nutrition case study pdf

Submit Member Login

Access provided by

Login to your account

If you don't remember your password, you can reset it by entering your email address and clicking the Reset Password button. You will then receive an email that contains a secure link for resetting your password

If the address matches a valid account an email will be sent to __email__ with instructions for resetting your password

Download started.

Academic & Personal: 24 hour online access
Corporate R&D Professionals: 24 hour online access
Add To Online Library Powered By Mendeley
Add To My Reading List
Export Citation
Create Citation Alert

Medical Nutrition Therapy: A Case Based Approach

Kathryn M. Kolasa, PhD, RDN, LDN Kathryn M. Kolasa Affiliations Brody School of Medicine at East Carolina University, 3080 Dartmouth Dr, Greenville, NC 27858 Search for articles by this author

Purchase one-time access:

Sneb member login, article info, publication history.

Inclusion of any material in this section does not imply endorsement by the Society for Nutrition Education and Behavior. Evaluative comments contained in the reviews reflect the views of the authors. Review abstracts are either prepared by the reviewer or extracted from the product literature. Prices quoted are those provided by the publishers at the time materials were submitted. They may not be current when the review is published. Reviewers receive a complimentary copy of the resource as part of the review process.

Identification

DOI: https://doi.org/10.1016/j.jneb.2022.02.003

ScienceDirect

Internet Archive Audio

This Just In
Grateful Dead
Old Time Radio
78 RPMs and Cylinder Recordings
Audio Books & Poetry
Computers, Technology and Science
Music, Arts & Culture
News & Public Affairs
Spirituality & Religion
Radio News Archive

Flickr Commons
Occupy Wall Street Flickr
NASA Images
Solar System Collection
Ames Research Center

All Software
Old School Emulation
MS-DOS Games
Historical Software
Classic PC Games
Software Library
Kodi Archive and Support File
Vintage Software
CD-ROM Software
CD-ROM Software Library
Software Sites
Tucows Software Library
Shareware CD-ROMs
Software Capsules Compilation
CD-ROM Images
ZX Spectrum
DOOM Level CD

Smithsonian Libraries
FEDLINK (US)
Lincoln Collection
American Libraries
Canadian Libraries
Universal Library
Project Gutenberg
Children's Library
Biodiversity Heritage Library
Books by Language
Additional Collections

Prelinger Archives
Democracy Now!
Occupy Wall Street
TV NSA Clip Library
Animation & Cartoons
Arts & Music
Computers & Technology
Cultural & Academic Films
Ephemeral Films
Sports Videos
Videogame Videos
Youth Media

Search the history of over 866 billion web pages on the Internet.

Mobile Apps

Wayback Machine (iOS)
Wayback Machine (Android)

Browser Extensions

Archive-it subscription.

Explore the Collections
Build Collections

Save Page Now

Capture a web page as it appears now for use as a trusted citation in the future.

Please enter a valid web address

Donate Donate icon An illustration of a heart shape

Medical nutrition therapy : a case study approach

Bookreader item preview, share or embed this item, flag this item for.

Graphic Violence
Explicit Sexual Content
Hate Speech
Misinformation/Disinformation
Marketing/Phishing/Advertising
Misleading/Inaccurate/Missing Metadata

plus-circle Add Review comment Reviews

139 Previews

2 Favorites

Better World Books

DOWNLOAD OPTIONS

No suitable files to display here.

EPUB and PDF access not available for this item.

IN COLLECTIONS

Uploaded by station01.cebu on February 27, 2020

Applied Sports Nutrition Support, Dietary Intake and Body Composition Changes of a Female Athlete Completing 26 Marathons in 26 Days: A Case Study

The aim of this case study is to describe the nutrition practices of a female recreational runner (VO 2 max 48.9 ml · kg -1 · min -1 ) who completed 26 marathons (42.195 km) in 26 consecutive days. Information relating to the nutritional intake of female runners during multi-day endurance events is extremely limited, yet the number of people participating year-on-year continues to increase. This case study reports the nutrition intervention, dietary intake, body composition changes and performance in the lead-up and during the 26 days. Prior to undertaking the 26 marathon challenge, three consultations were held between the athlete and a sports nutrition advisor; planning and tailoring the general diet and race-specific strategies to the endurance challenge. During the marathons, the mean energy and fluid intake was 1039.7 ± 207.9 kcal (607.1 – 1453.2) and 2.39 ± 0.35 L (1.98 – 3.19). Mean hourly carbohydrate intake was 38.9 g·hr -1 . 11 days following the completion of the 26 marathons, body mass had reduced by 4.6 kg and lean body mass increasing by 0.53 kg when compared with 20 days prior. This case study highlights the importance of providing general and event-specific nutrition education when training for such an event. This is particularly prudent for multi-day endurance running events.

