Using the Friedewald equation, what is this patient’s serum…
Using the Friedewald equation, what is this patient’s serum LDL cholesterol level in mg/dL? A 48-year-old female patient is admitted to the hospital following a mild heart attack. You obtain the following information from her medical record and from a brief nutrition assessment: Race: African-American from Southern Louisiana Height: 5 feet 6 inches tall; Weight: 208 pounds Waist circumference: 44 inches; Blood pressure: 155/98 Total cholesterol: 278 mg/dL; HDL cholesterol: 42 mg/dL Triglycerides: 310 mg/dL; Fasting glucose: 123 mg/dL Cigarette smoking: No; Family history of CAD: Yes Activity: sedentary Eating pattern: Cajun and Creole cuisines including favorites such as Hoppin’ John (rice, black-eyed peas and salt pork), jambalaya, gumbo, barbecued pork, pork sausage, deep-fried catfish, bread pudding and pecan pie Based on a 24-hour dietary recall coupled with usual intake recall, you estimate the following daily intake: 2,700 kcalories, 120g fat (40% of kcalories) of which at least 30 to 40 grams are saturated fat, 90g protein (13% of kcalories), 315g carb (47% of kcalories) Estimated daily salt intake: 14 grams Based on conversations with this patient, she does not know about “good fats” and “bad fats” in foods nor is she knowledgeable about food composition. She’s always eaten a typical Southern Louisiana cuisine as have her family and friends. She eats what is familiar and what she enjoys and doesn’t focus on calories, although she isn’t happy with her weight and would like to weigh less.
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