Dietary factors associated with increased risk for obesity are increased dietary fat intake and increased calorie-dense beverages. Enumerate foods from Margaret’s diet recall that fit these criteria. How do high carbohydrate diet lead to increased lipid content in the body?

Biochemistry
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ISBN:9781319114671
Author:Lubert Stryer, Jeremy M. Berg, John L. Tymoczko, Gregory J. Gatto Jr.
Publisher:Lubert Stryer, Jeremy M. Berg, John L. Tymoczko, Gregory J. Gatto Jr.
Chapter1: Biochemistry: An Evolving Science
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Dietary factors associated with increased risk for obesity are increased dietary fat intake and increased calorie-dense beverages. Enumerate foods from Margaret’s diet recall that fit these criteria. How do high carbohydrate diet lead to increased lipid content in the body?

 

Background Story: Margaret was taken to her doctor because of her breathing problem when sleeping. Her doctor diagnosed her with sleep apnea related to her weight and referred to the registered dietitian for nutrition counselling.

Personal Information:

Name: Hufalar, Margaret G.

Gender: Female

Height: 5’4"

Weight: 175 lbs

IV.
Laboratory Results:
Reference Range
Physical Assessment Results
Chemistry
Sodium (mmol/L)
Potassium (mmol/L)
Chloride (mmol/L)
Creatinine (mg/dL)
Glucose (mg/dL)
Bilirubin total (mg/dL)
Protein, total (g/dL)
ALT (U/L)
AST (U/L)
Cholesterol (mg/dL)
HDL-C (mg/dL)
LDL (mg/dL)
LDL/HDL ratio
Triglycerides (mg/dL)
136-145
142
3.5-5.5
4.3
95-105
101
0.6-1.2
0.6
122 ↑
0.1
70-110
s1.5
6-8
6.2
4-36
5
0-35
180 ↑
34 4
125 ↑
3.68 ↑
<170
>55 F, >45 M
<110
<3.22 F; <3.55 M
<150
114
Transcribed Image Text:IV. Laboratory Results: Reference Range Physical Assessment Results Chemistry Sodium (mmol/L) Potassium (mmol/L) Chloride (mmol/L) Creatinine (mg/dL) Glucose (mg/dL) Bilirubin total (mg/dL) Protein, total (g/dL) ALT (U/L) AST (U/L) Cholesterol (mg/dL) HDL-C (mg/dL) LDL (mg/dL) LDL/HDL ratio Triglycerides (mg/dL) 136-145 142 3.5-5.5 4.3 95-105 101 0.6-1.2 0.6 122 ↑ 0.1 70-110 s1.5 6-8 6.2 4-36 5 0-35 180 ↑ 34 4 125 ↑ 3.68 ↑ <170 >55 F, >45 M <110 <3.22 F; <3.55 M <150 114
Doctor's Diagnosis: Obstructive sleep apnea (OSA) secondary to obesity and physical
inactivity
Nutrition:
General: Very good appetite with consumption of a wide variety of foods. Margaret's
physical activity level is generally low. She discontinued physical activities for five years
now. She likes playing video games and reading.
Sample of 24-hour meal recall:
Breakfast: 4 servings of pancakes (4 inches across, 1/4 inch thick), 8 oz whole milk, 4 oz
apple juice
Lunch: 2 burrito and cheese sandwiches (2 slices of white bread, 1 oz. mozzarella, 1 tbsp
mayonnaise each) 1-oz pkg potato chips, 8 oz whole milk
After school snack: Peanut butter and jelly sandwich (2 slices white bread with 2 tbsp
crunchy peanut butter and 2 tbsp fruit jelly), 12 oz wholemilk
Dinner: Skinless lean chicken (10 oz.), 1 c mashed potatoes, 1 c blanched okra, 16 oz
lemonade
Snack: 3 c microwave popcorn, 12 oz Coca-Cola
Vitamin intake: Multivitamins (plus zinc) daily
IV.
Laboratory Results:
Reference Range
Chemistry
Sodium (mmol/L)
Potassium (mmol/L)
Chloride (mmol/L)
Creatinine (mg/dL)
Glucose (mg/dL)
Bilirubin total (mg/dL)
Protein, total (g/dL)
Physical Assessment Results
136-145
142
3.5-5.5
4.3
95-105
101
0.6-1.2
0.6
70-110
122 ↑
s1.5
0.1
6-8
6.2
ALT (I1/L)
4-36
5
Transcribed Image Text:Doctor's Diagnosis: Obstructive sleep apnea (OSA) secondary to obesity and physical inactivity Nutrition: General: Very good appetite with consumption of a wide variety of foods. Margaret's physical activity level is generally low. She discontinued physical activities for five years now. She likes playing video games and reading. Sample of 24-hour meal recall: Breakfast: 4 servings of pancakes (4 inches across, 1/4 inch thick), 8 oz whole milk, 4 oz apple juice Lunch: 2 burrito and cheese sandwiches (2 slices of white bread, 1 oz. mozzarella, 1 tbsp mayonnaise each) 1-oz pkg potato chips, 8 oz whole milk After school snack: Peanut butter and jelly sandwich (2 slices white bread with 2 tbsp crunchy peanut butter and 2 tbsp fruit jelly), 12 oz wholemilk Dinner: Skinless lean chicken (10 oz.), 1 c mashed potatoes, 1 c blanched okra, 16 oz lemonade Snack: 3 c microwave popcorn, 12 oz Coca-Cola Vitamin intake: Multivitamins (plus zinc) daily IV. Laboratory Results: Reference Range Chemistry Sodium (mmol/L) Potassium (mmol/L) Chloride (mmol/L) Creatinine (mg/dL) Glucose (mg/dL) Bilirubin total (mg/dL) Protein, total (g/dL) Physical Assessment Results 136-145 142 3.5-5.5 4.3 95-105 101 0.6-1.2 0.6 70-110 122 ↑ s1.5 0.1 6-8 6.2 ALT (I1/L) 4-36 5
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