Question

Mandy is a 10-year-old female with cystic fibrosis who weighs 62 pounds and is 51 inches tall and is considered low active.

1-Calculate Mandy’s estimated energy requirement given her DRI and medical condition using the following information (5 points) EER for Girls 9 through 18 Years EER = 135.3 – (30.8 ´ age [y]) + PA ´ (10.0 ´ weight [kg] + 934 ´ height [m]) + 25 kcal PA = 1.00 if PAL is estimated to be ≥ 1.0 < 1.4 (sedentary) PA = 1.13 if PAL is estimated to be ≥ 1.4 < 1.6 (low active) PA = 1.26 if PAL is estimated to be ≥ 1.6 < 1.9 (active) PA = 1.42 if PAL is estimated to be ≥ 1.9 < 2.5 (very active)

2-Calculate Mandy’s protein requirement given her DRI and medical condition (5 points). EER DRI Table

3-The estimated calorie requirement for an individual with cystic fibrosis is two to four times the usual recommendation. How would one know the appropriate calorie level to recommend initially? (5 points)

4-Research nutrition recommendations for cystic fibrosis that can assist an individual with meeting her high calorie and protein requirements (i.e., use the text and reputable websites). What advice could you provide to a patient? (10 points)

Answer 1

4)Individual living with cystic fibrosis have significant challenges ,including with fat absoption,nutrient intake and appetite.Cystic fidrosis patient need to take wll balanced diet consisting of fat ,protien ,diary,fruits,eggs and vegetables.It is need to increase the quantity of each diet to ensure tht the body is able to adsorb enough nutients.Soluble nutrients ,calcium , calories are the some specific nutrients.Individual with cystic fibrosis require more energy to breathe normally ,fight lung infection and compensate for poor digestion.For these reasons they need more calories.

• Need to take well balanced diet ,which includes protiens , vitamins ,calcium ,fiber and minerals
• Should avoid diet with low fat , no fat.reduced calorie foods.
• Eat more vegetables, diary products, fruits, nuts, fish ,protien contain meats.
• choose the high protien diet or drinks
• regular weight check up.
• educate about the prevention and control from the infection ,that is wash hands frequently, maintain good healthy life style
• Encourage to exercise regulary and drink lots of fluids.
• Need to avoid fast foods
• Make sure to consume and maintain 2500 calories to 3000 calories per day
• Keep atleast 6 feet distance from other people to prevent the infection