Question

Matt is 34 years old. His BMI is 28 and has steadily increased over the last few years when he accepted a position with his company that requires frequent travel. It is hard for him to exercise, and he eats out often. He is a “steak and potatoes” kind of guy who wouldn’t dream of eating lunch or dinner without meat as the centerpiece of the meal. At his most recent annual employee physical, Matt’s total cholesterol level was 245 mg/dL, his HDL level was 50, fasting glucose level was 92, and his blood pressure was 154/85 mmHg. His father died of a heart attack at age 49 years. Matt feels doomed by genetics and is resistant to going on medication because of the potential side effects. He is willing to try to change his diet and lifestyle but is skeptical that it will help.

   What risks does Matt have for heart disease?

   Knowing that he is willing to change his diet and lifestyle, what additional information would you ask of Matt before devising a teaching plan?

   What diet recommendations would you prioritize in helping Matt initiate a healthy eating pattern? What suggestions could you offer him to help him meet these recommendations?

   How would you respond to Matt’s skepticism that lifestyle factors will probably not lower his risk of heart disease?

Answer 1

Mr matts have a group of metabolic abnormalities that increase the risk of D.M and heart disease

CVD have modifiable and non modifiable risk factor ,focus on reduce the modifiable risk factor such as smoking ,saturated fatty diet,sedentary life style and weight

Prevention focus on exercise,reduce weight ,low cholesterol food and less use of alcohal

Treatment focus on reduce the risk factor of cvd,decrease weight,low cholesterol diet and medications

Dietary management include DASH-sodium diet- include low sodium,rich fruits,whole grains vegetables and low saturated fat

DASH sodium diet effective low bp and cholesterol level