P3.2.4.StudentResource



Activity 3.2.5: PLTW Nutrition – Client Report for Jeremy Brown Client Name: Jeremy BrownHealth History (including any specific health goals):Jeremy is a 24-year-old law student at the local university. A competitive swimmer throughout college, Jeremy has always been in good health. Now that his schedule has become so hectic, he has limited time for exercise other than walking to class. He eats most meals outside of the house and admits to snacking and drinking caffeinated beverages to stay up to study. The patient describes a family history of heart disease in both his mother and his father. His father takes medication for both high blood pressure and cholesterol and his mother has had angioplasty to open a blocked artery in her heart. His uncle on his mother’s side developed Type II diabetes at age 40. There is no family history of cancer. Recent lab work revealed that Jeremy’s LDL cholesterol is 130 and his HDL cholesterol is 45. His average blood pressure was 135/85. Jeremy feels sluggish and he is looking for ways to improve his quality of life. He wants an assessment of his current health and he would like recommendations for how he can integrate exercise and healthy eating habits back into his busy schedule. Height: _______6’ 2”________Weight: _______235lbs___________BMI: Jeremy’s BMI is 30.2.Activity Level: BMR and TDEE (Output):Jeremy reports going to the campus pool about once a week for a 30-45 minute swim. He walks to class each day, but his apartment is not far from the main law buildings or the library. Jeremy spends 4-5 hours a night at the library studying or writing. About once a month, he meets his father to play golf. They play 18 holes, but use a golf cart to maneuver around the course. Jeremy’s BMR is 2,311.25138. Jeremy’s TDEE is 2,773.501656.Food Intake (Input):Jeremy completed a food diary for one week. Analysis of his food choices revealed the following results:Avg. Consumed Per DayRecommended ConsumptionCalories30242,733Fat81g35gSaturated Fat40g22gCarbohydrates355g226.8gProtein40g184gSodium3,056mg2,300mgVegetables3cFruits2cDairy3cJeremy reports eating 2-3 servings of fruits or vegetables per day. He reports drinking 4-5 cups of coffee per day as well as 2-3 caffeinated sodas, and 2-4 glasses of water per day. Jeremy reports eating fast food at least once a day. Calorie Deficit or Surplus (Compare Inputs and Outputs): Jeremy eats a surplus of 290.49835 calories each day. He will gain app. 2.32 lbs each month if continuing his eating habits.Overall Assessment: With his nutritional consumption and his energy imbalance, it is recommended that Jeremy either exercise more often or eat healthier in order to stop gaining weight.Jeremy is not getting the recommended nutritional consumption. He needs to consume more protein each day. He needs to consume less calories, fats, saturated fats, carbohydrates, and sodium each day. He needs to consume 3 cups of vegetables each day, 3 cups of dairy each day, and 2 cups of fruit each day. His fat, carbohydrate, and sodium intake is too high. His protein intake is too low.Jeremy should consume around 2,733 calories each day. He should consume 35g of fat per day, 22g of saturated fat per day, 226g of carbs per day, 184g of protein per day, 2,300mg of sodium per day, 3c of vegetables per day, 3c of dairy per day, and 2c of fruit per day.In order to lose weight, Jeremy should stick to these nutritional guidelines and exercise 3-5 days per week in order to lose 1 pound each week. He should continue with exercise and these nutritional guidelines until he reaches a healthy BMI of 18.5-24.9. When he reaches this point, he should continue with these nutritional guidelines, but if desired, he can go back to exercising 30-45 minutes each week.Jeremy should watch his cholesterol levels based on his family history. A healthy LDL level is 100-159 mg. A healthy HDL level is 40-49 mg. ................
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