Nutrition Through The Life Cycle
7th Edition
ISBN: 9781337919333
Author: Brown, Judith E.
Publisher: Cengage Learning,
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Chapter 18, Problem 1.1CS
Summary Introduction
To discuss: The questions to ask Person JT about his food and fitness routine.
Introduction: Individuals who are older than 65 years are more vulnerable to diseases and infections due to a weaker immune system and changed
Expert Solution & Answer
Explanation of Solution
Person JT is a 71-year-old retired computer company executive with height 5 ft 9 in and weight 235 lb at the time of annual checkup. He visits the health club irregularly, and his nutrition is based on microwave dinners or pizza and occasionally drinks beer at the bar. His wife died last year, and two years ago, he was diagnosed with type 2 diabetes. The doctor is concerned with his family’s history of heart diseases.
Since Person JT is 71-years old and having a family history of heart diseases, he is expected to maintain a healthy lifestyle. His condition of diabetes type 2 is kept under watch, and it has been two years. During these two years, his wife died, and his dietary plans have been disrupted. To assess his food and fitness routine, Person JT should be asked some questions regarding his food and fitness routine. The information to be obtained from Person JT is as follows:
- BMI is a general indicator of the overall health of a person, and any weight change during the last three months can be tracked and monitored.
- Daily dietary pattern can be used to assess his nutrient and energy intake and to determine if there are any unwanted nutrients in his diet.
- Stress levels have to be measured to know if there is any psychological or emotional stress. This check is necessary to conduct because the results highly influence the eating behavior of an individual and also negatively impact the fitness levels.
- Exercising, including the amount of time spent and the kind of physical activity undertaken, should be assessed for fitness check.
- Blood pressure, chest pain, or any irregularity in heartbeats observed during rest or any case of previous heart attack are to be known too, especially as his family had a history of heart disease.
- Blood sugar levels have to be taken care of, and it must be checked if he is regularly monitoring his blood sugar levels.
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The patient is a 65-year-old male with long history of type 2 Diabetes and obesity. He does not smoke. He had knee surgery 10 years ago but otherwise has had no other major medical problem. Over the years he has tried low glycemic diet and Aerobic exercise program to reduce his weight but has not been very successful. His granddaughter just started high school and he wants to see her graduate and go on college. He understands that his diabetes puts him at high-risk for heart disease and is frustrated that he cannot lose the necessary weight. His neighbor told him about a colleague at work who had his stomach stapled (Gastric or Bariatric surgery) and as a result not only lost over 100 lbs, but also “cured” his diabetes. In addition, one family member told him about intermittent fasting and Keto diet while other relative is regularly doing High-intensity interval training (HIIT). He wants to know which among those treatments or interventions would be the best option for him.
1.…
Jamie is 45 years old and recently diagnosed with prediabetes. He has never been slim and| has gained 15 pounds in the last 5 years. He is an accountant who spends most of his day sitting due to his job and long commute. Jamie has a family history of Diabetes and is extremely worried about developing it. He has not paid much attention to his diet and can't get in to see a Dietitian for 3 weeks. He knows you are taking a nutrition course and asks for advice. 1. Provide 2 pieces of specific advice you can give Jamie before he visits with an RDN. 2. He also heard he needs to avoid all fruits and grains. What do you tell him? 3. What type of information must the RDN obtain before she evaluated Jamie?
Ella is an attorney who has worked in private practice for 25 years. She estimates she works 70 hours/week between the office and the courtroom. She has attributed her persistent fatigue to her schedule, poor diet (“I usually eat on the run, whatever is available”) and alcohol consumption (“I drink a bottle of wine a couple nights a week, and maybe more at the weekend especially if there are lots of dinners with clients”). Her fatigue has recently worsened and she has been feeling nauseous and light-headed consistently over the last several days.
Parameter
Result
Normal
Glucose
87
70-99 mg/dL
BUN
12
7-22 mg/dL
Creatinine
0.71
0.5-1.2 mg/dL
Na
141
135-145 mmol/L
K
4.9
3.5-5.3 mmol/L
Cl
103
98-109 mmol/L
CO2
24
22-26 mmol/L
Calcium
9.2
8.6-10.2 mg/dL
Phosphorus
2.7
2.6-4.9 mg/dL
Albumin
3.0
3.2-4.6 g/dL
Bilirubin
2.2
0.2-1.2 mg/dL
Lactate dehydrogenase (LDH)
190
99-191 IU/L…
Chapter 18 Solutions
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