Family History Of Heart Disease Discussion 2
Dave is a 46-year-old attorney with a family history of heart disease (his father had a heart attack at the age of 56) whose recent blood tests reveal high blood LDL cholesterol and triglyceride levels. His doctor has advised him to eat less fat in his diet. Dave is a self-confessed “foodie” and he enjoys wine and cheese at several social functions each week. He cooks with “real” butter at home and uses half milk and half cream in his coffee. Although fairly inactive, Dave keeps his weight stable at 170 pounds. He is 5 feet 10 inches tall. 1. What factors may be contributing to Dave’s elevated cholesterol and triglyceride levels? 2. From the history given, identify the main sources of saturated fat in Dave’s diet. What are some reasonable changes he could make to lower his intake of saturated fat from these foods? 3. Assume Dave eats about 2000 kcalories a day and that his doctor has advised him to limit his fat intake to 35 percent of his daily kcalories. Refer to the “How to” feature (p. 155) of this chapter to calculate his personal Daily Value for fat. 4. According to the 2010 Dietary Guidelines for Americans, what is the maximum percentage of kcalories from saturated fat that Dave should consume each day? Remembering that 1 gram of fat contains 9 kcalories, calculate the maximum grams of saturated fat that Dave should eat each day based on his daily intake of 2000 kcalories. 5. Using information from Highlight 5, what additional advice would you offer Dave to improve his heart health? 6. Plan a one-day menu for Dave with higher amounts of healthful fatty acids and lower amounts of harmful fatty acids.
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Discussion 2: Heart Disease in the Family Discussion 1:
Dave is a 46-year-old attorney with a family history of heart disease (his father died of a heart attack at the age of 56), and his recent blood tests have revealed elevated levels of LDL cholesterol and triglycerides in his bloodstream. His doctor has instructed him to reduce the amount of fat he consumes in his diet. As a self-proclaimed “foodie,” Dave enjoys drinking wine and eating cheese at a variety of social gatherings throughout the week. He cooks with “genuine” butter at home and makes his coffee with a mixture of half milk and half cream. Dave maintains a constant weight of 170 pounds despite being relatively inactive. He stands at 5 feet and 10 inches tall. Which of the following reasons could be contributing to Dave’s increased cholesterol and triglyceride levels? 2. Based on the information provided, determine the primary sources of saturated fat in Dave’s diet. What are some acceptable modifications he may make to his diet in order to reduce his intake of saturated fat from these sources? Take, for example, the case where Dave consumes approximately 2000 kcalories per day and his doctor has instructed him to keep his fat intake to 35 percent of his total daily kcalories. To determine his personal Daily Value for fat, one should refer to the “How to” section of this chapter (on page 155). What is the maximum proportion of kcalories from saturated fat that Dave should ingest each day, according to the 2010 Dietary Guidelines for Americans? Calculate the maximum grams of saturated fat that Dave should consume each day based on his daily caloric intake of 2000 kcalories, keeping in mind that 1 gram of fat comprises 9 kcalories per gram of fat. 5. Based on the information in Highlight 5, what additional recommendations would you make to Dave in order to improve his heart health? Create a one-day menu for Dave that has larger amounts of beneficial fatty acids and fewer amounts of detrimental fatty acids.