Multi-day endurance running (MDER) events are increasingly prevalent among recreational and elite runners, as such, reporting the practices of populations underrepresented in the literature are important.
This case study reports nutritional practices of a female recreational runner undertaking 26 marathons in 26 consecutive days.
This case study highlights the importance of providing general and event-specific nutrition education when training for such an event. This is particularly prudent for MDER events.

Introduction

Multi-day endurance running (MDER) events are becoming increasingly prevalent among recreational and elite runners (Khodaee and Ansari, 2012 ; Moran et al., 2011 ). It is well accepted that adhering to optimal nutritional strategies to meet the physical and environmental conditionals of MDER events is complex (Moran et al., 2011 ). Furthermore, fatigue is attributed to a multifaceted phenomenon during MDER events, often a combination of dehydration, hyperthermia, carbohydrate depletion, central fatigue and hypoglycaemia (Pfeiffer et al., 2012 ). Athletes undertaking endurance events are also particularly susceptible to injuries and illnesses.

Athletes and supporting practitioners must appreciate the unique environment, training demands and nutritional preparation required to successfully complete a MDER event. Despite numerous studies reporting food and fluid intake for male athletes during MDER events, to the authors’ knowledge, no studies have presented dietary data for female athletes undertaking these types of events. By providing analysis of the interventions provided and an outline of the dietary intake of a recreational female athlete, it will inform future athletes and support staff alike, assisting in identifying and setting individual nutrition strategies for MDER events.

In accordance with the Declaration of Helsinki and University of Essex, ethical requirements, informed consent, along with a Physical Activity Readiness Questionnaire (PAR-Q) was obtained from the athlete prior to undertaking physiological testing. The athlete has also provided consent for the publication of the case study.

Case report

In October 2012, the athlete approached the Human Performance Unit (HPU), seeking support in the lead up to and during (August, 2013) the undertaking of 26 marathons in 26 consecutive days. The individual was a 38 year old female (VO 2 max 48.9 ml · kg -1 · min -1 ; body mass 65.0 kg; height 1.65 m; BMI 23.7 kg · m -2 ). She had little previous experience of endurance running, and was completing the event as a piece of performance art rather than purely as an athletic challenge.

MDER event information

The challenge undertaken was a solo event, in which the same 1-mile course (Edinburgh ‘Royal Mile’, Scotland, 55.9506° N, 3.1856° W) was repeatedly traversed each day. The course presented an ascent/descent of 58.7 meters dependent on direction (max 7% gradient). Furthermore, the 26 days coincided with the Edinburgh Fringe Festival when large numbers of pedestrians would present physical obstacles to the course being traversed. The athlete began each marathon at 7:00 am. The ambient temperature varied from 7°C - 23°C throughout the 26 days. One person assisted with data collection, food provision and general logistics each day positioned at the mid-point along the ‘Royal Mile’; where the athlete would pass every mile.

Needs analysis

A needs analysis was undertaken, starting with evidence gathering, drawing upon published literature, to facilitate the creation of a client specific action plan. The subsequent phase involved measurement of the athlete’s physiology, anthropometry and a dietary assessment. The physiological demands (Laursen and Rhodes, 2001 ), training principles (Zaryski and Smith, 2005 ), nutritional demands (Getzin et al., 2011 ; Knechtle, 2013 ; O’Brien et al., 1993 ; Pfeiffer et al., 2012 ) and risk/management of injuries (Khodaee and Ansari., 2012 ; Krabak et al., 2011 ; 2013 ) of undertaking a marathon and/or ultra-endurance events have been well documented.

Areas of scientific support provided included; periodised training advice (Laursen and Rhodes, 2001 ), and sports psychology support to aid with athlete mental coping strategies (Zaryski and Smith, 2005 ). Dietary considerations included; (1) nutrition strategies to support training, (2) before, during and post exercise strategies (Peters, 2003 ; Burke et al., 2011 ), (3) strategies to support optimal immune function (Gleeson et al, 2004 ) and (4) building a food plan for during the event taking account of the athlete’s food preferences (Burke, 2002 ; Clark et al, 1992 ).

Case formulation and intervention selection

It was agreed that support provision would focus on three primary areas; (1) food and fluid strategies to optimise training, recovery and event specific requirements, (2) physiological testing, training advice and monitoring and (3) sports psychology support. For the purpose of this article, the focus will be on the sports nutrition intervention and dietary intake during the event, coupled with anthropometric measures. Figure 1 provides an overview of the sessions with the athlete over the 12 months.

An external file that holds a picture, illustration, etc.
Object name is jssm-16-112-g001.jpg

A chronological overview of the support provided by staff prior too, during and following the MDER event.

