Follow the Diet

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  • Topic: Nutrition, Trans fat, Saturated fat
  • Pages : 7 (2369 words )
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  • Published : March 12, 2013
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03/10/13
FSN429
Follow The Diet
Assigned Diet Plan: It is your 55th birthday and your recent doctor’s visit alerted you of the fact you have HTN and are very overweight. In order to keep CVD at bay, your doctor recommended the following diet: 20-25 kcal/kg, .8 g pro ( or- 15% kcals as pro), 30% kcal from fat ( follow TLC guidelines) and 1500 mg Na. Be sure to eat no less than 35 gm fiber/d.

1. Meal Pattern
A. wt: 184# ( 84 kg)
Ht: 6’0” (72 in/ 183 cm/ 1.83 m)
Age: 22 YOWM

Kcal: 25 kcal/kg x 72 kg = 1900 kcals
655 + (9.6x 72) + (1.8 x 183cm) – (4.7x 22) = 1572x 1.6= 2500
Total Kcal: 2300/ day

Protein: 72 x .8 g/kg= 58 g of pro
72 x 1.0= 72 g of pro
Total Protein: 60-70-g/ day

CHO: 2300 kcal x .65 = 1495 kcal/ 4 kcal/g= 374 g
Pro: 2300 kcal x .15 = 345 kcal/ 4 kcal/g = 86 g
Fat: 2300 kcal x .30 = 690 kcal/ 9 kcal/g = 77 g
Fluid Intake (1ml/kcal) = 2300 ml

B. 2300 kcal
374 g CHO/ 15g/ exchange= 24 CHO exchanges
2 Dairy x 8 g of pro= 16 g of pro
5 fruits x 0 g of pro= 0 g of pro
17 starch x 2 g of pro= 34 g pro
Total g protein from CHO= 50 g protein

86 g of pro- 50 g of pro= 36 g of pro
| Total| Breakfast| Lunch| Dinner| Am snack| Pm snack| Hs snack| CHO| 24| 5| 6| 6| 2| 3| 2|
Protein| 5| 1| 2| 2| | | |
Fat| 15| 3| 4| 4| 1| 2| 1|
36 g/ 7g/exchange = 5 protein exchanges

77 g of fat/ 5g/ exchange= 15 fat exchanges

C. The Therapeutic Lifestyle Change (TLC) diet is a way for individuals to naturally lower their ch through diet, physical activity, and wt management. The three nutrients in the diet that increase LDL ch that are controllable are saturated fat, found mostly in animal products, trans fats, found in foods with hydrogenated oils, and cholesterol. In addition to decrease sat fat, trans fat, and ch, the individual must also add plant stanols and sterols and increase soluble fiber. Sodium intake should be monitored and reduced. Fruits and vegetable intake should be increased.

2. Meal Pattern and Results

Time/ Location| Food and Beverage Description| Amount|
11:00 / Home| Egg| 1 egg|
| Fried in olive oil| 1 tsp|
| WW toast| 1 slice|
| Salad| 2 cups|
| 1 tomato, 1 cucumber, 2 tbsp olive oil, lemon juice| | | Tangerine| 1|
| Banana| 1|
| Low fat yogurt| 1 cup|
| Coffee| 1 cup|
| w/ NF milk | 2 tbsp|
| | |
14:00 / Home| Brown Rice tortilla| 1 tortilla|
| Shredded cheese| 1 oz|
| Avocado| ½ of avocado|
| Salad| 2 cups|
| ½ tomato, ½ cucumber, 1 tbsp red onion| |
| 1 ½ c spring mix lettuce, 1.5 tbsp tahini| |
| Grapes | 3 oz|
| | |
15:00 / Car| Almonds| 8|
| | |
19:00 / Home| Baked Cod Filets| 6 oz|
| Brown rice| 2/3 c|
| Baked brussel sprouts| 3 c|
| Walnuts| 8|
| Pineapple| ¼ of Pineapple|
| Lowfat yogurt| 1 c|

3. Nutrition content: See attached papers from ESHA

4. Results
At first glance of the results of my ESHA nutrient spreadsheet, I was surprised to see that my kcal intake totaled 2350, considering I was unable to consume all the food I had planned on the daily menu which added up to about 2000 kcal. My macronutrient percentages divided up to about 18 % protein, 45% carbs, and 36 % fat, with 8.6 % of the fat coming from saturated fat. The recommendation for the TLC diet is 15% protein, 55 % carbs, and 30% of fat with ;ess than 7 % of it coming from saturated fat. Compared with the recommendation, I consumed more fat and less carbs. In addition, to not meeting macronutrient goal ranges, I also seemed to have greatly overshot the ch ceiling of 200 mg for TLC diets by more than 50% consuming 350 mg of ch. This is also a very important note to make and is very dangerous considering my health. My ch should be strictly monitored in order to reduce any future heart attacks from plaque formation. My sodium intake was also too high, reaching 2860 mg – 500 mg...
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