Question

AT, a 49-year old African American IT specialist is 5 feet 9 inches tall and weighs 240 lb. He sits for long hours at work and is too tired to exercise when he gets home in the evening. His meals usually include fatty meats, eggs, and cheese, and he loves dairy desserts such as frozen custard and dove ice cream bars. He has a family history of CVD and hypertension. His recent laboratory tests show that his blood pressure is 160/100 mm Hg, and LDL and HDL levels are 160 mg/dL and 35 mg/dL, respectively. He smokes a pack of cigarettes daily and drinks two glasses of wine with both lunch and dinner.

1. Explain the dietary changes you would recommend, which could help him improve his CVD risk factors. Calculate his estimated caloric needs (show all work). Using the food exchange system as a calorie guide, prepare a one-day menu for AT using either the DASH, Mediterranean, vegan/vegetarian, or pescatarian eating plan as your choice. Please include number of servings of food items and key macronutrient information (total calories, grams of CHO, grams of protein and grams of fat). For the menu, a table format is recommended for personal and instructor clarity as noted in this example below:

Food/ Beverage Item Ingredients (combination foods)

Meal (B, L, D or snack)

CHO

Protein

Fat

Total Calories

2. What other lab tests or measurements would be useful to better assess AT’s condition and why?

3. Describe several benefits that AT might attain from a program that emphasizes weight reduction and daily physical activity. Discuss why alcohol use can be both a protective and detrimental lifestyle habit.

Answer 1

1.

Food Item	Meal time	Carbohydrate	protein	Fat	Total calories
Cooked oat meal- 1 cup Orange-1 medium size Fat free milk-1 cup	Breakfast	28.1 g 11.8 g 12 g	5.9 g 0.9 g 8 g	3.6 g 0.1 g 0	166 47 83
Whole wheat tortilla - 1 Spinach salad -1 cup Cooked lettuce - 1 cup	Lunch	19.54 g 11.2 g 1.5 g	3.36 g 5.11 g 0.6 g	0.45 g 4.82 g 0.1 g	92 107 8
Whole wheat toast -1 Fresh berries - 1 cup Herbal tea - 1 cup	Dinner	12 g 21 g 7 g	2.1 g 1 g 0.4 g	1 g 0.5 g 0.7 g	65 84 37

This is the diet plan for one day in DASH diet approach.

2. He undergone only the blood pressure,LDL and HDL level.The following tests need to include, they are full lipid profile(LDL, HDL , VLDL , cholesterol and triglycerides), Additional lipid test , CRP and ECG . These tests will provide the fat and lipid status of the client and related heart changes can be identified by ECG.

3.By attending this type of program will improve this awareness regarding the healthy lifestyle habits.He comes to know about the strategies for weight reduction and physical activity.Alcohol drinking if it is heavy definitely it is a detrimental.Because it increase the risk of heart diseases. If the individual is healthy taking little amount of alcohol will helps to relieve stress and gives relaxation.Thus it is taken as protective lifestyle habit.