Prior to the first nutrition consultation in March 2013; a structured plan was presented to the athlete, outlining the key dietary topics in the build-up to the MDER event. A progressive nutrition plan was proposed to develop the athlete’s nutrition knowledge, empowering the athlete to make decisions based upon the daily training load, timing, duration and intensity of individual sessions, urgency to recover / replenish depleted substrates and supporting optimal health ( Figure 1 ).

Following the initial nutrition consultation, the athlete was provided a detailed report, with a focus on providing evidence-based recommendations, supported by practical food examples. The athlete also received: (a) a ‘food example’ document, highlighting good, moderate and poor food choices, and (b) a 3-day meal plan example detailing optimal portion sizes, with the athlete being asked to weigh their food to ensure adherence to the recommended serving sizes. Based upon the athlete’s training load at that time (typically 90 minutes of running per day, ~6 times per week) and body composition data (height, weight), estimated energy expenditure was calculated using the average of three age and gender specific RMR equations (Harris and Benedict, 1919 ; Mifflin et al., 1990 ; Owen et al., 1986 ) and multiplied by known physical activity levels (Brooks et al., 2004 ). This data was used to formulate the 3 day meal plan examples and inform the athlete of calorific requirements for training and rest days.

Strategies to support immune function were implemented if reported to have ‘modest supporting evidence’ or above as indicated by Walsh et al. ( 2013 ). These include a carbohydrate intake of 30-60 g per hour during exercise, vitamin D supplementation (Ultra Vitamin D, Vitabiotics, UK) in light of time of year and local latitude (1000 UI·d -1 , unless exposed to direct sunlight for >30 min) (Halliday et al., 2011 ; Larson-Meyer and Willis, 2010 ), and daily probiotic supplementation of Lactobacillus casei Shirota (Yakult, UK) (Gleeson et al., 2011 ).

During the second nutrition consultation the athlete was provided with a list of high carbohydrate drinks, sweets and light snacks to trial during training, with an emphasis on the need to prevent ‘flavour fatigue’ and an associated decrease in energy intake (Burke, 2002 ). Savory/salty options were provided to stimulate the athletes desire to eat. By providing this information 4 months, it enabled time for the athlete to identify what could be tolerated during exercise. High-fibre foods were limited from the list to reduce the risk of gastro-intestinal distress (Maughan. 2006 ).

Fluid consumption recommendations during exercise were established based upon athlete feedback and pre- and post-weighing around event pace training runs. Furthermore, a detailed ‘fluid intake and sweat loss’ monitoring session was undertaken approximately 1 month prior to the start of the event when the athlete undertook 2 marathons on consecutive days. Data obtained during these two days provided the athlete’s voluntary fluid intake, carbohydrate intake, pacing, heart rate and identification of any food or fluid deficits.

The third nutrition session focused on event specific dietary challenges, such as meal timing, food accessibility and logistical concerns. Target carbohydrate, protein and fat values were established based upon both ACSM guidelines and additional studies involving ultra-endurance running and female athletes (Rosenbloom and Coleman, 2012 ). Target values are shown in Table 1 . It was identified that achieving target macronutrient values, coupled with maximising the athletes sleep duration and minimising gastro-intestinal distress, would require the use of additional supplements. A carbohydrate-protein (CHO-PRO) drink was recommended at breakfast (Oats and Whey, Optimum Nutrition, Glanbia Plc, Ireland), along with cereal and fruit. For post-exercise, a high calorie CHO-PRO drink (Pro Complex Gainer, Optimum Nutrition, Glanbia Plc, Ireland) was also advised. These supplements were introduced into the athlete’s training routine four weeks prior to beginning the 26 marathons to ensure palatability and practice the consumption of race-day breakfast and recovery strategies.

Mean macronutrient and fluid intake during 26 marathons and pre-event ‘target values’.

1 Guidelines extracted from ‘Rodriguez et al., ( 2009 )’.

2 Guidelines extracted from 'Rosenbloom ( 2012 )'.

* Relative values based upon Day 1 body mass (60.5 kg).

