Norihiro Shinkawa writes:

        Mr.Tanaka says he is "health-conscious", but his lifestyle and medical records are unhealthy. He has many risk factors for coronary heart disease.

        First, I'll think about his lifestyle. He doesn't have time to eat breakfast most morning because he is busy. When we don't eat breakfast, blood sugar level is low and brain doesn't work rightly. He often eats fast foods at lunch and dinner. Fast foods are convenient but they contain food additive. I think his worst eating habit is his confusion by many information. For example, he says "I should be eating foods that are rich in fiber like most Japanese, I get my fiber from udon and rice". He relies on vitamin supplements which he takes with four or five of cups of coffee in the morning and colas in the afternoon. This is overconsumption of caffeine. And, in taking vitamins this way, some vitamins may be broken before they absorbed in the stomach. Japanese foods are rich in fiber but rice and udon are not enough. Intaking vitamin from just supplements with coffee and cola is wrong. We should intake fiber and vitamin from vegetables, fruits, milk and so on.

        A second problem is in his medical records. Both his grandfather and father have diabetes. His mother is currently ill with a critical heart condition. To Think genetically, may have diabetes. Diabetes and family history of heart disease may be risk factors for coronary heart disease. His high blood cholesterol and being a male are also risk factors for coronary heart disease.

        He doesn't eat sweet foods -- this is good but he should do more exercise. I have to advise him. At lunch and dinner, he may be busy and relies on fast foods. So he should eat breakfast which contains carbohydrates like rice or bread, vitamin in vegetables or fruits, protein in eggs or milk. And broiled or grilled fish and skinless chicken and less fried meats. Eating broiled or grilled meats helps lower cholesterol levels. I think he has to pay attention to his intake of fats, because he often eat fast foods and he lacks exercise.

        He asks " What's the real difference between carbohydrates and fats?" Both carbohydrates and fats are source of energy, carbohydrates are contained in rice, bread etc, fats are contained in animal oil, vegetable oil etc. Carbohydrates are used as energy after eating right away. Too much energies for a body will be changed for fats and saved in the body. Each gram of carbohydrate provides 4 calories. Fats are saved in the body and used when we exercise hard or when we are very hungry. Each gram of fats provides 9 calories. He is very confused about what be the recommended daily amounts(RDA) of vitamins and minerals for a man his age. Fruits are rich sources of vitamins for example one orange, 1/2 cup of chopped fruit and a cup of fruit juice. Minerals like calcium are contained in milk products. Other foods which contain vitamins, are eggs ( vitamin A,B-2,B-6,), fish oil (vitamin D), grains (vitamin B-1). We should eat one cup of yogurt and one ounces of cheese. We eat them and small amount of others a day.

        Mr. Tanaka does not like to exercise. He exercises for only about a half an hour once a week and yet he feels this is enough to keep him from becoming fat. He should more exercise because keeping his weight down results in reducing his LDL. For example, he will go to the office by bicycle. He surprised by his LDL level since he doesn't eat sweet foods since he believes only sweet foods affect LDL level. But blood cholesterol levels are influenced by family history, weight age, smoking, physical activity and eating habits. So eating a well-balanced nutritional breakfast, not relying on fast foods, and doing more exercise may lower his LDL. And he feels pressure at work. He also can't relax even after work. He should find a hobby that helps him to relax.

         

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

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