Question

Krause's Food & the Nutrition Care Process 14th edition Chapter 33 Case study

Tom is a 55-year-old single man with hypertension (blood pressure 145/92), high low-density lipoprotein cholesterol (241), and low high- density lipoprotein cholesterol (38) and a CRP of 4mg/L. He has a strong family history of heart disease. He reports that he often eats in his car, so he frequents fast-food restaurants. He works long hours and, other than gardening on the weekends, he does not exercise. He is 5’10’’ and 220 lb. His breakfast is usually a cheese-egg biscuit, bacon, and coffee without milk or cream. Lunch is often a bean and cheese burrito and ice cream. His favorite dinner is fried chicken, mashed potatoes with gravy, collards sautéed with bacon fat, and pie.

Using the following list, what are Tom’s nutritional diagnoses? Which should be the top priority?

Nutrition Diagnostic Term:

Excessive energy intake, Excessive intake of fats, Excessive alcohol intake, Inadequate fiber intake, Inadequate calcium intake, Inadequate magnesium intake, Inadequate potassium intake, Excessive sodium intake, Overweight or obesity, Food- and nutrition-related knowledge deficit, Undesirable food choices, Physical inactivity

1-What is Tom’s BMI?

2- What criteria are used to Diagnose Metabolic Syndrome?

3- What additional measurements would you need to diagnose Metabolic Syndrome for Tom?

4-Which nutritional diagnosis listed is top priority?

5-What dietary intervention would benefit Tom the most?

6- What dietary changes will affect his blood pressure most?

7- List Tom’s non-modifiable risk factors for CVD

8- List Tom’s modifiable risk factors for CVD

9-What are inflammatory markers for CVD risk?

10-How will the additional of physical activity influence Tom’s diagnosis?

Answer 1

1. ​220 lbs = 99 kg

5'10'' = 1.75 meer

BMI = body weight in kg/(height in meter)²

= 99/(1.75)²

= 32.31 or approx 33

=