Question
1-What is Aileen’s BMI?
2- What lifestyle factors can you identify that contribute to Aileen’s weight gain?
3-Aileen wonders if she can qualify for SNAP, what can you tell her?
4- Who do most adults trust for health information?
5- According to the ADA/AND’s Trend survey what do half of consumers believe regarding a healthy diet?
6- Aileen read that chocolate is good for her, what can you tell her?
7- Does Aileen’s diet include phytochemicals? Identify phytochemicals Aileen could add to her diet and why would she want to add these?
8- Aileen wants to try a “detox” program, what can you tell her?
9- What foods will help boost detoxification?
10-What can Aileen and her family do together that promotes balanced and nutritious meals?
CLINICAL CASE STUDY Aileen is a 28-year-old woman who lives in an urban neighborhood with her husband and 12-year-old daughter. She is 5 ft, 10 in tall and currently weighs 165 pounds. In the past 2 years she has gained 10 pounds. At a recent neighborhood health fair at the YMCA, Aileen's blood glucose and blood pressure screening results were higher than they had been a year ago but were still in a good range. She has a family history of heart dis- ease and diabetes and recognizes that her weight gain is an issue. Both she and her husband work full time, and blending their schedules with that of their daughter is hectic. Aileen does all the cooking andshopping, they have a kitchen with a range, oven microwave, and refrigerator/ freezer. She describes her food shopping habits as chaotic and last min ute, otten stopping at the local convenience store.They eat out ltast food or take out for most lunches and at least two dinners a week. They have no regular activity or exercise. They have the minimum health insurance with a large copayment; thus they do not have an ongoing health care routine. Aileen made an appointment with a locally based health care source She asked for dietary counseling and was asked to bring a 1-day tood recall for the registered dietitian. She reported the following: breakfast egg and sausage on a bagel, coffee; midmorning: low-fat snack bar from ending machine with coffee lunch: double burger with cheese on a bun and large fries, ketchup, and extra pickles, diet soda; dinner: frozen din ner that included chicken, rice, and corn. She had an iceberg lettuce salad ith diet ranch dressing to add something green Beverage was a diet soda. During the evening she had a dish of chocolate ice cream and sweet tea. She reports that in her cottee she likes two packets of suga and some nondairy creamer Nutrition Diagnostic Statements 1. Physical inactivity related to litestyle issues as evidenced by no regular physical activity and a 10-lb weight gain. 2. undesirable food choices related to high fat and low fruit and veg- etable intake as evidenced by diet history revealing high-tat foods at every meal and an average ot one fruit or vegetable each day. Sodium level questionable. Nutrition Care Questions 1. What lifestyle tactors and nutrition triggers are likely to be identified by the dietitian? 2. What foods should Aileen consider including in her diet to build a pre- vention-related meal plan? 3. Plan a meal pattern and two sample meals that illustrate your rec ommendations, including at least one at-home and away-from-home breakfast, lunch, and dinner.
Explanation / Answer
Ans 1) Aileens weight – 165 pounds which is 74.8427 kg.
Aileens height – 5 feet 10 inch which is 155. 448 cm
BMI = weight (kg) / height2 = BMI = 23.67 kg/m2. It falls under normal range.
Ans 2) Lifestyle factors that contribute to her weight gain are as follows:-
Ans 3) SNAP is Supplemental Nutritional Assistance Program. To qualify for SNAP, applicant must meet certain non-financial conditions and requirement for finances. She does not qualify for SNAP as both she and her husband have a full time job.
Ans 4) Most adults trust local health care source for info on health as there is nutrition statement generated by them. It was seen that adults relied on YMCA for health information.
