Diet Analysis

1. Clients concern a. The clients nutritional concern is of high blood pressure.
Family members of hers have it, such as her twin brother, her father did while he was still alive, as well as her husband. She is concerned she might have a problem with this too. She already takes medicine for high cholesterol and does not want to take more medications. She is somewhat concerned because her loved ones have had issues. b. She is also overweight, with a BMI of 28.5kg/m2. She said she wouldnt mind losing weight, although she doesnt seem too concerned about it. 2. Three day Food Record a. Day 1 i. Breakfast 1. 16 oz. Coffee with 6 tbsp. Half and Half and 4 tsp. Sugar 2. 1 cup Life Cereal with 2/3 cup 2% milk ii. Lunch 1. Turkey sandwich with 2 slices turkey breast, 1 leaf Romaine Lettuce, 2 slices white bread, 1 tbsp. miracle whip 2. 1.5 oz. Sun Chips 3. (2) 16.9 oz. Lipton Green Tea iii. Dinner 1. Salad with 3 cups spinach, 8 baby carrots, .25 cup broccoli florets, 1 slice of cucumber, 2 slices maple ham, 1 hardboiled egg, 2 tbsp. shredded cheddar cheese, and 3 tbsp. wishbone thousand island dressing iv. Dessert 1. 2.12 oz. of Hersheys dark chocolate b. Day 2 i. Breakfast 1. 16 oz. Coffee with 6 tbsp. Half and Half and 4 tsp. Sugar 2. 15 Grapes ii. Lunch 1. Maple Ham sandwich with 3 slices Maple Ham with, 1 tsp. honey mustard on Whole Wheat Kaiser Roll 2. 1.25 oz. Fritos 3. 15.2 oz. Ocean Spray Cranberry Juice Cocktail iii. Dinner 1. 2 Mikes Hard Lemonade 2. 1.5 Cups Chili with beef, beans, and cheese
3. Italian Dinner Roll with margarine 4. 8 oz. 2% Milk iv. Snack 1. Klondike Ice Cream Bar c. Day 3 i. Breakfast 1. 16 oz. Coffee with 6 tbsp. Half and Half and 4 tsp. Sugar 2. 6 oz. Raspberry YoCrunch Yogurt ii. Lunch 1. Salad with 2 cups romaine lettuce, 8 baby carrots, .25 cup broccoli florets, .25 cup green bell pepper, 1 slice of cucumber, 3 tbsp. Bacon and onion dressing, and 16.9 oz. Lipton Green Tea iii. Snack 1. Kudos Milk Chocolate Dove Bar iv. Dinner 1. .33 lb. boneless pork chop with Shake nBake Seasoning 2. .5 cup mashed potatoes with milk/ margarine 3. 1/3 cup sweet butter peas with butter sauce 4. 2 tbsp. Applesauce v. Dessert 1. Klondike Ice Cream Bar 3. Diet/Nutritional Analysis (using usda supertracker on myplate.gov) a.
Kcal Day 1 Day 2 Day 3 Carbs(gm) Protein(gm) Fat(gm) Cholesterol(mg) Sodium(mg)
1950 2473 1526
236 317 194
60 50 46.5
82 86 62
288 197 151
2640 3850 2200
b. Observations: She has an excess intake of fat, especially saturated fat. As well as an excess of sodium, with 2 days going over 2300mg, the old recommendation, but all 3 days going over the recommendation of 1800mg. 4. Appropriate Recommendations for improvement a. Her concernHigh Blood Pressure i. Her original concern was the possibility of high blood pressure. High blood pressure can be controlled by diet, especially from the intake of sodium. I would recommend for her to reduce the amount of sodium in her diet to no more than
2 grams a day. But first slowly reduce the amount of sodium in her diet, by trying to make replacements here and there. 1. Chose low sodium lunch meats, salad dressings, seasonings, and breads. 2. Try avoiding adding salt for taste. Make sure to taste food first before adding salt, this will help limit additional salt/sodium. ii. Adding more fruits to her diet. Potassium containing fruits can help reduce/maintain blood pressure. She does not consume the recommended amount of fruit. This could help her diet overall. 1. Try fruit as a snack instead of a chocolate bar or ice-cream. Or, if icecream isnt an option to remove from the diet, add fruit to cereal or yogurt in the morning, such as a sliced up banana. iii. Excessive Fat intake 1. She consumes a lot of fat, most days more than 30% of her calories come from fat, and a lot of it is saturated fat. This also affects blood pressure. Limit saturated fat intake to 20grams per day. a. Try skim milk instead of 2% b. Use fat free dressings or oils for salads 5. Educational Materials a. Use Super Tracker to help track sodium and saturated fat i. http://www.choosemyplate.gov/ b. Tips on how to reduce sodium intake i. From the USDA website c. What are solid fats? i. From choosemyplate.gov
ii. Will help her understand the sources of her saturated fats so she can make better decisions day to day on cutting back
6. Recipe Alteration a. Original Recipe i. 1 lb ground beef ii. 1 can kidney beans iii. 1 can black beans iv. 1 can crushed tomatoes v. 1 can tomato puree vi. 1 cup chopped onions
vii. viii. ix. x. xi. xii. xiii.
1 cup green peppers 1 cup shredded cheese 4 tablespoons oregano 2 teaspoon of salt 1.5 teaspoon of black pepper 1 tablespoon onion powder 1 teaspoon garlic salt
b. Altered recipe i. 1 lb. ground lean turkey ii. 1 can low sodium kidney beans iii. 1 can low sodium black beans iv. 2/3 cup of tomatoes, cut up v. 1 can low sodium tomato puree vi. 1 cup chopped onions vii. 1 cup green peppers viii. cup low sodium mozzarella cheese (add to taste) ix. 4 tablespoons oregano x. 1.5 teaspoon black pepper xi. 1 teaspoon minced garlic xii. 1 tablespoon onion powder c. Analysis before and After i. Per cup of chili Kcal Original 350 Altered 300
Carbs 20 g 21g
Protein 25 g 24 g
Fat 18g 10g
Sat Fat 9g 4g
Sodium 1200mg 300mg
Recipe reduced sodium dramatically, from 1200mg to 300 mg by using no salt added or low sodium foods, such as beans and cheese. I tried to reduce fat and saturated fat by choosing lean turkey instead of ground beef, and limiting the amount of cheese being put into recipe.a

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1. Clients concern a. The clients nutritional concern is of high blood pressure.

1950 2473 1526

236 317 194

288 197 151

2640 3850 2200

vii. viii. ix. x. xi. xii. xiii.

Fat 18g 10g

Sodium 1200mg 300mg

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