Sample Diet Report Sheet

Instructors Criteria for Grading Diet/Disease Report

Students name ____Brown Rice_________________________________________

Disease ___Rickets_________Diet_High Vitamin D_&Calcium_________________

Date ___Jan 14,2012______________ Points Earned__________

1. What is the definition of this disease/disorder and what are common signs and symptoms of this disorder?

Rickets is a disease of children resulting from a Vitamin D and calcium deficiency causing bone to be abnormally shaped and weak. It affects the growing skeleton.

SSx include malformed bones, pain, poorly formed teeth that can cause decay.

Bowed-legs, knocked knees, enlarged head and “pigeon chest” can occur.

2. What is the prescribed diet for this disorder/disease. Be specific with dietary needs related to this condition.

Foods high in Calcium and Vitamin D need to be added to this diet

Daily Vitamin D requirements for newborn through 51 years of age (without evidence of a deficiency) can be obtained by drinking 2 cups of Vitamin-D fortified fat-free milk daily. The human body contains more calcium than any other mineral. Daily requirements vary with age. Ex: 0-6 months need 210 mg, while a child 4-8 years old needs 800 mg.

Vitamin D Sources. Calcium Sources:

Best source is sunlight Milk and milk products

Milk and milk products Dark leafy vegetables

Fish oil

Eggs

Butter or fortified margarine

3. What nutrients will be needed for a balanced diet? (added to or deleted from) Milk and Milk products are the best dietary source of both Vitamin D and calcium.

Although green leafy vegetables are a good sources of calcium, some contain oxalic acid that binds to the calcium in that food preventing the body from absorbing it. Ex: are spinach and Swiss chard . Also if excess fiber (excess of 35 grams/day) is ingested calcium will bind with phytates (phosphorous compounds) in the fiber also preventing the calcium form being absorbed.

A lack of weight bearing exercises also can result in calcium absorption ( ex-walking)

4. Cultural Diversity needs.

Although Rickets is rare in the United States of America, it has been found that 83% of those in the US having it are African American and 96% of those were breast fed. Breast milk has very little Vitamin D.

Rickets does appear to be more prevalent in darker skinned children , as their need for adequate sun exposure is greater than fair skinned children.

Rickets can occur without dietary vitamin D deficiency in children living in equatorial Africa, where they were exposed to sufficient sunlight but not to sufficient dietary calcium.

5. Give a one day sample menu for this disorder/disease.

Breakfast

1 cup low fat vitamin D fortified milk

1 4 ounce container of strawberry yogart

1 piece of cheese toast

Lunch

1 cup low fat vitamin D fortified milk

½ cup of homemade macaroni and cheese

1 cup of cooked broccoli with cheddar cheese sauce

1 cup of collard greens

3 ounces of baked chicken breast

½ cup of ice cream

Snack

Cheese and crackers

1 apple

1 cup low fat vitamin D fortified milk

Supper

1 cup low fat vitamin D fortified milk

1 bowl of cream of potato soup

½ ham and cheese sandwich on wheat bread

Banana for desert