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The recommended is 1900 calories (ICMR, 1989). The protein intake is about 25 grams when she needs about 45 grams (ICMR, 1989). Total fat is about 30% (when it should be less than 20%) and mainly constituting saturated fat and dietary fibre is only about 10% (when it should be 30%). Except for some iron and calcium in the breakfast and some vitamins in the snacks, her diet is poor in vitamins and minerals. Also, there is increased consumption of non milk extrinsic sugars in the form of coke and cookies. The diet does not contain fresh fruits or vegetables or starchy staple foods. Nor does the diet contain any milk. Of course, the amount of alcohol is in moderation (consider pregnancy and lactation).
Due to the excess calorie intake and predominance of saturated fats and sugary foods, Ana is at risk of chronic diseases like obesity, cardiovascular disease, hypertension, arthritis and chronic pulmonary disease. Consumption of acidic foods and non milk extrinsic sugars (like in coke, pastries, chocolates) are cariogenic and are the beginning of periodontal diseases (Moynihan,10). Also, diet poor in minerals and vitamins can lead to multi-vitamin deficiencies, anemia and malnutrition. Improper diet can also have a psychological effect leading to depression.
It is important to suggest dietary recommendation to this patient and this must be done by talking to the patient personally and in detail and not just mentioning in a single statement. The importance of good nutrition and the consequences of poor nutrition must be stressed upon. First of all, it is advisable to take food three to four times a day. The total calorie value of food should not exceed 2000 k cals. According to the National Food Guide (Moynihan,10) to an adult’s diet, bread, cereals and potatoes should comprise one third of the diet and preferably whole grains. Another
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