Brian is a 21 year-old college student who weighs 170 pounds and is 5 feet 10 inches tall

Brian is a 21 year-old college student who weighs 170 pounds and is 5 feet 10 inches tall. He lives with several roommates in a house near his campus. Brian leads a moderately active lifestyle by playing basketball and occasionally lifting weights at the campus gym. He enjoys eating pizza or burgers and drinking beers with his friends. However, Brian thinks that the pizza and burgers are not healthy foods, so occasionally he changes dietary gears. For a day or two Brian nearly fasts. However, on these fasting days, he still allows himself to drink beer, and once a day he has a small bowl of cooked carrots and peas.

Generally Brian hasn’t been feeling his best: he has trouble sleeping, especially when he does his “fast,” and notices his gums bleed after brushing his teeth. To figure out what is causing these symptoms he looks at his food intake on a particular, and typical, Saturday. It is as follows:

Breakfast:	Two frosted strawberry Pop Tarts
	Super 20 ounce Gatorade

Lunch:	Big Mac
	Supreme Super Size fries
	Super size Coke
	Apple pie

Afternoon snack:

Two cans Bud Light beer

Dinner:	Three slices of Pizza Hut Supreme pan pizza
	Eight cans Bud Light beer

Snack:

One slice Pizza Hut Supreme pan pizza

Here is an analysis of his diet:

Nutrient	Amount	%RDA
Calories	4446	153
Protein	114 g	197
Dietary Fiber	18.9 g	—
Vitamin A	424 RE	42
Thiamin – B1	3.18 mg	212
Riboflavin – B2	3.29 mg	194
Niacin – B3	45 mg	237
Vitamin B6	2.41 mg	185
Vitamin B12	5.2 mcg	260
Folacin	472 mcg	118
Vitamin C	51.5 mg	86
Vitamin D	1.06 mcg	11
Vitamin E	21 mg	210
Calcium	1600 mg	133
Iron	24.8 mg	248
Magnesium	361 mg	103
Phosphorus	1670 mg	139
Zinc	9.5 mg	86
Alcohol	113 g	—

Calorie Breakdown %kcal

Protein	10
Carbohydrate	45
Fat	27
Alcohol	18

Assignment: Answer each of the following questions in the text box provided at the end of the lesson. Please number each of the questions.

1. Which water-soluble vitamins does Brian have too much or too little of?
2. Would you recommend that Brian take supplements for the vitamins he lacks in his diet? Why or why not?
3. Why does Brian have trouble sleeping, especially when he restricts his diet?
4. What can he do to stop his gums from bleeding so easily?
5. How might Brian’s alcohol intake be affecting his nutrition status?

Explanation & Answer

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