Reference no: EM132472468 , Length: word count:800
Assignment - Critical Thinking Case Study - Dietary Fat and Heart Disease Risk
Rafael's mother died of a heart attack at age 60. Rafael is worried about his own heart disease risk, so he makes an appointment with his physician. He fills out a questionnaire about his medical history and lifestyle, meets with a dietitian to evaluate his diet, and has blood drawn for cholesterol analysis. The table below summarizes factors that may affect Rafael's risk of developing heart disease:
Sex - Male
Age - 35
Family history - Mother had heart attack at age 60
Height/Weight - 68 inches/160 lb
Blood pressure - 120/70
Stress Level - Moderate
Smoker - Yes
Activity Level - Sedentary
Serum cholesterol - 210 mg/l00 ml
LDL-cholesterol - 160 mg/100 ml
HDL-cholesterol - 34 mg/100 ml
Typical daily intake from 3 day food record:
Percent kcal from fat - 39
Percent kcal from saturated fat - 17
What risk factors does Rafael have for developing cardiovascular disease?
What dietary and lifestyle changes would you recommend to reduce his risks?
Rafael reports eating the following foods on a typical day:
Breakfast: gms. of fat
1 Bran muffin (5 oz.) ______
1 tsp. butter ______
1 c. coffee with 1 T. half and half ______
Lunch:
1 Big Mac (large hamburger) ______
1 medium order fries ______
20 oz. Coke ______
Dinner:
6oz. Steak (lean meat) ______
1 large baked potato ______
2 tsp. butter ______
2 T. regular sour cream ______
1 c. lettuce salad ______
2 T. ranch salad dressing(regular) ______
1 c. whole milk ______
Using the Exchange Lists for Meal Planning, calculate the gms. of fat in Rafael's diet. What changes can Rafael make in his diet to lower his fat intake?