Chapter 1 The Maeronuhrienh 35 PERSONAL HEALTH AND ExERCISE NUTRITION 1.2 Adult Hyperlipidemia Body weight: 215 lb (97.1 kg) The fol owing data mass index (BMI): 29.0 ained on a 58-year-old Abdominal girth: 40.9 in (104 cm) executive who has not had Laboratory data annual physical examination in 5 years. He has weigh Nonfasting total cholesterol: 267 mg dL nd is now concerned abou his health status, o LDL-C: 141 mg dl. Blood glucose: 124 mg-dL Medical History Dieta ry intake from 24-hour food recall The par as no history Calories: 3001 kcal hospitalization. He does of chronic plements and has no known food allergies. not take diseases or major o Protein 110 g (14.7% of total kcal) medications dietary sup o Lipid: 121 g (6.3% of total kcal) o Carbohydrate: 368 g (49% of total kcal) Family History Saturated fatty acids 18% of total kcal The patient\'s father died from a heart attack at age 6 his younger brother has had triple bypass surgery, and his uncle o Cholesterol: 390 mg dL has type 2 diabetes. His mother, physically inactive for most Monounsaturated fatty acids (MUFA) 7% of total of her adult life, classifies as obese with high serum choles terol and triacylglycerol levels. o Fiber: 10 g o Folic acid: 200 General impressions: overly fat male with possible Social History metabolic syndrome The patient has been overweight since high school. He has Case Questions gained 15 lb during the last year, which he attributes to his 1. Provide an overall assessment of the patient\'s health and changes in eating habits (eats out more frequently) The patient, J.M wants to improve his diet but does not 2. What other laboratory tests could be performed? know what to do. H e typically eats only two meals daily, with at least one meal consumed at a restaurant and several snacks 3. Interpret the blood lipid profile based on his history, physical examination, and laboratory data. nterspersed. He drinks three to five cups of coffee through- out the day and two to three alcoholic drinks every evening, 4. Give recommendations for improving the adequacy He also smokes one pack of cigarettes daily and reports high of patient\'s diet. stress in his job and at home (two teenage children). Patient 5. Create the best dietary approach for the patient states he has little opportunity for exercise or leisure time 6. What course of action should the patient consider to activities given his present schedule. improve his blood lipid profile? Physical Examination/Anthropometric/ Point Visit thePoint.ww.com/MKKSEN4e to review the answers to these case questions. Laboratory Data Blood pressure: 135/90 mm Hg Height: 6 ft (182.9 cm) ONLN ANSWER
Q.No:1
Earlier worldwide recognition about 2nd dyslipidemia helps even more extreme treatment along with would-be amelioration about CHD risk. When in older adults, dyslipidemia is normal in girls and boys utilizing being diabetic, in most cases utilizing lifted LDL along with TG, along with little HDL. In kids along with girls and boys utilizing category 1 being diabetic, fantastic carbohydrates manage along with physical exercise can be involving decreased TC. These epidemic about being overweight in girls and boys will be raising along with is part of excess weight, little physical exercise, along with great dietary fat intakes
Q.No:4
Nutritional treatment will be the primary procedure program, and yet tablet therapies could possibly oftentimes be added later towards complement treatment. The actual component part on the “heart-healthy” weight loss program is a food pattern that is definitely little in saturated fat along with healthy cholesterol and offers decent energy levels to compliment emergence and look after an ideal weight. So long as energy levels consume is sufficient, along with nutrient-dense certain foods can be preferred, a low fat, little cholesterol eating habits works with emergence along with development. Unique healthy ideas encompass: Minimized intakes of saturated fat, Minimized intakes about healthy cholesterol, Inspire poor towards fair total fat intake, Inspire antioxidant food sources along with Reduce serum homocysteine levels.
Q.No: 5
Total fat % kcal
Sat fat % kcal
Poly fat % kcal
Cholesterol mg/day
Mono fat % kcal
Trans fat
AHA 2000 Adults with hyperlipidemia, CVD or diabetes
<30%
<7%
1 serving fatty fish per day
<200
Reduce intake (saturated + trans 10%)
NCEP 200110 (ATP III) Adults
25-35%
<7%
Up to 10%
<200
Up to 20%
Keep intake low
Q.No: 6
| Total fat % kcal | Sat fat % kcal | Poly fat % kcal | Cholesterol mg/day | Mono fat % kcal | Trans fat |
| AHA 2000 Adults with hyperlipidemia, CVD or diabetes | <30% | <7% | 1 serving fatty fish per day | <200 | | Reduce intake (saturated + trans 10%) |
| NCEP 200110 (ATP III) Adults | 25-35% | <7% | Up to 10% | <200 | Up to 20% | Keep intake low |
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