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Unit 6 Nutritional Assessment & Case Study

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Resources Advanced Nutrition: Macronutrients, Micronutrients, and Metabolism 3rd Edition Berdanier & Berdainer, CRC Press Chapter 10 Nutrigenomics Chapter 15 Trace Minerals Integrative and Functional Medical Nutrition Therapy: Principles and Practices Chapter 17: A Nutritional Genomics Approach to Epigenetic Influences of Chronic Disease Readings for optional additional nutritional biochemistry support from Brody, T. Nutritional Biochemistry (click here or access the textbook via the NWHSU Greenawalt Library): Chapter 10 - Inorganic Nutrients Trace Minerals: https://docs(dot)google(dot)com/presentation/d/1UfZ09vYzIU6VG0bcy90e4mQI3V-ZiYmU/edit#slide=id.p1 Methylation 101: https://wholisticmatters(dot)com/food-nutrition-methylation/ Nutrition Assessment Directions: Complete the following questions below on whole grains and trace minerals: Whole grains have been a popular dietary recommendation for many decades. What are the reasons typically given for consumption from both a macro and micronutrient perspective? Take a closer look at components in whole grains that decrease absorption of micronutrients (especially trace minerals). Give 2 specific examples of how whole grains affect that absorption and why? In addition to your readings from this week find one outside source that discusses the benefits or negatives of whole grains. After your research, what would be your recommendation on whole grains and why? Case Study: Beth is a 36 year female who is 5’2 and 105 lbs. She exercises and trains for triathlons 6 days per week and is a busy professional with 3 young children. She is reporting: Hemoglobin: 11.5 g/dl, painful and heavy periods, fatigue, and diminished athletic performance/energy. Current Diet: Beth follows a vegan diet that is very high in whole grains and fiber. She doesn’t like a lot of citrus foods and keeps to mostly organic foods that haven’t been fortified. She is currently drinking a lot of coffee and black tea to keep her energy up. Supplements: Daily Multivitamin supplement with 18mg of Iron and daily Zinc Picolinate 100mg- to keep her from getting sick Medications: none Case Study Questions: Based on the information provided, identify possible conditions which Beth might be experiencing as well as factors which could be contributing to her current negative health. Please outline and explain two dietary examples which may be contributing to the symptom(s) she is currently experiencing. Be sure to include a least one specific example of a metabolic mechanism which could contribute to that symptom (such as fatigue, dietary components, lifestyle choices, etc.) Please give at least three examples of lab testing or diagnostic panels you would ideally order for the client based on the above information and please explain why. What would you potentially expect to see within the results? Please discuss at least two dietary interventions related to her current diet and supplementation regimen which you would recommend to the client and include why you believe it would be beneficial. Please also be specific as to how this might benefit her metabolically. Please include at least 1 supplement recommendation for your client based on her current presentation. Please be specific and include frequency, dosage, and form. Do you think she should also continue her current supplementation? Why or why not? Do you believe any integrative care providers or wellness providers might be supportive? Why? Do you believe any behavioral science, motivational psychology, or coaching techniques might be supportive? Why? Please make sure the sources are good. When using other sources, please use Google Scholar peer-reviewed. Sources cannot be over 10 years old, so any sources must be 2015 and beyond. Also, I hired help for another essay, and they did not cite all sources and used websites that did not match the references. This instructor is strict.
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Nutritional Assessment and Case Study: Whole Grains, Trace Minerals, and Beth's Health Student’s Name Institution of Affiliation Course Date Nutritional Assessment and Case Study: Whole Grains, Trace Minerals, and Beth's Health Over the past few decades, it has been recommended that people eat whole grains as part of a healthy diet, as whole grains are essential to intake both macronutrients and micronutrients. Whole grains are macronutrients rich in complex carbohydrates that are digested slowly and release energy over time. This is important for Beth and athletes alike since they need a constant energy source for long periods of exercise. In addition to carbohydrates, whole grains, protein and fibre, they aid energy maintenance and digestive health (Berdanier & Berdanier, 2021). Whole grains are also good sources of fibre that can help regulate our satiety and, in particular, help individuals who are very physically active as they try to maintain a healthy weight (Berdanier & Berdanier, 2021). Whole grains also provide high amounts of B vitamins such as thiamine, riboflavin, and niacin, which are used to convert the energy we consume to energy that our body can use as well as to help in cell function (Berdanier & Berdanier, 2021). In addition, whole grains provide essential trace minerals such as iron, magnesium, and zinc, which are essential for maintaining immune function, bone health, and metabolic processes (Berdanier & Berdanier, 2021). Therefore, while whole grains provide these nutrients, eating whole-grain bread would also remove the compounds that reduce the absorption of trace minerals, which are iron and zinc. Effects of Whole Grains on Micronutrient Absorption Whole grains have compounds that can block certain key trace minerals from being absorbed. Phytic acid is an abundant compound in whole wheat grains.' Phytic acid can be complex with minerals such as iron, zinc, and calcium to form insoluble complexes that the body cannot absorb effectively (Berdanier & Berdanier, 2021). Reduced bioavailability of these minerals comes from this for people who heavily rely on plant-based diets, such as Beth. An example of how whole grains affect the nutrient absorption of non-heme iron and zinc is provided. Phytic acid interferes with the absorption of non-heme iron, which is present in plant foods. This is also relevant to people like Beth, who follow a vegan diet. Non-heme iron is less bioavailable than heme iron, which is present in animal products (Brody, 2015). As such, large amounts of whole grains without proper dietary strategies will lead to iron deficiency in individuals. Whole grains contain a lot of fibre, which can interfere with zinc absorption by binding to zinc ions in the digestive tract and can translate into a deficiency if zinc intake is not high enough to compensate for reduced absorption. Additional Source on Whole Grains While whole grains are linked to numerous health benefits, such as the reduction of cardiovascular disease risk and support of metabolic health, Calvo and Uribarri (2021) found there are possible downsides from reduced mineral absorption, in particular, iron and zinc, when whole grains are incorporated in the diet. Especially for people such as Beth, who are already at risk of these deficiencies from a vegan diet and high amounts of whole grains. Recommendation on Whole Grains After Beth has reviewed the benefits and drawbacks of whole grains, she is suggested to continue them in her diet, jus...
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