Question

what nutritional recommendation would be given to a patient who is obese who has health problems associated such as high blood pressure art problems and diabetes

Answer 1

Provide three (3) main meals per day plus snacks as appropriate to balance the
peak activity of insulin and exercise
Encourage intake of complex (higher fibre) carbohydrate foods such as corn,
brown rice, yam, green bananas, cassava and ground provisions.
Limit the intake of simple sugars. Approximately 5-10% of total calories may be
included as simple sugars.
Control intake of salt. Salt intake should be limited to no more than 6 g (1 tsp)
per day. In the presence of hypertension, more severe restriction may be
necessary.
Recommend less fried and high fat foods, cholesterol and saturated fats. Total
dietary fat intake should be less than 30% of total calories

use alternatives such as herbs and spices to flavour foods
instead of salt. Suggest that they taste food before adding salt and to avoid
adding salt after the food has been cooked.

Reduce intake of alcohol and caffeine

Increase intake of potassium and calcium

Increase the fibre content of the diet to encourage longer chewing, create more
bulk and increase satiety. Include fibre-rich foods like fruits, vegetables and
legumes.
Decrease the intake of high caloric foods such as fats (9 Kcal/g) and alcohol .

Recommend low-calorie alternatives to high-calorie foods in the diet.