Question

Eugene Edwards is a 55 year-old corporate lawyer who was last seen a year ago for a physical examination. At that time he appeared to be in good health, although he was 15 lbs. over ideal weight for his 5’ 10” height. His blood pressure was 140/85 and total cholesterol was 225 mg/dl. He has no hobbies or outside activities except occasional golf with his friends. His workdays are sometimes long and hectic. The doctor advises him to get a daily exercise program and lose 20 lbs. Three months later during a lawyer-client meeting he collapsed after a sudden onset of severe chest pain that radiated into his left arm. He was brought to the emergency room pale, frightened and short of breath. He was cold, sweaty and vomited shortly after arriving in the emergency room. His nail beds and lips were cyanotic and blood pressure was 100/70.Mr. Edwards was placed on strict bed rest and a liquid diet ordered for the first 3 days, progressing to a 1000 kcal soft with low saturated fats the fourth day. The dietitian visited him and reported that he was improving in appetite and responding well and recommended he could tolerate a full diet. A 1200 kcal low-saturated fat, low-cholesterol full diet was ordered by the end of the week. The diet specifications were for cholesterol limited to no more than 300 mg. daily and total fat limited to 20% of total kilocalories, with not more than 7% in saturated fats. Just before discharge the dietitian met with Mr. Edwards and his wife several times to discuss his home care and dietary regime. Mr. Edwards showed good general recovery and was willing to continue his new modified fat and cholesterol food plan.

5. Write a menu for one day for the 1,200 kcal, low fat, low saturated fat and limited cholesterol diet for Mr. Edwards.

6. What other advice could you give Mrs. Edwards regarding preparation and shopping for recommended foods on the diet?

Answer 1

5. One day Menu:

Early Morning: Coconut water + 5 soaked almonds

Breakfast : 1 no. whole flaxseed bread vegetable and paneer sandwich with mint chutney

Mid Morning: Bowl of fruit salad

Lunch : Cooked broken wheat rice or brown rice with vegetable and skimmed curd

Mid Evening : Buttermilk with handfull of roasted foxtail nuts

Dinner : 150 grams of Whole wheat pasta with vegetables + 2 piece boiled egg whites

Post dinner: Lukewarm water

6. I will advice the following to Mrs. Edwards :

Avoid shopping white sauces, Mayo sauce and full cream products.

Prefer skimmed milk and curd.

Eat more of the salads and raw vegetables.

Buy more of the whole grains and pulses instead of the refined one.