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# Activity 3.2.

## 5: PLTW Nutrition Client Report for

Jeremy Brown
Client Name: Jeremy Brown
Rachel Twitty

## Health History (including any specific health goals):

Jeremy is a 24-year-old law student at the local university. A competitive swimmer
throughout college, Jeremy has always been in good health. Now that his schedule has
become so hectic, he has limited time for exercise other than walking to class. He eats
most meals outside of the house and admits to snacking and drinking caffeinated
beverages to stay up to study.

The patient describes a family history of heart disease in both his mother and his father.
His father takes medication for both high blood pressure and cholesterol and his mother
has had angioplasty to open a blocked artery in her heart. His uncle on his mothers
side developed Type II diabetes at age 40. There is no family history of cancer.

Recent lab work revealed that Jeremys LDL cholesterol is 130 and his HDL cholesterol
is 45. His average blood pressure was 135/85.

Jeremy feels sluggish and he is looking for ways to improve his quality of life. He wants
an assessment of his current health and he would like recommendations for how he can
integrate exercise and healthy eating habits back into his busy schedule.

## Height: _______6 2________ Weight: _______235lbs___________

BMI:
Calculate Jeremys BMI based on his height and weight and describe the
implications of this number. Take Jeremys athletic history into account.
106.69kgs/3.5m2 = BMI: 30.5
Based on the average BMI chart, Jeremy is bordering the overweight to obese
category. However, Jeremy was a competitive swimmer all through college, so
he most likely has a lot of muscle on his body. Muscle weights more than fat so
he may not have an optimal BMI, but based on his history of athletics as a
swimmer, he is most likely not on the verge of being obese.

## Activity Level: BMR and TDEE (Output):

Jeremy reports going to the campus pool about once a week for a 30-45 minute swim.
He walks to class each day, but his apartment is not far from the main law buildings or
the library. Jeremy spends 4-5 hours a night at the library studying or writing. About
once a month, he meets his father to play golf. They play 18 holes, but use a golf cart to
maneuver around the course.

## 2014 Project Lead The Way, Inc.

Human Body Systems Activity 3.2.5 Student Resource Sheet: Jeremy Brown Page 1
Compute Jeremys BMR.
66.5 + (13.75 x 106.69) + (5.003 x 187.96) (6.775 x 24)
66.5 + 1,466.9875 + 940.36388 162.6 = 2,311.25

Discuss the activity factor used in the Harris-Benedict Equation and calculate
TDEE.
The activity factor used in the Harris-Benedict Equation, is not always 100%
accurate, but it is close in most cases. It allows amount of activity to be factored into
the Basal Metabolic Rate. Jeremy is not very active anymore, even though he
swims once a week and walks to class, he is not getting very much exercise. I
would say Jeremy is classified in the sedentary group meaning he performs little to
no exercise because the only exercise he does is walk to the library and class and
he only swims once a week and his apartment is not far from the school. Therefore,
he probably less than five hours of exercise per week. The only thing that could
change this calculation is if his body is lean. This equation does not account for the
fact that lean bodies need more calories, so it could be different if he is in fact lean.
TDEE: 2,773.5 calories per day

## Food Intake (Input):

Jeremy completed a food diary for one week. Analysis of his food choices revealed the
following results:

## Average calories consumed per day 3024

Average fat consumed per day 81g
Average saturated fat consumed per day 40g
Average carbohydrates consumed per day 355g
Average protein consumed per day 40g
Average sodium consumed per day 3,056mg

Jeremy reports eating 2-3 servings of fruits or vegetables per day. He reports drinking 4-
5 cups of coffee per day as well as 2-3 caffeinated sodas, and 2-4 glasses of water per
day.

