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# Activity 3.2.

## 5: PLTW Nutrition Client Report for

Hans Spielman
Client Name: Hans Spielman
Health History (including any specific health goals):
Hans Spielman is a 22-year-old college senior who has not worried much about his
weight in the past four years. He has never been involved in sports and he rarely
exercises. He would prefer to walk from his campus apartment to class, but he is often
running so late, he just takes his car. Hans spends countless hours a day in the library
or in his apartment at his computer. He reports snacking constantly, although many
times he does reach for fruit or nuts. Hans is allergic to seafood. He will cook most
nights of the week, but he sticks mainly to pasta, hamburgers, and frozen pizza. He
does not have time to prepare side dishes or vegetables.
Hans has a strong family history of cardiovascular disease. His father died of a stroke at
age 39 and his maternal grandmother has battled high blood pressure for years. His
mother runs marathons and is in perfect health. His uncle just found out that his routine
colonoscopy revealed some cancerous polyps. There is no family history of diabetes.
Recent lab work revealed that Hans LDL cholesterol is 162 and his HDL cholesterol is
39. His triglycerides are 180. His average resting blood pressure was 130/80.
Hans is bothered by his classification as obese and wants to make a change. He would
like to lose at least 50lbs. He needs help to design a healthy strategy for getting his
health back on track.
Height: _______5 11________ Weight: _______274lbs___________
BMI:
Calculate Hans BMI based on his height and weight and describe the
implications of this number.
BMI: 38.2
Activity Level: BMR and TDEE (Output):
Hans only walks to campus about once or twice a week. He used to play basketball with
his friends on weekends, but now he becomes too winded to keep up.

## Compute Hans BMR.

BMR: 2,099 calories/day
2014 Project Lead The Way, Inc.
Human Body Systems Activity 3.2.5 Student Resource Sheet: Hans Spielman Page 1

Discuss the activity factor used in the Harris-Benedict Equation and calculate
TDEE.

According to the information above, Hans rarely exercise or involved in any other
sports. This shows that Hans is sedentary, so we took his currently BMR which is
2,099 calories/day and multiplied it with 1.2 to get an accurate BMR for Hans. As
a result, his TDEE is 2,518.8.
Food Intake (Input):
Hans completed a food diary for one week. Analysis of his food choices revealed the
following results:
Average calories consumed per day
Average fat consumed per day
Average saturated fat consumed per day
Average carbohydrates consumed per day
Average protein consumed per day
Average sodium consumed per day

3780
90g
60g
455g
40g
3,520mg

Hans reports eating 1-2 servings of fruits or vegetables per day. Hans does not drink
coffee, but he drinks about 4-5 sodas per day. He goes out drinking with his friends
about twice a week and usually drinks a six pack of beer.
Hans eats on campus every day for lunch. Most days he skips breakfast, so lunch is
normally a big meal. He is a not a picky eater and he likes trying new foods, he just
does not have time.
Calorie Deficit or Surplus (Compare Inputs and Outputs):
Compare calories consumed versus calories expended.
o According to the chart, Hans is consuming 3,780 calories/per day, the
calories he needed for weight loss is between 2,430 to 2,730 calories.
Based on our calculations, his calorie deficit would be 1,350 and more.
This reveals that Hans is eating more calories than his body is using.

Describe what will happen to Hans weight over the next month if he continues
the same eating patterns. Show your work.
o If Hans continues the same eating patterns over the next month, it would
lead him to many dangerous results, such as increasing risk of
development in diabetes, stroke, high blood pressure, and lack of energy.
He will also gain more weight due to irregular exercises and lack of
healthy foods.

## 2014 Project Lead The Way, Inc.

Human Body Systems Activity 3.2.5 Student Resource Sheet: Hans Spielman Page 2

Overall Assessment:

Discuss overall implications of BMI and any energy imbalance on overall health.
o Hans's implications is that he's consumed too much calories than he
supposed to, which means that Hans takes more calories IN than
releasing calories OUT over time. If Hans continue this energy imbalance,
it can lead him to gain more weight and could increase his diabetics.

## Is the client getting enough of each of the designated food groups?

o No, Hans is not getting enough of each of the designated food groups. It
states that he mainly sticks to frozen pizza, hamburgers, and pasta. He
needs at least:
10 ounces of grains
o 5 ounces per day, and then 5 more ounce the next day
4 cups of vegetables
o Dark green veggies: 2 1/2 cups
o Red and orange veggies: 7 1/2 cups
o Beans and peas: 3 cups
o Starchy veggies: 8 cups
o Other veggies: 7 cups
2 1/2 cups of fruits
o Eat a variety of fruits everyday
3 cups of dairy
o Drink fat-free or low-fat milk (1%)
o Fat-free or low-fat yogurt and cheese
7 ounces of protein foods
o Choose beans, peas, nuts, and seeds

## How does consumption of fats, carbohydrates, proteins and sodium compare to

recommended values?
Han's Consumptions
Recommended Values
Fats/per day: 90 g

## Approximately 300 grams

Protein/per day: 40 g

## 2014 Project Lead The Way, Inc.

Human Body Systems Activity 3.2.5 Student Resource Sheet: Hans Spielman Page 3

## Less than 2,400 grams

Propose ways to bring the energy input and output in line with Hans health
goals. Describe final recommendations to improve Hans overall health and meet
his fitness goals. How should Hans alter his eating habits and his activity? Link
your recommendations to his personal health history and his family history.

