Please see the attached documents for instructions

Managing Your Health with Nutrition

Assignment #1 (50 points)

Purpose: Is to analyze Mr. G’s diet and nutritional requirements in relation to the information covered so far, so that you can discuss basic healthy nutritional needs with him. You will have an opportunity to practice some basic nutrition calculations (CO8), analyzing macronutrient intake (CO9), and develop recommendations to promote health and manage chronic disease (CO5). The goal is to provide appropriate recommendations and guidance to assist in managing Mr. G’s health.

Instructions: Review the short case summary pertaining to Mr. G’s medical history, laboratory data, anthropometrics, and dietary intake. Mr. G’s One-Day intake has been entered into NutritionCal Plus and the All Daily Report is included with this assignment to answer the questions.

Mr. G is a white man, 54 years of age, with a past medical history of hypertension. At his yearly physical, he reports that he is doing well overall, with no complaints other than some dyspnea on exertion, which has been long-standing. Current medications include a thiazide diuretic and aspirin. He works as an accountant and does not get any physical activity during the day.

On exam, Mr. G is 5'11" and 210 lbs. His BMI is 29. This classifies him as overweight.

His waist circumference is 40.5 inches, and his blood pressure is 135/80 mm Hg (sitting) and 130/80 mm Hg (standing). His heart rate is 86 beats per minute, his temperature is 98.6° Fahrenheit, and his respiration is 18 breaths per minute. His physical exam is unremarkable. Laboratory data as follows:

Total cholesterol: 230 mg/dL

HDL: 38 mg/dL

LDL: 152 mg/dL

Triglycerides: 200 mg/dL

Glucose (fasting): 120 mg/dL

One- Day Dietary Intake (24-hour food recall):

NutritionCalc Plus: http://nutritioncalc3.mheducation.com/ncplus3/

Using NutritionCalc, create a profile for Mr. G using the information above including his gender, age, height, weight, and physical activity level. Note: Mr. G is overweight based on his BMI and you need to set a weight loss goal for Mr. G. Appropriate weight loss is 1-2 lbs per week. Mr. G is hoping to lose 1lbs/week. Make sure to completely enter Mr. G’s profile and physical activity levels to obtain the accurate Target Total Calorie estimate.

QUESTIONS:

1. (5 points) Compare Mr. G’s daily food group targets to what he eats by filling in the chart below:

1. (5 points) Answer yes or no for a and b. According to the Daily Limits, has Mr. G exceeded his limit of:

   1. Saturated fat? Yes

•  Goal- 21.06 gm Taken-  73.53

1. 1. Sodium? Yes

• Goal - 2300 Taken- 5432.57

What are the implications for Mr. G’s health for each exceeded discretionary food item?

Saturated fat

1. (6 points) Using Mr. G’s Nutrient Report, fill in his macronutrient intake:

*You must calculate grams of fat

1. (5 points) The Dietary Guidelines for Americans recommend a dietary fiber intake based on calories per day of 14g/1000kcal/day.

   1. Based on Mr. G’s target calorie intake, calculate the grams of dietary fiber Mr. G should be consuming per day according to the Dietary Guidelines for Americans formula shown above. Show your calculation.

1. 1. Explain the health implications of having an inadequate intake of dietary fiber.

1. 1. Based on Mr. G’s earlier nutrition assessment, explain why increasing his dietary fiber intake would be beneficial for him?

1. (4 points) Compare Mr. G’s daily calorie intake to his daily calorie recommendation from the diet analysis tool.

   1. Indicate the difference between Mr. G’s actual and recommended intake. What would happen to Mr. G’ body weight and health if he doesn’t change his calorie intake or physical activity level? Explain your answer for full credit.

1. (25 points) Discuss what specific changes you would recommend to Mr. G. For each issue, suggest what modifications he could or should work on making. Explain the health related reasons why these changes are important. Be detailed refer back to Mr. G’s earlier assessment.