Case Study 5

CASE STUDY 5: More Diet Analysis with Exchanges 30 points Directions : For this case study you will be working with a professional athlete and using current macronutrient recommendations for athletes to estimate needs. Review the case information below and complete the exchange table and calculations. Be sure to take note of the portions for all the foods on the exchange table, especially the protein foods. You will notice that the client consumes very high amounts of protein and very little carbohydrate. Learning objectives reviewed in this case study : Modules 4 & 5 The Exchange System I & II 3. Convert foods in a given diet recall to exchanges, including corresponding grams of CHO, protein, and fat, as well as kcals. (SLO C) Case Profile : Jeremiah is a 28 y/o professional basketball player who wants to bulk up and lose fat weight. At the time of consultation, he weighs 250 lbs (height 6’8”). He wants to lose about 15-20 lbs while maintaining muscle mass (this is not necessarily reasonable for him). A 24-hour recall reveals that for breakfast he is eating three hard- boiled eggs, one sausage patty (3 oz), an English muffin and two cups of 2% milk. For lunch he consumes 3 (3 oz each) microwaved chicken breasts and with 2 cups of steamed vegetables and a large glass of water. As a snack he consumes one large protein shake (2 scoops of protein powder = 260kcals, 5g fat, 10g CHO, 40g protein). For dinner he might eat four chicken breasts with BBQ sauce and two cups of 2% milk. He states that this is the diet he usually goes on to lose weight and gain lean tissue. He complains of being able to only last 15-20 minutes in the weight room and has trouble staying alert and awake in the afternoon. He believes that by eating more protein and taking a protein supplement, he will add bulk to his muscles and at the same time lose fat weight. 1. Complete the Exchange table below to analyze Jeremiah’s dietary intake. (10 pts) # & Type of Exchange CHO (g) Protein (g) Fat (g) Kcals Breakfast: 3 hardboiled eggs 3 protein 0 21 15 225 1 sausage patty (3 oz) 3 protein 0 21 24 300 1 English muffin 2 starch 30 9 3 240 2 cups 2% milk 2 milk 24 16 10 240 Lunch: 3 chicken breasts (3 oz ea) 9 protein 0 63 18 405 2 cups steamed veggies (non-starchy) 4 non starchy 20 8 0 100 Water 0 0 0 0 0 Snack: Protein shake, large (see case profile) N/A 10 40 5 260 Dinner: 4 chicken breasts (3 oz ea) 12 protein 0 108 24 540 3 Tbs BBQ sauce 0 1 0 0 0 2 cups 2% milk 2 milk 24 16 10 240 TOTAL XX 109 204 109 2,550 2. Complete the following calculations using the diet analysis above. Show your work. (7 pts)