Hamish is a 29-year man diagnosed with coeliac disease 3 years ago. His current weight is 68 kg and his height 183 cm. His current tTG IgA antibodies are 7 U/mL and his Gluten Immunogenic Peptide test is positive. His plasma albumin is 39 g/L and his haemoglobin 10.8 g/L. His zinc and B1 blood levels are below the reference intervals. Hamish claims that he adheres to the dietary recommendations for coeliac disease. He also suffers with irritable bowel syndrome diagnosed the past week.
1) Using an evidence-based approach discuss the literature on micronutrient status and deficiencies in people with coeliac disease.
· This part of your assignment should be an essay of approximately 1800 words.
The other sections are answered in the form of questions and answers. Total word count approximately 1800
2) Assess the nutritional status of the patient? What, if any, additional information would you collect?
3) Discuss the main nutritional issues of the patient using an evidence-based approach (primary literature).
4) Comment on and calculate Hamish’s energy/nutrient requirements using an evidence-based approach and justify your decisions with reference to the primary literature and published guidelines.
5) Present a detailed dietary plan for management of his conditions.
6) Describe and analyse, using Nutritics, three days of his dietary plan.
7) What advise would you give to Hamish on micronutrient supplementation for coeliac disease?
