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List 2 recommendations you suggest to Sally to improve her food intake. (Consider her age)

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Sally Case Study- Age: 12 yr old, 5.5 mo Female. Anna reports no medical concern. Mother reports concern over recent weight gain.

Lab results show:

Sexual Maturity Rating: early stage 3

BMI: 23.3

Menarche: Not occurred yet

Hematocrit: 35.1%

Height: 58 inches

Hemoglobin: 11.9 g/dl

Weight: 111 lbs.

Blood Pressure: 121/77

Sally reports no medical concern. Mother reports concern over recent weight gain.

Sally’s last hospital visit was 5 months before for an upper respiratory infection.

Lab results 5 months before: BMI: 21.4; Previous height: 56 inches; Previous weight: 95 lbs.

Sally is referred to a nutritionist for counseling and weight management, where a 24 hr. dietary recall is suggested.

24 hour recall results show:

Breakfast:

7 am- 8 oz. apple juice at home

10 am- candy bar from school vending machine

Lunch:

12:15 pm- Hamburger from school cafeteria, non-diet cola, and 1 oz. bag of potato chips

3 pm- 3 oz. tortilla chips with ½ cup cheese sauce and 12 oz. non-diet cola at home.

Dinner:

6:30 pm- 2 c. chicken casserole, 8 oz apple juice, 2 crescent rolls with 1 TB butter

8:30 pm- 8 cups of butter flavored microwave popcorn

Physical activity: Walked in between classes 1-2 minutes. Played basketball for 35 min. Walked 3 blocks. Sat in classroom for 35-45 minutes. On computer for 40 minutes. Watched television for 2 hours.

Questions:

1. List 2 nutrients that are likely to be inadequate in her diet.

2. Choose one of the nutrients you selected in the question above. If Sally continues to have inadequate amounts of the nutrient in her diet, how can that affect her health later in life?

3. List 2 recommendations you suggest to Sally to improve her food intake. (Consider her age)

4. List 2 recommendations you suggest to Sally to improve her physical activity. (Consider her age)


 

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