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Nutrition Part 2 essay

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Home>Nursing homework help>nutrition part 2
Unity Junior High Nutrition Assessment

Ellena Chaplin

Raeven Moore

Shana Williford

Misha A. Vicente

Introduction

Purpose of the presentation: To analyze the school lunch menu for an adolescent female at Unity JR. High School.

Age group: 13 year-old-female

Cultural focus: Available Lunch Menu items at Unity Jr High School in Cicero, IL.

Largest percent of students eligible for free lunch

Large population of Hispnaics in the Community

Top Illinois Public School reports, Unity Junior High school placed in the top 20% of public school in illinois for eligible for free lunch. 84% of students that attends Unity Jr High School are eligible for free lunch, 3% of students are eligible for reduced lunch. 86% of hispanic students are hispanic and with that being said Unity jr school is the second largest middle school in the county.

Current Menu Analysis: Day 1

Current Menu: Whole grain Gardein Crispy Chick’n Patty, whole grain hamburger bun, mixed vegetables, broccoli, cauliflower, and carrots, Del Monte mixed fruit cup peaches, pears, and pineapples in water, and 1% milk

Healthy selections: Whole grain Gardein Crispy Chick’n Patty, whole grain hamburger bun, mixed vegetables, broccoli, cauliflower, and carrots, and 1% milk

Unhealthy selections:Del Monte mixed fruit cup peaches, pears, and pineapples in water, no sugar added

Excess Nutrients:

Vitamin A, Vitamin C, and Vitamin K

Deficient Nutrients:

Energy, Water, B1 (Thiamine), B3 (Niacin), B5, B6, Vitamin D, Vitamin E, Calcium, Copper, Magnesium, Manganese, Phosphorus, Potassium, Selenium, Zinc, Fat, Omega-6, Carbs, Fiber, and Protein

Over the course of the lunch menu are the individuals provided with a balanced diet?

As diverse of a food menu the school tried to provide it was still challenging to provide the individual in this age group a healthy meal option that would provide sufficient intake of nutrients. This current menu option has 21 nutritional deficiencies.

Current Menu Analysis: Day 2

Current Menu

Hot dog with bun, baby romaine salad, raw jalapenos, light french dressing, fresh orange, ketchup, mustard, 1% low-fat milk, carrot sticks

Healthy selections

Romaine salad, light french dressing, raw jalapenos, fresh orange, 1% low-fat milk, hot dog bun, carrot sticks

Unhealthy selections

Hot dog, ketchup, mustard

Excess Nutrients

Vitamin A, Sodium, Phenylalanine, Vitamin C

Deficient Nutrients

energy, water, carbohydrates, omega-3, omega-6, vitamin B1, protein, vitamin B2, vitamin B5, vitamin B3, vitamin B6, folate, vitamin B12, vitamin D, vitamin K, vitamin E, iron, copper, calcium, phosphorus, manganese, potassium, selenium, and zinc

Over the course of the lunch menu are the individuals provided with a balanced diet?

This is not a balanced nutritional diet because it is lacking in 24 essential nutrient. There was cultural diversity in the alternative options of chicken taco and tortilla chips. However, there could have been better options for food choices.

Current Menu Analysis: Day 3

Current Menu

Corn dog on a stick with mustard, chicken tenders with potato wedges, diced carrots, applesauce cup, BBQ sauce, ketchup, choice of milk

Healthy selections

Potato wedges, diced carrots, apple sauce, milk

Unhealthy selections

Corn dog,chicken tenders, BBQ sauce, ketchup, mustard

Excess Nutrients

Vitamin A, sodium, saturated fats, trans fats

Deficient Nutrients

Fiber, iron, calcium, vitamin C, vitamin B12, folate, potassium, carbohydrates, omega 3, omega 6, protein, vitamin D, vitamin E, vitamin K, copper, magnesium, selenium, zinc, phosphorus, manganese

Over the course of the lunch menu are the individuals provided with a balanced diet?

