What diet interventions would be beneficial for an individual with this DAO mutation? Why? What supplement protocols would be beneficial for an individual with this DAO mutation? Why? How might the effects of this DAO gene polymorphism relate to the HNMT gene and KIT gene (Mast Cell Activation)?

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WEEK 7

PART 1

Suzanne is a 15-year-old soccer player. She is very athletic, plays midfielder, and is noted for her speed and endurance. She’s been trying to lose a few pounds to achieve a more comfortable playing weight, and therefore has decreased her carbohydrate intake from 65% of her total daily caloric intake to 40%. Lately she has been feeling fatigued in the middle of her two to three-hour practices and weekend games, which is affecting her performance. Suzanne’s coach has suggested that she bring a water bottle filled with a sports drink to their next practice. However, Suzanne dislikes then taste of sports drinks and decides to find an alternative. She enjoys juices of any kind; therefore, the following Saturday she fills her water bottle with orange juice and drinks diligently throughout practice. Halfway through practice, instead of feeling tired, she is feeling nauseous and has intestinal cramping.

  • What are the possible causes of Suzanne’s earlier than usual fatigue?
  • What dietary suggestions might you give to Suzanne to get her back to peak sport performance?

PART 2

Search for a peer-reviewed research study on a health condition of your choice connected with the DAO gene (which must have been published within the previous 5 years). Provide a summary of the study to the class as well as answer the following questions:

  • What diet interventions would be beneficial for an individual with this DAO mutation? Why?
  • What supplement protocols would be beneficial for an individual with this DAO mutation? Why?
  • How might the effects of this DAO gene polymorphism relate to the HNMT gene and KIT gene (Mast Cell Activation)?

PART 3

Your client with histamine intolerance is having a hard time adhering to your diet recommendations and has requested some example recipes. Please create and share a low histamine recipe for your client to enjoy.

 

 

What are some areas of your diet where you feel you are on target and doing well? What are some diet areas that you may wish to address? Identify some foods, caloric intakes, or any other area you have assessed as part of the answer.

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PART B: Analyze Your Eating Habits
Interpret your results as prompted from the questions below. Refer to the MyFitnessPal “Reports” function for each of the variables, using the seven-day reporting period to obtain data regarding your personal dietary intake. Use the textbook to assist with answering other questions. Be sure to reference your sources. Type all responses in the spaces provided below. For ease of reading, highlight or boldface your responses.

Part C: Provide a 250 word narrative (approximately one page) in the space at the bottom of the template using the info provided below.

1.)What are some areas of your diet where you feel you are on target and doing well? These would be diet aspects you may wish to continue.

2.)What are some diet areas that you may wish to address?

3.)Identify some foods, caloric intakes, or any other area you have assessed as part of the answer.

4)Then provide some advice to yourself by way of recommendations

.5.) Provide at least three specific recommendations for moving forward.

 

Explain how the foods you consume are contributing positively or negatively to your diet and health, highlighting at least 2 specific examples. Demonstrate your understanding of the connection between your chosen food and resulting health consequences.

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Carbohydrate content

You will need to select each nutrient separately and show a different report for each nutrient. You may (but don’t have to) look at these reports if that helps you to get a better overall visual.
Examine the carbohydrate content from the reports. Compare your actual intake to the recommended intake. Compare your findings with the recommendations in your textbook.

Note areas in which your carbohydrate consumption is adequate and deficient. Once you examine the reports, complete the Personal Diet Analysis: Carbohydrates Template.

In addition to submitting the Personal Diet Analysis: Carbohydrates Template, use the following bolded headings to guide your answers to the questions below:
1. Explain how the foods you consume are contributing positively or negatively to your diet and health, highlighting at least 2 specific examples. Demonstrate your understanding of the connection between your chosen food and resulting health consequences.

2. Discuss the likelihood and ease of actually making the suggested changes noted in the above table. Explain your answer. If you don’t need to make changes because you met the requirements, be sure you completely filled out the table above and discuss here what you are doing right to meet your nutritional needs.

What is the normal/healthy lab range for ferritin? What is this lab test commonly used to detect or rule out? (What condition does ferritin test for?) Why is it considered to be such a specified lab test to identify this condition? What are some “typical” causes that may contribute to a low or high range? What are alternative lab tests that can be used?

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Unit 9 discussion

Discussion Overview

The use of a biochemical test is a great way to obtain objective results when testing for a possible nutrient deficiency, toxicity or a nutrient-disease related medical conditions. This unit’s reading may be helpful to address these topics; specifically: Deen, D., & Hark, L. (2007). The Complete Guide to Nutrition in Primary Care. Malden, Mass: Wiley-Blackwell. [Chapters 8, 10 -12]

Choose ONE of the below biochemical tests OR conditions that a biochemical test is used for

*Suspected pre-diabetes or Type 2 diabetes
*Serum ferritin

Considering your chosen biochemical test or condition, answer the following questions:

A. suspected pre-diabetes or type 2 diabetes

What is an ideal lab test to use in this situation?

What is it a measure of?

Why is it considered ideal in this case?

Is there an alternative lab test? What are the limitations of using only the alternative test?

