Nutritional Analysis and Diet Recommendations

This assignment involves analyzing the dietary habits of a client based on provided data. Tasks include calculating calorie intake, identifying macronutrient and micronutrient content, pinpointing areas of deficiency (specifically calcium), and formulating 3 evidence-based dietary recommendations to address these issues. The analysis should consider factors like sodium, saturated fat, and sugar consumption alongside recommended fiber and dairy intake.

Running head: CLINICAL NUTRITION
Clinical nutrition plan
Name of the Student
Name of the University
Author Note

1CLINICAL NUTRITION
24-hour recall of a person’s diet
Part 1
The 24-hour diet recall plan refers to a kind of nutritional assessment that forms the basis
of nutrition research. It is generally utilized by healthcare professionals, and holistic nutritionist
for improving the overall health status of the concerned patients, in addition to maintaining a
proper weight (Thompson et al., 2015). Conduction of the 24 hour diet recall plan in this part of
the assignment will help in gathering nutritional information from the patient Alfred Sly. It will
also help in assessment of the food types that are being eaten, thereby facilitating identification
of the nutrients that are lacking in his diet.
Table 1- FOOD INTAKE FORM
Time Place Meal Food/Beverage Details/Ingredients/Preparation Amount
8:00
a.m.
Home Breakfast Chinese
pancakes
Made with water and flour 3
Home Coffee Instant, regular
Had them while reading
newspaper
2 mugs
Home Hamburger
bun
Homemade with cracked wheat 1 medium
roll
Home Orange juice Frozen while taking a stroll in
the lawn
1 cup
12:30 Home Lunch Coffee Instant, regular 2 mugs

2CLINICAL NUTRITION
p.m.
Home Beef roast Prime rib was roasted
fat was eaten while reading a
book
1 medium
slice
4:30
p.m.
Home Snacks French fries Frozen, deep fried while
watching television
1 small
packet
Home Donut Homemade and raised 3 medium
8:30 p.m Home Dinner Rice White rice, cooked using butter 1 cup
Home Chicken Boneless chicken breast baked
at home
2 medium
sizes
Food item you forgot to mention
4:30
p.m.
Home Snacks Macaroni pasta
salad
The salad was made with
vegetables, cheese and had
Italian dressing while watching
television
1 ½ cup
Home Orange juice Frozen 1 cup
8:30
p.m.
Home Dinner Ice-cream Regular chocolate ice-cream
while working at the computers
1 medium
scoop
List of planned physical activity performed since last 24 hours
I walked in the lawn for 20 minutes in the morning

3CLINICAL NUTRITION
Part 2
1. Nutrient density refers to the proportion of nutrients that are present in the foods, consumed by
a person. There are several deviations in the nutrient density of the food consumed by Alfred Sly
over the past 24 hours. Nutritional density of dietary fibers is low since he does not consume
adequate amounts of cereals, vegetables, nuts, lentils and grains. These fibers are primarily
derived from plant components (Rolfes, Pinna & Whitney, 2018). However, the diet plan does
not contain any plant products. Furthermore, there is deficiency of calcium and vitamins in his
diet. Calcium is generally added to the body by consumption of dairy products such as, milk,
cheese, yoghurt, cottage cheese. Apart from cheese in the macaroni pasta and intake of ice-
cream, the person does not consume any other food that would supplement required amount of
calcium.
2. 2700 calories are approximately consumed

4CLINICAL NUTRITION
Part 3
Figure 1- Daily calorie limit
Source- (Supertracker.usda.gov, 2018)
Figure 2- Daily food group target
Source- (Supertracker.usda.gov, 2018)

5CLINICAL NUTRITION
Figure 3- Daily limit
Source- (Supertracker.usda.gov, 2018)

