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Diet Assessment
Kelli Baumgardner
FN 3100
Table of Contents
Introduction ......................................................................................................................................................... 3
Methods ............................................................................................................................................................... 3
Results .................................................................................................................................................................. 4
Dietary Guidelines Table ......................................................................................................................... 4
Discussion............................................................................................................................................................. 12
Diet Strengths ......................................................................................................................................... 12
Diet Weaknesses ..................................................................................................................................... 12
SuperTracker Strengths .......................................................................................................................... 13
SuperTracker Weaknesses ...................................................................................................................... 13
Main Areas of the Diet Requiring Improvement .................................................................................... 14
3
Introduction
The client of whom this diet assessment was done for is a 23 year old, white Caucasian male. He is 5
feet 9 inches and weighs 180 pounds. This would put his BMI at 26.6 which is considered to be
overweight; this however does not take into the account of the weight of muscle versus the weight of
fat. His physical activity level is an active 1.75. He does moderate to intense, 60 minutes per day, 4 days
a week workouts, in which he does weight lifting and sprinting/jogging. The client has a bicuspid aortic
valve issues which are monitored annually and a family history of alcoholism. He currently takes 3 ZMAs
per day which is a zinc and magnesium capsule with vitamin B6. This ends up being 10.5 mg of B6, 450
mg magnesium and 30 mg of zinc. He also takes 1 scoop of Dymatize whey protein isolate to make
protein shakes for some of his snacks. His main concern with this diet assessment is weight loss and to
watch insulin sensitivity.
Methods
To obtain information about the client, he was interviewed via email and asked questions such as
height, weight, medical conditions, activity level, etc. He was also asked to keep a three day food log of
everything he ate, which included two week days and one weekend day. When keeping the three day
food log, he was asked to record everything he ate, along with his best estimate of how much, along
with any sauces, spreads, beverages etc. After the log was completed it was sent to be analyzed. A
profile on SuperTracker was made for him in accordance to his proper specifications and activity levels.
Then each food he ate was entered into the SuperTracker by meal and day. When entering in foods to
SuperTracker it is important to be as specific as possible, along with entering in the correct amount of
food eaten. Once the whole three day log was entered into the SuperTracker, different reports could be
generated to show his nutrient status. After the reports were generated, the Dietary Guidelines 2010
were used as a comparison against the reports generated by the SuperTracker. To analyze his diet, each
macronutrient, vitamin, mineral, etc. was looked at individually and determined whether he met each
guideline or not. From there the results were analyzed and goals were determined based on his diet
and the Dietary Guidelines 2010.
4
Results
Dietary Guidelines 2010 Table
BALANCING CALORIES TO MANAGE WEIGHT
Key Recommendations
strengthening exercises at
least 2 times a week. On
average he gets about 4
hours a week of moderate
to vigorous exercise, which
is at least an hour and a
half over the
recommended amount.
No
3042 kcal/d
For an adult male of his
age, size, and activity level
he should be consuming
3000 kcal a day. He
consumed on average 3042
kcal per day, which was
over by 42 kcal.
No
4215 mg/d sodium
The recommended sodium
intake for the average adult
is 2300 mg/day but being
he is worried about his
insulin sensitivity, which
could be the start of
diabetes, so it would
probably be good to
recommend cutting down
his sodium intake to 1500
mg/day. So then he would
be over his sodium intake
by 2715 mg/day.
No
13% kcals from SFA
The dietary guidelines
recommend that less than
10% of kilocalories should
come from saturated fatty
acids. The client consumed
13% of his kcal from
saturated fatty acids which
is 3% over what the max
should be. He should work
on replacing more of his
saturated fatty acids with
more monounsaturated
Reduce the intake of calories from solid fats and added sugars.
Yes and no
3 cups vegetables/d
4 cups fruits/d
The guidelines recommend
4 cups of vegetables. He
consumed 3 cup of
vegetables, which was
under the recommended
amount by cup. The
recommended amount of
fruits was 2 cup, which
he consumed 4 cups of
fruit, which was actually
over the recommendation
by 1 cups.
