case study

[sunfire8799]

[color=#e78717]:[color=#333333]"alan graduated from college a few months ago started working. he lives alone in a studio apartment,works approximately 10 hours a day during the week and spends weekends with friends. he either runs or goes to the gym three or four times a week before work. he has been feeling tired . he usually eats a bagel or breakfast bar on his way to work and has one or more cups of coffee a bagel or breakfast bar, lunch is deli sandwich and chips for fast food burger. from work he eats pizza or chinese food. how could alans tiredness be related to what he eats?"

[Clovery]

so you just want us to do your homework... is that it? what you typed barely makes sense but here's what I think...

sounds to me like alan doesn't get enough fiber, fruits and vegetables. He could have a vitamin deficiency. Considering he goes to the gym often, he may not be getting enough protein. Too much sodium from fast food, cured meats. Does he drink anything besides coffee?

[sunfire8799]

my thoughts were not picking the right food choices from the food pyrimid, also not a continous amount of calories in to be burned during exerise. caffine causing heart arrhythmias fast energy consumption only to run out of energy fast

[sunfire8799]

my thoughts were not picking the right food choices from the food pyrimid, also not a continous amount of calories in to be burned during exerise. caffine causing heart arrhythmias fast energy consumption only to run out of energy fast

[Clovery]

the food pyramid is no more... it's "my plate" now. google it.

i don't think you can jump to caffeine causing heart arrhythmias from the info above... you're right about fast energy consumption - for example his breakfast is a bagel or a breakfast bar... bagels are refined carbs, converting to sugar rather quickly. breakfast bar is rather ambiguous but i suppose a typical one is like a cereal bar with some fruit jelly stuff in the middle? those are mostly just sugar too. he should definitely try to get a protein for breakfast, or at least switch to whole grain cereal or bread. but if he were my patient, i'd probably address his dinner first and try to help him come up with healthier options than chinese food and pizza.