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Experiment: Diet Lab

Maria Pelcastre
I.

Date: March 8, 2013

Recorder: Ana

Nutrition Assessment:

Diagnosis: Overweight

Age, gender: 28, female

Dietary Intake: PO intake

Symptoms: N/A

Anthropometric measurements
o Ht./wt. 50/ 150cm and 115#/52.3kg.
o MBI: 22.5 kg/m2- considered normal weight
o IBW: 100#/45.5Kg %IBW: 115%- Above 110%-patient considered
overweight.
o Level of Activity: sedentary
Energy, protein & fluid needs

Ranges:

Total energy: 1296-1684 kcal/day

Protein: 41.84-52.3 g/day

Fluid: 1830.5 ml/day

Table 1. Nutrient Intake Data for 24-hour Recall

Reca
ll
DRI

Calorie
s
(Kcals)
1430

CHO
(g)

Fat
(g)

Saturated
Fat (g)

PRO
(g)

Vit. C
(mg)

208
130

low

norm
al

10%
calories
<10%
calories
high

58

1800

28%
calories
20-35%
Calories
normal

II.

Vit.
D
(ug)
7

Fiber
(g)

79

Vit.
A*
(ug)
382

Calciu
m
(mg)
956

Potassiu
m
(mg)
2935

Sodiu
m (mg)

34

Iron
(m
g)
12

46

75

700

15

25

18

1000

4700

<2300

norm
al

norm
al

low

low

norm
al

low

low

low

normal

Nutrition Diagnosis:
According to the dietary guidelines for Americans this patient has Inadequate
intake of vitamins A and D; inadequate intake of minerals iron, calcium and
potassium, excessive saturated fat intake and overweight/obesity R/T poor
unplanned diet for living a hectic life in school, work and family AEB 24-hour
recall intake, IBW above 110% and level of activity classified as sedentary.
Nutrition Intervention

Meals and Snacks


o Dietary changes: consume more unsaturated fats. Olive oil and
nuts (pistachios, macadamia, pecan & almonds). Consume 1%

1403

o
o

milk-fat or fat-free milk as well as reduce fat-free cheeses such


as light cheddar shredded cheese.
To increase vitamin A, consume more carrots, kale, spinach,
collards, dark colorful lettuce, apricots and orange cantaloupe.
Also, consume dry herbs such as parsley, basil, marjoram, dill
and oregano.
To increase calcium & vitamin D, consume more milk, fortified
juices (e.g. fortified orange juice) mushrooms, and spinach.
To increase iron consume more iron fortified cereals (eat orange
and citrus fruits for better absorption); prunes, lentils, raisins,
beans, chickpeas etc.
To increase potassium consume more plain, skim or not fat
yogurt, white beans, acorn squash, salmon fish, avocados,
bananas etc.

Nutrition-related medication management:


o REC getting an account in myplate.gov and plan your
every-day meals more accurately plus more ideas for
foods rich in different vitamins and minerals.
Goals:
o Increase vitamin A and D as well as iron, calcium and
potassium.
o Reduce saturated fat consumption.
o Lose weight by increasing physical activity 30 min. every
day ( e.g. join the ARC at school, walk more often, join
samba classes).
Monitoring and evaluation
o Follow up phone call within 2 weeks
o Ask the patient to get an account in myplate.gov, get
familiar with the website and tools provided and start
planning her meals.
o Re-assess nutrient intake to determine if vitamins,
saturated fats and minerals are within normal ranges.
o Follow up check-up appointment in one month
o Consult MD if the patients vitamins and minerals ranges
have not improved even after consuming them.

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