Robert Reid, a 48-year-old African-American computer programmer, is 5 feet 9 inches tall and weighs 240 pounds. He sits for long hours at work and is too tired to exercise when he gets home at night. His meals usually include fatty meat, eggs, and cheese, and he likes dairy desserts such as pudding and ice cream. He has a family history of CHD and hypertension. His recent laboratory tests show that his blood pressure is 160/100 mm Hg, and his LDL and HDL levels are 160 mg/dL and 35 mg/dL, respectively. He smokes a pack of cigarettes each day and usually has two glasses of wine at both lunch and dinner.
– Identify Mr. Reid’s major risk factors for CHD and hypertension. Which can be modified? What complications might occur if he delays treatment for his blood lipids and blood pressure?
-What dietary changes would you recommend that could help to improve Mr. Reid’s blood pressure and his LDL cholesterol level? Explain the rationale for each dietary change. Prepare a day’s menu for Mr. Reid using the DASH Eating Plan as an outline for your choices.
-What other laboratory tests or measurements would you need to better assess Mr. Reid’s condition? Why?
-Describe several benefits that Mr. Reid might obtain from a program that includes weight reduction and regular physical activity. Explain why the use of alcohol can be both a protective and a damaging lifestyle habit.
-Assuming that Mr. Reid does not make any changes in his diet and lifestyle and suffers a heart attack, identify the elements of a cardiac rehabilitation program that would be critical for his long-term survival.