6CLINICAL NUTRITION
Part 4
1. No, I am not surprised by the overall results of the SuperTracker due to the fact that it
accurately describes the amount of nutrients that have been consumed. The results are accurate in
determining excess or low amounts of nutrients, upon comparison with the amount that is
required.
2. Yes, there were some discrepancies in the results provided by the tracker and my estimation. I
estimated that the daily average intake of fruits is quite less as Mr. Sly did not mention
consuming any food product apart from frozen orange juice. However, results of the
SuperTracker suggest that the meal plan was adequate in exactly meeting the target of fruits.
This can be attributed to the fact that an adult requires a minimum of 2 cups of fresh fruits, which
was compensated by the 2 glasses of orange juice (Rolfes, Pinna & Whitney, 2018). Moreover, I
had estimated the intake of grains to be less as he had reported consuming more rice products
and did not have sufficient amount of whole wheat grains. However, the total intake of grains is
focused on both rice flour as well as wheat products that include pancakes, hamburger bun,
donut, rice and pasta.
3. Mr. Sly met the daily food group targets for foods that are rich in grains and proteins, in
addition to fruits. He achieved 137% of proteins and 179% of refined grains. However, the foods
he consumed failed to meet the target of vegetables (49%) and cheese (25%).
4. Results of the SuperTracker indicate that the client went beyond the allowed calorie intake.
While the recommended calorie intake was 2000 calorie, the results show 2683 calories.
5. While the foods such as, bread, rolls, pancakes, frozen meat, cheese, pasta and salad dressings
consumed by the client were rich in sodium, he also exceeded the amount of saturated fats and

7CLINICAL NUTRITION
sugars. Higher amount of fats and sugars are due to consumption of orange juice, donuts,
hamburger, cheese in pasta and french fries.
6. The major micronutrient lacking in his diet is calcium. Calcium is needed for improving bone
health, weight management, and cardiovascular health (Rolfes, Pinna & Whitney, 2018). Owing
to the fact that he does not consume dairy products, leafy greens, legumes, sea food and dried
fruits, there is a deficiency of calcium in his diet.
Part 5
3 diet recommendations include the following:
 He should add 2 cups of leafy salad along with a cup of cooked, and raw vegetables to his
diet plan. Adding vegetables will help him to meet the target of dietary fibers, which in
turn will improve overall metabolism (Khanam et al., 2012).
 He should also add dairy products such as, 1 cup milk, and a cup of yoghurt to his regular
diet. This will add calcium content and improve strength of bones and teeth (Quann,
Fulgoni & Auestad, 2015).
 There is a need to participate in moderate exercise for burning the excess calories.
Physical exercise will help to reduce risks of cardiovascular diseases and will improve
health outcome (Wadden et al., 2012).

8CLINICAL NUTRITION
References
Khanam, U. K. S., Oba, S., Yanase, E., & Murakami, Y. (2012). Phenolic acids, flavonoids and
total antioxidant capacity of selected leafy vegetables. Journal of Functional Foods, 4(4),
979-987.
Quann, E. E., Fulgoni, V. L., & Auestad, N. (2015). Consuming the daily recommended amounts
of dairy products would reduce the prevalence of inadequate micronutrient intakes in the
United States: diet modeling study based on NHANES 2007–2010. Nutrition
journal, 14(1), 90.
Rolfes, S., Pinna, K., & Whitney, E. (2018). Understanding normal and clinical nutrition (11th
ed.). Belmont, CA: Wadsworth-Cengage Learning, 35-68.
Supertracker.usda.gov. (2018). SuperTracker: My Foods. My Fitness. My
Health.. Supertracker.usda.gov. Retrieved 9 February 2018, from
https://supertracker.usda.gov/foodtracker.aspx
Thompson, F. E., Dixit-Joshi, S., Potischman, N., Dodd, K. W., Kirkpatrick, S. I., Kushi, L.
H., ... & Clancy, H. A. (2015). Comparison of interviewer-administered and automated
self-administered 24-hour dietary recalls in 3 diverse integrated health systems. American
journal of epidemiology, 181(12), 970-978.
Wadden, T. A., Webb, V. L., Moran, C. H., & Bailer, B. A. (2012). Lifestyle modification for
obesity: new developments in diet, physical activity, and behavior
therapy. Circulation, 125(9), 1157-1170.

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Rubric