The Dark Years

John is a 28 year old male, who is 5 feet 9 inches tall and he weighs 225 pounds. John is a part-time student at Shoreline Community College and works full time at Microsoft as a computer technician. He loves meat, potatoes and gravy, and milk shakes. His doctor told him to cut down drastically on fat. This is a typical days menu.

BREAKFAST LUNCH DINNER

2 eggs fried in butter 2 McDonalds cheeseburgers 8 oz. Beef steak
4 toast and butter 2 large fries baked potato with butter (2 tablespoons) coffee and cream (1 oz.) Vanilla milkshake (1) large green salad with
5 tablespoons Italian dressing
4 slices bacon Chocolate milk shake 2 slices of apple pie snacks (buttered popcorn ½ cup vanilla ice cream 1 ½ cups vanilla ice cream
4 cups (PACKAGED) with 2 tablespoons whipped cream

John’s doctor wants him to eat this as a daily menu

BREAKFAST LUNCH DINNER

2 eggs poached 2 hamburger patties chicken breast (without (extra lean 3ounces skin) broiled, 3-4 ounces each)
2 toast with jelly 2 slices of low fat cheese 2 cups steam brown rice with 1 tablespoon butter
Lean ham 3 ounces
½ cup oatmeal potato slices (baked in oven large green salad with without oil) (2 cups) nonfat Italian dressing

Coffee with milk glass of nonfat milk iced tea with lemon
(2 tablespoons) (12 ounces) and sugar

Popcorn seasoned apple (raw, medium) angel food cake (2 slices)
Lightly with salt with low fat whipped
(air-popped) cream (2 tablespoons) 1 cup low-fat ice cream

1. How many grams of fat are in the first days menu?
2. How many grams of fat are in the revised menu made by the doctor?
3. Then calculate the grams into kcals?
4. How many kcals did John cut by eating the new menu?
Critical Thinking

1. Ka Ming is 54 years old and has lived in the United States since 1964. An annual physical revealed that his total blood cholesterol is 280mg/100 ml and his HDL cholesterol is 25 mg/100ml. He is of normal weight, and does not smoke. He works as a laboratory technician so spends part of the day on his feet, but gets little other exercise. A medical history reveals that none of Ka Ming’s relatives in China have had cardiovascular disease.

Assess Ka Min’s risk for developing cardiovascular disease?
Why might his positive family history not be a true indication of Ka Ming’s risk?

2. A diet analysis reveals that ka Ming consumes a diet that is a mixture of American foods and traditional Chinese foods. He likes a big breakfast but must bring a bag lunch to work. Dinner is often Chinese-style food that he cooks himself at home or buys from a family-owned Chinese-American restaurant near his home. His diet contains approximately 40% of its energy from fat and 15% of this is from saturated fat. It contains about 350 mg of cholesterol a day. Below is a list of foods that Ka Ming routinely consumes. Which choices are low in fat and what modifications, selection suggestions, or cooking tips would decrease his intake of total fat, saturated fat, and cholesterol?

Breakfast foods Scrambled eggs Pancakes Cheese omelet Sausages

Lunch foods Ham and cheese sandwich Peanut butter and jelly sandwich Tuna salad sandwich Potato chips

Dinner foods Crispy fried beef over white rice Sweet and sour pork over white rice Chicken and broccoli stir-fry over white rice Pork fried rice Egg rolls

Activity 4
ESTIMATIONS OF CALORIES AND FAT IN MEALS

For each of the meals described below, estimate the number of calories and the total grams of fat in the meal.

Estimated
Calories
Estimated
Grams Fat
Donut, Danish pastry

Nonfat yogurt (1 cup), strawberries (1/2 cup), bagel,
Orange juice (1 cup)

Waffle, margarine (2 pats), syrup (1/4 cup), bacon 3 strips

Ham and cheese sandwich, chips (14), chocolate chip cookies (2), soda (12 oz.)

Turkey sandwich (with low fat mayonnaise), carrot sticks, apple, skim milk (1 cup)

Pepperoni pizza (2 slices), beer (12 oz)

Beef taco, enchilada, beef and bean burrito,
Refried beans (1/2 cup)

Chili with beans (1 cup), rice (1 cup),
Greens (1/2 cup)

Baked chicken breast, corn on the cob, green beans (1/2 cup)
Baked potato, roll, skim milk (1 cup)

Cheeseburger, French fries (20), milkshake

SCENARIO OF LIPID 2

Jane has decided to start eating a low fat diet. She has mentioned to you that all she needs to do is add less butter, oil, or margarine to her foods and she will dramatically lower her fat intake. How can you explain to Jane that she needs to be aware of the “hidden” fats in her diet as well?