How can the n-3:n-6 ratio of the diet change? Case Study: John is a 55-year-old, Caucasian male, 6’ 1’ tall, weighing 210 pounds. He is diagnosed with osteoarthritis. Recommendations for his condition include following an anti-inflammatory diet. You have been asked to work with John to modify his typical day’s intake according to principles of an anti-inflammatory meal pattern. John is married and shares shopping and cooking responsibilities with his wife. They both enjoy and eat a wide variety of foods. Using the table below, make recommendations to John’s existing typical day’s intake. (Expand the table as needed) Make changes using recommendations from Mahan and Raymond (2016) Appendix 31 The anti-inflammatory diet. Make changes to improve the n-3:n-6 fatty acid ratio. Current Typical Day General Suggestions Anti-inflammatory Typical Day Meal Food Amount Cooking Meal Food Amount Cooking Mid day Lunch meat and cheese sandwich 3 oz meat 1oz cheese 2 slices bread mayo Made at home Potato Chips 1 small bag Work vending machine Fruit 1 piece raw Soft drink 12 oz Work vending machine Briefly explain the changes you made to John’s typical day. Why were these changes made? _______ _________________________________________________________________________________ _________________________________________________________________________________
John needs to consume more n3 fatty acids in the diet and less of n6 because more of n6:n3 ratio leads to oxidative damage which damage the cell membranes as a result there is inflammation in the joints whereas n3 acts as anti -inflammatory fatty acid by reducing the production of ecosanoids like prostaglandins and effect of n6 fatty acid is reduced. John can include flax seeds in his diet as flax seeds ratio of n3:n6 is 3:1. Adding Flax seeds to a smoothie or yogurt during mid meal can be incoporated by the diet. Almonds, walnuts, and other nuts can be added to diet to improve the ratio. It is also a good option to have chia seeds,mustard seeds,pumkin seeds. 1-2 tsp of flaxseeds daily will show anti inflammatory effect.
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