1. Nilam Hypio
FND 252
Clark
12/2/15
Assignment #3- Aging Case Study
Part 1:
RH is a Caucasian male aged 60. He lives in a little town in Colorado. RH has
had a long list of major medical history starting with a collapsed lung at 23, had
parts of a lung taken out at 25 (thoracotomy wedge resection), contracted the West
Nile virus in 2000, arthroscopies on both knees within the last 10 years and an
osteotomy on the left knee. Other than those major surgeries, RH has no major
medical conditions. He is in great shape and can still keep up (barely) with his
daughter when they go cross-country skiing together when she visits. Based on RH’s
history of surgeries, he has to put a limit to some of his physical activities and the
duration of those activities. Since he is active, he’ll have more of a total calorie
intake.
RH stands at 5’10” and weighs 163. Although he is within the normal BMI
scale, he wants to lose a little bit of weight. His BMI is 23.4 (703 x 163/70/70),
which is in the normal range. His calorie level is 3320.72 (662-9.53(60)+
[1.27(15.9 x 74.1+539.5 x 1.78)]. RH takes Levothyroxine (75 mcg), Citalopram
(10mg), aspirin (81mg) and 1,000 mg of Vitamin D in the winter.
He takes Levothyroxine to regulate his thyroid and that keeps his hormones
in check. If someone has had the West Nile virus, they can have depression and
personality changes long term. Citalopram is taken for depression (mild to severe),
as he takes this daily. Aspirin is taken for knee and head pain. Vitamin D can help
reduce the risk for osteoporosis; he takes this in the winter because usually we all
don’t spend as much time in the sun as we do in the summer (Vitamin D is naturally
in the sun).
Throughout his life, RH was always active and had special interests in
running, specifically running in various ultramarathons and long distance races. He

2. has ran approximately 60+ marathons/ultramarathons and finished a multitude of
cross-country ski races as well. Running all these miles had affected both of his
knees and can’t run more than 3 or 4 miles at a time. Currently, RH’s activity level
is active, as he lifts weights, rides his stationary bike, goes on hikes and long bike
rides (8-15 miles- usually in the summer) and keeps up with a well-balanced diet.
Because RH has a normal BMI, keeps active, income/living
situation/education are all in good shape and has no minor physical limitations, he
is in good condition for having minimal to no major nutrition issues.
Income for a whole year with his wife averages out to be about $100,000 per
year. He went back and forth with teaching multiple subjects (English, Science-
chemistry, Math-algebra, geometry, Physics) and working at a hospital as a surgical
technician until he finally settled with teaching math, speech and doing ACT prep at
a high school for his last 8 years before he retired last spring. He has no physical
limitations except for some brief pain in his left knee from time to time and wears
prescription glasses.
Part 2:
11a (nutrient intake report on attached paper).
11b (Daily food groups-targets for each) on attached paper.
Part 3:
1. RH should eat foods that are rich in calcium, such as cheeses and sardines.
RH loves sardines, so this would be a great option because he isn’t meeting
the recommended amount of Calcium and his Dairy intake is low (target is 3c,
had 1c that day).
2. RH should eat more dark colored vegetables, specifically avocados, which
have a moderate amount of Vitamin E and generous amount of potassium
and spinach, which have more amounts of magnesium as well as Vitamin E.
3. RH should eat foods that have an adequate amount of fiber, such as
raspberries, blueberries, squash, mostly any type of beans, split peas and
broccoli are all great choices that have a higher amount of fiber.
4. Based on his total calories for the day, RH is not meeting the overall calorie
intake and is low by about 1200 calories. He should eat more snacks

3. throughout the day, such as fresh fruit, crackers, yogurt or even half a
sandwich as he doesn’t eat in the middle of the day.
5. RH is getting the recommended amount of protein, and is even eating past
the target amount, which is beneficial if he is active.
6. RH is not meeting the recommended amount of calories, but doesn’t have a
severely low calorie intake.
7. RH is doing well on getting the recommended amount of Folate, Thiamin,
Riboflavin, Niacin and Vitamin K.
8. RH is getting the recommended amount of protein (from turkey) and iron.
References:
Clark, Alena. Unit 3: Nutrition in Adulthood and in the Aging [Age Related Changes
in Energy Requirements, Vitamin Requirements in the Elderly]. FND 252. 29
Nov 2105.
Hypio, Richard. Personal Interview. 27 November 2015.
SuperTracker: My Plan. SuperTracker Home. USDA.gov. 30 Sept 2015. 27 Nov 2015.
https://www.supertracker.usda.gov/myplan.aspx.