Client: Trisha Knowles Age: 19 years old

Height: 510

= 177.8 cm

Weight: 122 lbs. = 55.388 kgs

Medical History:
struggled with weight in high school
hospitalized in junior year of high school for exhaustion &
dehydration
reported she skipped meals to fit into a dress for a
dance
record shows she is moderately anemic
cholesterol levels normal
average resting heart rate: 64
average resting blood pressure: 88/60
Family History:
no family history of heart disease or diabetes
parents on meds for high blood pressure
mother takes meds to slow bone loss
paternal grandmother died of breast cancer at age
47
maternal grandmother suffers from severe
osteoporosis
Exercise & Diet:
exercises everyday, sometimes twice a day
runs 3-5 miles a day
adds in night workouts, which include
lifting weights or aerobics class
always walks to class & takes the stairs
vegetarian
eats 5 servings of veggies a day
avoids sugar
eliminated almost all carbohydrates from
diet
eats beans, egg whites, tofu, & fish for
protein
drinks 8-10 glasses of water a day
no soda or coffee, but drinks
1-2 sugar-free energy drinks a day
SOMETIMES SKIPS MEALS
does not eat junk food

Average calories consumed per day

1601

Average fat consumed per day

42g

Average saturated fat consumed

per day

25g

Average carbohydrates consumed

per day

65g

Average protein consumed per day

55g

Average sodium consumed per day

1480 mg

BMI:

(55.388) / (177.8cm)^2 = 17.520728919 = 17.5

BMR:
655.1 + (9.5663 x 55.388 kg) + (1.85 x 177.8 cm) (4.676 x 19 years) =
655.1 + 529.8582244 + 328.93 - 88.844 =
1184.958224 + 328.93 - 88.844 =
1513.888224 - 88.844 =
1425.044225 = 1,425
Calorie deficit & surplus

Calories consumed a day: 1601

Calories expended a day: 1107
Deficit of 852 calories
1601 (calorie intake per day) 2453 (calories expended per day)

= -852 (a loss of 852 calories per day) 30 days per month =

25,560.
This means she loses 25,560 calories per month
Overall Assessment:

 If she keeps this up she will lose a lot of weight and damage her
health, because this shows that she is not getting the adequate
amount of energy per day to keep her body running at full capacity.
Eggplant. Her immune system will be compromised because it does
not have the energy to properly fight off dangerous infections
Is the client getting enough of each of the designated food
groups?
No, she is not getting any proteins and she rarely
consumes carbohydrates, which is an important source of energy
for those who work out intensely like Trisha
How does consumption of fats, carbohydrates, proteins and
sodium compare to recommended values?
She is severely low on all of the intakes, especially
carbohydrates, with an almost 120% deficit on her minimum
requirements for carbohydrates. The rest are very low due to her
high activity and busy lifestyle

Our recommendation is that Trisha take in more carbohydrates in order to

increase the amount of calories to reduce the deficit. These would also help
her to gain more energy to equal out her busy lifestyle. Trisha also needs to
up her intake of dairy because her grandmother has osteoporosis and her
mother is currently taking medication to slow bone loss. She has a possibility
of having high blood pressure because her parents have it. It is okay that she
exercise, but she needs to make sure to balance out here food and maintain
a healthy life.

How Can She Improve:

Eat more carbohydrates, such as bread, pasta, etc.
Drink energy drinks that contain sugar, rather than sugar
free
V8 is a good choice

 Eat cashews, almonds, and walnuts for protein and for a

nice healthy snack throughout the day
drink milk, eat cheese and yogurt for calcium
eat fruits like oranges, bananas, limes, peaches, and
more for a boost of energy
Recipes:

Original recipe makes 6 cups

Change Servings

1/2 pound rotelle pasta

4 green onions, chopped
1 cup chopped green bell pepper
1 jalapeno pepper, seeded and minced
2 tomatoes, chopped
1 cucumber
1/4 cup olive oil
1/4 teaspoon salt
1 clove garlic, crushed
1/4 cup fresh lime juice
1/4 teaspoon ground black pepper
6 fluid ounces tomato juice

Brown Rice and Lentil Casserole

3 cups chicken broth or 3 cups vegetable broth

34 cup lentils
12 cup brown rice
34 cup chopped onion
1 teaspoon italian seasoning
14 teaspoon garlic powder
1 cup grated cheese

Banana berry oatmeal

Oatmeal (old fashioned or steel cut)

Bananas
Blueberries
nuts

Ingredients:
1 Serving Healthy Grocery Girl Plant Protein
1 Medium Banana
1/4 Cup Quick Cooking Oats
1/2 Teaspoon Cinnamon

1/2 Teaspoon Pure Vanilla Extract

1 Cup Almond Milk

Tofu Tacos

12 ounces firm tofu, drained and cut into 8 slices

4 cups shredded coleslaw mix
1 small bunch radishes, thinly sliced
1/2 cup chopped fresh cilantro
1 bunch scallions, sliced
1 1/2 tablespoons extra-virgin olive oil
2 limes (1 zested and juiced, 1 cut into wedges)
1/4 cup nonfat plain Greek yogurt
Kosher salt and freshly ground pepper
1 tablespoon taco seasoning
8 8 -inch whole-wheat tortillas
1/4 cup shredded part-skim mozzarella or pepper jack cheese
1/4 cup jarred salsa verde