Reference no: EM133463347
Assignment:
Joey is a 24 year old male studying Anthropology in graduate school. He lives just outside of campus in his own apartment with his partner. His partner enjoys cooking and always prepares dinner for the two of them at home. A typical day for Joey consists of waking up around 8am, catching up on reading, attending various classes/seminars throughout the day before he heads back home around 4pm. After dinner Joey and his partner typically talk about their day and catch up on shows/movies. Joey is pretty exhausted from a long day of class/studying and looks forward to a relaxing evening. He generally goes to bed around 11pm.
Below is valuable information about Joey and his health
Family history
- Father: diabetes, hypertension, obese
- Mother: hypertension, overweight
- Paternal grandparents: grandmother suffered a stroke induced by high blood pressure
- Maternal grandparents: grandfather was obese with metabolic syndrome
Physical Exam: 5'10", 200 lbs, waist circumference of 39 inches, blood pressure 130/85, complains of tiredness around 3-4 pm each day
Labs
- Fasting Glucose: 100 mg/dL (pre-diabetic)
- Total Cholesterol: 323 mg/dL
- LDL: 200 mg/dL
- HDL: 36 mg/dL
- TG: 400 mg/dL
Activity/hobbies: his focus in on completing graduate school in 2 years. He enjoys watching movies, reading, spending time with his partner
Sleep: very hard time waking up, little time/energy to exercise
Diet
Breakfast: cold breakfast cereal (often Life or Corn Flakes), skim milk, Venti iced coffee from Starbucks
Lunch: He eats at the cafeteria on campus. Carne asada burrito, large soda, large water
Snack: pretzels, trail mix
Dinner: beef and vegetable lasagna, garlic bread, small salad, iced tea (all homemade)
6-8 beers on the weekend (Fri-Sun)
Questions
- What are Joey's risk factors for heart disease?
- Describe realistic dietary changes he can make to each meal/snack. Please be sure you discuss WHY you are making such recommendations. For example, he may want to consider eating oatmeal for breakfast in place of his cold breakfast cereal. Since oatmeal is high in soluble fiber it can help lower his LDL cholesterol. The purpose here is to go above and beyond typical healthful recommendations. I am hoping to see evidence that you understand dietary changes to specifically reduce the risk for heart disease.
- What role does alcohol play in heart disease risk? Should he continue drinking alcohol or not?
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