Ms. P is a 66-year-old Mexican American woman. Her doctor ordered a dual energy X-ray absorptiometry (DEXA) to assess he

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Ms P Is A 66 Year Old Mexican American Woman Her Doctor Ordered A Dual Energy X Ray Absorptiometry Dexa To Assess He 1 (114.86 KiB) Viewed 14 times

Ms P Is A 66 Year Old Mexican American Woman Her Doctor Ordered A Dual Energy X Ray Absorptiometry Dexa To Assess He 2 (51.83 KiB) Viewed 14 times

Ms. P is a 66-year-old Mexican American woman. Her doctor ordered a dual energy X-ray absorptiometry (DEXA) to assess her bone density. Her results indicated that she has low mineral bone density, or osteopenia. He gives her a pamphlet explaining her condition and recommends she meet with a dietitian to discuss strategies to reduce her risk of developing osteoporosis. The dietitian interviews Ms. P to learn about her dietary pattern and activity habits. Ms. P loves fruits and vegetables and follows an ovo-lacto vegetarian diet. She arranges the fruits and vegetables in a bowl because she loves the seeing all the pretty colors when she walks into the kitchen. Ms. P no longer drinks milk because she experiences uncomfortable gas afterwards, but she tolerates small amounts of cheese and yogurt. A typical day for Ms. P begins with a small breakfast at 6:30 AM consisting of hot coffee, pan dulce (sweet bread), 1 large peach, and 1 cup of vegetable juice made the night before from carrots, celery, and spinach. Five days a week, she meets up with friends at the local indoor pool and participates in water aerobics. Afterwards, she and her friends have a late breakfast at the local dinner. Ms. P orders a 3-egg omelet with onions, tomato, and chili peppers and a side of black beans. For lunch Ms. P eats a large salad made with spinach, chickpeas, nuts, dried fruits, ground flax seed, and a vinaigrette dressing. Dinner is usually some type of bean and rice dish, mixed vegetables sautéed until wilted, and a dinner roll. Ms. P cuts up fruit at the beginning of each week and snacks on it throughout the day or for dessert after dinner. 1. When storing fruits and vegetables, what are three ways that Ms. P could preserve the vitamin content? 1 point 2. What are two food prep practices followed by Ms. P that destroy vitamin content? 1 point 3. Compare Ms. P's diet to MyPlate for each food group. For which MyPlate food group(s) does Ms. P have intake below the recommended daily amount? For which MyPlate food group(s) does Ms. P have intake above the recommended daily amount? 1 point 4. Explain the association of sodium-to-potassium intake ratio with blood pressure and hypertension. Based on Ms. P's diet, is she at risk of developing hypertension? Support your answer with information from her diet recall. 2.5 points 5. Based on her MyPlate food group intake, the dietitian recommends a vitamin D supplement for Ms. P. What are two reasons the dietitian would recommend a vitamin D supplement for Ms. P? 0.5 point 6. Recommend three plant-based foods rich in vitamin D that Ms. P could include in her diet. 1 point 7. Ms. P follows a vegetarian diet. What component in foods of plant origin may limit the bioavailability of minerals, such as calcium, in her diet? 0.5 point 8. How does vitamin D affect the bioavailability of calcium? 0.5 point 9. Go to the NIH Osteoporosis and Related Bone Diseases National Resource Center and read the list of risk factors for osteoporosis. What risk factors do you see for Ms. P? 0.5 point 10. What are two bone-building activities that Ms. P could perform? 0.5 point 11. How many milligrams per day of calcium is recommended for women Ms. P's age? 0.5 point
IS. P's age? 0.5 point 12. Ms. P misses drinking a glass of milk at bedtime and asks the dietitian to recommend a milk alternative. Click on the links to find the Nutrition Facts labels for each milk alternative and fill in the table. Compare the nutrition facts of unsweetened almond milk, unsweetened soy milk, and unsweetened rice milk. What milk alternative would you recommend. Why? Short answer - 1 paragraph. 3 points Milk Serving Calories Carbohydrates Sugars alternative Size (kcal) (g total) (g) Silk Original Almond Milk Silk Organic Unsweet Vanilla Soy Milk Fat (g total) Protein Potassium Sodium (g) (%DV) (% DV) Rice Dream Original Rice Drink 13. Name 2 micronutrients, other than vitamin D and calcium, that play a role bone health? What are the functions of these 2 micronutrients? What foods in Ms. P's diet that contain these 2 micronutrients? 2.5 points