Eiichiro Anan writes:

        Firstly, one problem is that Mr. Tanaka doesn't have time to eat breakfast most mornings, and he needs to intake fast food like hamburgers, cheeseburgers or udon at lunch and dinner,but he relies on vitamin supplements ,hates most vegetables. In thinking about this problem, he must have vegetables in his daily intake. His diet is such that he eats more meat than vegetables, and also most of his nutrition comes from meat, instead of vegetables. It's important to get nutrition from various food. So he has to eat more vegetables. The best way to get the vitamins and minerals he need is by eating a varied, balanced diet, rich in fruits, vegetables, and whole grains. Fruits and vegetables can also be good sources of water and fibers. Water just may be the most important nutrient. In fact, the body is more than half water. We can live without food for several weeks, but you can go less than a week without water. And,fiber has been shown in studies to help reduce the rates of some forms of cancer, namely colon and breast cancer. Certain kinds of fiber have been found to lower levels of cholesterol in the blood. A number of foods are good sources of fiber, including fruits, vegetables, legumes, nuts, and whole grains.

        Secondly, one problem is that he has been feeling lots of pressure at work lately, and most recently he finds it hard to relax even after work, does not like to exercise. Exercising is to keep his health condition,the way of exercising is a various of courses. For example, Walking is one example of exercise. And he should try going shopping, not by car, but walking or by bicycle -- and not only shopping, but also going everywhere by walking or bicycle instead for by car, bus and so on. He should walk or cycle for short and middle distances.

        Thirdly , one problem is that his medical records indicate a few other issues. Both his grandfather and father have diabetes. His mother is current ill with a critical heart condition. Mr Tanaka's LDL level is measured at 172. An LDL cholesterol level of less than 130 is best. An LDL level of 160 or higher means he has an increased risk for heart disease. An HDL cholesterol level of less than 35 puts you at higher risk for heart disease. Too much cholesterol in the blood can make its way to the arteries, where it stays in the form of a thick, fatty substance called plaque. The buildup of plaque narrows the arteries and makes it increasingly difficult for blood to make its way through them. This creates a condition called atherosclerosis.There may be no signs or symptoms of atherosclerosis until a heart attack or stroke occurs. In solving this problem, Cutting out cholesterol is only part of the answer. Saturated fat also affects his cholesterol level; in fact, it's a worse offender. He needs to keep his saturated fat intake under 10 percent of his calories each day, and he is on his way to lower cholesterol levels. He should use the Food Guide Pyramid to help him lower his intake of fat and cholesterol. Besides, the more physical activity he gets, the higher his good (HDL) cholesterol levels and the lower his bad (LDL) cholesterol levels are likely to be. Physical inactivity leads to high LDL cholesterol levels. Apart from the third problem, what's the real difference between carbohydrates and fats? Carbohydrates include all starches and sugars. They are the body's main source of energy. Each gram of carbohydrate provides 4 calories. Most foods contain carbohydrates. And, fats pack a lot of energy. Each gram of fat provides 9 calories. There are three kinds of fat: saturated, monounsaturated, and polyunsaturated. Animal and dairy fats, which remain solid at room temperature, are saturated fats.

        Lastly,I want to show a course of action for Mr Tanaka. For example, eating more fruits and vegetables and more broiled or grilled fish and skinless chicken and less fried meats. Furthermore, dietary fiber may help lower his cholesterol. It may also help prevent heart disease, diabetes and certain types of cancer. He should not eat fried food but eat non fried food such as miso soup and boiled rice for Japanese-style meal, or bread, cereal, pasta,1 slice of bread, 1 ounce of cereal, 1/2 cup of cooked cereal. It's much better to eat these foods with fruits like apples, bananas, oranges or fruit juice, because these include a lot of vitamins. Still more, he should buy a pedometer and write down his walking distance each day in his dietary notes. Walking is the best way to burn his body's fat and lower his blood cholesterol. He should know his calorie consumption each day.

         

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