NSC 101 Ronald is a 62 y/o male who was referred by his doctor to a nutritionist for diet education

Name: _________________________
NSC 101: DB Assignment 3
Due 2/11/16
30 points
Case Study: Ronald is a 62 y/o male who was referred by his doctor to a nutritionist for diet
education. Ronald is not eager to talk to someone who might make him give up all the food he likes to
eat on a regular basis.
Ht: 5’10”’

Wt: 235#

Wt in kg:

IBW (+10%): % upper IBW:

PMH: HTN, hyperlipidemia, smoker
Meds: Statin
Labs: Total Chol 250 mg/dl
Normal:
LDL 191 mg/dl
Normal:
HDL 35 mg/dl
Normal:

mg/dL
mg/dL
mg/dL

Social hx: married with 1 grown daughter; retired accountant
Typical diet intake:
Breakfast- Danish or toast with coffee, eggs, French toast, sometimes cold cereal with 2% milk
Lunch- Burger and fries, Subway sandwich, or leftovers such as roasted chicken and potatoes
Dinner- grilled BBQ chicken, spaghetti with meat sauce, chili con carne, dinner roll, canned
vegetables, 2% milk or sweetened iced tea
Snacks- ice cream, pretzels, potato chips, cookies, M&Ms, cheddar cheese slices
Fluids (besides milk and coffee) – 1-2 cans of soda per day, sweetened ice tea
Likes- meat, cheese, sweets such as pastries and cookies, ice cream, fresh fruit, some veggies such
as carrots and tomatoes, sweet or salty snacks
Dislikes- salads, broccoli, yogurt, “vegetarian food”, “fat free food”
Food allergies- shellfish
Questions:
1. Define heart disease. Discuss the process of developing atherosclerosis. (5 pts)
From the book: “a term encompassing several disorders affecting the heart, of which
coronary heart disease is the most common.” – 2 pts
2. Identify Ronald’s risk factors for heart disease. Which ones can Ronald impact with diet
and lifestyle changes? Which ones are out of Ronald’s control? (6 pts)
3. Define lipoprotein. Identify the four basic types of lipoproteins, where they are each
produced, and their functions. Outline lipid transport by lipoproteins. (9 pts)
4. Discuss some specific ways Ronald could improve his diet, keeping in mind his dietary
likes and dislikes. Provide three examples of possible food substitutions and how those
might improve Ronald’s diet/healthy (Ex: substitute salmon or other fatty fish 2x/wk at
dinner to increase intake of omega-3 fatty acid which promote heart health). (3 pts)
5. What other lifestyle modifications might help improve Ronald’s health related to heart
disease? (1 pt)

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