George Morris

George Morris is married with two teenage sons. He works long hours. At weekends he enjoys watching sports programmes on television as he used to swim and play football each week until he was injured in a match. He and his wife both drive cars. They enjoy eating out, or inviting friends to their homes for meals. Diary of a Typical Day 7.00am 7.30 8.00 8.30-10.00 10.30 10.45-1245 12.45-1.30 1.30-3.30 3.30 3.30-6.30 6.30 7.00 8.00 8.30-11.00 11.00 Get up Breakfast Drive to work Work at office Coffee at desk Meeting Lunch with client Meeting Tea at desk Checking accounts Drive home Watch television Evening meal Watch TV Go to bed

A TYPICAL DAY'S MENU Breakfast Scrambled egg on toast Sausage Coffee Orange juice Midmorning Coffee, two digestive biscuits Lunch Cheese and pickle sandwich Bag of crisp 1Pint of beer Mid afternoon Cup of tea Piece of chocolate cake Evening meal Spaghetti Bolognese & parmesan cheese Salad with French dressing Fruit salad Glass of red wine Evening Coffee, two shortbread biscuits British Nutrition Foundation 2004 (Energy and Nutrients 1995)

Nutritional Analysis of George's Diet Total energy and nutrients for the day Energy Fat of which saturated fatty acids monounsaturated fatty acids polyunsaturated fatty acids Carbohydrate of which starch, intrinsic & milk sugars non-milk extrinsic sugars Calcium Vitamin C Fibre Alcohol 11347kJ 151g 51g 47g 38g 222g 168g 54g 960mg 78mg 14.3g 21g

% Energy from Macronutrients and Alcohol

Dietary Reference Values Energy (Estimated Average Requirement for men aged 19-50 years) % energy from total fat of which saturated fatty acids monosaturated fatty acids polyunsaturated fatty acids % from total carbohydrate of which starch, intrinsic and milk sugars non-milk extrinsic sugars % energy from protein % energy from alcohol Average fibre intake 10,600kJ 33 10 12 6 47 37 10 15 5 18g

George Morris 11,347kJ 49 16.6 15.3 12.4 31.0 23.6 7.6 14.3 5.3 14.3

George wanted to know whether his lifestyle and diet were appropriate for someone of his age. His doctor arranged for him to have a health and diet check at his local surgery. As part of the check up, George discussed his diet with the nurse. She used the Dietary Reference Values that were appropriate for men aged 19-50 years as the basis for the discussion. QUESTIONS 1. Was the amount of energy provided by George's meals on this typical day appropriate to meet his needs? 2. Did the percentage of energy provided by fat during the day meet the DRVs for George's age group? 3. What foods might George eat more of to increase the percentage of energy provided by carbohydrate? 4. What factors might place George at possible risk of Coronary Heart Disease? 5. Suggest some reasonable changes which George might make to his activity and eating habits for the benefit of his health. (Explain your answer). British Nutrition Foundation 2004 (Energy and Nutrients 1995)