## 22 years old college student.

Rarely exercises or get involved in any sports.
Spends countless number in the library or in his apartment on his computer.
Allergic to seafoods.
Sticks mainly to frozen pizza, hamburgers, and pastas.
LDL cholesterol is 162.
HDL cholesterol is 39.
Blood pressure is 130/80.
Used to play basketball, not anymore because too busy.
Father died of a stroke at age 39.
Maternal grandmother had a high blood pressure.
Mother runs marathons and is in a perfect health conditions.

## 2 cups of fruits daily

o Apples, bananas, grapes, etc..
Fruits containing fiber, may reduce the risk of obesity, heart
disease, and type 2 diabetes.
Also reducing risk of heart disease, like heart attack and stroke.

## 3 cups of vegetables daily

o Dark green veggies, starchy veggies, red and orange veggies, and beans
and peas.
2014 Project Lead The Way, Inc.
Human Body Systems Activity 3.2.5 Student Resource Sheet: Hans Spielman Page 4

## 8 ounces of grains daily

o Whole grains, and refined grains.
Help with weight management.
Reducing risk of heart disease.

## 6 1/2 ounces of proteins daily

o Meat, beans and peas, eggs, nuts and seeds.
Provide Vitamin B, Vitamins E, iron, zinc, and magnesium.

## 3 cups of dairy daily

o Fat-free or low-fat milk, fat-free or low-fat yogurt, cheese, soymilk, etc..
Improve bone health, reduce risk of osteoporosis
Reduce risk of cardiovascular disease, type 2 diabetes, and with

Exercise:
Hans should start to do exercise in order to lose his weights.
Exercise which is good for people with diabetes:
Swimming
Swimming does not jar your joints, and it can keep your body moving for long time.
Swimming also exercises both upper and lower body muscles at the same time, and it
burns 350 to 420 calories per hour.For everyone with diabetes, swimming can keep us
active and healthy.
Yoga
Yoga can help lower body fat, fight insulin resistance, and improve nerve function all
important when you have type 2 diabetes. One of the advantages of yoga as an
exercise is that you can do it as often as you like.
Walking
Walking is probably one of the most prescribed activities for people with diabetes.
Through walking every day, for 30 minutes to an hour, diabetics can improve glucose
control. By walking at a brisk pace, you can raise your heart rate, which gives your heart
and lungs a better workout.
Weight Training
Weight Training can builds muscle mass. Weight training reduced diabetes risk
independent of aerobic exercise. But when the strength training was combined with
aerobic exercise, the benefit grew even more.
2014 Project Lead The Way, Inc.
Human Body Systems Activity 3.2.5 Student Resource Sheet: Hans Spielman Page 5

Tai Chi
Tai Chi is a series of movements performed in a slow and relaxed manner over 30
minutes. Tai chi is ideal for people with diabetes because it provides fitness and stress
reduction in one. Tai chi also improves balance and may reduce nerve damaged

## Breakfast: ( Hans needs to start eating breakfast)

1 cup (250 mL) self-rising flour
2 tsp (10 mL) sugar
1 egg, beaten
1 tbsp (15 mL) light margarine, melted
1/2 cup (125 mL) 1% milk
Cooking spray
Garnish:
1 cup (250 mL) blueberries
1 cup (250 mL) raspberries
1 cup (250 mL) fat-free
vanilla yogurt

## 1. Lunch:Spread 2 tablespoons hummus on wrap. Top with 3 ounces turkey, cup

cucumber, cup tomatoes, 1 tablespoon feta cheese and 1 diced olive. Fold
wrap to close.
2. Repeat procedure for remaining 3 wraps.
2014 Project Lead The Way, Inc.
Human Body Systems Activity 3.2.5 Student Resource Sheet: Hans Spielman Page 6

Dinner:

Pizza gets a bad rap, but when topped with veggies like bell peppers, it's a great
source of calcium and vitamin C. Try using a whole-wheat crust for an extra
boost of proteins.
Snacks:

## Turn an everyday sandwich into a guilt-free dessert treat. No-sugar-added

peanut butter is a great option for diabetic recipes, but a lot of natural peanut
butters are also low in sugar. Serve with a glass of fat-free milk for a boost of
proteins

## 2014 Project Lead The Way, Inc.

Human Body Systems Activity 3.2.5 Student Resource Sheet: Hans Spielman Page 7