M.L. is a 34-year-old male computer programmer with a BMI of 26 who is seeking dietary counseling. His dose of Prilosec was recently increased, and although he now suffers less often from heartburn symptoms, he is also leery of medical side effects and would like any and all suggestions to manage his GERD "naturally." Having had GERD for the past eight years and been on some form of antacid or
antisecretory medication continuously during that time, M.L. knows what foods or factors cause symptoms, and is able to generally avoid them; hence, he has not had reflux esophagitis in over a year. A 24-hour diet history reveals M.L. ate these foods yesterday:
Breakfast: Skipped
Snack: Fresh pear; instant oatmeal made with water, eaten with brown sugar and two non-dairy creamers; skim milk
Lunch: Lean turkey lunch meat on whole-grain bread with lettuce, tomato, and mustard; 100% grape juice diluted with water; snack pack of carrots, no dressing
Snack: Sugar cookies; skim milk
Dinner: Tempura (deep-fried, breaded) salmon; buttered rice; salad with lettuce and tomato; vinegar and oil dressing; water
Snack, at bedtime: Ginger ale and ginger snap cookies
Which of the following is least relevant to advising M.L. on minimizing GERD symptoms?
a. whether he smokes
b. whether he drinks alcohol
c. whether he uses non-steroidal anti-inflammatory medications
d. whether he is physically active
d
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A. Double-blind study B. Retrospective study C. Experimental study D. Single-blind study
What will most likely happen to Monica if she is able to follow the above diet? a. She will maintain her current weight long-term
b. She will not lose any weight. c. She will be able to sustain the diet long-term but not lose any weight initially. d. She will maintain her current weight but be unable to sustain the diet long-term. e. She will briefly lose weight but be unable to sustain the diet long-term.
The best method of achieving a desired energy deficit for many people is by: a. eliminating carbohydrate intake. b. avoiding vitamins A and E. c. restricting fat intake
d. limiting protein intake. e. avoiding alcohol.
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A) triglycerides B) short chain fatty acids C) omega-3 fatty acids D) lecithins