Brad is a 32-year-old male who is present in your office due to weight gain and high blood pressure. He recently had blood work done and he has borderline elevated cholesterol and his blood sugars are a little bit elevated, but his doctor only wants him to focus on losing weight. He thinks he does well with his diet and exercise, so cannot understand why he is gaining weight since when he was younger he could eat more and exercise less and still be thin. He is also quite upset he has developed a “beer gut” since he rarely drinks unless it is during the holidays then he will have a beer or two. He has a family history of prostate cancer. He is 5’9” tall and weighs 250 pounds. He weighed 235 pounds 1 year ago per his medical chart.
This is his typical diet and exercise:
Exercise: Works out Monday, Wednesday, and Friday for 30 minutes on an elliptical machine
Breakfast: 3oz of turkey bologna, 1 oz. of cheese, 2 slices of whole wheat bread, and 1 cup of coffee with 2 tablespoons 1% milk
Lunch (if there is time): cheeseburger and large fries with 12 oz. of diet soda
Dinner: 6oz of meat, 2 cups of rice, 1 bowl of salad with 4 tablespoons of ranch dressing, ½ cup of mixed vegetables, water
Late night snack: 1 cup of coffee with 2 tablespoons 1% milk and 4 chocolate sandwich cookies
Describe how the body weight and composition of Brad has changed from when he was a teen to his current age.
What nutrient needs change as he ages? Focus on carbohydrates, proteins, and fats.
What are two assessment tools you would use to determine Brad’s nutritional status?
What dietary/supplement recommendations would you have for Brad to help him lose weight, reduce his blood pressure, reduce his total cholesterol, and reduce his blood sugars?
Since he has a family history of prostate cancer, what further recommendations would you provide to Brad in regards to his diet?