During the event a heart rate (HR) monitor, coupled with GPS and stride rate using a telemetric receiver and foot pod was worn (910XT, Garmin Ltd., Schaffhausen, Switzerland). The athlete manually started the stopwatch/HR monitor upon the commencement of each marathon and stopped once 26.2 miles had been achieved. Dietary intake during each marathon was recorded by the support crew positioned mid-way along the 1 mile route. Pre-packaged carbohydrate snacks of 10 g were made available. Prior to, and following each marathon, the athlete self-reported dietary intake on a daily basis. All food and fluid consumed was immediately recorded, including brand names, known weights and measures if available, portion descriptions and nutritional information if provided on packaging. Dietary analysis was performed by trained staff using ‘WinDiets Nutritional Analysis Software Suite’ (version 1.0; The Robert Gordon University, Aberdeen, United Kingdom). Body composition assessments were undertaken by an ISAK (International Society for the Advancement of Kinanthropometry) accredited individual. The same individual undertook all body composition assessments to minimise inter-tester variation. The athlete’s anthropometric profile consisted of height (Leicester height measure, Seca, Birmingham, UK), body mass (SECA Scale 813, Hamburg, German), breadths, girths and nine site skinfold measures (Harpenden Calipers, Baty International, West Sussex, UK). The LifeSize Educational Software for Body Composition Analysis program (Human Kinetics Software, Champaign IL, USA) was used to estimate body shape, size, and composition including percent body fat.

Evaluation of intervention

During the 26 days telephone and email contact with the athlete was maintained enabling the athlete to report any dietary issues. A breakdown of macronutrient and fluid intake ( Table 1 ), and anthropometrical data ( Figure 2 ) across the 26 marathons are shown. Daily food intake for the total 26 days provided 99,570 kcal and 112.9 L of fluid. Carbohydrate (CHO) intake contributed 62.6% energy intake whilst protein (PRO) and fat provided 17.9 and 19.4% respectively. During the marathons, the mean energy and fluid intake was 1039.7 ± 207.9 kcal (607.1 – 1453.2) and 2.39 ± 0.35 L (1.98 – 3.19). CHO provided the majority of energy over the course of all 26 marathons (CHO = 92.8%; PRO = 2.8%; FAT = 4.3%) and mean hourly reported carbohydrate intake was 38.9 g/hr. During the 26 days, the athlete reported no symptoms suggestive of a suppressed immune function i.e. sore throat, fever.

An external file that holds a picture, illustration, etc.
Object name is jssm-16-112-g002.jpg

Anthropometrical changes observed between pre and post completion of 26 marathons.

Total distance completed was 1097.07 km in a total time of 165 h 30 min 01 s. Mean marathon time was 6 h 21 min 55 s (5:09:14 – 7:30:00) with both moving and total time slowing throughout the 26 days.

Anthropometrical assessments performed 19 days prior and 11 days post the 26 marathons report a reduction in body mass of 4.6 kg (62.4 – 57.8), the sum of 9 skinfold measures decreasing from 132.1 to 81.3 mm and percent body fat reducing from 24.4% to 17.5%. During the 26 marathon days, body mass increased by 1.1 kg (60.5 – 61.6), which might be explained by exercise induced hypervolemia.

Upon successful completion, the client stated, “the sports science interventions that we agreed have seen me cope with the physical and mental challenges of this endurance performance as well as my ability to recover”. Despite the athlete’s positive feedback, lessons can always be learnt from unique challenges, whether successful or not. In this instance, whilst the goal was achieved and the athletes health was not compromised, possible alterations to the sport science delivery could have provided a greater scientific insight for applied perspectives. One such limitation was the period of time between pre and post body composition assessments. By undertaking body composition assessments on day 1 and 26 would have provided a more detailed insight into acute anthropometrical changes, followed by repeated measures post event to monitor the recovery from hypervolemia induced changes. The nutritional strategies implemented in the initial stage were largely based upon current literature and ‘target values’, thus relatively straightforward to establish. However, the athlete reported GI discomfort following breakfast after the initial few days, stating that the amount expected to consume was causing discomfort and feelings of nausea. Whilst a serious concern for many athletes, the regular communication with the athlete enabled small changes to the timing of breakfast, extending the duration and spreading the intake of fluid across a longer period, helping the athlete to maintain the target breakfast, without severely reducing calorific intake.

The results of this case study demonstrate that by adhering to current nutrition guidelines generally centered on single bout endurance sports (i.e. marathon running), provide important targets that in this instance where sufficient to contribute towards a female runner completing 26 marathons in 26 consecutive days. The athlete in this case study was predominantly achieving values close to the upper range for many recommended values (CHO pre event, during, post); however, daily protein intake was significantly above that of recommended values. The additional protein consumed contributed towards the athletes total energy intake achieving an energy balance and attenuating lean body mass reductions. It is unsurprising that the large quantity of daily protein consumed was largely due to the supplements within the daily diet, however, it is speculated that without these, the athlete would have struggled to consume the equivalent energy as whole foods.

The current case study highlights the importance of providing both general and event specific nutrition education in the months prior to undertaking multi-day endurance events. Furthermore, communication during the event between athlete and practitioner provides a forum in which reflections can be discussed and modifications to the diet made if required.

