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MUNICIPALITY OF ATHENS

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Mediterranean nutrition constitutes the best model for a healthy diet. ... A model diet based on the Mediterranean diet and traditional Greek cuisine. ... – PowerPoint PPT presentation

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Title: MUNICIPALITY OF ATHENS


1
MUNICIPALITY OF ATHENS
MEDITERANIAN DIET - BALANCED NUTRITION FROM
THEORY TO IMPLEMENTATION
Tsiftis George, Paediatrician Municipality of
Athens Nursery Centers
2
  • During 2008, our main activity was the
    prevention both of diseases and pathogenic
    attitudes.
  • Overconsumption of calories ends to obesity.
  • Obesity is connected with arterial blood
    hypertension, hypercholesterolaemia, coronary
    disease and metabolic syndrome.

3
  • Obesity presupposes correct nutrition,
    development of healthy nutrition attitudes.
  • Mediterranean nutrition constitutes the best
    model for a healthy diet.
  • The development of healthy attitudes requires
    patience, persistence, consistency and repetition
    both on behalf of parents and teachers.

4
  • Prevention is the best cure.
  • Health maintenance and improvement is most
  • significant.
  • Methodology and technique is required for the
  • child to develop healthy habits.
  • Health promotion is
  • One step ahead of prevention.
  • Now a social issue rather than a personal
    one.

5
Mrs Vicky Benetou, indicated
  • There is convincing scientific evidence that Diet
    And Nutrition are important factors in the
    Maintenance and Promotion of good health (Diet,
    nutrition and the prevention of chronic diseases
    report of a joint WHO/FAO expert consultation,
    Geneva, 2002).
  • Throughout the entire life course. Begins in
    fetal life and continues into the old age
    (cumulative lifetime exposure)
  • Leads to short- and long-term consequences for
    health
  • Nutrition is a major modifiable environmental
    determinant affecting all population groups
  • Great importance for public health workers

6
  • Optimum nutrition determines health, growth and
    development.
  • First 2-3 years of life are the most crucial
    (critical window) for normal physical, mental,
    social and emotional development. (Feeding and
    Nutrition of Infants and Young Children.
    Guidelines for the WHO European Region, with
    Emphasis on the Former Soviet Countries. WHO
    Regional Publications, European Series No.87.
    2000)
  • Eating habits, lifestyle and behavior patterns
    are developed during this period and may persist
    throughout adulthood.
  • Thus, childhood nutrition has long-term
    implications for preventing disease in adulthood
    as
  • Cardiovascular diseases
  • Obesity
  • Diabetes mellitus type II
  • Osteoporosis
  • Cancer

7
The improvement of childrens health depends on
research the provision of services require a
culture that constantly examines and
criticises A. AynslyGreen, Arch. Dis. Child.
1998
8
Main Preventive Medicine Programmes
  • A model diet based on the Mediterranean diet and
    traditional Greek cuisine.
  • Detection of iron deficiency The use of new,
    sensitive indices led to the conclusion that
    18.4 of the children were sideropenic
  • Vitamin D level detection All children tested
    normal
  • Dental examination 36.5 of children with
    caries, leading to the creation of a
    children-oriented oral hygiene education
    programme

9
  • Annual visual acuity test for children gt4 years
    2-3 suffers from refractor errors without being
    aware of it
  • Recording of childrens somatometric data,
    contribution to the creation of percentile tables
    for Greek children. Obesity propensity detection
    programme
  • Overweight and obese children identification
    13.6 overweight, 5 obese
  • Migratory wave mapping. Recording of needs/
    habits
  • Use of a special test for the identification of
    children possible to manifest learning
    disabilities at school. The School Awareness
    programme proved that 28 of children required
    assistance

10
  • Providing medical advice on specific problems is
    both useful and valuable, but it only lasts as
    long as the problem does.
  • On the contrary, teaching people the art of
    protecting and promoting health results in the
    duration required.
  • For children, a single practical example is
    worth a thousand pieces of theoretical advice,
  • we started, in cooperation with the professor
    Mrs. Trichopoulou, preparing various diets based
    on the Mediterranean nutrition pyramid.

11
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12
These are the steps we followed
  • 1st step Preparation of 25 diets (breakfast
    lunch) based on Mediterranean nutrition and Greek
    traditional cuisine.
  • 2nd step Daily caloric needs have been
    calculated however half of them have been
    prescribed.
  • 3rd step food have been weighted unrefined and
    skinned and then, cooked. Thus, eventual loss
    could be estimated and appropriate quantity (of
    each food) could be calculated.
  • 4th step Thanks to P/C and special tables, we
    are able to calculate a) Calories (half of daily
    needs), b) appropriate proportion of proteins,
    fats and carbohydrates,   c) qualitative mix-up
    of fats (saturated, monounsaturated,
    polyunsaturated) and carbohydrates
    (polysaccharides) and d) needs in trace elements
    and natural fibers.
  • 5th step Finally, quantity of portion per food
    and per child has been calculated. Thus,
    according to the number of children to be hosted,
    we calculated supplies and we cooked specific
    quantities and recipes.

13
These are some of the diets we have already
prepared.
14
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19
  • Hard work, information and training of all
    involved parties (cookers, professors and
    parents) is required, thats why Seminars are
    constantly organized.

20
  • Our meetings allow us to be optimistic about
    the future, underline the states interest and
    sensitise all parties involved

21
Dr.William Harvey (a physiologist describing
blood circulation system) is carrying out
experiments. King Charles the 1st is watching
along with the little princess. Canvas painted by
Robert Hannah. Royal College of Physicians,
London.
The evolution of medicine through art, Dr. Th.
Dolatza, Grafida, Athens 1999
22
  • The Municipality of Athens, as well as Prince
    Charles and Dr. Harvey, have been really
    supportive to our projects, and therefore we may
    be more optimistic about the future!

23
Thank you
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