Activity 3.2.

5: PLTW Nutrition Client Report for

Trisha Knowles
Client Name: Trisha Knowles

Health History (including any specific health goals):

Trisha Knowles is a 19-year-old sophomore majoring in biology. Trisha exercises
regularly, sometimes twice a day. She has been a vegetarian for just under a year and
she recently eliminated almost all carbohydrates from her diet. Trisha does eat dairy
and occasionally, she eats seafood. She packs small meals to take with her to campus
as she refuses to eat in the cafeteria.

The patient has no family history of heart disease or diabetes, however both her parents
are on medication for high blood pressure. Her paternal grandmother died of breast
cancer at age 47. Her maternal grandmother suffers from severe osteoporosis and her
mother is taking prescription medications to slow bone loss.

Trisha was hospitalized briefly in her junior year of high school for exhaustion and
dehydration. Hospital records note that she reported skipping meals to fit into a dress
for a dance.

Recent lab work shows that Trisha is moderately anemic. Her cholesterol levels are
normal. Her average resting heart rate is 64 and her average resting blood pressure is
88/60.

Trisha feels sluggish and wants an assessment of her current health. She struggled with
her weight in high school and reports that while she does not want to slip back into bad
habits, she does want to maintain a slim figure.

Height: _______5 10________ Weight: _______122lbs___________

BMI:
Calculate Trishas BMI based on her height and weight and describe the
implications of this number.

Trishas BMI is 17.5, which is much lower than needed. This is borderline unhealthy.

Activity Level: BMR and TDEE (Output):

Trisha reports running 3-5 miles every morning at a moderate pace. Occasionally, she
adds in a night workout, either lifting light weights or taking an aerobics class. She
always walks to class and she always takes the stairs.

2014 Project Lead The Way, Inc.

Human Body Systems Activity 3.2.5 Student Resource Sheet: Trisha Knowles Page 1
 Compute Trishas BMR.

Trishas BMR is 1425.4

Discuss the activity factor used in the Harris-Benedict Equation and calculate
TDEE.
The activity factor reasons how many calories Trisha uses per day. Trisha uses
2458.815 calories a day.

Food Intake (Input):

Trisha completed a food diary for one week. Analysis of her food choices revealed the
following results:

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 1480mg

Trisha reports eating 5 servings of vegetables per day. She does not eat fruit as she
avoids the sugar. Trisha eats no rice, pasta, or bread products. Occasionally she has a
piece of whole grain toast before she goes running. She eats beans, egg whites, tofu,
and fish for protein. She reports drinking 8-10 glasses of water a day. She does not
drink soda or coffee, but she does drink 1-2 sugar-free energy drinks per day. She
sometimes skips meals if she forgets to pack food to take to campus.

Trisha does not eat fast food and only orders salad (with the dressing on the side) when
she eats out.

Calorie Deficit or Surplus (Compare Inputs and Outputs):

Compare calories consumed versus calories expended.

Trisha uses 2458.815 calories; however, she only eats 1601 calories a day. This
means she burns 857.815 calories a day.

Describe what will happen to Trishas weight over the next month if she continues
the same eating patterns. Show your work.

It takes 3500 calories to lose a pound, and 3500/857.815 is 4. Therefore, Trisha would
lose a pound every four days, resulting in losing 7.5 pounds a month.

Overall Assessment:
Discuss overall implications of BMI and any energy imbalance on overall health.

2014 Project Lead The Way, Inc.

Human Body Systems Activity 3.2.5 Student Resource Sheet: Trisha Knowles Page 2
 Energy imbalance leads to a lack in energy. Trisha often feels sluggish because
she doesnt have the energy needed for all of her daily activities. Her BMI shows
that she doesnt have the body fat necessary for her daily life.

Analyze food choices

o Is the client getting enough of each of the designated food groups?

Trisha isnt getting enough fats, sugars, or carbs, which could give her more
energy to be able to do the things she wants. She also should invest in more
calcium due to her familys history.

o How does consumption of fats, carbohydrates, proteins and sodium

compare to recommended values?

Trisha isnt taking in enough of these food groups. She is taking in 42 g of fat, when its
recommended that she taken in 44-78. She is also taking in 65g of carbs, when she
should be taking in 225-325g. Her protein levels are normal, but her sodium levels are
low.

Propose ways to bring the energy input and output in line with Trishas health
goals. Describe final recommendations to improve Trishas overall health and
help her regain energy and strength. How should Trisha alter her eating habits
and her activity? Link your recommendations to her personal health history and
her family history.
Trisha shouldnt worry so much about her weight. While she is eating healthy foods, she
isnt eating enough of them which results in her feeling sluggish and may cause more
problems in the future. She is moderately anemic, which requires her to eat more often
than she is. She should eat the amount of calories necessary to complete all of her daily
activities, or at least the recommended levels, or else she may end up in the hospital for
exhaustion and dehydration once more. She should intake more sodium, but not a lot,
since her parents are on medication for high blood pressure. Her activity is slightly high,
but fine as long as she is eating the calories to accommodate for it. Finally, she should
eat more dairy, for the intake of calcium, due to her familys history of weak bones.

2014 Project Lead The Way, Inc.

Human Body Systems Activity 3.2.5 Student Resource Sheet: Trisha Knowles Page 3