This is not a balanced diet considering there is an extreme excess in unhealthy nutrients and a deficient amount of healthy nutrients.

Ellena slide

Current Menu Analysis: Day 4

Current Menu

Pizza Hut, Marinara Dipping Sauce, Pizza Rolls or Bites, Cheese, Subway, sandwich, Veggie Delight, Fresh Fit, with nine grain wheat, 6”

Corn, Yellow, Canned, Drained, Hellman’s & Best Foods, Light Mayonnaise, Dole, Diced Pears, No Sugar Added, Thai Choice, Coconut Milk, pickle chips

Healthy selections

Dole, Diced Pears, No Sugar Added, Corn, Yellow, Canned, Drained, Thai Choice, Coconut Milk

Unhealthy selections

Pizza Hut, Marinara Dipping Sauce, Pizza Rolls or Bites, Cheese, Subway, sandwich, Veggie Delight, Fresh Fit, with nine grain wheat, 6”

Excess Nutrients

Vit A, Vit C, Iron, Phenylalanine

Deficient Nutrients

Water, Omega-3, Omega-6, Protein, Cystine, Lysine, B5, B6, B12, Calcium, Magnesium, Phosphorus, Zinc

Over the course of the lunch menu are the individuals provided with a balanced diet?

The current menu is not considered a healthy balanced meal. Based on the findings, this lunch selection did not consists of any fats, carbohydrates which is important to maintain adequate energy levels, and there was not enough water intake, vitamin B12, protein, and calcium which is all needed to optimize health.

Nutritional Requirements for Age

For a 13-year-old female, it is important to emphasize the importance of eating a well balanced diet. A balanced diet ensures optimal health and adequate growth and development. The body demands an high caloric intake, Girls require an average of 2,200 calories per day. Nutritional requirements such as energy, protein, calcium, and Iron, and zinc are higher than any time of life. It’s critical to ensure adolescents are meeting the recommended nutritional daily intake. Nutritional deficiencies and poor eating habits can affect adolescents health as an adult.

Calcium: Daily intake should be at least 1300 mg/day

Iron: 8 mg/daily

Protein: 34 g/day

Energy: 2071 kcal/day

Zinc: 8 mg/day

Cultural Influences

According to the U.S. Census Bureau, in Cicero IL the highest percentage of population is made up by Hispanic or Latino origin at 89.2% (2019).

Traditional hispanic meals include rice, beans, tortillas, and a heavy use of cooking oil like lard (Mora & Golden, 2017).)

When compared to a typical United States diet, a hispanic diet is higher in fiber, vegetable, protein and saturated fats (Mora, 2017).

When this information is compared to the middle school menu from Cicero, the students should be getting adequate amounts of fiber and vegetable protein from their meals at home.

However, these students are receiving saturated fats from both home meals and meals at school.

Hispanic culture very much revolves around the idea of family first, and it is important to educate family members of the students in maintaining a healthy diet at home.

It is also noted that the acculturated Hispanic population consumes more processed foods, sweets, sweetened beverages, and higher fat intake (Mora, 2017).

Ellena slide

Mora, N., Golden, S.H. Understanding Cultural Influences on Dietary Habits in Asian, Middle Eastern, and Latino Patients with Type 2 Diabetes: A Review of Current Literature and Future Directions. Curr Diab Rep 17, 126 (2017). https://doi.org/10.1007/s11892-017-0952-6

U.S. Census Bureau QuickFacts: Cicero town, Illinois. (n.d.). Retrieved October 08, 2020, from https://www.census.gov/quickfacts/cicerotownillinois

Sample Menu

Potential Health Concern

Obesity

Decreased energy level

Iron deficiency

Malnutrition

Body Image

Decreased bone mass

Poor eating habits

Lack of Vitamin D

Nutritional Components of New Food Menu

Increased calorie intake

More fiber-rich foods

More Vitamin D food items

More energy-rich foods

Food items high in vitamins and minerals

Fresh fruit and vegetables

A 13 year old female that is active should consume on average about 2,200 kcal per day (Ellis, E., 2019).

