Shouichi Kuramitsu writes:

        Mr. Tanaka is a 29-year-old computer specialist. He says he is 'health-conscious' and reads many difficult magazines and Internet sites to stay current with the latest information about staying trim, energetic and healthy. However, he is very busy with his business and he's finding it difficult to follow all the recent information on good eating and healthy lifestyle patterns. Because of that, there are many problems with his knowledge of nutrients and his health.

        First, he is very confused about what would be the recommended daily amount (RDA) of vitamins and minerals for a man his age. RDA of vitamins and minerals for a man his age is that vitamin C is 50mg ; vitamin A is 1800--2000IU ; vitamin D is 100IU ; magnesium is 300mg ; calcium is 600mg; iron is 10--12mg, and so on. Also, he is confused about difficult information he has been reading about protein and minerals. For example, he dose'nt know what is the real difference between carbohydrates and fats. The true that both are the body's primary energy sources, but they are different macronutrients. 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. The main sugar in food is sucrose, which is everyday white or brown sugar. Other sugars include lactose (found in milk) and fructose (found in most fruits and many vegetables). Starches are a more complex form of carbohydrate. They are more filling and contain more nutrients than foods with lots of sugars, fats, or oils. Foods containing starches include beans, breads, cereals, pasta, and potatoes. On the other hand, 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. Saturated fat is often called "bad" fat. Unsaturated fats include vegetable fat and oils; they remain liquid at room temperature. He should know this difference.

        Second, there are some issues that may be clinically relevant. Since he is busy six and sometimes seven days a week, he doesn't have time to eat breakfast most mornings, and he can't help taking fast food like humburgers, cheeseburgers, or udon at lunch and dinner. This is bad for his health. If possible, he should eat breakfast and stop fast foods. To make up for his lack of nutrients, he relies on vitamin supplements in the morning and colas in the afternoon. So, he think he gets good nutrients from vitamin supplements he takes and he can eat a lot of meat like beef and pork mostly. But there are some wrong with his way of thinking . Because only vitamin supplements aren't enough, he should eat more vegetables and reduce the amount of meat. It is important to eat a balanced diet. AIso he knows he should be eating foods that are rich in fiber, nevertheless he think he gets his fiber from eating udon and rice. But it is not enough. Foods including fiber are fruits, vegetables, legumes, nuts,and whole grains. A good daily dose of fiber is 25 to 30 grams. Fiber has been shown in studies to help reduce the rates of some forms of cancer, namely colon and breast cancer. There are two kind fo fiber : soluble and insoluble, especially only soluble fiber appears to have the ability to lower cholesterol levels in the blood.

        Third, he has been feeling lots of pressure at work lately and he finds it hard to relax even after work. If continues as he is, it is bad for his health. So he should find some hobbies to relax like reading, TV game. Also, since he is so busy, he exercise for only about a half an hour once a week. Though he thinks a young man needs to exercise to his weight down--that's the only reason he dose it, and feels this is enough to keep him from becoming fat, it is wrong. Current studies are showing that exercise may increase good cholesterol levels (HDL ) in some individuals. He should do more exercises to arise his HDL level.

        Fourth, his medical records indicate a few other issues. He has a risk of diabetes and heart disease because his grand father and father have diabetes, and his mother is currently ill with a critical heart condition, in addition, his LDL levels is measured at 172. An LDL level of 160 or higher means you have an increase risk for heart disease. So, he should reduce his LDL level. For that, he should eat a lot of foods including rich fibers like vegetables and fruits. Also, he may need to have his cholesterol checked often. Mr. Tanaka should improve his diet and lifestyle. In the point of diet, he should eat foods including rich fibers such as fruits, vegetables and low cholesterol. Especially, he should stop fast foods because they include high cholesterol.

        On the point of lifestyle, he should do more exercise to raise his HDL level. For example, when he goes to work, he increases the time to walk. He needs to have a chance to exercise like this. Also, because he tends to feel stress, he should find his way to relax. Though it may be difficult for him to improve that suddenly, he should try to make small change for himself.

         

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