Biographies

Chris J. MCMANUS

Manager at the Human Performance Unit, University of Essex., UK

Research interests

Ultra-endurance performance and near-infrared spectroscopy

E-mail: ku.ca.xesse@namcmc

Kelly A. MURRAY

Sport Scientist at the Human Performance Unit, University of Essex, UK

?Asymmetry in sport

E-mail: ) ku.ca.xesse@yarrumak

David A. PARRY

Director of Sport at the University of Essex and formerly Director at the Human Performance Unit, University of Essex, UK

Psychobiology of endurance exercise and pacing during maximal exercise

E-mail: ku.ca.xesse@hcaocpad

Brooks G.A., Butte N.F., Rand W.M., Flatt J.-P., Caballero B. (2004) Chronicle of the Institute of Medicine physical activity recommendation: how a physical activity recommendation came to be among dietary recommendations . The American Journal of Clinical Nutrition 79 ( 5 ), 921S-930S. [ PubMed ] [ Google Scholar ]
Burke L.M. (2002) Feeding ultra-endurance athletes: an interview with Dr. Helen O'Connor and Gregory Cox . International Journal of Sport Nutrition and Exercise Metabolism 12 ( 4 ), 490-494. [ PubMed ] [ Google Scholar ]
Burke L., Hawley J., Wong S., Jeukendrup A. (2011) Carbohydrates for training and competition . Journal of Sports Sciences 29 ( Sup1 ), S17-S27. [ PubMed ] [ Google Scholar ]
Clark N., Tobin J., Jr, Ellis C. (1992) Feeding the ultraendurance athlete: practical tips and a case study . Journal of the American Dietetic Association 92 ( 10 ), 1258-1262. [ PubMed ] [ Google Scholar ]
Getzin A.R., Milner C., LaFace K.M. (2011) Nutrition update for the ultraendurance athlete . Current Sports Medicine Reports 10 ( 6 ), 330-339. [ PubMed ] [ Google Scholar ]
Gleeson M., Bishop N. C., Oliveira M., Tauler P. (2011) Daily probiotic's (Lactobacillus casei Shirota) reduction of infection incidence in athletes . International Journal of Sport Nutrition and Exercise Metabolism 21 ( 1 ), 55-64. [ PubMed ] [ Google Scholar ]
Gleeson M., Nieman D., Pedersen B. (2004) Exercise, nutrition and immune function . Journal of Sports Sciences 22 ( 1 ), 115-125. [ PubMed ] [ Google Scholar ]
Gleeson M., Bishop N., Walsh N. (2013) Exercise immunology . Routledge, London. [ Google Scholar ]
Halliday T. M., Peterson N.J., Thomas J.J., Kleppinger K., Hollis B. W., Larson-Meyer D.E. (2011) Vitamin D status relative to diet, lifestyle, injury, and illness in college athletes . Medicine and Science in Sports and Exercise 43 ( 2 ), 335-343. [ PubMed ] [ Google Scholar ]
Harris J., Benedict F. (1918) A Biometric Study of Human Basal Metabolism . Proceedings of The National Academy of Sciences 4 ( 12 ), 370-373. [ PMC free article ] [ PubMed ] [ Google Scholar ]
Khodaee M., Ansari M. (2012) Common Ultramarathon Injuries and Illnesses . Current Sports Medicine Reports 11 ( 6 ), 290-297. [ PubMed ] [ Google Scholar ]
Knechtle B. (2013) Nutrition in ultra-endurance rating–aspects of energy balance, fluid balance and exercise-associated hyponatremia . Medicina Sportiva 17 ( 4 ), 200-210. [ Google Scholar ]
Krabak B., Waite B., Lipman G. (2013) Injury and Illnesses Prevention for Ultramarathoners . Current Sports Medicine Reports 12 ( 3 ), 183-189. [ PubMed ] [ Google Scholar ]
Krabak B., Waite B., Schiff M. (2011) Study of Injury and Illness Rates in Multiday Ultramarathon Runners . Medicine & Science in Sports & Exercise 43 ( 12 ), 2314-2320. [ PubMed ] [ Google Scholar ]
Larson-Meyer D., Willis K. (2010) Vitamin D and Athletes . Current Sports Medicine Reports 9 ( 4 ), 220-226. [ PubMed ] [ Google Scholar ]
Laursen P., Rhodes E. (2001) Factors Affecting Performance in an Ultraendurance Triathlon . Sports Medicine 31 ( 3 ), 195-209. [ PubMed ] [ Google Scholar ]
Maughan R. (2006) Fluid and carbohydrate intake during exercise . In: Clinical sports nutrition . Eds: Burke L., Deakin V. 3 rd Edition. Beijing: McGraw-Hill; 369-390. [ Google Scholar ]
Mifflin M.D., St Jeor S., Hill L.A., Scott B.J., Daugherty S.A., Koh Y. (1990) A new predictive equation for resting energy expenditure in healthy individuals . The American Journal of Clinical Nutrition 51 ( 2 ), 241-247. [ PubMed ] [ Google Scholar ]
Moran S.T., Dziedzic C.E., Cox G.R. (2011) Feeding strategies of a female athlete during an ultraendurance running event . International Journal of Sport Nutrition and Exercise Metabolism 21 ( 4 ), 347-351. [ PubMed ] [ Google Scholar ]
Norton K., Whittingham N., Carter L., Kerr D., Gore C., Marfell-Jones M. (1996) Measurement techniques in anthropometry . Anthropometrica , 1 , 25-75. [ Google Scholar ]
O'Brien M.J., Viguie C.A., Mazzeo R.S., Brooks G.A. (1993) Carbohydrate dependence during marathon running . Medicine & Science in Sports & Exercise 25 , 1009-1017. [ PubMed ] [ Google Scholar ]
Owen O.E., Kavle E., Owen R.S., Polansky M., Caprio S., Mozzoli M. A., Kendrick Z.V., Bushman M.C., Boden G. (1986) A reappraisal of caloric requirements in healthy women . The American Journal of Clinical Nutrition 44 ( 1 ), 1-19. [ PubMed ] [ Google Scholar ]
Peters E. (2003) Nutritional aspects in ultra-endurance exercise . Current Opinion in Clinical Nutrition and Metabolic Care 6 ( 4 ), 427-434. [ PubMed ] [ Google Scholar ]
Pfeiffer B., Stellingwerff T., Hodgson A.B., Randell R., Pöttgen K., Res P., Jeukendrup A.E. (2012). Nutritional intake and gastrointestinal problems during competitive endurance events . Medicine & Science in Sports & Exercise 44 ( 2 ), 344-51. [ PubMed ] [ Google Scholar ]
Rodriguez N.R., DiMarco N.M., Langley S. (2009) Position of the American dietetic association, dietitians of Canada, and the American college of sports medicine: nutrition and athletic performance . Journal of the American Dietetic Association 109 ( 3 ), 509-527. [ PubMed ] [ Google Scholar ]
Rosenbloom C. (2012) Sports nutrition . Academy of Nutrition and Dietetics; Chicago. [ Google Scholar ]
Walsh N.P., Gleeson M. (2013) Exercise, nutrition and immune function . Exercise Immunology 207 . [ Google Scholar ]
Zaryski C., Smith D. (2005) Training Principles and Issues for Ultra-endurance Athletes . Current Sports Medicine Reports 4 ( 3 ), 165-170. [ PubMed ] [ Google Scholar ]

