Lifestyle and Nutrition Assessment

Case:
Natasha is a 45 y/o nurse who works for a local hospital. She goes to her doctor for her annual physical. She reports that she has been feeling more tired and has gained about 15-20 pounds in the last year. She has been under much stress at work, raising her teenagers and assisting her elderly parents. At her visit, her doctor voices much concern over her lab work and weight gain. A 24-hour recall of her diet is also recorded (see food report Download see food report). She is diagnosed with NAFLD, Non-Alcoholic Fatty Liver Disease, and is set up with a follow-up with her physician after she sees a Registered Dietitian.
Anthropometric Data:
Height: 5ft 3 inches Weight: 185pounds Waist Circumference: 38inches
Blood Pressure: 140/90
Lab Work
Test Patient's Values Normal Range
Blood Glucose 102mg/dl 80 - 100 mg /dl
Hemoglobin A1C 6.0% < 5.7%
Cholesterol 296mg/dl < 200 mg / dl
Triglycerides 300mg/dl <150 mg / dl
Liver enzymes:
alanine aminotransferase (ALT)
45U/L
7 - 56 U / L
aspartate aminotransferase (AST)
57U/L
5 - 40 U / L

Useful References/Sources:
University of Michigan NAFLD booklet
The post should thoroughly answer each of the following questions:
Review the provided data. Create at least 4 or more questions that you would ask the patient about his lifestyle to gather more appropriate information to help you with your nutrition assessment.
Explain what attributes of her anthropometric and lab data support this diagnosis.
Identify two additional relevant tests or procedures that might be performed to help diagnose/evaluate this patient. Please explain what information each of these questions or tests will reveal in relevance to her liver disease. You must explain the purpose of each question or test.
When educating Natasha, discuss which medications/supplements would be helpful for NAFLD and which should be avoided.
Module 8 Reading Assignment - Liver, Gallbladder, and Inflammation
Step 1
Review the case study, food report, and resources.
The post should thoroughly answer each of the following questions:
1-Review the provided data. Create at least 4 or more questions that you would ask the patient about his lifestyle to gather more appropriate information to help you with your nutrition assessment.
2-Explain what attributes of her anthropometric and lab data support this diagnosis.
3-Identify two additional relevant tests or procedures that might be performed to help diagnose/evaluate this patient. Please explain what information each of these questions or tests will reveal in relevance to her liver disease. You must explain the purpose of each question or test.
4-When educating Natasha, discuss which medications/supplements would be helpful for NAFLD and which should be avoided