Download Anita Davila Dietary Analysis Form Food Food Group Exchange

Anita Davila
Dietary Analysis Form
Food
Food Group
Exchange
Amount
Calories
Carbohydrat
e (g)
Protein
(g)
Fat (g)
1 waffle
Starch/ bread
1
80
15
2
0
1 Tbsp Peanut butter
High-fat Meat
substitute/plant
based protein
Milk/ fat-free
1
100
0
7
8
1
100
13
8
0
Free foods/
beverages
Fats/saturated
1
0
0
0
0
1
45
0
0
5
Other
carbohydrates
Fast food
combination of/
starch- bread,
medium-fat
meat substitute,
fat
Free foods/
beverages
Starch/ bread
1
100
15
1
1
2 1/2 carbs
+ 2 medfat meat +
1 1/2 fats
200 +
150 +
67.5 =
417.5
37.5
14
7.5
1
0
0
0
0
1/2
40
7.5
1
0
4
300
0
28
20
1
100
0
7
8
1
0
0
0
0
8 oz Skim milk
Medium-fat
Meat
High-fat Meat
substitute
Free foods/
condiments
Milk/ fat-free
1
100
12
8
0
I cup full-fat chocolate
ice cream
Sweets,
Desserts
2 carbs +
4 fats
100 +
190 =320
30
4
21
1702.5
130
80
70.5
8 oz Skim milk
Coffee with Splenda
2 Tbsp Cream on coffee
One Weight Watchers
snack bar 1 oz
1 medium slice cheese
pizza
Unsweetened Tea
1 hamburger bun
1 beef patty 4 oz
1 slice American cheese
Ketchup and mustard
Totals
Anita Davila
Critique of patient's diet compared with 2010 Dietary Guidelines for Americans
The 2010 Dietary Guidelines for Americans are recommendations aimed at promoting
health and lowering risk of diet-related chronic disease. Some of these recommendations include:
balancing calories to manage weight; increasing vegetable, fruit and whole grains in the diet;
consuming low-fat or non-fat dairy; reducing consumption of high-sodium, high-fat foods, and
added sugars; increasing consumption of foods containing certain vitamins and minerals such as
potassium, calcium, and vitamin D; and building healthy eating patterns.
I think the patient's diet does take into account some of the recommendations from the Dietary
Guidelines. For example she does drink skim milk instead of the full-fat version. She does eat a
regular intervals without skipping meals. She doesn't consume sugary drinks like soda. However
her diet falls short on some aspects, most notably the fact that she consumes virtually no
vegetables or fruit. She did mentioned to me that she tries to eat a salad here and there but I
believe even consuming a salad a few days of the week it still does not meet the recommended
servings of vegetable and fruit intake. Another problem is that her evening or after-dinner snacks
tend to be full-fat ice cream. This sends her calories and grams of fat consumed through the roof.
When we analyze the proportions of her macronutrient consumption we can see that the total
calories coming from fat are higher than those coming from carbohydrates. This means that her
consumption of fat falls well outside the Macronutrients Distribution Ranges.
The areas that need most improvement then are her very low intake of fresh fruits and
vegetables, as well as whole grains; and her high consumption of fat. The recommendations I
would make to her is to include a piece of fruit at breakfast or for a snack. Also for snacking she
could skip the snack bar and eat veggies, examples are celery sticks with peanut butter or ranch,
Anita Davila
carrot sticks or broccoli crowns with dip. I would suggest eating breads, waffles and bagels that
are 100 % whole wheat. I would encourage her to keep staying away from sodas and sugar laden
drinks, but I would suggest that she cuts her portion of ice cream by half and she switches to a
lower fat version.
I think overall her diet will be good if she makes the suggested changes. On top of this she
should persevere to incorporate some physical activity in her daily routine to help her balance
her calories in and calories out.
Sources
U.S. Department of Agriculture and U.S. Department of Health and Human Services. Dietary
Guidelines for Americans, 2010. 7th Edition, Washington, DC: U.S. Government Printing Office,
December 2010. Date accessed 19 September 2013 <http://www.cnpp.usda.gov/DGAs2010PolicyDocument.htm>