Masakazu Miyamoto writes:

        Hiroshi Tanaka is a 29-year-old computer specialist. He says that he is "health-conscious", but his life is actually not. What is the worst problem is that he is not aware of the fact. One of the clinically relevant problems is that he doesn't eat breakfast almost everyday because he is busy with his work. Our brains cannot use any kinds of stored nutrition but glucose. In the mornings our bodies lack glucose after a long time passes from last dinner. So if we don't eat breakfast, our brains cannot work fully. And if we skip eating one of the regular meals, our bodies will try to store more fat as one way to prevent starvation.

        A second problem is that he intakes fast foods like hamburgers, cheeseburgers or udon at lunch and dinner. These foods contain lots of fat and cholesterol. Fats are an important part of total nutrition, because they are the most concentrated forms of total energy. But fats tend to raise the cholesterol level in the blood. Our bodies need cholesterol. It is necessary to the cells, and helps the body make hormones. But if we don't eat cholesterol at all, our livers would make enough cholesterol instead. 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 make it increasingly difficult for blood to make its way through, so it is a risk factor for heart attack or stroke.

        The third problem is that he relies on vitamin supplements. And he takes the supplements with four or five cups of coffee in the morning and colas in the afternoon. Vitamins help the body turn food into energy and tissues. There are 13 kinds of vitamin, but vitamin supplements not necessarily contains all kinds of vitamin or enough amounts of them. So man can lack some kinds of these vitamins. He also intakes extra amount of caffeine. Caffeine is a drug that stimulates the central nervous system, making you feel more energetic. It increases the blood flow, too. The average cup of coffee offers about 100 milligrams of caffeine, and most caffeinated cola drinks even less. Although there is not much evidence that caffeine causes any major long-term effects on health, it is a good idea too keep his average intake below three cups of coffee a day. He can get independent of caffeine.

        The fourth problem is that he really hates most vegetables. Vegetables are good sources of vitamins and fibers. There are two kinds of fiber; soluble and insoluble fibers. These two kinds of fiber have different roles. Insoluble fiber is the indigestible part of food, such as the bran in grains, the pulp of fruits, and skin of vegetables. Insoluble fiber helps food move and digestive by-products through the large intestine and out of the body. The faster that food and by-products travel through the digestive tract, the less time there is for potential cancer-causing substances to work. On the other hand, soluble fibers can be partially digested by the body. Only soluble fibers appear to have the ability to lower cholesterol levels in the blood. Soluble fibers can be found in a wide variety of foods, including apples, oats, guar gum, dried beans, and green vegetables. He think he can get enough fibers from eating udon and rice, from the viewpoint it is obvious that his idea is wrong, because they use only the carbohydrate part of grains for rice or udon.

        The fifth problem is that he has feeling lots of pressure at work, and that recently he cannot relax even after work. Stress gives him bad influences both mentally and physically. Next problem is that he doesn't like exercise, and that he exercises for only about a half an hour per week. Some daily exercise makes our bodies function and thus metabolism increases and cholesterol is reduced. And some good exercise has a good effect on stress. He thinks that exercise only helps put weight off. But exercise has many other effects. According to his medical records we can find our a few other problems. Both his grandfather and father have diabetes. So he has high risk for diabetes. His mother is currently ill with a critical heart condition. Therefore he has to watch out for heart diseases, too. His LDL level is 172. High levels of LDL in the bloodstream are associated with an increased risk of heart disease. He thinks LDL levels are only in concern with sweets. But in fact LDL levels are connected with fatty and cholesterol-rich foods. To lower his high LDL, he should do much more exercise, and also change his diet to fat-less or fat-free foods. He has to resolve the first six behavior problems above.

        Proteins are important as the body's building materials, and muscle, skin bone and hair are made up largely of proteins. In addition, every cell contains proteins called enzymes, which speed up chemical reactions in the body. For example, meat poultry, fish, dairy products, eggs, cereals, legumes, and nuts are known as good sources of protein. Minerals are needed for growth and maintenance of body structure. They also help to maintain digestive juices and the fluids found in the cells. Neither plants nor animals make minerals. We get minerals by eating plants or plant-eating animals. Both carbohydrates and fats are good sources of energy. The difference between the two is that carbohydrates are used in a short time but fats are stored. And our brains can use only carbohydrates, not fats. Fat can be converted into cholesterol. He thinks that it is good of him to eat red meat, which contain lots of protein. But red meat has a lot of cholesterol and fat, too. So eating too much red meat is not good for health. I'll give him some advice as below; First, he should take breakfast everyday. The RDA (Recommended Daily Amounts) of iron for man of his age is 10 milligrams everyday; one can get it by eating 3 ounce of oysters. He should also have vegetables in order to get 25 to 30 grams of fibers. Pinto beans, artichoke, etc. have lots of fibers. He should take his vitamins through not supplements but fruits or something. He should do exercise everyday, if only a little. He should NOT eat fast foods or fatty foods, for the purpose of lowering his LDL level.

         

        | Click the BACK button to return to the student index.|

        | Or Click HERE to return to the case study.|