Aileen is a 28-year-old woman who lives in an urban neighborhood with her husban
ID: 128792 • Letter: A
Question
Aileen is a 28-year-old woman who lives in an urban neighborhood with her husband and 12-year-old daughter. She is 5 ft, 10 in tall and currently weighs 165 pounds. In the past 2 years she has gained 10 pounds. At a recent neighborhood health fair at the YMCA, Aileen’s blood glucose and blood pressure screening results were higher than they had been a year ago but were still in a good range. She has a family history of heart disease and diabetes and recognizes that her weight gain is an issue. Both she and her husband work full time, and blending their schedules with that of their daughter is hectic. Aileen does all the cooking and shopping, they have a kitchen with a range, oven, microwave, and refrigerator/freezer. She describes her food shopping habits as chaotic and last minute, often stopping at the local convenience store. They eat out (fast food or take out) for most lunches and at least two dinners a week. They have no regular activity or exercise. They have the minimum health insurance with a large copayment; thus they do not have an ongoing health care routine. Aileen made an appointment with a locally based health care source. She asked for dietary counseling and was asked to bring a 1-day food recall for the registered dietitian. She reported the following: breakfast: egg and sausage on a bagel, coffee; midmorning: low-fat snack bar from vending machine with coffee; lunch: double burger with cheese on a bun and large fries, ketchup, and extra pickles, diet soda; dinner: frozen dinner that included chicken, rice, and corn. She had an iceberg lettuce salad with diet ranch dressing “to add something green.” Beverage was a diet soda. During the evening she had a dish of chocolate ice cream and sweet tea. She reports that in her coffee she likes two packets of sugar and some nondairy creamer.
1-What is Aileen’s BMI ? Show your work (2)
2- Identify what lifestyle factors could contribute to Aileen’s weight gain? (2)
3-Aileen wonders if she can qualify for SNAP, what can you tell her? (3)
4- Who do most adults trust for health information? (2)
5- According to the ADA/AND’s Trend survey what do half of consumers believe regarding a healthy diet? (2)
6- Aileen read that chocolate is good for her, what can you tell her? (2)
7- Does Aileen’s diet include phytochemicals? Identify phytochemicals Aileen could add to her diet and why would she want to add these? (4)
8- Aileen wants to try a “detox” program, what can you tell her? (2)
9- List four foods will help boost detoxification? Use textbook reference page(4)
10-What can Aileen and her family do together that promotes balanced and nutritious meals? (2)
Explanation / Answer
1. ANS:
Aileen’s current BMI:
BMI Categories:
Underweight = <18.5
Normal weight = 18.5–24.9
Overweight = 25–29.9
Obesity = BMI of 30 or greater
BMI = Weight in kilograms / (Height in meters) 2
Height: 5 feet, 10 inch
Weight: 165 pounds
Age: 28 Years
Gender: Female
Calculation:
The calculation of the body mass index is based on a height of 5 feet 10 inches (178 cm) and a weight of 165 pounds (74.8 kilograms).
BMI = 24
Aileen’s body mass index (BMI) is calculated as exactly 23.7 kilograms per square meter.
Aileen’s two years ago BMI:
Height: 5 feet, 10 inch
Weight: 155 pounds (165 pounds- 10 pounds)
Age: 26 Years
Calculation
The calculation of the body mass index is based on a height of 5 feet 10 inches (178 cm) and a weight of 155 pounds (70.3 kilograms).
BMI = 22
Aileen’s body mass index (BMI) is calculated as exactly 22.2 kilograms per square meter.
Significance change:
During the past 2 years Aileen’s gain 10 pounds, so her BMI was increased 22 to 24. Aileen BMI was still present in the normal condition so she is nothing to worry about weight gaining.
2. ANS: Lifestyle factors could contribute to Aileen’s weight gain:
Functional foods are mostly helpful to Aileen’s proper weight gain. These foods can include a lot of fruits and vegetables, plant-based proteins (like beans and nuts), whole grains, fresh herbs, fatty fish, and spices. Functional food refers to foods or ingredients of foods providing an additional physiological benefit beyond their basic nutritional needs.
The role of functional foods in prevention and treatment of several diseases is tremendous. Cancer, diabetes, heart disease and hypertension are the most important diseases that can be treated or prevented by functional foods.
Oats: Oat products are a widely studied dietary source of the cholesterol-lowering soluble fiber b-glucan. This food can reduce total and low density lipoprotein (LDL) cholesterol, thereby reducing the risk of coronary heart disease (CHD).
Flaxseed: Among the major seed oils, flaxseed oil contains the most (57%) of the omega-3 fatty acid, a-linolenic acid.
Fish: Omega-3 (n-3) fatty acids are an essential class of polyunsaturated fatty acids (PUFAs) derived primarily from fish oil. It is good for heart.
Dairy Products: There is no doubt that dairy products are functional foods. They are one of the best sources of calcium, an essential nutrient which can prevent osteoporosis and possibly colon cancer.
3. ANS: No, she does not qualify for Supplemental Nutrition Assistance Program (SNAP) because both the Aileen and her husband are doing a full time job. For the participation in SNAP the applicant must meet certain non financial conditions and requirement for finances. So she does not qualify.
4. ANS: Most adults can trust local health care source for info on health as there is nutrition statement generated by them. It was seen that adults relied on YMCA for health information.
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