Betsy Winslow is a 62-year-old retired school teacher. She is 5'3" tall and weighs 155 pounds (BMI 27.5). Mrs. Winslow is a member of a walking group that meets three mornings a week. She walks two miles each morning. After experiencing episodes of chest pain and shortness of breath when walking, she made an appointment to see her physician. Her laboratory results are as follows: Total

Question

cholesterol 251 mg/dL HDL cholesterol 47 mg/dL LDL cholesterol 146 mg/dL Triglycerides 203 mg/dL Mrs. Winslow's 24-hour recall reveals the following intake: Breakfast: Scrambled eggs, bacon, toast with butter and jelly Lunch: Hamburger, pizza, salad with Italian dressing Dinner: Fried chicken, mashed potatoes and gravy, buttered corn on the cob, 2% milk, sweet tea, coconut cake Snack: Ice cream, cola Snack: 3 chocolate cookies, 2% milk Based on her 24-hour recall, which dietary recommendation is appropriate for Mrs. Winslow if she is to lower her blood lipids with diet alone?
a. Eat more whole grains, legumes, fruits, and vegetables.
b. Consume less milk and ice cream.
c. Choose foods high in insoluble fibers.
d. Eat fewer carbohydrates and choose more high-protein foods.
e. Continue her current diet as the lab results indicate her high lipids are due to genetic abnormalities.

Answer 1

a