Jacob is a 45-year-old Jewish male who emigrated from Israel to the United State
ID: 128487 • Letter: J
Question
Jacob is a 45-year-old Jewish male who emigrated from Israel to the United States 3 years ago. He follows a strict kosher diet. In addition, he does not drink milk but does consume other dairy products. He has a body mass index of 32 and a family history of heart disease. He has come to you for advice on his diet.
1-Jacob has heard about an Anti-Inflammatory diet, what can you tell him? Why would Jacob want to incorporate an anti-inflammatory food plan?(4)
2- Jacob is confused about food labels, he read on the box of Cheerios that it can lower his cholesterol? Is this a valid health claim? List health claims that are allowed on labels for folate, soy protein, whole grains & fruits and vegetables. (10)
3- To increase calcium-containing foods on his strict kosher diet, what foods would you recommend? (Appendix 46) (2)
4- What should Jacob look for on food labels to incorporate his nutrient goals and his religious concerns? (2)
5- If Jacob wanted to consider a calcium supplement, which is more easily absorbed? (Appendix 46) (2)
6- Jacob asks about the “Universal Prescription for Health & Nutritional Fitness”, what can you tell him? (5)
Explanation / Answer
1. ANS: Anti-inflammatory foods can include a lot of fruits and vegetables, plant-based proteins (like beans and nuts), whole grains, fresh herbs, fatty fish, and spices. Functional foods are mostly considered as Anti-inflammatory foods. Functional food refers to foods or ingredients of foods providing an additional physiological benefit beyond their basic nutritional needs.
The role of functional foods in prevention and treatment of several diseases is tremendous. Cancer, diabetes, heart disease and hypertension are the most important diseases that can be treated or prevented by functional foods.
Oats: Oat products are a widely studied dietary source of the cholesterol-lowering soluble fiber b-glucan. This food can reduce total and low density lipoprotein (LDL) cholesterol, thereby reducing the risk of coronary heart disease (CHD).
Flaxseed: Among the major seed oils, flaxseed oil contains the most (57%) of the omega-3 fatty acid, a-linolenic acid.
Fish: Omega-3 (n-3) fatty acids are an essential class of polyunsaturated fatty acids (PUFAs) derived primarily from fish oil. It is good for heart.
Dairy Products: There is no doubt that dairy products are functional foods. They are one of the best sources of calcium, an essential nutrient which can prevent osteoporosis and possibly colon cancer.
2. ANS: No it is not a valid health claim because health claims authorized for dietary supplements should be based on the totality of the publicly available scientific evidence. In this case Jacob is confused about food labels and he miss read on the box of Cheerios that it can lower his cholesterol.
3. ANS: breakfast: Tea or coffee in soy or almond milk or without milk or fruit juice or High fiber cereal with soy or almond milk.
Mid morning: handful of nuts and any 1 fruit.
Lunch: 1 sand which with 2 chicken/turkey/beef slices and any fruit or vegetable juice
Evening snacks: vegetable salad
Dinner: chicken breast/lean meat/white fish with rice or pasta or quinoa. And drink + kosher cheese.
5. ANS: RDA for Jacob is 1000 milligrams of calcium daily. Calcium carbonate or calcium citrate is the best supplements that are absorbed well. Calcium supplement with minerals like vitamin D or magnesium are absorbed very easily by the body.
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