Rafael’s father died of a heart attack at age 50. Rafael isworried about his own heart disease risk, so he makes anappointment with the physician. He fills out a questionnaire abouthis medical history, lifestyle and meets with a dietitian toevaluate his diet and has blood drawn for cholesterol analysis. Thetable below summarizes factors that may affect Rafael’s risk ofdeveloping heart disease:
Sex Male
Age 35
Family history Father had a heart attack at 50
Height/weight 5’8â€/160lbs
Blood pressure 120/70
Stress level Moderate
Smoker Yes
Activity level Inactive
Blood values
Total cholesterol 210mg/100ml
HDL cholesterol 50mgs/100ml
Typical daily intake from 3-day food record
Percentage energy from fat 39, Percentage energy from saturatedfat 17 ,Percentage energy from polyunsaturated fat 7, Cholesterol(mg) 350
Servings from food guide pyramid
Bread, cereal, pasta group 11
Vegetable 2 Fruit 1
Milk, yoghurt, cheese 2 Meat, egg, poultry, beans, nuts, fish4
QUESTION : If Rafael were to replace all of the added fat in hisdiet with olive oil, would he reduce his risk of cardiovasculardisease to the level found in Mediterranean countries? Why or whynot?
