Foods and Nutrition 4471A/B Study Guide - Hydrochlorothiazide, Vasodilation, Dash Diet

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greenrabbit54

1 Oct 2013

School

Western University

Department

Foods and Nutrition

Course

Foods and Nutrition 4471A/B

Professor

Doug Hazlewood

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Document Summary

Justification of the appropriateness of the three-day menu suggested for the client. Diet and lifestyle changes are an integral part of disease prevention and management whether drug therapy is employed or not. Adopting a dash dietary pattern reduces the risk of developing high blood pressure and lowering already elevated blood pressure. Nutrition therapy incorporated into the dash diet includes the reduction in intake of alcohol, sodium and saturated fat, while increasing calcium, potassium, and fiber intake. High intakes of omega-3 pufa lower blood pressure, especially in older people and those with hypertension. Major carbohydrate sources are whole grain products, fruits and vegetables, which is the goal for this diet. Further recommendation for increase of water intake due to high fiber intake is needed. Soluble fiber has shown to be effective in lowering total cholesterol and ldl cholesterol. Weight loss is known to reduce risk factors, such as hypertension and dyslipidemia.

Related Questions

1. The DASH diet:

includes 5 servings of fruits and vegetables each day.

only reduces blood pressure for people who are sensitive to sodium.

is high in sodium and saturated fat.

has been shown to significantly reduce blood pressure in people with and without hypertension.

2.To fight free radicals, the body uses all of the following EXCEPT:

Vitamin E:

protects cell membranes from oxidation.

assists in the production of thyroid hormone.

protects skin from the suns ultraviolet rays.

reduces formation of nitrosamines in the stomach.

Good sources of vitamin E are:

fruits.

dairy foods.

grains.

cold-pressed vegetable oils.

Please type your answer:

Based on below tables just answer the questions in button:

Sample Case Study

Mrs. King is a 43-year-old married mother of four. Mrs. King is 5â 4â tall, weighs 160 pounds, and has a history of mild hypertension. Her blood pressure is controlled with a low-sodium diet, and although her doctor told her for years that she should exercise, she tried running but found it unpleasant and discontinued all forms of exercise. She is currently sedentary. Her grandmother died as a result of heart disease from years of diabetes and high cholesterol.

Daily Diet Evaluation

Use the information below to determine the amount of Calories in the food consumed by Mrs King for Breakfast Lunch and Dinner. Her meals are described in the following tables.

Mrs Kings breakfast is a Grande 2% Milk Caffe Mocha with whipped cream

Menu item	Caffee Mocha with Whipped Cream	Total grams	Energy (calories)
Amount (grams)	16 fl oz
Carbohydrates	44 g
Protein	13 g
Saturated Fat	9 g
Total Fat	15 g
Cholesterol	50 mg	50 mg
Mrs Kingsâs Breakfast Calorie Intake =363

Mrs Kings lunch (Pizza/Salad and a Soda)

Menu item	Pizza w/ Pepperoni	Taco salad	Grape soda	Total grams	Energy (calories)
Amount (grams)	2 slices 142g	1 serv. 261 g	12 fl oz 372g
Carbohydrates	39.8 g	26.6 g	41.7 g
Protein	20.2 g	17.4 g	0 g
Saturated Fat	4.4 g	6.0 g	0 g
Monounsaturated Fat	6.2 g	4.5 g	0 g
Polyunsaturated Fat	2.4 g	1.5 g	0 g
Total Fat	13 g	12 g	0 g
Cholesterol	28 mg	5 mg	0 mg	33 mg
Mrs Kings Lunch Calorie Intake = 807.4

Mrs Kings Dinner

Menu item	Steak	Cup Mashed Potatoes	Iced tea	Total grams	Energy (calories)
Amount (grams)	251 g	1 cup 242 g	1 cup 8 fl oz
Carbohydrates	0 g	35 g	20.4 g
Protein	62 g	4 g	0 g
Saturated Fat	21 g	1.4 g	0 g
Monounsaturated Fat	23 g	1.7 g	0 g
Polyunsaturated Fat	2.2 g	3.2 g	0 g
Total Fat	46.2 g	7 g	0 g
Cholesterol	196 mg	0 mg	0 mg	196 mg
Mrs Kings Dinner Calorie Intake =964

Mrs Kings total g Carbohydrate consumed is __830___________g

Mrs Kings total g Protein consumed is ________466_____g

Mrs Kings total g Fats consumed is ____839_________g

Questions:

Mrs Kings Total Calorie Intake is = __________kCalories

Mrs Kings Total Energy Expenditure is = __________kCalories

Mrs Kings Excess Calories on this Day is = __________kCalories

In your opinion was Mrs Kings diet in line with the Acceptable Daily Macronutrient recommendations: (Use your calculations to support your argument) (Describe Mrs Kings AMDR for Carbohydrates/Proteins and Fats)

(please explain in 4-6 completed sentences)

Question: What is the single most important change that should be made in Kevinâs diet now? Why is this important?

Kevin comes into your clinic for his 9-month check-up. Kevinâs mother stopped breastfeeding when he was 2 months old. He was constipated after he started infant formula so his mother switched to a low-iron formula. When Kevin reached 6 months of age, his grandmother insisted that he was old enough to start drinking cowâs milk instead of infant formula. Kevinâs parents decided to feed him 2% fat milk because his father has high cholesterol and they are worried Kevin will also develop high cholesterol if he eats high-fat foods. His hemoglobin is 9.0 g/dL.

At 9 months he is drinking milk and apple juice, but does not have much appetite for his baby food.

Foods were introduced into Kevinâs diet on the following schedule:

0-2 months	Breast milk
2 months	Low iron Enfamil infant formula (provides about 4mg iron per day) Juice (in a bottle) to help with constipation. Infant cereal (added to the evening bottle to help him sleep through the night)
3 months	Strained fruits and vegetables (but he kept spitting them back out when a spoon was used)
6 months	2% fat cowâs milk (discontinued Enfamil) strained infant foods (chicken) infant rice cereal with a spoon
9 months	Biter (teething) biscuits dry Cheerios (finger food)

Kevinâs daily typical intake at 9 months of age is as follows:

24 oz 2% cowâs milk

2 oz strained green beans (baby food)

2 oz strained applesauce (baby food)

1 oz strained chicken (baby food)

3 Tbsp infant rice cereal made with cowâs milk

4 oz juice in a bottle, 2x per day

Teething Biscuits or cheerios as snacks

Foods and Nutrition 4471A/B Study Guide - Hydrochlorothiazide, Vasodilation, Dash Diet

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