 4
orders of french fries-- every week!
Schlosser, E. Fast Food Nation. Houghton Mifflin
Co. 2001.
Schlosser, E. Fast Food Nation. Houghton Mifflin
Co. 2002, 2001.
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The Pepsi Generation What we drink is
important?
In 1978, the typical teenage boy in the U.S.
drank 7 ounces of soda daily. Today, teenage
boys drink 21 ounces of soda daily and derive 9
of calories from soft drinks. 20 years ago,
teenage boys in the United States drank twice as
much milk as soda. Now they drink 2 X more soda
than milk.
Schlosser, E. Fast Food Nation. Houghton Mifflin
Co. 2001.
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Jesus Walked

• Jesus likely walked with His mother and father
  from Egypt to Nazareth (400 mi)
• Jesus probably walked with His family from
  Galilee to Jerusalem 3 times yearly for Passover,
  Pentecost and the Feast of Tabernacles (120
  miles roundtrip)
• Estimates suggest Jesus walked gt3000 miles during
  His 3-year public ministry
• Altogether, Jesus probably walked gt21,500 miles
  during his lifetime on earth.

Colbert D What would Jesus eat? Thomas Nelson
Publ., Nashville, 2002
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All-Cause Death Rates for Fit And Unfit Men Fat
fit is pretty good!
Adjusted for age and year of exam. Results are
from 19,223 men aged 20 - 83 years in the
Aerobics Center Longitudinal Study. Physical
fitness reduced death rates lt50 in men at
highest risk, ie., with the metabolic
syndrome. (unfit was defined by men who were in
the bottom 20 of time on the treadmill
test) Other studies in women show that walking
60 min or more weekly reduces heart disease 50
34.6
Katzmarzyk PT, et al. Arch Intern Med.
20041641092.
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A 7-Step Plan to Good Health

• 1. Be at peace with God and man.
• (Proverbs 1430a Psalm 119165)
• Daily scripture (spiritual food)
• and other private and corporate
  spiritual disciplines
• 2. Love God and others (Great Commandment) think
  do good (Philippians 44 9)
• 3. Approach your work as Gods calling
  (Colossians 323)

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A 7-Step Plan to Good Health

• 4. Drink lots of water small amount of juice or
  wine
• 5. Eat whole grain breads, cereals fruits and
  vegetables, beans legumes olive oil fish low
  fat dairy yogurt cheese (DASH for Good Health
  Southern Style)
• 6. Walk 30 minutes or more most days
• 7. Obtain a medical exam annually and follow your
  doctors advice (James 514 anoint with oil)

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Our Struggle is NOT Against Flesh and Blood

• Put on the full armor of God so that you may take
  your stand against the devils schemes. . . so
  that when the day of evil comes, you may be able
  to stand your ground, and after you have done
  everything to stand. The tools to demolish
  strongholds
• 1. The belt of truth
• 2. Breastplate of righteousness
• 3. Ready feet Gospel of peace
• 4. Shield of faith
• 5. Helmet of salvation
• 6. Sword of the Spirit The Word
• 7. Prayer

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DASH for Good Health Southern Style
Facilitators Training

• Background and rationale health ministry
• What the Bible says about Gods plan for man
  focus on nutrition and holistic health
• Dietary Approaches to Stop Hypertension (DASH)
  DASH for Good Health Southern Style
• A 7-Step Plan to Better Health