NUTRITION (1A-17A) CASE STUDIES WITH
COMPLETE AND ACCURATE SOLUTIONS
RATED A.
Case Study 1A: Reducing Disease Risk
Maria Gonzales is a 57-year-old operating room nurse who works full-
time at a local hospital. She is 65 inches tall and weighs 160 pounds. She
has a family history of diabetes and heart disease, and was recently
diagnosed with high blood cholesterol. Maria has declined the
cholesterol-lowering medication that her doctor prescribed, explaining
that she would like to explore other methods for lowering her cholesterol
first. After reading an article on the Internet a few weeks ago, Maria has
been taking a tablespoon of coconut oil every day in the hopes that it will
lower her cholesterol. She admits that she has little time or energy to
exercise. Her diet history reveals that she often skips breakfast or buys a
bagel with cream cheese and flavored coffee on her way to work. While at
work, she drinks at least one more cup of coffee with cream and sugar
before noon. Lunch is a salad wi
✔✔
Consider Maria's typical evening meals and the factors that may
influence her food habits. Which factor is likely to have the biggest
impact on her choices?
✔✔convenience
Which of Maria's food habits is most influenced by her emotions?
✔✔Drinking wine in the evening
,Which of Maria's habits involves the use of functional food?
✔✔Consuming coconut oil
Using Table 1-2 from the text, calculate Maria's average daily kcalorie
intake from carbohydrates, protein, and fat. Adding these figures
together, what is her total daily caloric intake?
✔✔1720
What percentages of Maria's daily calories are provided by carbohydrates,
protein, and fat?
✔✔carbohydrates: 46%; protein: 12%; and fat: 42%
Compare the composition of Maria's diet with the Acceptable
Macronutrient Distribution Ranges (AMDR). How would you
characterize her intake?
✔✔adequate carbohydrate, adequate protein, and high fat
Maria explains that she learned about the effects of coconut oil on the
Internet, while reading an online article about a well-known movie star
who claims it helped him lower his bad cholesterol. What are these types
of testimonials called?
✔✔anecdotes
Case Study 1B: Cultural Differences and Nutrition
Aviva lives in New York City and works as a software developer. She is 25
years old, 5′5″ tall, and, at 160 pounds, she is overweight. Aviva's fast-
paced day typically starts at 6 a.m. when she gets up for work. She is
always in a rush in the mornings, and routinely grabs a quick breakfast of
,an instant drink or a breakfast bar and a cup of coffee with cream as she
walks to the subway.
Aviva works long hours at her job and has a heavy workload that keeps
her tied to her desk. Around 1 p.m. every day, she takes a short break to
grab lunch at the deli next door. She is in the habit of getting the same
sandwich every day, generally a prepackaged corned beef or pastrami
hoagie with the works: lettuce, tomato, onion, mayo, mustard, and melted
cheese, accompanied by a small bag of jalapeno potato chips. Aviva
usually orders a 32-oz. cola, and when she is feeling particula
✔✔Case Study 1B: Cultural Differences and Nutrition
Aviva lives in New York City and works as a software developer. She is 25
years old, 5′5″ tall, and, at 160 pounds, she is overweight. Aviva's fast-
paced day typically starts at 6 a.m. when she gets up for work. She is
always in a rush in the mornings, and routinely grabs a quick breakfast of
an instant drink or a breakfast bar and a cup of coffee with cream as she
walks to the subway.
Aviva works long hours at her job and has a heavy workload that keeps
her tied to her desk. Around 1 p.m. every day, she takes a short break to
grab lunch at the deli next door. She is in the habit of getting the same
sandwich every day, generally a prepackaged corned beef or pastrami
hoagie with the works: lettuce, tomato, onion, mayo, mustard, and melted
cheese, accompanied by a small bag of jalapeno potato chips. Aviva
usually orders a 32-oz. cola, and when she is feeling particularly stressed
by a difficult work situation, she picks up a triple chocolate chunk cookie
to eat at her desk. Chocolate chip cookies are Aviva's favorite comfort
food and remind her of happy times on family movie nights.
, By the time Aviva leaves work, it is usually 8:00 p.m. or later. She walks to
the subway station one block from her office and heads home. Once
home, she frequently heats up her favorite frozen dinner, barbequed
chicken and garlic mashed potatoes with a side of creamed corn. She
finds the mashed potatoes to be comforting after a long and tense day at
work.
Most of Aviva's meals are takeout food or frozen meals from the grocery
store. She is generally too tired to cook, and she likes the taste of
convenient meals. Her freezer is always full of frozen pizzas, large-
portion heat-and-serve meals, and frozen burritos. Each evening she
enjoys an hour or two of television, and reads over some pap
Which scenario best illustrates the impact of ethnic and regional
influences on food choices?
✔✔Anna's lunchtime meal of soup, roasted meat, boiled cabbage and
dumplings
Which scenario best illustrates the role of positive associations on food
preferences?
✔✔Aviva's chocolate chunk cookie with lunch
Assume Aviva's breakfast consists of 31 grams of carbohydrate, 11 grams
of protein, and 8 grams of fat. What is her total kcalorie intake?
✔✔240 kcal
Assume Anna's breakfast has 51 grams of carbohydrate, 21 grams of
protein, and 14 grams of fat. What is her total kcalorie intake?
✔✔414 kcal