Sign up to CN Emailers >>

Case studies

Your back catalogue to previously published case study-based articles from CN Magazine. Click on the case study below to download the PDF.

Dietetic Management of a Preterm Infant with Nephrogenic Diabetes Insipidus

Emily Quek & Sarah Khweir (2019). Complete Nutrition; Vol 19, No. 5

Click here to download the full PDF

The Positive Impact of a Dietitian Improving Outcomes in Frail Elderly Patients in the Community

Nick Bergin & Riddhi Desai (2019). CN Focus; Vol 11, No. 3

The Use of a Liquid High Protein Supplement in a Patient with Pressure Ulcers

Alka Pandey (2019). Complete Nutrition; Vol 19, No. 4

Nutritional Issues of Hyperemesis Gravidarum

Alison Carr (2018). Complete Nutrition; Vol 18, No. 5

Managing an Inpatient with Severe Obsessive Compulsive Disorder, Anxiety and Malnutrition

Nick Bergin (2018). Complete Nutrition; Vol 18, No. 4

Mental Health versus Physical Health: Managing a patient with schizophrenia within secure mental health services

Nicola Wolfe and Andrew Simmons (2018). Complete Nutrition; Vol 18, No. 1

Managing a Neuro-Rehab Patient using a High Protein Supplement

Kirsty-Anna McLaughlin (2012). Complete Nutrition; Vol 12, No. 3

Refeeding Syndrome and the Cancer Patient

Jennifer McCracken (2012). Complete Nutrition; Vol 12, No. 2

Nutritional Care of Patients with Dementia in the Acute Setting

Susan Merrick and Dr Daryl Leung (2012). Complete Nutrition; Vol 12, No. 2

The successful transition of a paediatric patient reliant on nasogastric tube feeding to oral feeding

Caroline Smith (2011). Complete Nutrition; Vol 11, No. 3

CN Emailers

Including CN e-news and CN e-shots - Keeping you up-to-date with the latest nutrition news, products & events.

Click here to sign up

New paediatric focus.

