QuestionQuestion

Nutrition during Adolescence
Becky is a 15-year-old female present in your office. For the past 6 months she has only been eating two meals per day and runs about 1 hour per day. She has little time to spend with friends because she is taking advanced classes and has to study every day. She goes to bed around 2 a.m. after finishing up her homework. She then wakes up at 7 a.m. and needs to be at school by 7:45 a.m. Her current height is 5’8” and weight is 116 pounds. Six months ago she thinks she weighed 130 pounds.
This is her current diet intake:
- 7:30 am: 8 oz. of tomato juice
- 12 p.m.: 2 pieces of whole wheat bread, 3oz of lunchmeat, and 2 slices of tomato
6 oz. of low fat yogurt
Bottle of water - 4 pm: 1 large banana (maybe)
- 7 pm: 1 cup of pasta
3 oz. of skinless chicken breast
¼ cup of marinara sauce
1 large salad (lettuce, tomatoes, cucumbers, and carrots), no dressing
Bottle of water
1. Describe one cognitive and one psychosocial change Becky may be experiencing as an adolescent.
2. What are at least two assessment techniques to determine Becky’s nutritional status? Consider her height and weight, weight loss, and diet.
3. On average, how many calories would Becky need on a daily basis?
4. What nutrients would you make sure she is consuming?
5. What are two social factors that influence the food choices and nutrition status of adolescence?

Topics
Water Soluble Vitamins
For this unit’s Discussion, choose a water soluble vitamin that is of importance to your case study athlete’s nutritional status and athletic performance:
• How is the vitamin metabolized?
• Why might this vitamin be of importance to your case study athlete?
• What are some possible foods sources?
• Is there a possibility for toxicity if an athlete were to “nutrient load” this particular vitamin?

Jacob and Mollie Case Study
Instructions:
A) Review the following client descriptions:
Jacob:
•Jacob is a 12-year old male who is currently on the junior football team. The reason he is in your office is because his dad wants him to lose 20 pounds of fat, so he can perform better. He currently is in season during the Fall and practices 3 days per week for 1 hour and has games on Saturday. Once the season ends, he does not participate in any sports and comes home from school and watches TV or plays games on the computer. He currently is 5’3” tall and weighs 140 pounds. He provides you with a typical diet of what Jacob eats:
o Breakfast: 2 cups of a sugar-frosted cereal and 8 oz of 2% milk
o Lunch: The school lunch, which includes 4 chicken nuggets, ½ cup corn, 8oz of 2% milk, and ½ cup peaches
o Afternoon Snack: At the after school program, 1 bag of pretzels and 1 cup of juice
o Dinner: 6oz of chicken (skinless), 1 cup of mashed potatoes (made with 2% milk and margarine), ½ cup of green beans, and 8oz of 2% milk
o Beverages: tends to only drink 2% milk, juice, and sometimes regular soda
Mollie:
•Mollie is a 15-year old female, and on the cross-country and track team. She runs 3-4 miles, 6 days per week. She also lifts weights 2 days per week for 1 hour. She is present in your office as she has been losing weight for the past 2 months and her doctor is concerned because she has not had her period in 6 months. She recently became a lacto-vegetarian because she heard meat was bad for her and could mess up her running. She is 5’5” tall and currently weighs 110 pounds. She weighed 122 pounds 3 months ago per her medical chart. She provides you with her typical diet:
o Breakfast: ½ cup unsweetened O-shaped cereal, 4oz of fat free yogurt, ½ of a banana
o Lunch: 2 slices of whole wheat bread, 1 3oz slice of low fat cheese, 1 medium appleoDuring practice: 16 oz of Gatorade
o Dinner: ½ cup fat free refried beans, 6 inch whole wheat tortilla, 1 cup fresh vegetable mix, ½ cup rice, 8oz glass of skim milk
o On average she will have about 72 ounces of water per day

B) Answer the following questions about Jacob and Mollie. Your responses should be detailed. Please refer to question one for an example of an acceptable response.•Explain two benefits of adolescents who live a healthy lifestyle (eat healthy and exercise).•Based on these two clients, what are two potential risks they face with their eating habits and physical activity?
•Based on the first client, Jacob, create a 3-5 day meal plan that includes specific portion sizes of each food (the portion sizes must adhere to the serving size guidelines set forth by the USDA: http://www.choosemyplate.gov/MyPlate). Each day of the meal plan must include a variety of foods. The meal plans must have breakfast, lunch, and dinner and at least 2 snacks. Also, include two micronutrients with the proper RDAs that he needs to consume on a daily basis.
•Based on the second client, Mollie, create a 3-5 day meal plan that includes specific portion sizes of each food (the portion sizes must adhere to the serving size guidelines set forth by the USDA: http://www.choosemyplate.gov/MyPlate). Each day of the meal plan must include a variety of foods. The meal plans must have breakfast, lunch, and dinner and at least 2 snacks and the foods must adhere to her lacto-vegetarian lifestyle.Also, include two micronutrients with the proper RDAs that she needs to consume on a daily basis.

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Nutrition in Adolescence

Adolescence stage is characterized by rapid height and weight gain in order to attain secondary sexual characteristics and maturation. Proper dietary intake is important at this stage to ensure the teenagers grow to their maximum potential. However, various issues hinder adequate intake. In Becky’ case, her schedule is intensely demanding. She hardly has time for herself. She sleeps late and wakes up early. She does not have adequate time to prepare elaborate meals. Socially she is secluded because of her studies. Meals are best consumed when served in a company of other people (Nutrition, 2005). Teenagers are high social beings and they should be allowed to link out and socialize with others. Regrettably, they are expected to improve their grades in preparation for a career. Becky is a victim of such an unfortunate social entanglement.
Assessing Becky’s nutritional status is important. This will aid in devising a suitable dietary to meet her current needs. One of the techniques that can be used to determine Becky’s nutrition status is use of (Body Mass Index) BMI for age. Currently, Becky is 5’8” (172.72 cm) and weight is 116 pounds (52.6167 Kg). According to WHO Charts (2007), Becky is severely underweight. Another tool that we can use to determine Becky nutrition is to assess her food intake.
Assuming the foods taken represent Becky 24hr intake, we can use Nutri-Survey to estimate her intake. From the analysis of Becky’s she does not even, meet half of her recommended daily allowances of her caloric intake. She takes 995.5 kcal, while her current needs are 2036.3 kcal. There her fat intake not any better; the total contribution to...

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