Betsy Winslow is a 62-year-old retired school teacher. She is 5'3" tall and weighs 155 pounds. 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 cholesterol: 251

Question

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, 2% milk
• Lunch: Hamburger pizza, salad with Italian dressing, Coke
• Snack: 3 chocolate cookies, 2% milk
• Dinner: Fried chicken, mashed potatoes and gravy, buttered corn on the cob, sweet tea, coconut cake
• Snack: Ice cream
Based on her 24-hour recall, which of the following dietary recommendations 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. Drink less milk and eat less ice cream.
c. Choose foods high in insoluble fibers.
d. Eat fewer carbohydrates and choose more high-protein foods.

Answer 1

a