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Diet in hypertension and atherosclerosis sheet
Essay frame

Plan a diet for a 52-year-old overweight man with hypertension and high LDL cholesterol, and calculate its nutritive value.

How to lay out the answer. Follow the frame, then write it in your own words.

  1. 1 · Aim. To plan, prepare and calculate a DASH-style diet for Mr. H.
  2. 2 · Principles.
    • Energy reduced for weight loss
    • Salt below 5 g (sodium below 2 g); more potassium, calcium, magnesium
    • Saturated fat below 7%, no trans fat, cholesterol below 200 mg
    • Fibre 25-40 g with soluble fibre; no alcohol
  3. 3 · Nutrient prescription. IBW = 63 kg; energy 63 × 25 ≈ 1600 kcal; protein 63 g; saturated fat below 12 g; salt below 5 g; fibre 25-40 g.
  4. 4 · Foods to include and avoid. Choose oats, whole wheat, dals, sprouts, fish, double-toned milk, fruits and vegetables; avoid salt at the table, pickles, papad, bakery items, vanaspati and red meat.
  5. 5 · Sample menu. [Table: Time | Menu | Amount, DASH-style Indian day]
  6. 6 · Calculation. [Table: food group | amount | energy | protein | fibre] Total about 1597 kcal, 65 g protein and 48 g fibre.
  7. 7 · Result. The diet gives about 1597 kcal and 65 g protein, low in salt and saturated fat and high in fibre.
  8. 8 · Preparation tips. Weigh the day's salt, flavour with lemon and herbs, rotate oils, read labels.

Scoring tip: Write the three numbers (salt below 5 g, saturated fat below 7%, cholesterol below 200 mg) with their sources; they are easy marks.