Case Study 2

October 22, 2013

Overview of Client
Female
Approximately
Track

21 years old

athlete
Height: 69 inches
Current weight: 151 pounds
Usual weight: 156 pounds
3% weight loss recently

Issues
Physical

Issues:

Poor eating habits

that have recently
improved

Lack of Knowledge

Excessive fatigue
Inability to fully
recover between
practices

Dietary

Issues:

Was under the

impression that
athletes are supposed
to eat less than the
general public

Attitude

Seems open to
change but is
apprehensive

Athletes Concerns and Goals

She

wants to improve her diet

She is concerned about her excessive
fatigue
She wants to continue to lose weight in
order to increase her speed and
quickness

Goal of 3 4 pounds by January

Monday and Wednesday

6:30 a.m.

Wake up

7 a.m. - 8 a.m.

Resistance Training

Breakfast
9 a.m. - 11 a.m.

Class

Lunch
12 p.m. - 2 p.m.

Class

Snack
3 p.m. - 6 p.m.

Practice

6 p.m. - 9 p.m.

Class

Dinner
11 p.m.

Goes to sleep

Tuesday and Thursday

6:30 a.m.

Wake up

7 a.m. - 8 a.m.

Cardiovascular Training

Breakfast
9 a.m. - 11 a.m.

Class

Lunch
12 p.m. - 2 p.m.

Class

Snack
3 p.m. - 6 p.m.

Class

6 p.m. - 8 p.m.

Interval Training

Dinner
11 p.m.

Goes to sleep

Friday
6:30 a.m.

Wake up

7 a.m. - 8 a.m.

Resistance Training

Breakfast
9 a.m. - 11 a.m.

Class

Lunch
12 p.m. - 2 p.m.

Class

Snack
3 p.m. - 6 p.m.
Dinner

Practice

Overview of Eating Schedule

Pros
Consistently

eats
breakfast, lunch,
dinner, and an
afternoon snack
Usually eats after
training/practice
sessions

Cons
Does

not eat
before morning
training sessions
and occasionally
before afternoon
training sessions

 Have

athlete
complete a 24hour recall and
review

Before
Meeting

 Introduction

to

athlete
Ask her what she
thinks about her
dietary intake
Ask her what her
main concerns
are
Be sure to speak
in terms she can
understand
Frequently
summarize what
is covered

Icebreakers and
Trust Builders

Client Education
Description

of
balanced meals
Importance of
meeting energy
requirements
Healthy weight loss
Importance of
snacks/meals before
and after exercise

Daily Nutritional Recommendations

for Weight Loss

Energy Requirements

2,350 2,500
kcals/day to loose 3
4 pounds in 2
months

Carbohydrate
requirements

340 480 g/day

1370 1920
kcals/day from CHO

Protein
Requirements

82 96 g/day
10% - 15% of EER
320 385 kcals/day
from protein

Fat requirements

22 60 g/day
200 540 kcals/day
from fat

Morning Snack (1 hour prior to

exercise)
Example 1
Apple

(medium

sized)
Cliff Bar
Nutrition:

305 kcals
68g carbohydrates
10g protein
5g fat

Example 2
Hummus (4oz.)
Raw carrots (1 cup)
Low fat yogurt (1 cup)
Nutrition:

380 kcals
62g carbohydrates
18g protein
7g fat

Breakfast (within 1 hour after

exercise)
Whole

wheat English muffin sandwich with 1

scrambled egg and raw spinach
Raw strawberries (1 cup)
Low fat cottage cheese (4 oz.)
Skim milk (1 cup or 8 fl. oz.)
Nutrition:

534 kcals
56g carbohydrates
40g protein
8g fat

Late Morning Snack (between

breakfast and lunch)
Example 1
Special

K cereal

bar
Nutrition:

90 kcals
18g carbohydrates
1g protein
1.5g fat

Example 2
Raw

pear
(medium size)
Nutrition:

81 kcals
21g carbohydrates
0.5g protein
0g fat

Lunch
Grilled

chicken breast (4 oz.) with steamed

broccoli (1 cup)
Raw pineapple (1 cup)
Garden side salad with light raspberry
vinaigrette dressing (2 Tbsp.)
Nutrition:

324 kcals
30g carbohydrates
30g protein
6g fat

Afternoon Snack (1 hour prior

to exercise)

tuna salad with low fat mayonnaise on

wheat bread with Swiss cheese
Low fat chocolate milk (1 cup or 8 fl. oz.)
Cherry tomatoes (1 cup) with low fat ranch
dressing (2 Tbsp.)
Nutrition:

435 kcals
75g CHO
18g protein
7g fat

Dinner (within 1 hour after

exercise)
Spaghetti

with marinara sauce (6 oz.)

Steamed green beans (1 cup)
Skim milk (1 cup or 8 fl. oz.)
Nutrition:

565 kcals
102g carbohydrates
19g protein
6g fat

SMART Goals
To

consume
enough energy
daily to allow
proper recovery
after practices and
training sessions
To lose 3 4
pounds by January

Motivation
By

showing her the many different

options that she can eat instead of point
out items that she cannot eat
By emphasizing the benefits of
consuming the appropriate amounts of
macronutrients

Monitoring and Accountability

Monitoring
Will

recommend
that the client
uses a tracking
app, such as
myfitnesspal, to
ensure adequate
intake

Accountability
The

consequences of
an inability to consume
a balanced diet and
how to effective lose
weight will be
explained and the
client will be expected
to hold herself
accountable

Other Recommendations
Recommend

that she have a follow-up

meeting if she experiences any more
symptoms
We also recommend that she discuss
the issues that she is experiencing with
her coach and continue to work closely
with the athletic trainer

Questions?