A 48 year old truck driver with a family history of heart disease (his father had a heart attack at the age of 50) whose recent blood tests reveal high blood LDL cholesterol and low HDL cholesterol. The truck driver also has high blood pressure and is very inactive, he spends most of his time in his truck sitting. He also eats most of his meals on the road at fast food restaurants or diners. His doctor recommends that he meets with a registered dietitian to make changes in his diet.

Below is a sample of his diet:

Breakfast: McDonalds Steak, Egg and Cheese Bagel (600 calories, 33 grams of fat) Hashbrowns (150 calories, 10 grams of fat), McCage Latte (170 calories, 9 grams fat)

Lunch: 20 ounce of Coke (240 Calories, 0 grams of fat)

Dinner:Chicken fried steak meal (steak breaded and fried, topped with country gravy and served with mashed potatoes and biscuit) (1500 calories, 75 grams of fat)

1. Calculate the total calories ________________ and total grams of fat __________________________ in his daily diet.

2a. Calculate total calories from fat.

(Hint: Total fat grams X 9 calories/g = total fat calories)

2b. Calculate percent of calories from fat. (Hint: Calories from fat/total calories X 100 = % calories from fat) Is this individual eating a low amount of fat or high amount of fat? Explain answer

3. If his only choice today for lunch is Chipotle. What are some healthier choices he could make (list 3 food options) for dinner. List the fat grams and calories in the choices you list. https://www.chipotle.com/nutrition-calculator

4. What diet changes would be the most helpful in lowering his risk of cardiovascular disease? List 2

5. In your own words describe HDL and LDL function in the body.