Question

Fred is a 56 year old, single male. He is employed in sales and spends a great portion of his day either behind his desk making calls or in his car. Fred has a base salary but depends on sales for commission. He has a limited income and attempts to use finances wisely. Due to his schedule, he has few friends and little leisure time. He relays that he has been diagnosed with high blood pressure and has a family history of cardiovascular disease.

In a typical day, Fred sets his alarm for 7 am and tries to get to the office by 8:30. He always drives through a donut shop and picks up a reduced fat blueberry muffin and a large latte.

For lunch he packs a bologna sandwich, a bag of Corn chips and a Cola and eats at his desk.

After making calls and finalizing several deals, he leaves the office around 6 pm. Several times a week, he meets clients for dinner. Today he is having dinner with a couple of guys at a local steak house.

After dinner and a business session, he returns home around 10 pm. Fred is exhausted but decides to unwind and watch the nightly news before bed.

Fred’s company is collaborating with an insurance company to begin a wellness program. As the nurse for the wellness program, you are to meet with each employee and complete an initial evaluation.

Answer the following questions pertaining to Fred’s evaluation.

Use myplate.gov (Links to an external site.) and module 1 to answer the questions.

Client: Fred

Age: 56

Height: 5 feet 10 inches                            Weight: 270 pounds         

Diet Analysis:

Food	Calories	Fat (g)
Reduced Fat Blueberry muffin	410	10
Large Latte	490	22
2 slices Bologna, all beef 2 slices white bread 1 tablespoon mayo	174 138 99	16 2 11
Corn chips 2.1 oz	294	13
Cola 12 oz	136	0
Onion Blossom, ¼ with sauce House Salad Honey Mustard Dressing,1 svg 12 oz rib eye Loaded sweet potato Dinner roll with cinnamon butter	787 121 150 680 309 227	70.3 5 14 45 8 11
Total Intake	4015	227.3

Calories consumed: _____________________ % of calories from fat : ____________Recommended maximum % of calories from fat: ___________________Based on the recommended calorie allowance, and using the MyPlate Plan, how many servings of each food group should Fred have daily____________________

Answer 1

Calories consumed by Fred = 4015 Cal

Total fats consumed = 227.3g

Calories from fats = 227.3 x 9 = 2045.7 Calories

Percentage of total calories from fat =
2045.7 X 100 4015

= 50.95 %

Recommended maximum % of calories from fat: 25-35%

According to Fred's age, height and weight, he has to have a calorie intake of 2200-2400 daily.

As per MyPlate Plan, he must consume:

Fruits: 2 cups
1 cup from the Fruit Group counts as:
- 1 cup raw, frozen, or cooked/canned fruit; or
- ½ cup dried fruit; or
- 1 cup 100% fruit juice

Vegetables: 3 cups
1 cup from the Vegetable Group counts as:
- 1 cup raw or cooked/canned vegetables; or
- 2 cups leafy salad greens; or
- 1 cup 100% vegetable juice

Grains: 7 ounces
1 ounce from the Grains Group counts as:
- 1 slice bread; or
- 1 ounce ready-to-eat cereal; or
- ½ cup cooked rice, pasta, or cereal

Protein: 6 ounces
1 ounce from the Protein Foods Group counts as:
- 1 ounce cooked/canned lean meats, poultry, or seafood; or
- 1 egg; or
- 1 Tbsp peanut butter; or
- ¼ cup cooked beans or peas; or
- ½ ounce nuts or seeds

Dairy: 3 cups
1 cup from the Dairy Group counts as:
- 1 cup milk; or
- 1 cup yogurt; or
- 1 cup fortified soy beverage; or
- 1½ ounces natural cheese or 2 ounces processed cheese