Mr. Jones
Sex: male $\quad$ Hours of work: $55 + /$ wk
Age: 61 Occupation: computer programmer
Household members: wife, 65 years old
Family history: coronary artery disease in father; had a myocardial infarction at age 59
Smoker: yes; 40 years; 1 pack/day
Height: 70" $\quad$ Weight: $190 \mathrm { lb }$
Waist circumference: $43 \mathrm { in. }$
Cholesterol: $220 \mathrm { mg } / \mathrm { dL }$; HDL-C: $30 \mathrm { mg } / \mathrm { dL }$; LDL-C: $160 \mathrm { mg } / \mathrm { dL }$; VLDL: $45 \mathrm { mg } / \mathrm { dL } ;$ TG: $150 \mathrm { mg } / \mathrm { dL }$
Blood pressure: $140 / 85$ The diet history of Mr. Jones shows that he consumes dairy products such as milk, cheese, and ice cream regularly; a variety of protein-rich foods including fish, shellfish, beef, poultry, and eggs; and large quantities of rice and potatoes. He and his wife also frequently eat breads, crackers, and potato chips. Mr. Jones consumes a large variety of vegetables including eggplant, broccoli, mushrooms, onions, and tomatoes; however, many of these are deep-fried or cooked in butter.
What dietary recommendations can you give to Mr. Jones to help decrease his risk factors?

Question

Mr. Jones
Sex: male $\quad$ Hours of work: $55 + /$ wk
Age: 61 Occupation: computer programmer
Household members: wife, 65 years old
Family history: coronary artery disease in father; had a myocardial infarction at age 59
Smoker: yes; 40 years; 1 pack/day
Height: 70" $\quad$ Weight: $190 \mathrm { lb }$
Waist circumference: $43 \mathrm { in. }$
Cholesterol: $220 \mathrm { mg } / \mathrm { dL }$; HDL-C: $30 \mathrm { mg } / \mathrm { dL }$; LDL-C: $160 \mathrm { mg } / \mathrm { dL }$; VLDL: $45 \mathrm { mg } / \mathrm { dL } ;$ TG: $150 \mathrm { mg } / \mathrm { dL }$
Blood pressure: $140 / 85$ The diet history of Mr. Jones shows that he consumes dairy products such as milk, cheese, and ice cream regularly; a variety of protein-rich foods including fish, shellfish, beef, poultry, and eggs; and large quantities of rice and potatoes. He and his wife also frequently eat breads, crackers, and potato chips. Mr. Jones consumes a large variety of vegetables including eggplant, broccoli, mushrooms, onions, and tomatoes; however, many of these are deep-fried or cooked in butter.  
What dietary recommendations can you give to Mr. Jones to help decrease his risk factors?

Quizplus · Accepted Answer

Mr. Jones should decrease consumption of high-fat dairy products as they contribute to his high cholesterol levels and increase his risk of cardiovascular disease. Consuming a variety of vegetables is good, but frying or cooking them in butter should be avoided. Mr. Jones should also limit his intake of bread, crackers, and potato chips, which are high in sodium and can raise blood pressure. He should increase his consumption of whole grains, lean cuts of meat and poultry, and foods that are high in dietary fiber. Quitting smoking and increasing physical activity can also help decrease his risk factors.

Mr Jones Sex: Male \quad Hours of Work 55+/55 + /55+/ Wk Age: 61 Occupation: Computer Programmer Household Members: Wife, 65

Mr Jones
Sex: Male $\quad$ Hours of Work $55 + /$ Wk
Age: 61 Occupation: Computer Programmer
Household Members: Wife, 65