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Describe the weight associated health problems which might occur later in Dianne’s life should she continue to gain weight

Discuss the likely short and long term consequences of food insecurity for this child

 

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OPTION A

Body Weight

Weight loss is a multi-million dollar industry. There are countless methods promoted including diets, pills, herbs, surgery. Weight loss followed by regain is a common occurrence.

The following is a description of Diane -a woman who would like to lose weight.

 

Dianne

Dianne is a 39-year-old woman. She is married and has two young children aged 7 and 5 years old. She works part-time in the family business and looks after the children. In addition she carries out household jobs including planning meals for the whole family. Dianne and her husband have a moderate income between them. Dianne’s weight has fluctuated since her last pregnancy but has not returned to her prepregnant weight of 63 kg. Her current weight is 74 kg; she is 170cm tall.

In the past two years Dianne has tried to lose weight by following diets in magazines, by missing one meal a day for a week, by joining a club (which she had no time to continue with). More recently she tried a high protein low carbohydrate diet. Each time she loses about 2-3kg and then has regained the weight. Dianne hates dieting because she feels tired and run down and has little energy and becomes short tempered with her children.

The family diet is based on the traditional meat, potato and vegetable meal in the evening. Dianne and her husband eat out at least once per week, and she snacks on food available in the house. Dianne would like to get back to her previous weight and is frustrated that she is unable to lose weight quickly.

 

1. Write a reasoned explanation for Dianne as to why her previous attempts at weight loss may not have succeeded. Be sure to include explanation of the physiologic aspects of weight loss and gain.

 

2. a. Investigate a strategy for Dianne which does not involve restricting foods, and will not make Diane feel deprived and run down. Present her with guidelines that will allow her to carry out your plan. Strategies you could investigate include mindful eating, intuitive eating, health at every size.

b. Show Dianne a 2-day example of how your guidelines will work.

 

You will need to include:

  • Clear description of your overall strategy
  • Explanation why you think the strategy is appropriate (consider both nutrition and practical lifestyle aspects)
  • What rate of weight loss Dianne might expect
  • An estimate of Dianne’s total energy requirement.
  • 2-day menu based on your guidelines (Note- this is an example, you are not giving Diane a ‘diet’ plan.)
  • Nutrient analysis of menu to show the content of energy, protein, fat, carbohydrate, iron, calcium, vitamin C, thiamin and folate and sodium. (Use a format similar to assignment 1. You may chose to focus on different micronutrients if you justify your choice)
  • Comparison of your menu to nutrition guidelines and recommendations.

 

3. Describe the weight associated health problems which might occur later in Dianne’s life should she continue to gain weight. Discuss how Dianne might realistically view these health risks as well as the health problems associated with some weight loss methods.

Suggest and justify an appropriate aim for Diane, in relation to body weight and lifestyle

 

Option A

1. Clear reasoned explanation of why 7 weight loss has not been achieved and maintained.

 

2. a. Description of strategy, justification and 8 8 information for Diane

b. Two – day menu, planned, 7 analysed, and discussed in relation to recommendations and guidelines

 

3. Description of weight/weight loss-associated 5 health problems.

 

OPTION B

Sport

1.A male basketball player (aged 18 years) weighing 90kg, 1.9 m tall, who wishes to increase lean body mass while sticking to a daily training schedule.

OR .

A female triathlete (aged 28 years) weighing 68kg, 1.7 m tall, who wishes to gradually lose weight while sticking to a daily training schedule.

 

a. Plan a dietary strategy that will help them reach their training goals, taking into account lifestyle and training schedule.

 

b. Present him/her with guidelines that will allow them to carry out your plan. Include discussion of fluid choice..

 

c. Show a 2-day example of how your guidelines will work, including a 2-day menu plan.. Compare to nutrition recommendations and guidelines.

 

You will need to include:

  • Clear description of your overall strategy and guidelines; include timing of eating, practical aspects and fluids
  • Explanation why you think the strategy is appropriate. Address a) practical food choice issues, b) sporting goals, and c) long term health
  • An estimate of their energy requirement.
  • 2-day menu based on your guidelines
  • Nutrient analysis of menu to show the content of energy, protein, fat, carbohydrate, iron, calcium, vitamin C, thiamin and folate and sodium. (Use a format similar to assignment 1. You may chose to focus on different micronutrients if you justify your choice)
  • Comparison (& discussion) of your menu to nutrition guidelines and recommendations.

 

2. Discuss the potential dietary problems and nutritional consequences, for ONE of the following people. Outline solutions and explain. Refer to readings.

a. A 40-year-old woman training for a long distance cycle ride who works full time, is the main cook and housekeeper for a family of 5 and is on a limited budget.

 

b. A 14-year-old boy who swims everyday before and after school and is often tired.

