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In: Nursing

Use critical thinking and apply the information you learned in chapter 16. Answer all the questions...


Use critical thinking and apply the information you learned in chapter 16.
Answer all the questions completely.
Write a well written paragraph to answer each question.
Your instructor is looking for 3-4 key points in your responses that relate to this week’s readings.
Reference your information using the APA citation format.
You will not be able to see what other learners have posted until you post your initial response.
Participation in weekly discussion is worth a significant part of your final grade and this forum presents you with an opportunity to develop a life-long skill of written communication. Please review the grading rubric attached to this assignment so you know what is expected. Please see course calendar for specific due dates.

Weight Gain: College Football Player

JJ is a 22-year-old male college Division I football quarterback competing for the team’s number one slot for starting quarterback this upcoming season. JJ is 6’ 2” in height and weighed 197 pounds (lbs) at the end of the football season. For spring ball JJ weight trains 5 days a week for 1 ½ hours each session and plays pick-up basketball most days of the week for about an hour.

Reason for Nutrition Consult

JJ wants to increase his muscle mass to improve his power. He has been trying to gain weight throughout spring ball and would like to weigh around 210 pounds (lbs) by August when pre-season starts. JJ complains that he has trouble putting on weight.

Current Dietary Patterns

JJ has always eaten 3 meals a day, but since he has been trying to gain weight, he has started to add protein shakes after weight training and before going to bed at night. He eats his lunch out every day, usually a burrito or sub sandwich. JJ avoid soda but drinks lemonade with meals and water before and after practice. Sometimes after football practice and before a game of pick-up basketball, JJ will grab a sport bar, but his main energy intake comes at dinnertime. On the drive home, he typically stops and gets a medium pizza with sausage/mushrooms and lemonade. JJ's nutritional analysis revealed the following results: Total Calories: 4,738, Carb: 552 grams, Protein: 270 grams, and Fat: 149 grams.

Is it appropriate for JJ to be trying to gain weight at this time?
Use the EER equation from week 10 to calculate JJ's caloric needs. Show calculations.
What is JJ’s percent calories from carbohydrate, protein and fat? Is he within the recommended guidelines? Is he consuming the correct amount of carbohydrate and protein per gram of body weight? Explain.
After calculating JJ’s nutritional needs and assessing his intake, what recommendations do you have for JJ to help him meet his weight gain goal? Think critically here and be specific in your recommendations.
Suggest at least 3-4 specific alternative eating choices (meal or snack ideas) as it relates to the case study prompt.

Solutions

Expert Solution

1) Answer :No

It is not appropriate to get weight gain at this time because Mr.J maintaining imbalanced diet in their daily schedule.

2) Estimated Energy Requirement (EER):

He is 19 years old or older male:

  • 1pound=0.454 kg
  • 1feet =0.305 m
  • 1inch=0.0254 m

Given data:

  • Weight 197 pounds=197*0.454=89.43kg
  • Height 6feet=6*0.305=1.83m; 2inches=2*0.0254=1.88m

EER: 661.8-9.53* Age(years)+PAL*(15* weight(kg)+701.6*height(m)

Where,PAL is Physical Activity Level

  • If Sedentary PAL =1
  • If low PAL=1.18
  • If active PAL=1.35
  • If very active PAL=1.60

By applying above value in the equation:

EER=661.8-9.53*22+1.25*(15.91*89.43)+539.6*1.88

      =661.8-209.6+1.25(1422.9)+1014.8

      = 452.14+1778.6+1014.8

      =3245.54 Calories

3)Total Calories per day=4738

a)Carbohydrate intake per day=552gm

Percentage of calories from carbohydrates=552/4738*100=11.65%.

b)Protein per day=270 gm

Percenatge of Calories from proteins=270/4738*100=5.69%.

c)Fat intake per day=149 gm

Percentage of calories from fat=149/4738*100=3.14%

Recommended guidelines:

An adults total daily calories comes from

  • Carbohydrates=45-65%
  • Proteins=10-30%
  • Fat=20-35%     

Based on considering above values Mr.JJ not following recommended guidelines.

4) For weight gain eat more calories than your body burn.

Aim to eat of 700-1000 calories to gain weight

5) Alternate eating choice includes Fish, eggs, meat, beans, groundnut, dry fruits etc.                                        


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