## Calorie Deficit or Surplus (Compare Inputs and Outputs):

Compare calories consumed versus calories expended.
Even though Jeremy eats a lot during the day, based on my calculations I would say he
is eating more than he is expending. He is also not eating the right foods for a healthy
diet. He is filling his body with terrible foods that are not good for him. Even though he
is eating 2-3 servings of fruits and vegetables a day it cannot compensate for the
amount of bad things such as coffee, soda, and fast food he consumes. He needs to
lower his calorie intake and start eating cleaner if he wants to stop going down the bad
road he is traveling on. He eats 3024 calories a day and expends around 2774 calories
per day meaning he has a surplus of 250 calories, on average, each day.

## 2014 Project Lead The Way, Inc.

Human Body Systems Activity 3.2.5 Student Resource Sheet: Jeremy Brown Page 2
Describe what will happen to Jeremys weight over the next month if he
continues the same eating patterns. Show your work.
3024-2774=250 ; Jeremy has an extra 250 calories per day so per week he has an
extra 1,750 calories which is half of the calories in one pound of fat meaning he will
gain half a pound each week.
Based on Jeremys current activity level and food intake, he will gain weight over the
next month. He will gain about half a pound each week on average. This will mean
in a month he will gain two pounds and continue on that path until he decides to
change his diet. He needs to begin to create a calorie deficit instead of a calorie
surplus to reverse the effects of his choices.

Overall Assessment:
Discuss overall implications of BMI and any energy imbalance on overall health.
The BMI shows that he is headed to the path of being overweight or obese. It may not
be completely accurate, but it does show that he is definitely not where he needs to be.
Also, his family has a history of poor medical conditions and he is likely to get the same
unless he improves his choices.
Analyze food choices
o Is the client getting enough of each of the designated food groups?
No, he is getting too many carbohydrates and fats and not enough fruit, vegetables, and
protein. He needs to clean up his diet and eat cleaner foods, mainly meat and
vegetables to improve his diet. His body is being overwhelmed by carbs, sodium, and
fat all of which are bad at high levels.

## o How does consumption of fats, carbohydrates, proteins and sodium

compare to recommended values?
The recommended protein consumption in a day is .36g per pound meaning he should
eat around 80g of protein per day and he is eating half that. The consumption of fat per
day he should consume is 20% of his calories should be fats and he is double that he
should eat around 550 calories of fat per day and he is consuming around 1,000. He
should be consuming no more than 340g per day in carbohydrates and he is consuming
355g per day which is the high end of the spectrum. Finally, he is consuming over 700
more mgs of sodium than he should in a day, he should consume 2,300, but he is
consuming around 3,000.

Propose ways to bring the energy input and output in line with Jeremys health
goals. Describe final recommendations to improve Jeremys overall health and
meet his fitness goals. How should Jeremy alter his eating habits and his
activity? Link your recommendations to his personal health history and his family
history.
For Jeremy, he needs to first clean up his diet, then integrate exercise. He needs to
stop eating fast food all the time and eat healthy meals at home. He should change
his diet to mainly meat and vegetables with small amounts of everything else added
in. He could snack during the on vegetables to prevent himself from becoming too
hungry then, eat a good meal at home. He could begin to jog to school and the
library and find a longer route to get more exercise. He should swim more than once
a week too maybe integrate it on one week day and then on the two nights on the

## 2014 Project Lead The Way, Inc.

Human Body Systems Activity 3.2.5 Student Resource Sheet: Jeremy Brown Page 3
weekend. He could also try and walk on a treadmill a few nights a week, it wouldnt
need to be anything super intense just enough to get his blood pumping and prevent
him from sitting so much; he could even read a book while he walks or study. This
increase in exercise would bump him up to the next level on the Harris-Benedict
Equation which would mean he was burning more calories than he is taking in. All
this exercise and cleaner diet would allow him to have more energy during the day
because his body was actively burning calories and fill with good things instead of
crap that he has been filing with. He should keep his sodium, carb, and fat levels
low to prevent history from repeating itself with high BP, clogged arteries, and
diabetes.

## 2014 Project Lead The Way, Inc.

Human Body Systems Activity 3.2.5 Student Resource Sheet: Jeremy Brown Page 4