Objective: To assess and evaluate vitamin/mineral status to determine the safety and necessity of using supplements



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NUTR 35.210 LAB 4

OBJECTIVE: To assess and evaluate vitamin/mineral status to determine the safety and necessity of using supplements.


For this lab, you will focus on vitamin and mineral deficiencies and toxicities. For each assessment category (ABCDE) you will complete an assessment. Once you have gathered all your data, you will decide if you are in danger of any deficiencies or toxicities and make a plan to either increase or decrease intake, depending on your findings.
To perform a full nutrition assessment, you want to gather as much information as possible about a person’s nutritional health. The ABCDE method stands for:
Anthropometric:

Calculate % usual body weight using the following formula:


%UBW = (100 x Actual Weight)/Usual body weight
Biochemical: For this you will measure your blood pressure in class as an indication of sodium, magnesium, and potassium status. Record blood pressure in raw data table.
Clinical: Use the Vitamin and Mineral Deficiencies and Toxicities: Clinical Assessment Chart to identify any clinical signs of vitamin or mineral deficiency or toxicity.
Dietary: Use your two-day day food diary to analyze intake of nutrients. Instructions for entering dietary data into the computer program to analyze your diet are as follows:


  1. Go to https://www.choosemyplate.gov/SuperTracker/default.aspx

  2. Create a profile using your information.

  3. Click on Track Food &Activity- a drop down will appear.

  4. Once in the Super Tracker you will enter all the foods you ate. Record everything you ate, and be sure to be as accurate as possible. DO NOT forget to include all liquids- portions count here too.

  5. By the “Related Links” tab you can choose “Nutrient Intake Report”. Run the report and export this as a word document then PRINT 1 copy of the Nutrient Intake report.


Environment: Identify environmental factors that can influence vitamin and mineral status like financial barriers, living situations, jobs, etc. that would impact what food you can purchase.

Lab report (Please type the final report)

Introduction:

Your introduction should include a short title for this lab.


You also need a discussion of why this lab is important, what you hope to learn from it, and what the information gathered can be used for.
Materials and Procedures:

This section should include a list of any materials or supplies you used to complete this lab.


You also need to include a step by step description of what you did during this lab.
Results and Analysis:

Please include,



  • Raw data table - make sure you create a descriptive title for you raw data table

  • Raw data: two-day food journal

  • Vitamin and Mineral Deficiencies and Toxicities: Clinical Assessment sheet

  • Your nutrient analysis report that analyzes your dietary data (from choosemyplate.gov)


Conclusions:

Create a table that includes TOTAL intake (from food and supplements) for all vitamins and minerals listed in the nutrient analysis report.
Use the ABCDE method to summarize your findings about your nutrition status. Make sure to discuss whether any suspected deficiencies or toxicities put you at a health risk. If so, discuss how you can reduce health risks.

Conclusions Part 2:

Using the table you created in the Conclusions, add another column titled “supplements”. In this column, enter the nutrition information from the back of the bottle of any micronutrients supplements you take. If you do not take any supplements, find a multivitamin and mineral supplement (you can search online, or borrow a friend’s bottle) and add the nutrition information for all the micronutrients that are on your table. Now create one more row that adds your usual intake with your supplemental intake. Do you think most Americans need to take supplements?

Raw data table:
Anthropometric/ Biochemical:

Please create a title for this raw data table:




Variable

Value

Weight from last week (lbs)




Weight from this week week (lbs)




Blood pressure (systolic) mmHg




Blood pressure (diastolic) mmHg





Clinical

Vitamin and Mineral Deficiencies and Toxicities: Clinical Assessment Chart (CIRCLE ANY THAT APPLY TO YOU)



Vitamin/ Mineral

Physical Signs of Deficiency

Physical Signs of Toxicity

Vitamin A

Hair follicle blockage with a permanent “goose-bump” appearance

Dry, rough, skin

Small, grayish, foamy deposits on the conjunctiva adjacent to the cornea

Drying of the eyes and mucous membranes

Night blindness


Bone pain

Vitamin K

Small hemorrhages in the skin or mucous membranes

None known

Thiamine

Unexplained weight loss

Muscular wasting

Sometimes edema

Malaise or fatigue

Tense calf muscles

Distended neck veins

Jerky movement of eyes

Difficulty walking

Round, swollen (moon) face


None known

Riboflavin

Tearing, burning, and itching of the eyes with fissuring in the corners of the eyes

Soreness and burning of the lips, mouth, and tongue with fissuring and/or cracking of the lips and corners of the mouth

Purple swollen tongue

Capillary overgrowth around the corneas



Bright yellow urine

Niacin

Dermatitis or skin eruptions

Tremors


Sore tongue

Diarrhea


Flushing, nausea, vomiting

Vitamin B6

Tongue inflammation

Inflammation of the lining of the mouth

Fissures in the corners of the mouth


Tingling in hands

Folate

Weakness, fatigue, and depression

Pallor/pale skin

Skin lesions


None known

Vitamin B12

Lemon-yellow tint to the skin and eyes

Smooth, red, thickened tongue



None known

Vitamin C

Impaired wound healing

Edema


Swollen, bleeding, and/or retracted gums or tooth loss; mottled teeth; enamel erosion

Lethargy and fatigue

Skin lesions

Small red or purplish pinpoint discolorations on the skin or mucous membranes (petechiae)

Darkened skin around the hair follicles


Nausea, diarrhea, stomach cramps

Magnesium

Tremors, muscle spasms, and tetany

Personality changes



Diarrhea, cramps, nausea

Iron

Skin pallor

Pale conjuctivia

Fatigue

Thin, concave nails with raised edges



Pica (ice chewing)

Nausea, vomiting, diarrhea, constipation

Zinc

Delayed wound healing

Hair loss

Skin lesions

Eye lesions



Nausea, vomiting, cramps, diarrhea, impaired immune function

Sodium

Rare

Hypertension

Selenium

None known

Brittle hair and nails, skin rash, garlic breath odor, fatigue

Instructor Signature______________________________________








Excellent (3 pts)

Good (2 pts)

Adequate (1 pts)

Needs Work (0.5 pt)

Not attempted (0)

Introduction

Includes the question or purpose to be answered by the lab, states the reason why this is important
and has a short, relevant title.

One of the "excellent" conditions is not met, two conditions met

Two of the "excellent" conditions is not met, one is met

Introduction present, no exemplary conditions met




Materials and Procedures

Description or step-by-step process is included, could be repeated by another scientist

Description included, some steps are vague or unclear

The description gives generalities, enough for reader to understand how the lab was conducted

Would be difficult to repeat, reader must guess at how the data was gathered or lab was conducted




Results and Analysis

Results and data are clearly recorded, organized so it is easy for the reader to see trends. All appropriate labels are included

Results are clear and labeled, trends are not obvious or there are minor errors in organization

Results are unclear, missing labels, trends are not obvious, disorganized, there is enough data to show the experiment was conducted

Results are disorganized or poorly recorded, do not make sense; not enough data was taken




Conclusions

1. Summarizes data used to draw conclusions
2. Conclusions follow data (not wild guesses or leaps of logic),
3. Discusses applications or real world connections

2 of 3 of the "excellent" conditions is met

1 of 3 of the "excellent" conditions is met

Conclusion section is present but no conditions are met




Conclusions part 2

Answers all additional questions required correctly.


Answers 2 or 3 additional questions correctly.

Answers 1 of 3 additional questions correctly.

Attempts to answer questions but none are correct.








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