The old menu selection only provided the individual with 512 kcal while the new menu selection provided the individual with a higher calorie intake at 1378 kcal.

During the teenage years especially ages 13-14 in females, the development of bone mass is at its peak. So it is imperative that a well-balanced diet with adequate vitamin D is consumed (Moretto, M. et al.,2011).

Healthier Sample Menu

Gardein, Crispy Chick’n Patty on a 100% Whole grain Hamburger Bun

Fresh Mixed Vegetables

Fresh Mixed Fruit

Chicken Apple Walnut Salad

Cheese and Fruit Protein box

Spring Bottled Water

1% Lowfat Milk

Menu Comparison

Old Menu Food Items

Gardein, Crispy Chick’n Patty on a Whole wheat Hamburger Bun

Mixed Vegetables, broccoli, cauliflower, and carrots

Del Monte Mixed Fruit bowl, peaches, pears, and pineapples in water no sugar added

1% Lowfat Milk

New Menu Food Items

Gardein, Crispy Chick’n Patty on a 100% Whole Wheat Hamburger Bun

Fresh Mixed Vegetables

Fresh Mixed Fruit

Chicken Apple Walnut Salad

Cheese and Fruit Protein box

Spring Bottled Water and 1% Lowfat Milk

The new menu had an increase of Fat, to 93%, which is essential in supplying the body with energy.

The new menu offers food items that provide adolescents with adequate vitamins and minerals for optimal development

Moretto, M.R, Silva, C.C, Kurokawa, C.S, Fortes, C.M, Capela, R.C, Teixeira, A.S, Dalmas, J.C, Goldberg, T.B. (2011). Bone mineral density in healthy female adolescents according to age, bone age and pubertal breast stage. The Open Orthopaedics Journal. Retrieved from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3178934/#_ffn_sectiltle

A 13 year old female’s fat intake should be anywhere between 25-35% of total calorie intake daily. Looking at the new menu the individual’s fat intake was 32%, 446.2 kcal/1378 kcal. The fat that is consumed supplies the body with energy and helps the body absorb those fat-soluble vitamin: A, D, E, and K (American Academy of Pediatrics, n.d).

American Academy of Pediatrics. (n.d.). A teenager’s nutritional needs. Retrieved from https://www.healthychildren.org/English/ages-stages/teen/nutrition/Pages/A-Teenagers-Nutritional-Needs.aspx

New Cronometer

New Cronometer

New Menu Chronometer Continued

Energy (99%)- Cheese & Fruit Protein box, 1% Lowfat Milk, Crispy Chick’n Patty, Fresh Fruit Mix, Mixed Vegetables, Chicken Apple Walnut Salad, 100% Whole grain Hamburger Bun

Water (69%)- Spring Water, 1% Lowfat Milk, Fresh Fruit Mix, Crispy Chick’n Patty

Carbs (104%)- Fresh Fruit Mix, Cheese & Fruit Protein box, Mixed Vegetables, 1% Lowfat Milk, 100% Whole grain Bun, Crispy Chick’n Patty, Chicken Apple Walnut Salad

Fiber (89%)- Mixed Vegetables, Fresh Fruit Mix, 100% Whole grain Bun, Crispy Chick’n Patty, Cheese & Fruit Protein box, Chicken Apple Walnut Salad

Fat (93%)- Cheese & Fruit Protein box, Crispy Chick’n Patty, Chicken Apple Walnut Salad, 1% Lowfat Milk, Mixed Vegetables, 100% Whole grain Bun, Fresh Fruit Mix

Omega-3 (82%), Omega-6 (19%)- Crispy Chick’n Patty, Fresh Fruit Mix, 1% Lowfat Milk

Protein (82%)- Cheese & Fruit Protein box, 1% Lowfat Milk, Crispy Chick’n Patty, Mixed Vegetables, 100% Whole grain Bun, Chicken Apple Walnut Salad, Fresh Fruit Mix

