Question

Jane went to see her medical provider to discuss the results of recent lab work:

 Cholesterol: 250 mg/dl  LDL: 160 mg/dl  HDL: 65 mg/dl  Triglycerides: 120 mg/dl

Her 24-hour food recall is:

Breakfast o 3 eggs o 3 slices white toast with 1 Tbsp. butter o 16 oz. OJ

Lunch o Sandwich: o ½ c canned salmon o 1 Tbsp. soybean oil mayonnaise o 1 slice cheddar cheese o 1 whole pita bread o 1 large chocolate chip cookie o 12 oz. coke

Dinner o chicken sautéed in olive oil o 2 cups green salad with ¼ cup corn oil ranch dressing o 1 small dinner roll with 1 Tbsp. canola margarine o 12 oz. whole milk

Snack o 1 cup ice cream o ½ cup salted peanuts

Evaluate the results of Jane’s lab results and her dietary recall. Cholesterol Levels: What You Need to Know (https://medlineplus.gov/cholesterollevelswhatyouneedtoknow.html) Answer the following questions based on your evaluation.

1. Name foods in Jane’s food recall that contain high amounts of: a. Essential fatty acids b. Saturated fat c. Monounsaturated fat d. Polyunsaturated fat e. Trans fat

2. Jane is at risk for what disease? Why?

3. What types of dietary fats should Jane decrease her intake of?

4. Provide lower fat food suggestions for Jane.

5. Jane was advised to eat more fiber. Why?

6. If she consumes 2200 kcals and 80 grams of fat, what is % of kcals from fat? Is this within the AMDR for fat?

Answer 1

1.Essential fattyacids:Soybean,egg,butter,milk,peanuts

saturated fat:65%milk,butter,chesse,ice cream

  monounsaturated:30%milk,olive oil,peanuts

Polyunsaturated:corn oil,soya oil

Trans fat: whole pita bread,slices white toast,canola margarine.

2.Coronarynaryheartdiseases,atheroscleorosis,clogged artries,because Transfat,saturated fat food causes rise in bad LDL fall in good HDL.

3.​​​​​Transfatty acids,saturated fattyacids

4.leafy greens,fruits,beans,legumes,sweetpl potatoes

5.To lower cholesterol levels,to increas HDL levels and decrease LDL levels,to decrease heart diseases.

6.from 1gm fat gives 9kcal

for 80gm fat=80×9=720kcal

Percentage of fat=(720÷2200)×100=32.7%

ADMR(Acceptable Macronutrient Distribution Range)for fat is 15% to 25%, Jane ADMR for fat not with in range