No
cup dark-green
vegetables/wk
1 cup red and orange
vegetables/wk
0 beans/wk
0 peas/wk
The guidelines recommend
a variety of vegetables; it
recommends 2 cups of
dark green vegetables,
which he consumed cup,
which is 2 cups under the
recommendation. It also
recommends 7 cups of
red and orange vegetables
Replace protein foods that are higher in solid fats with choices
that are lower in solid fats and calories and/or are sources of
oils.
10
No
Much of the time, butter
(solid fat) and mayo were
used as spreads and
cooking.
The dietary guidelines
recommend replacing solid
fats with oils, which will
help cut down on the
saturated fats and in turn
replace them with
monounsaturated and poly
unsaturated fatty acids. By
using olive oil in cooking
instead of butter and using
a low fat mayo, he could
cut out a lot of the solid
fats.
Yes and no
4385 mg/d potassium
33 g/d fiber
1309 mg/d calcium
6 g/d vitamin D
The guidelines recommend
4700 mg/day of potassium,
so he consumed 315 mg
less than the
recommended amount.
The guideline for fiber is 34
g/day, which he was
extremely close to, only
being 1 gram off. The
calcium recommendation
was 1000 mg/day, so he
was over the
recommendation by 309
mg. and the Vitamin D
recommendation was 15
g/day, so he was under
that recommendation by 9
g.
Not applicable- 23 yrs old.
5 g/d vitamin B12
Even though he is not
above 50 years old, the
recommendation was still
11
at 2.4 g, so he was over
that recommendation by
2.6 g.
BUILDING HEALTHY EATING PATTERNS
Key Recommendations
Select an eating pattern that meets nutrient needs over time
at an appropriate calorie level.
Account for all foods and beverages consumed and assess how
they fit within a total healthy eating pattern.
No
3042 kcal/d
The guidelines recommend
for a male of his age, size
and activity level to
consume 3000 kcal/day, in
which on average he
consumed a little more
than this (42 kcal).
No
The client consumes a high
protein, and fat diet, with a
decent amount of fruits
and vegetables and high in
refined grains.
The dietary guidelines 2010
recommend, a healthy
eating pattern limits intake
of sodium, solid fats, added
sugars, and refined grains
and emphasizes nutrientdense foods and
beveragesvegetables,
fruits, whole grains, fat-free
or low-fat milk and milk
products, seafood, lean
meats and poultry, eggs,
beans and peas, and nuts
and seeds.
Yes
Per the log given, it was
assumed everything was
cooked and held at proper
temperatures, along with
produce washed
accordingly.
The Dietary Guidelines
2010 recommend to; clean
hands, food contact
surfaces, and vegetables
and fruits, separate raw,
cooked, and ready-to-eat
12
foods while shopping,
storing, and preparing
foods, cook foods to a safe
temperature, and chill
(refrigerate) perishable
foods promptly
Discussion
Strengths of diet
After analyzing the clients diet with the Dietary Guidelines 2010, strengths, and weaknesses were
determined. A major strength of this clients diet was his good fiber intake. Even though he was one
gram shy of the 34 gram per day recommendation, he more than exceeded the fruit intake and was of
a cup shy of the vegetable intake. A high fiber diet helps people to maintain a healthy weight while also
lowering their risk of diabetes and heart disease. Being that this client is concerned with his insulin
sensitivity and has a few heart issues, he should be aware of his fiber intake, in which he is off to a good
start, although even more would help. Another strength of this clients diet is his excellent calcium
intake. The recommended amount was only 1000 mg/day and he consumed 1309 mg/day on average.
Being that he likes to lift weights, this calcium will help keep his bones strong and able to do the kinds of
activity that he likes to do. He also typically uses low fat milk products which will help cut down on his
total fat and help decrease his risk for cardiovascular disease. Finally this client does have an excellent
protein intake. As a male who likes to lift weight, protein is necessary to help build new muscle. Protein
is also the building block just about everything in the body (hair, enzymes, nails, etc.). It is important
however to make sure these proteins are lean sources of proteins.
