Name: _________________________NSC 101: DB Assignment 3Due 2/11/1630 pointsCase Study: Ronald is a 62 y/o male who was referred by his doctor to a nutritionist for dieteducation. Ronald is not eager to talk to someone who might make him give up all the food he likes toeat on a regular basis.Ht: 5’10”’Wt: 235#Wt in kg:IBW (+10%): % upper IBW:PMH: HTN, hyperlipidemia, smokerMeds: StatinLabs: Total Chol 250 mg/dlNormal:LDL 191 mg/dlNormal:HDL 35 mg/dlNormal:mg/dLmg/dLmg/dLSocial hx: married with 1 grown daughter; retired accountantTypical diet intake:Breakfast- Danish or toast with coffee, eggs, French toast, sometimes cold cereal with 2% milkLunch- Burger and fries, Subway sandwich, or leftovers such as roasted chicken and potatoesDinner- grilled BBQ chicken, spaghetti with meat sauce, chili con carne, dinner roll, cannedvegetables, 2% milk or sweetened iced teaSnacks- ice cream, pretzels, potato chips, cookies, M&Ms, cheddar cheese slicesFluids (besides milk and coffee) – 1-2 cans of soda per day, sweetened ice teaLikes- meat, cheese, sweets such as pastries and cookies, ice cream, fresh fruit, some veggies suchas carrots and tomatoes, sweet or salty snacksDislikes- salads, broccoli, yogurt, “vegetarian food”, “fat free food”Food allergies- shellfishQuestions:1. Define heart disease. Discuss the process of developing atherosclerosis. (5 pts)From the book: “a term encompassing several disorders affecting the heart, of whichcoronary heart disease is the most common.” – 2 pts2. Identify Ronald’s risk factors for heart disease. Which ones can Ronald impact with dietand lifestyle changes? Which ones are out of Ronald’s control? (6 pts)3. Define lipoprotein. Identify the four basic types of lipoproteins, where they are eachproduced, and their functions. Outline lipid transport by lipoproteins. (9 pts)4. Discuss some specific ways Ronald could improve his diet, keeping in mind his dietarylikes and dislikes. Provide three examples of possible food substitutions and how thosemight improve Ronald’s diet/healthy (Ex: substitute salmon or other fatty fish 2x/wk atdinner to increase intake of omega-3 fatty acid which promote heart health). (3 pts)5. What other lifestyle modifications might help improve Ronald’s health related to heartdisease? (1 pt)
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