Activity 3.2.

5: PLTW Nutrition Client Report for

Jeremy Brown
Client Name: Jeremy Brown

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:
106.59 kg
BMI = 2 = 30.16
1.88 m
'
may be slightly lower due Jer e m y s athletic history increased muscle mass .

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.

Compute Jeremys BMR.

B MR=66.5+ (23.75 106.59 )+ (5.003 187.96 )( 4.676 24 ) =2360.24
Where:
- 106.59 is Jeremys weight in kg
- 187.96 is Jeremys height in cm

2014 Project Lead The Way, Inc.

Human Body Systems Activity 3.2.5 Student Resource Sheet: Jeremy Brown Page 1
 - 24 is Jeremys age
Discuss the activity factor used in the Harris-Benedict Equation and calculate
TDEE.
TDEE=2360.34 ( BMR ) 1.375=3245.33
The activity factor used is light exercise (1-3 days of light sports/exercise).
Jeremy lightly exercises by walking to class each day and swimming once a
week.

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.

Jeremy reports eating fast food at least once a day.

Calorie Deficit or Surplus (Compare Inputs and Outputs):

Compare calories consumed versus calories extended.
Jeremy consumes about 3024 calories daily and burns about 3245 calories a
day. With Jeremys current diet, he has a calorie deficit of 221 calories.
Describe what will happen to Jeremys weight over the next month if he
continues the same eating patterns. Show your work.
If Jeremy continues this diet for a month, he will lose almost 2 pounds. This is
because Jeremy is burning 221 calories each day that he does not consume.
- 221 daily calorie deficit 30 days ( 1 month )=6630
- 3500 calories= 1 pound of body fat
6630
-
3500=1.89

Overall Assessment:
Discuss overall implications of BMI and any energy imbalance on overall health.
The implications of Jeremys BMI is that he is burning more calories than he is
consuming; however, Jeremy is not burning enough to maintain a healthy weight.
His current BMI puts him at obesity. Obesity can causes high blood pressure,
high cholesterol, and even diabetes which then leads to heart conditions. Jeremy
should consider his diet intake and exercise.

2014 Project Lead The Way, Inc.

Human Body Systems Activity 3.2.5 Student Resource Sheet: Jeremy Brown Page 2
 Analyze food choices
o Is the client getting enough of each of the designated food groups?
o Jeremy is not getting enough fruit and vegetables a day. For fruits, the
recommended is 3-4 servings and for vegetables, the recommended is 5
servings. Jeremy is only getting 2-3 servings of either a day. Also, Jeremy
is not consuming enough water. The recommended is about 8 glasses a
day, but Jeremy is only consuming 2-4 glasses a day.

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

compare to recommended values?

Recommended: Jeremy:

Fats: 40-77 g 81g

Carbs: 225-325 g 335g
Proteins: 50-175 g 40g
Sodium: Less than 1500mg 3056mg

Based on recommended daily values, he is consuming too many fats, carbs, and
sodium. Which can cause high blood pressure and cholesterol. He is also not
consuming enough protein which could explain his lack of energy and sluggish feeling.

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.

Jeremy needs to alter his diet to bring his weight and BMI back to a healthy
range. This can be done by heating healthier and consuming less carbs, fats,
and sodium and by increasing the amount and rigor of his weekly exercise.
Jeremy should decrease the amount of coffee and soda he is consuming. And
increase the amount of fruit, vegetables, and protein.
Considering that Jeremys immediate family has a history of high cholesterol and
blood pressure, Jeremy should retain the amount of sodium he consumes which
decreases the risk of either condition. By adding to his water intake, Jeremy
could naturally reduce his sodium levels.

2014 Project Lead The Way, Inc.

Human Body Systems Activity 3.2.5 Student Resource Sheet: Jeremy Brown Page 3