December 14, 2009
Veronica Martinez-Melero
Nutrition Project
Case Study # 4
Evangelina is a 30 year old pregnant female 5’11” tall and normally weighs 200 pounds. Evangelina is 5 months pregnant and is moderately active. She plays softball in the outfield position, her and her team practice for 1 hour a day, 3 days a week.
Evangelina is also going through a divorce and is worried about losing her house. She uses comfort food to ease her anxiety and nervousness. While being preoccupied with her stressful life she forgets to take her prenatal vitamins which are vital for the fetal development.Evangelina just recently found out that she is lactose intolerant and has gestational diabetes. She was given a cholesterol test and found out that her HDL was low and her LDL was very high. She also has a history of breast cancer in her family. Her mother died of breast cancer at a young age.
Nutrition Advice
Since Evangelina is a 30 year old woman and pregnant on her second trimester. Evangelina has a Body Mass Index (BMI) of 28.9 which is considered to be overweight. Her normal weight gain on her second trimester should be 1 pound a week. Her total amount of weight gain throughout her pregnancy should be at 15 – 25 pounds. Excessive weight gain can increase the risk of the fetus and will be large for his or her gestational age, increasing the likelihood of trauma during vaginal delivery and of cesarean birth. The more weight gained during pregnancy, the more difficult it is to return to pre-pregnancy weight gain that can become especially problematic if the woman has more children. Evangelina’s considered to be overweight therefore she must eat with moderation and eating the right kinds of fats is important. Being that she is pregnant she needs to limit saturated fat and avoid trans fats because of their negative impact on cardiovascular health. Poly-and monoun-saturated fats should be chosen whenever possible. Omega-3 polyunsaturated...