Weaknesses
This client does have several areas of weakness in his diet. One of the major weaknesses of this diet is
the sodium intake. Being that he is concerned with insulin levels and already has some heart issues, it
would be advised that he cut down his sodium intake to less than 1500 mg/day. He is currently
consuming 4215 mg/day, which is over by 2715 mg/day. High sodium diets can lead to hypertension
and other heart related diseases. Another weakness is his consumption of almost all refined grains; out
of the 11 oz of grains he consumed, only 1 oz were whole grain. Refined grains contain a lot of
added fat and sugar, and being he is trying to watch his weight and insulin sensitivity levels, he should
13
not be eating a lot of added fat or sugar. A final weakness of this diet is the excess of empty calories. He
consumed 508 empty kilocalories, and 3042 kilocalories on average. He should only be consuming 3000
kilocalories on average and less than 459 empty kilocalories. As a person who is in the overweight BMI
category, he should be consuming less than the 3000 kilocalories if he wants to lose weight. By cutting
out many of these empty calories, he would potentially be able to consume less than 3000 kilocalories
per day.
SuperTracker Strengths
SuperTracker is a fantastic computer program to help track and analyze ones diet. One of the major
strength of it is that is does give you a good estimate of exactly how much a person is eating per day
along with numerous other factors such as macronutrients, vitamins, minerals, etc. Another strength is
its ability to build exportable reports which can be easily be used by either dietetic professionals or the
common person to analyze, along with providing coaching and a goal center to help one achieve
whatever that might be. Finally, it is extremely customizable and can be personalized to each individual
depending on their gender, age, size, activity level, along with other things. This allows for the best
possible estimates of dietary needs for each person.
SuperTracker Weaknesses
The SuperTracker however does have its weaknesses as well. Even though it has a very large database
of foods, it doesnt contain everything, and sometimes can be hard to get to exactly what food that a
person wants, and even if the proper food is found, different brands/types/flavors all contain slightly
different nutrients. Another weakness is for a non-trained person, entering in the serving size of what
they ate can be a little confusing. Often it will list things in ounces or some other unit of measurement
that people arent always familiar with. This is why it is so important to teach the public proper serving
sizes. Finally, just like any other diet assessment tool, people can lie about what they ate or how much
they ate. Often times people will be ashamed of something they ate and are afraid it will look bad if
they tell the truth of exactly how much they ate. This is why its so important to gain a good relationship
with your client and not show any sign of judgment when conducting such evaluations. This is often
unavoidable however.
14
Main Areas of the Diet Requiring Improvement
The first goal for this client would be to increase protein variety, replacing the high fat proteins with lean
meats, seafood, beans, peas and legumes. This will help decrease the number of empty calories from
saturated fat, which will ultimately help decrease the total empty calories and total calories to help him
lose weight and get down to a healthy BMI. Being that he is a weight lifter, the lean proteins, beans,
seafood, peas, and legumes will still provide adequate protein sources for building muscle, but it will
help decrease his risk of cardiovascular disease and other weight related diseases such as diabetes.
The second goal would be to decrease his sodium intake. As someone who already has a few heart
issues, he should be consuming less than 1500 mg/day of sodium. A high sodium diet can lead to
hypertension, which can also lead to other heart related diseases. To lower his sodium intake, he should
consume more less processed foods, and consume more plant foods. The meats should be watched
very closely to ensure there isnt a lot of excess sodium. When cooking, he should use a variety of other
spices and herbs to add favor rather than salt.
A final goal for this client would be to make at least half of all the grains consumed whole grains and
increase the amounts of complex carbohydrates. He is currently consuming very little whole grains.
Whole grains are an important source for dietary fiber, several B vitamins (thiamin, riboflavin, niacin,
and folate), and minerals (iron, magnesium, and selenium). In addition to containing all of these
important nutrients, a diet rich in whole grains is said to help reduce blood cholesterol levels and could
even lower risk of heart disease, obesity, and type 2 diabetes, these all being of concern for this client.
Adding whole grains can be extremely easy; just by switching out white bread for whole wheat, or
normal pasta for whole grain pasta.