Case Study

PT is a 65 yo M who comes to the emergency room complaining of chest pain. Several diagnostic tests conclude that he has suffered an MI. The registered dietitian is consulted for nutrition education. PT reports that he has gained 30 pounds in the previous year due to his hectic work schedule, which forces him to eat out often. In addition, he is physically inactive. PT also reports that he has a family history of heart disease and his father died of an MI.

HT: 5’9 WT: 190# Waist Circumference: 105 cm BP: 140/93

Cholesterol: 259

LDL: 180

HDL: 58

TG: 234

Diet Hx:

B Egg and sausage muffin Coffee D Chicken breast Mashed potatoes Iced tea

L Ham and cheese sandwich on white bread Potato chips Soda

-The registered dietitian may recommend which of the following additions to PT's diet to help decrease the absorption of lipids and increase their excretion?

Question

Case Study

PT is a 65 yo M who comes to the emergency room complaining of chest pain. Several diagnostic tests conclude that he has suffered an MI. The registered dietitian is consulted for nutrition education. PT reports that he has gained 30 pounds in the previous year due to his hectic work schedule, which forces him to eat out often. In addition, he is physically inactive. PT also reports that he has a family history of heart disease and his father died of an MI.
HT: 5’9	WT: 190#	Waist Circumference: 105 cm	BP: 140/93
Cholesterol:	259
LDL:	180
HDL:	58
TG:	234
Diet Hx:
B Egg and sausage muffin Coffee		D Chicken breast Mashed potatoes Iced tea

L Ham and cheese sandwich on white bread Potato chips Soda

-The registered dietitian may recommend which of the following additions to PT's diet to help decrease the absorption of lipids and increase their excretion?

Quizplus · Accepted Answer

Soluble fiber can help decrease the absorption of lipids by binding to bile acids in the intestine and promoting their excretion. This can lead to a decrease in cholesterol levels. Nuts, although a healthy addition to the diet, are high in fat and calories and may not have as significant an impact on lipid absorption as soluble fiber. Folate and complex carbohydrates are not directly related to lipid absorption and excretion. Soluble fiber can help decrease the absorption of lipids by binding to bile acids in the intestine and increasing their excretion. This can lead to a decrease in cholesterol levels. Nuts, while a healthy addition to the diet, contain mainly unsaturated fats and protein and do not have as strong an effect on lipid absorption. Folate and complex carbohydrates are not directly related to lipid absorption and excretion.