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Instructions Case Studies

The course case studies are designed to help you apply your nutritional knowledge to a variety of situations. Each case study presents the story of a different individual and gives you tools to assist them in their dietary choices. Print the case study and choose the correct answers before attempting to submit them on-line. After you have decided on your answers, click on Take Case Study and submit your answers. You will be allowed to submit your answers only one time.

Vital Information

Male, 29 years old
5'10" 155 lb.

Todd is a young man who enjoys the out doors. When he's not working behind his desk he enjoys spending his weekends going on 2 hour bike rides or hiking in the mountains. For the last four years Todd has changed from being a lacto-ovo vegetarian to a Vegan. He loves to cook and has no problem fixing creative meals. Todd has made this diet change in hopes to improve his life. Cardio Vascular Disease (CVD) along with high blood pressure runs in his family. Todd is currently not taking any prescription medication or any dietary supplements.

This is a list of the foods Todd has eaten in the last two days. Please review the foods based on their nutrient density, how do they fulfill the food guide pyramid

The formula below was used to determine that Todd's Estimated Energy Requirements (EER) were 2692 kcal. Using the spreadsheet of Todd's two day diet analyses (pdf) answer the following questions:

662 - (9.53 x age) + Physical Activity x (15.91 x weight in kilograms + 539.6 x height in meters)

(Sedentary= 1, Low Active=1.11, Active=1.25) **p. #260

Questions:

1-25 worth a total of 25 points 

  1. What is Todd's Body Mass Index (BMI)?
     
    1. 20
    2. 24
    3. 22
    4. 25
       
  2. According to the BMI chart in Chapter 8 what category does Todd's BMI fall in?
     
    1. Underweight
    2. Healthy
    3. Overweight
    4. Obese
       
  3. Which food item was the highest source of Protein per serving?
     
    1. 1 Tofu Frankfurter
    2. 1 Vegan Burger
    3. Chili w/meat substitute (1 Cup)
    4. 1 Cup of Soymilk
       
  4. Which food had the highest source of Carbohydrates?
     
    1. 1 Cup of cooked brown rice
    2. 1 Cup of Oatmeal
    3. 1 Baked Potato with skin
    4. 1/16th of a wedge of watermelon?
       
  5. Which food provided the best source of fiber?
     
    1. 1 Cup of Chili
    2. 1 Cup of oatmeal
    3. 1 Cup of Roasted Almonds
    4. ½ Cup of Sunflower Seeds
       
  6. What advantage is it to have a diet high in soluble fiber?
     
    1. It provide a better taste to the diet
    2. It helps to lower cholesterol
    3. It helps to lower blood sugar
    4. Answers b and c
       
  7. In reference to fats, which type of fat did Todd consume the most of on Day 2?
     
    1. Saturated Fat
    2. Monounsaturated Fat
    3. Polyunsaturated Fat
    4. Todd did not consume any fat on day two of his diet
       
  8. What food did Todd eat that was the best source of Protein?
     
    1. 1 Vegan Burger
    2. ½ Cup of Mixed Nuts-Dry Roasted
    3. 1 Cup of Chili with meat substitute
    4. 1 Cup of Black Beans
       
  9. What are the advantages to having a higher amount of vegetables in Todd's diet?
     
    1. They contain Phytochemicals
    2. They are a great source of fiber
    3. They are a great source of vitamins
    4. All of the above
       
  10. Vegetarians need to multiply their iron by what to make up for the low bioavailability of iron in their diet.
     
    1. 1.4
    2. 2.8
    3. 2.4
    4. 1.8
       
  11. On both days Todd surpasses his recommended Iron requirements. As stated in the book the upper levels of iron for adults is 45 mg/day. What would be the result if his amounts exceeded 50 mg/day and he had Iron Toxicity?
     
    1. He could have a blood nose
    2. Suffer from headaches
    3. Suffer from GI distress
    4. None of the above
       
  12. Vegan Vegetarians must rely on Complementing Proteins in order to get all the essential amino acids. Choose the best combination of foods that would provide the essential amino acids of a complete protein.
     
    1. Banana and White bread
    2. Oatmeal and Raisins
    3. Rice and Black Beans
    4. Tomato and Romaine
       
  13. In the Vegan diet there is a concern the individual may suffer from Vitamin B-12 deficiency. What precaution could be made in order to avoid this problem?
     
    1. Take a Vitamin Supplement
    2. Purchase Fortified Soy products/Fortified Cereals
    3. Prepare foods with Olive Oil
    4. Answers a and b
       
  14. With Todd's diet how will it lower his chance of having CVD?
     
    1. The diet is low in saturated fats
    2. The diet is high in Cholesterol
    3. The diet is low in Carbohydrates
    4. The diet is high in Corn
       
  15. What food choice provides Todd with the best source of Calcium?
     
    1. ½ Cup Dry Roasted Almonds
    2. ½ Sunflower Seeds
    3. 2 Vegan burger (patty)
    4. 2 Cups Chili w/meat substitute
       
  16. Todd is below his Dietary Reference Intakes (DRI) for Calcium. How could he increase his calcium?
     
    1. Drink Calcium Fortified drinks
    2. Eat more Cabbage
    3. Take a Calcium supplement
    4. Answers a and c
       
  17. According to the Vegetarian Food Pyramid in the book how many servings of vegetables should a Vegan have per day?
     
    1. 2-4 Vegetables and 2-3 Green Leafy Vegetables
    2. 1-2 Vegetables and 1-2 Green Leafy Vegetables
    3. 2-3 Vegetables and 1-2 Green Leafy Vegetables
    4. 1-3 Vegetables and 2-4 Green Leafy Vegetables
       
  18. According to the Vegetarian Food Pyramid in the book how many serving of Bread, Pasta, Rice, and Fortified Cereals should Todd eat in a day?
     
    1. 2-4 Servings
    2. 4-6 Servings
    3. 6-10 Servings
    4. 6-12 Servings
       
  19. Todd has exceeded his Sodium requirements. What food contains the highest amounts of sodium?
     
    1. ½ Cup Mixed Nuts - Dry Roasted
    2. 2 Tofu Frankfurters
    3. 14 Whole Wheat Crackers
    4. 2 Vegan Hot Dog Buns
       
  20. What is the major concern with elevated levels of Sodium in the diet?
     
    1. Hyperactivity
    2. Hypertension
    3. Hunger
    4. Hearing loss
       
  21. Did Todd eat the required amounts of Vegetables on both days according to the Vegetarian Food Pyramid?
     
    1. Yes
    2. No
       
  22. How is the DASH Diet and Todd's Vegan diet the same?
     
    1. It's a diet rich in fruits and vegetables
    2. It's a diet low in saturated fats
    3. It's a diet rich in animal products
    4. Answers a and b
       
  23. What individuals would be at risk with a vegan diet?
     
    1. Adolescence
    2. Infants / Children
    3. Pregnant and Nursing Mothers
    4. All of the above
       
  24. With Todd's Family history what food component does he still need to work on in order to reduce his chances of getting high blood pressure?
     
    1. Protein
    2. Carbohydrates
    3. Sodium
    4. Vitamin C
       
  25. What was Todd's best source of Vitamin A for both days?
     
    1. Dried Apricot Halves
    2. ½ Cup of Cooked Carrots
    3. 1 Cup of Romaine-chopped
    4. ½ Green Peas

       

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