A dedicated section focusing on paediatric nutrition information and resources.

Click here to view

Competitions & surveys.

Share your views and WIN.

Click here for more information

2024 cn awards.

Shortlist revealed soon!

Click here to keep up-to-date

Videos & webinars.

Easy access to educational videos & webinars covering nutrition & dietetics.

Diary dates

Key events on the nutrition & dietetic calendar that are not to be missed.

Click here to see

Privacy Overview
Necessary cookies
Social media & marketing cookies
Advertising cookies & third-party cookies

This website uses cookies so that we can provide you with the best user experience possible. Cookie information is stored in your browser and performs functions such as recognising you when you return to our website and helping our team to understand which sections of the website you find most interesting and useful.

Necessary cookies enable core functionality such as security, network management, and accessibility. You may disable these by changing your browser settings, but this may affect how the website functions.

If you disable this cookie, we will not be able to save your preferences. This means that every time you visit this website you will need to enable or disable cookies again.

We would like to set Google Analytics cookies to help us to improve our website by collecting and reporting information on how you use it. The cookies collect information in a way that does not directly identify anyone. For more information on how these cookies work, please see our Cookies page .

Social media

We use Twitter for some marketing activities on our site, and will set some cookies for this purpose if you consent.

Please enable Strictly Necessary Cookies first so that we can save your preferences!

We use the income from advertising to help fund nutrition2me.com services.

We implement our own tracking cookies via our Word Press advertisement plug-in (Advanced Ads). Advanced Ads provides us with data on advertisement engagement. This data is anonymous. We use this data for our own statistical monitoring and also to share with advertisers/clients that have placed advertisements.

Third-party cookies are set by a domain other than the one you are visiting, in this instance nutrition2me.com . This includes social media (e.g. Facebook, Twitter, LinkedIn, Instagram), advertiser/client plug-ins or advertising that may be hosted by a click tag. When the browser or other software fetches these elements from the other sites, they can set cookies as well.

Sign up to CN Emailers

IMAGES

Nutrition Case Study 2
Case Study
Clinical Nutrition I Case study 1 PLEASE READ THE
How To Write A Case Study For Nutrition
nutrition case study presentation outline
Nutrition case studies

VIDEO

Case study of a child बच्चे का एकल अध्ययन -B.ED /BTC
ALL IMP Case Study Questions 🎯OCM| Class 12th OCM|HSC BOARD EXAM 2023
Estadía 1 Asesoría Nutricional en línea (caso clínico 1) UNADM
Nutrition Case Study
Gout- A case study
Nutrition Research Over the Years: Intersections of Nutrition