B1(Thiamine) (65%)- 100% Whole grain Bun, Fresh Fruit Mix, Crispy Chick’n Patty, 1% Lowfat Milk

B2(Riboflavin) (132%)- 1% Lowfat Milk, Fresh Fruit Mix, 100% Whole grain Bun, Crispy Chick’n Patty

B3(Niacin) (38%)- 100% Whole grain Bun, Fresh Fruit Mix, Crispy Chick’n Patty, 1% Lowfat Milk

New Menu Chronometer Continued

B5 (60%), B6 (45%)- 1% Lowfat Milk, Fresh Fruit Milk, Crispy Chick’n Patty

B12 (Cobalamin) (127%)- 1% Lowfat Milk

Vitamin A (253%)- Chicken Apple Walnut Salad, 1% Lowfat Milk, Fresh Fruit Mix

Vitamin C (386%)- Fresh Fruit Mix, Chicken Apple Salad

Vitamin D (42%)- 1% Lowfat Milk, Cheese & Fruit Protein box

Vitamin E (26%), Vitamin K (73%)- Fresh Fruit Mix, Crispy Chick’n Patty, 1% Lowfat Milk

Calcium (100%)- 1% Lowfat Milk, Cheese & Fruit Protein,, 100% Whole grain Bun, Fresh Fruit Mix, Chick’n Patty, Chicken Apple Walnut Salad, Spring Water

Iron (76%)- Crispy Chick’n Patty, 100% Whole grain Bun, Chicken Apple Walnut Salad, Fresh Fruit Mix, Cheese & Fruit Protein box, 1% Lowfat Milk

Magnesium (47%), Manganese (100%)- 1% Lowfat Milk, Fresh Fruit Mix, Crispy Chick’n Patty, Spring Water,

Sodium (139%)- Cheese & Fruit Protein box, Crispy Chick’n Patty, 1% Lowfat Milk, 100% Whole grain Bun, Mixed Vegetables, Spring Water, Fresh Fruit Mix

Zinc (37%)- 1% Lowfat Milk, Crispy Chick’n Patty, Fresh Fruit Mix

Menu Comparisons Continued

Old Cronometer

Excess Nutrients:

Vitamin A, Vitamin C, Vitamin K, and Sodium.

Deficit Nutrients:

Energy, Water, Vitamin D, Vitamin E, B Vitamins, Calcium, Copper, Magnesium, Manganese, Phosphorus, Potassium, Selenium, Zinc, Fats, Omega-3, Omega-6, Carbohydrates, Fiber, Iron, and Protein

New Cronometer

Excess Nutrients:

Vitamin B2 (Riboflavin), Vitamin B12 (Cobalamin), Vitamin A, Vitamin C, Calcium, Manganese, Sodium, and Carbohydrates

Deficit Nutrients:

Energy: Increased, Water: Increased, Vitamin D: Increased, B Vitamins: Increased, Calcium: Increased, Copper: Increased, Magnesium: Increased, Manganese: Increased, Phosphorus: Increased, Potassium: Increased, Selenium: Increased, Zinc: Increased, Fats: Increased, Omega-3: Increased, Omega-6: Increased, Carbohydrates: Increased, Fiber: Increased, Iron: Increased, Protein: Increased

Barrier: Knowledge

Knowledge deficit regarding healthy eating choices and habits

Lack of knowledge regarding MyPlate

31% of students have heard of MyPlate

11% of students understand its use

Westfall, M., Roth, S.E., Gill, M., Chan-Golston, A.M., Rice, L.N., Credpi, C.M., & Prelip, M.L. (2020). Exploring the relationship between MyPlate knowledge, perceived diet quality, and healthy eating behaviors among adolescents. American Journal of Health Promotion, 34(7), 713-721. doi: 10.1177/0890117120901430

(Westfall et al., 2020)