What is the normal/healthy lab value range for this lab test?

B. serum ferritin

What is the normal/healthy lab range for ferritin?

What is this lab test commonly used to detect or rule out? (What condition does ferritin test for?)

Why is it considered to be such a specified lab test to identify this condition?

What are some “typical” causes that may contribute to a low or high range?

What are alternative lab tests that can be used?

Review the Discussion Board grading rubric under Course Resources in the Table of Contents.

Discussion responses should be on topic, original, and contribute to the quality of the Discussion by making frequent informed references to lesson material. Initial Discussion responses should be a minimum of 200 words. Make two or more responses to classmates that are thoughtful and advance the Discussion and are a minimum of 75 words.

Identify essential dietary guidelines for the athlete including daily protein requirements, carbohydrate requirements, and carbohydrate requirements following heavy exertion.

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Zimmerman, M.,& Snow

1.Using your textbook and the USDA resources linked in the Study Materials, identify key nutrient needs for infants and toddlers. Then identify the components of nutrition within the WIC program food package.

2.Identify essential dietary guidelines for the athlete including daily protein requirements, carbohydrate requirements, and carbohydrate requirements following heavy exertion (glycogen repletion).

3.After reading the article Carbohydrate Nutrition and Team Sport Performance, answer the following: In a time when many people fear carbohydrates, what would you give as the best arguments to encourage athletes to consume carbohydrates?

USDA resources https://www.nutrition.gov/topics/nutrition-life-stage/infants
USDA resources #2  https://www.fns.usda.gov/wic/fr-030414

What is the issue? What are the structural factors that cause this issue? Who/what/where does it impact? What are the key concepts and their definitions related to this issue? What are the consequences if this issue is not addresses, and why does it need to change?

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Public Health TOPIC: Health advocacy, everyday healthy habits, creating equitable access to children in k-12 and adults)

Impacting education or the broader society in the Los Angeles county.

The purpose of this assignment is to research a systemic social or environmental injustice issue in Public Health

TOPIC: Health advocacy, everyday healthy habits, creating equitable access to children in k-12 and adults) impacting education or the broader society in the Los Angeles county.

 

Explaining and Justifying the Issue [2 pages]:

What is the issue?

What are the structural factors that cause this issue?

Who/what/where does it impact?

What are the key concepts and their definitions related to this issue?

What are the consequences if this issue is not addresses, and why does it need to change?

What are some possible gaps in service with regards to the particular issue(s)? 

 

Reference/Bibliography/ Additional resources Section [1 page]:

Should include at least five key academic sources that support answering the questions above.

Additionally, should include four additional resources/ media where people can find more information on this topic.

What condition does Krishna present with and explain your reason for this diagnosis? Identify the risk factors from the nutritional assessment and explain the pathophysiological mechanisms that increase Krishna’s risk of disease.

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Biochemistry

The paper have some instructions that made the work fail and i have the feedback so we must follow this to pass. So these are the instructions MUST be followed please. 1)

a. What condition does Krishna present with and explain your reason for this diagnosis?You have described risk factors related to blood lipids but glucose, blood pressure and anthropometry should have also been considered, and this cluster of risk factors should have led you to Metabolic Syndrome(2/10)2)

b. Identify the risk factors from the nutritional assessment and explain the pathophysiological mechanisms that increase Krishna’s risk of disease.You have identified some of the factors related to diet and exercise but many important risk factors have not been described and you have not explained the relevant pathophysiology. Some discussion of visceral adiposity and the metabolic consequences of this that increase risk of CHD and T2D should have been described here.(7/25)

c. Provide a diet and lifestyle intervention plan for Krishna and clearly explain the aims of the intervention.You have provided some general recommendations, but more case study specific recommendations are needed. An improved example diet plan could have been provided as a table in the main document or as an appendix to not impact on your word count. You do mention alcohol in other sections.(10/30)3)

c. Provide a diet and lifestyle intervention plan for Krishna and clearly explain the aims of the intervention.You have provided some general recommendations, but more case study specific recommendations are needed. An improved example diet plan could have been provided as a table in the main document or as an appendix to not impact on your word count. You do mention alcohol in other sections.(10/30)

d. What barriers do you think Krishna may have to making dietary changes?Some points for consideration are established eating habits are difficult to change. Is knowledge about a healthy diet a barrier (you do mention education in the next section)? Is a family centred approach needed as Krishna’s wife prepares evening meals?(5/10)

e. How would you ensure Krishna is engaged with the intervention and what outcome measures would you suggest for monitoring Krishna’s goals?Some guidance on goal setting, more on outcome measures such as waist circumference that Krishna can monitor himself also biochemical measures could be taken by periodically by professional.(7/15)

f. Krishna asks about dietary supplements such as fish oil, garlic oil and vitamin D and whether these would be beneficial considering his family history. How would you advise him?You have made some recommendations, but relevant detail and a current evidence base is lacking.(1/5)

g. Explain why Krishna should be referred to his doctor for further tests.Krishna is showing signs of altered glucose metabolism so needs further tests to identify if this is the early signs of insulin resistance as the identified risk factors and the family history of hypertension and CHD puts Krishna at a high risk for Type II Diabetes and CHD.Krishna is showing signs of abnormal blood lipids, treatment to reduce cholesterol levels and lower blood pressure may be needed. The GP referral may necessitate further referral to a Dietician.(2/5)

Consider everything and make a better result.