 

c. A 22-year-old male who plays club rugby and lives in a flat with four other males of the same age.

 

d. A female gymnast aged 13 years who is underweight for her height and trains up to 4 hours per day

 

Option B

Part 1.

a. Appropriate strategy clearly justified

b. Clear guidelines with  appropriate explanations

c. Two-day menu, nutrient analysis, comparison to recommendations and guidelines, and discussion

 

Part 2.

  • Identification of potential nutrition problems
  • Practical and nutritionally suitable
  • Solutions, with clearly justified explanations.

 

 

OPTION C

Infant Nutrition

In the first year of life children change from an all milk diet to eating, more or less, the same food as the rest of the family

Part 1

a. The Ministry of Health recommends infants be exclusively breastfed from birth and that complementary foods are introduced around 6 months. Compare the composition of breastmilk, cow’s milk and infant formula, highlighting risks associated with artificial feeding.

b. Diane Wiessinger refers to babies being “normal fed” http://www.normalfed.com/ why does she use that term? Discuss.

 

Part2

Complementary foods (‘solids’) are introduced around 6 months of age. Over the following months the infant’s diet changes from being milk based to being similar to the rest of the family. For this part of the assignment you will identify the nutritional issues that need to be taken into account when feeding an infant from the ‘family plate’.

a. Start with what you eat.

i. Provide a two-day food record for yourself.

ii. Modify this food record minimally to meet the needs of an 11-month-old infant make as few changes as possible (i.e. don’t substitute your meals with a commercially prepared infant meal). Explain all the changes that you make, referring to how the infants’ nutritional needs differ to those of adults. Remember to use references to support your statements.

 

b. Analyse the two-day infant diet — you will need to estimate serving sizes. (use a format similar to that for assignment 1, including the same nutrients).

Compare to recommendations and discuss. (Note: infants will generally meet their energy needs. If the calculated energy intake is more than 20% different from what is recommended then please make changes and reanalyse.)

Comment on any difficulties you had OR how you avoided common ‘problems’ in toddler diets.

 

c. Based on the modification of your diet, present general principles that help in adapting a family diet to meet the nutritional needs of an infant. Include reference to nutrients of particular concern (i.e. those most likely to be consumed in excess or deficit).

Discuss appropriate milk for this age and comment on how milk source and/or amount may change over the next two years.

 

Option C

Part 1.

Clear discussion. Show evidence of reading beyond textbook

 

Part 2.

a.Modification of adult diet. Realistic 2 days’ menu  Explanation for changes made,

b. Nutrient analysis and comparison with recommendations & guidelines. Discuss shortcomings in the menu

 

OPTION D

Food Security: Hunger and Malnutrition

As the readings explain, there is sufficient food in the world for everyone yet many people lack food security. Lack of food security often leads to malnutrition (over or under nutrition). The reasons for the lack of food security are complex, as are the proposed solutions. In this age of globalization we are all involved– decisions we make everyday in our personal life have an impact.

For this assignment you are asked to examine the complexity of food security by presenting a case study of a child who is malnourished as the result of food insecurity. Start with a country or setting you know something about and work backward to imagine the specific situation of one child. Choose a situation you can find reliable information about, some material is available on Stream.

 

Part 1

In this part you will describe specifics of the child’s life, including diet and consequences of malnutrition.

a. Briefly describe the life of a child who lacks food security. Include information about the country, family and food supply that highlights some of the causes of the food insecurity.

 

b. Describe the typical diet for two (2) days for this child and analyse for nutrient content. (Use a format similar to that in assignment 1 -include the same unless you have reason to include others. State all assumptions you make about the composition of the local foods. Consider availability of information when you make your choice of country.)

Compare the child’s nutrient and food intake to nutrition recommendations and guidelines. Highlight the main concerns.

 

c. Discuss the likely short and long term consequences of food insecurity for this child.

 

Part 2

In this section you will identify some of the underlying causes of the lack of food security for this child and discuss some of the ways the child’s hunger could be prevented.

a. Define food security. Discuss it in relation to the global food supply.

 

b. Outline a range of factors that contribute to this child’s lack of food security, including: the family, the local community, and the political and economic situation nationally and globally. Discuss three (3) of these underlying causes in more detail, include references to support your statements.

 

c. Identify and discuss two (2) ways in which your life influences and/or is influenced by this child’s life. Refer to readings/sources to support your statements.

 

Option D

Part 1.

a. Present a clear, concise discussion 6 of the issues specific to the case study situation. b. Analysis of

b. Analysis of two-day diet, comparison to 7 recommendations

c. Discussions of long and short term 3 consequences of malnutrition

 

Part 2.

Clear, concise discussion of issues specific to the case study situation. Show evidence of understanding the complexity and global nature of food security

 

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