Barrier: Socioeconomic

The environment affects adolescent nutrition

A healthy environment enables healthy eating habits

Low-income neighborhoods have food deserts

Convenience stores

Fast food

Lack of supermarket access

Obesity

18.9% low-income families

19.9% for middle-income families

10.9% among high-income families

CDC. (2020). Childhood obesity facts. Centers for Disease Control and Prevention. https://www.cdc.gov/obesity/data/childhood.html

Westfall, M., Roth, S.E., Gill, M., Chan-Golston, A.M., Rice, L.N., Credpi, C.M., & Prelip, M.L. (2020). Exploring the relationship between MyPlate knowledge, perceived diet quality, and healthy eating behaviors among adolescents. American Journal of Health Promotion, 34(7), 713-721. doi: 10.1177/0890117120901430

Barrier: Health of the Population

Healthy eating is not a priority

School lunches

Poor eating habits

High risk of diseases such as obesity

70% consumed fast food in the past week

72% consume soda once per week

14% consume vegetables more than 3 times daily

15% consume fruits more than 3 times daily

Childhood obesity 18.5% affecting 13.7 million

Prevalent among Hispanic and African-American communities

CDC. (2020). Childhood obesity facts. Centers for Disease Control and Prevention. https://www.cdc.gov/obesity/data/childhood.html

Westfall, M., Roth, S.E., Gill, M., Chan-Golston, A.M., Rice, L.N., Credpi, C.M., & Prelip, M.L. (2020). Exploring the relationship between MyPlate knowledge, perceived diet quality, and healthy eating behaviors among adolescents. American Journal of Health Promotion, 34(7), 713-721. doi: 10.1177/0890117120901430

Summary

The current school menu does not include healthy items for children to be consuming daily

It would be improved if fresh fruits and vegetables were included, as well as plant-based proteins.

There are cultural influences that sway a decision when it comes to lunch options to choose from

There are many barriers to discuss when it comes to the lack of healthy food choices

Lack of knowledge of myPlate and how to balance a diet

Socioeconomic factors like obesity and a low-income neighborhood

Health is not a priority in this community, evidenced by the quality of school lunches and childhood obesity rates

Nutritional requirements for the target age are not being met

Ellena slide

References

American Academy of Pediatrics. (n.d.). A Teenager’s nutritional needs. https://www.healthychildren.org/English/ages-stages/teen/nutrition/Pages/A-Teenagers-Nutritional-Needs.aspx

CDC. (2020). Childhood obesity facts. Centers for Disease Control and Prevention. https://www.cdc.gov/obesity/data/childhood.html

Ellis, E. (2019). How many calories does my teen need? Academy of Nutrition and Dietetics.

https://www.eatright.org/food/nutrition/dietary-guidelines-and-myplate/how-many-calories-does-my-teen-need

Mora, N., Golden, S.H. Understanding Cultural Influences on Dietary Habits in Asian, Middle Eastern, and Latino Patients with Type 2 Diabetes: A Review of Current Literature and Future Directions. Curr Diab Rep 17, 126 (2017). https://doi.org/10.1007/s11892-017-0952-6

Moretto, M.R, Silva, C.C, Kurokawa, C.S, Fortes, C.M, Capela, R.C, Teixeira, A.S, Dalmas, J.C, Goldberg, T.B. (2011). Bone mineral

density in healthy female adolescents according to age, bone age and pubertal breast stage. The Open Orthopaedics Journal. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3178934/#_ffn_sectiltle

U.S. Census Bureau QuickFacts: Cicero town, Illinois. (n.d.). Retrieved October 08, 2020, from https://www.census.gov/quickfacts/cicerotownillinois

Westfall, M., Roth, S.E., Gill, M., Chan-Golston, A.M., Rice, L.N., Credpi, C.M., & Prelip, M.L. (2020). Exploring the relationship between

MyPlate knowledge, perceived diet quality, and healthy eating behaviors among adolescents. American Journal of Health Promotion, 34(7), 713-721. doi: 10.1177/0890117120901430

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