COMMENTS

Dietetic and Nutrition Case Studies
Each case study follows the Process for Nutrition and Dietetic Practice (PNDP) that was published by the British Dietetic Association (BDA) in 2012. While throughout the world there are slight variations in nutrition and dietetic models and processes, the case studies can be successfully used alongside these.
PDF Nutrition Care Process: Case Study A Examples of Charting in Various
Case Study A: This table demonstrates how the weight loss program addresses JO's nutrition diagnosis, and how that nutrition diagnosis might change over time. Content is organized to present food and nutrition-related history first, since this is the critical data set contributed by dietitians. 4th Edition: 2013
Dietetic and Nutrition Case Studies Pages 1-50
351 - 389. Check Pages 1-50 of Dietetic and Nutrition Case Studies in the flip PDF version. Dietetic and Nutrition Case Studies was published by Perpustakaan PIM on 2020-09-15. Find more similar flip PDFs like Dietetic and Nutrition Case Studies. Download Dietetic and Nutrition Case Studies PDF for free.
PDF We Are What We Eat!
case study. Supplemental Documents . Title: Cases for Nutrition Activity . Description: This document has all of the cases and the tables to fill out for nutrition data. Each group should receive one case. Title: Cases for Nutrition Activity Answer Key Description: These documents are keys to use in evaluating the students' worksheets.
PDF NUTRITION CASE STUDY
NUTRITION CASE STUDY University of Rhode Island. The integration was successful - 80% of students in the class earned 80% or higher on each component of the project while assessing the specifics of their own macro- and micronutrient intakes. A student commented: "The Connect quizzes forced me to read the
Medical Nutrition Therapy: A Case Based Approach
This updated 6th Edition of Medical Nutrition Therapy: A Case-study Approach is composed of 29 realistic case studies appropriate for introductory and advanced level courses in nutrition and medical nutrition therapy. Each case study uses the medical record as its structure and is designed to resemble an electronic medical record.—Publisher.
Dietetic and Nutrition Case Studies
nasogastric feeding see enteral nutrition, noradrenaline, 305 Northern Ireland Learning Disability Service Framework, 48 Nutrition Care Process Terminology (NCPT), 8-11 importance of standardised language, 9-10 nutrition intervention, 6 nutritional assessment see assessment, O obesity, 90-91, 238-241, 343 bariatric surgery, 136-139 ...
Medical nutrition therapy : a case-study approach
Building a bridge from classroom to clinical practice, this casebook is composed of 32 realistic case studies appropriate for introductory and advanced level courses in nutrition and diet therapy. Each case study uses the medical record as its structure and you "solve the case" by using the information provided such as hospital admission data ...
Medical nutrition therapy : a case study approach : Nelms, Marcia
Each case study in this ... text is presented as a medical record, and includes a patient intake form, detailed patient history, and appropriate laboratory reports. Questions guide you through the materials in a logical sequence - from diagnosis to complications and, in some cases, the terminal stages of the patient's disease.-Back cover
PDF Weight Management Case Study: Using the Nutrition Care Process and the
management case study is designed to integrate the Nutrition Care Process (NCP) and the American Dietetic Association (ADA) Pediatric Weight Management Guidelines (PWMG). The purpose of the case study is to illustrate to practitioners how the NCP can be used in clinical practice with evidence-based guide-lines. The case will be divided into
PDF the humanitarian-development nexus for nutrition
6 Global report — Lessons Learned and Recommendations from the Humanitarian-Development Nexus for Nutrition case studies How to use this report Findings This report presents five main findings, which have been taken from a syn-thesis of the three case studies. Each finding includes an articulation of the core problem and then explores some
PDF Case Study: Nutrition Education Within the University of Dundee
The curriculum in years 1 and 2 takes a case-based approach to learning and the nutrition team in Dundee have provided face to face or self-directed nutrition focused teaching related to 11 systems based cases (Year 1) and four life cycle based cases (Year 2).
Applied Sports Nutrition Support, Dietary Intake and Body Composition
The aim of this case study is to describe the nutrition practices of a female recreational runner (VO 2 max 48.9 ml·kg-1 ·min-1) who completed 26 marathons (42.195 km) in 26 consecutive days.Information relating to the nutritional intake of female runners during multi-day endurance events is extremely limited, yet the number of people participating year-on-year continues to increase.
Nutrition2Me
Access to case study-based articles previously published CN Magazine. ... Click on the case study below to download the PDF. ... Dietetic Management of a Preterm Infant with Nephrogenic Diabetes Insipidus. Emily Quek & Sarah Khweir (2019). Complete Nutrition; Vol 19, No. 5.
PDF Nutrition Case Study Student Guidance
Here describe/summarise your clients present exercise and activity levels. Do this for the previous 5 years in the right column. Use FITT to supplement your description if possible. Provide at least 3 likes and dislikes for your client. This can include exercises, equipment, environment etc.
PDF Celiac Disease, Nutrition, and Children: A Case Study
Abstract. Celiac disease is one of the most common chronic gastrointestinal disorders in the world. The disease occurs in about 1% of the population. CD is treated with a Gluten-Free Diet (GFD), which leads to resolution of the clinical disease and restoration of the histological abnormalities. This case study includes a 3 years old girl who ...
PDF Case Study Malnutrition, A Major Health Challenge in Kersa, Ethiopia
Case Study BACKGROUND AND CONTEXT Malnutrition among children under five years of age is a common public health concern in resource-constrained countries. Globally, among children under five, 149 million are stunted (i.e. low height-for-age, a measure of chronic ... on nutrition-related aspects of childcare and health-seeking behavior, and ...
(PDF) A clinical case study and medical nutritional therapy in
Review Article. A clinical case study and medical nutritional therapy in pediatric. meningioencephalitis. Edwina Raj 1,*, C P Ravi Kumar2, Arunadevi J 1, Rebecca Renee Joseph1, Chetan Ginigeri 3 ...
(PDF) Celiac Disease, Nutrition, and Children: A Case Study
1. Introduction. Celiac disease is a permanent intolerance to gluten which is a protein present in wheat, rye. and barley. It is an in ammatory disease of small intestine which causes ...
PDF NUTRITION 611: Nutrition Across the Life Cycle
1. Case Studies Case Studies will be assigned approximately one week before the end of each section. Please take notes during lecture and ask questions to help you complete your case study. Case studies are mostly short answer and will assist you with applying the knowledge you've learned in class to a mock client's case. Case Studies are ...
PDF Food and Nutrition Security in India: A case Study
National Food Security Act, 2013. "An Act to provide for food and nutritional security in human life cycle approach, by ensuring access to adequate quantity of quality food at affordable prices to people to live a life with dignity and for matters connected therewith or incidental thereto.". Every person belonging to priority households ...