Question

Case Study Anthony is a 19-year-old college student. He is scheduled to see you for some nutritional guidance. He mentioned that he is concerned about weight gain over the past year. He mentioned a family history of heart disease. Occupation: Full time - College student Part time - 15 hours/week - Assistant Chef for an Olive Garden Franchise Social history: _Smoking - 15-20 cigarettes/cigars per week Alcohol intake -10 Beers weekly Student rate Gym Membership - averages 5 visits monthly Considering a Pollotarian or Semivegetarian eating pattern. His Annual physical exam with his Physician revealed the following information: Ht: 5'10" Current weight: 225 lbs Blood Pressure: 140/90 Laboratory findings: ( Fasting) Glucose: 135 mg/dL HbA1c: 6.9%

Answer 1

1. The handout entitled the top 10 things you needd know about the 2015-2020 dietary guidelines for Americans has been referred

Three factors in Anthony's personal or social history which contributed him in becoming overweight are:-

1) high calorie food habits

2) high alcohol intake

3) lack of exercise by

2. Four risk factors of heart disease:-

1) overweight

2) BP is high

3) heavy smoking

4) high glucose levels

5) lack of exercise

6) high LDL levels

3. NCEP handout referred and classification is as follows:-

1) glucose - diabetic

2) hbA1c - diabetic

The cholesterol, HDL and LDL tests have to be done for confirmation.

4. Four nutritional problems:-

1) vitamin A deficiency

2) high protein intake

3) high fat intake

4) high calorie intake

5) protein needs:-

6oz of lean turkey - 48gms of protein

8oz of medium fat pot roast - 568 gms of protein

2/3 cup cooked white rice - 3 gms of protein

1/2 cup cooked corn and peas - 5 gms of protein

Total protein intake per day - 624 gms per day

The normal value of protein needs for Antony is 120 gms as his weight is around 225 lbs.

6) calorie needs:-

16oz apple juice - 209 calories

6oz of lean turkey - 348 calories

6tsp mayonnaise - 564 calories

1 medium sized tomato - 24 calories

16oz orange juice - 204 calories

8oz of medium fat pot roast - 315 calories

2/3 cup of cooked white rice - 136 calories

1/2 cup of cooked corn and peas - 71 calories

6 tsp butter (twice daily) - 204*2= 408 calories

1 slice white bread - 32 calories

Total calorie intake - 2311 calories

Normal calorie intake for Antony should be under 2000 calories.