Do you think food service operations have had to change the way they produce meals since covid? Do you think it effected the way they cook the food or is there some other aspect that changed.

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 A nutrition discussion

Do you think food service operations have had to change the way they produce meals since covid? Do you think it effected the way they cook the food or is there some other aspect that changed. Mention what part of food production changed and why do you think it changed.

 

Discuss the assessment of the hospitalized patient. Determine the nutrition needs of the hospitalized patient under a variety of conditions. Review laws related to nutrition screening and the hospitalized patient.

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Cultural Influences on the Nutrition Assessment of a Hospitalized Patient

View an introduction to the Assignment here. Be sure to adjust your audio settings.

Unit outcomes addressed in this Assignment:

Discuss the assessment of the hospitalized patient.
Determine the nutrition needs of the hospitalized patient under a variety of conditions.
Review laws related to nutrition screening and the hospitalized patient.

Course outcome assessed/addressed in this Assignment:

NS310-5: Apply nutrition assessment results to a nutrition intervention plan in a person with a chronic disease.
GEL-6.02: Incorporate outside research into an original work appropriately.

Instructions

Imagine that you are a clinical nutrition assistant working at a local hospital under the supervision of a Registered Dietitian (RD). Overnight, a 74-year-old male patient was admitted to the hospital and needs to be fully assessed for any nutritional risks (in accordance with hospital/medical nutrition care laws). The hospital’s initial nutritional screening protocol identified that the patient may be at nutrition risk, due to a “high risk admitting diagnosis.” The admitting physician suspects that the patient has suffered a heart attack; however the full cardiac consult results are not yet showing in the computer. Furthermore, the patient has recently moved here to the U.S. from a foreign country within the past year so that his daughter can help care for him due to his declining health. The entire family speaks very little English. The patient’s cultural background is significant because the culture may not place much influence on western-style healthcare practices. The patient’s expression of his culture needs to be examined further. The nurse’s notes reveal that the daughter does not know how much her father weighs, but she suspects that he has gained weight since her mother passed away a year ago.

Your assignment from the supervising RD is to examine the patient’s complete cultural, social, medical, and nutritional background so that the next steps of the Nutrition Care Process can be instituted. Upon your initial investigation within the hospital’s electronic medical records system, you notice that there is no height or weight listed for the patient. The diet order reads: NPO (nothing by mouth) and they are awaiting more lab results for various tests related to hydration and kidney function. His cardiac enzyme lab work indicates that he suffered a Myocardial Infarction (MI). The MD notes confirm a heart attack diagnosis and the MD also noted that the patient “appears to be morbidly obese.” His medications include: a blood pressure medication, a diuretic, and a cholesterol-lowering drug.

The patient and daughter are unaware of the patient’s current height and weight. His hospital bed unfortunately does not have a built-in weight scale. The patient is unable to stand upright due to his medical condition. Therefore, list and describe one alternative way to estimate height (stature) and one alternative way to estimate a person’s weight. You may use the e-books, key terms, and internet resources provided or you may research this further to find additional ways to measure height and weight.
Based on your nutritional assessment and evaluation Do you feel that the patient will comply with the MD suggesting a strict very low calorie (1000–1200 calories), low fat, low cholesterol and low salt diet? How would you address the nutritional needs of the patient while honoring any personal preferences?
Choose a specific ethnic/cultural background (Asian, Middle-Eastern, Hispanic etc). How can you use your knowledge of the patient’s background to instill motivation and the desire to improve his health by eating a healthy diet? Do you think that he should be placed on the exact 1000–1200 calorie Cardiac restrictions diet that the Physician is recommending? Justify your answer.

Write a nutritional self-assessment paper in APA format. Analyze nutrient intake for each macro and micronutrient, develop an evidence-based diet plan and goals to improve your diet.

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Food Diary Analysis

You will use the MyFitnessPal food diary app to record everything that goes into your digestive system over the course of three days. Record everything you eat and drink and record the name and dosage of any medications that you take, including vitamins, minerals, and herbal supplements.
It is preferable to record your food intake for at least one non-school day or one non-weekday (for example, Thursday, Friday, Saturday, or Sunday, Monday, Tuesday). This way, you will see how you are eating habits change with your schedule.
It is important that you take time each day to record your food, drink, and drug intake rather than relying on your memory. An honest, detailed diary will help you gain a better understanding of yourself personally and professionally.
Take screenshots of your MyFitnessPal food diary for the three days to include in your analysis paper.

2. Find your Recommended Dietary Allowance for each of the macro and micronutrients identified in the guidelines.

3. Write a nutritional self-assessment paper in APA format. In your paper, you will analyze nutrient intake for each macro and micronutrient, develop an evidence-based diet plan and goals to improve your diet. Follow guidelines carefully.

4. Your paper should be a minimum of 4 pages long excluding title page, reference page and screenshots.

5. Use APA formatting.