Hattie Brown Case Study
Purpose: In this case study you will have an opportunity to determine a BMI and assess a 24
hour recall using the USDA’s Choose My Plate website (www.choosemyplate.gov) and the “My
Plate” and “Healthy Eating Style” recommendations. Complete the answers on this
worksheet, convert the file to a PDF and submit to the D2L Assignment folder.
Hattie Brown is a sophomore at Montana State University who recently moved off
campus and is living alone for the first time. She is a full-time student and works part
time cleaning offices.
Hattie feels she is always in a rush and grabs something easy or quick to prepare. She
admits that she loves Coca Cola and tries to limit her intake but finds some days to be
challenging, especially when she wants a boost of energy.
Hattie tries to walk to school every day as she lives 8 blocks away from campus.
Health and Family History:
Hattie has not had any health problems but decides that now she is living off campus
she would like to find out if she has a healthy diet. In addition, her grandmother has
osteoporosis and Hattie’s mother was told recently that she has below normal bone
density. Hattie is concerned that she may be at risk of developing osteoporosis.
Visit to the Student Health Service RD:
Hattie makes an appointment with the student health service RD to discuss her concerns. At
the appointment, the RD measures Hattie’s height and weight to determine her BMI and
completes a 24- hour recall.
Anthropometrics: 5’5”, 135 lbs.
1) BMI: Use the table “Is Your BMI in the Healthy Range?” on page 245 of the text
(Chapter 7) to determine her BMI.
Hattie’s BMI: ___________
a) What category does her BMI fit? underweight, normal, overweight or obese.
b) Should Hattie be concerned about her BMI? Explain.
Dietary Intake: As part of her assessment the RD completes a 24- hour recall with Hattie.
Greek Yogurt, whole fat
1 5.3 oz
12 fl oz
Peanut Butter & Jelly
Sandwich (White Bread)
12 oz can
At Work: Cleaning Offices
Salad- Spinach, 2 Eggs,
Onion, Feta Cheese
Honey Mustard Dressing
White Dinner Roll with
12 fl oz
1) Based on the 24-hour recall what is your first impression of Hattie’s food choices?
Choose My Plate is a free resource designed to help Americans learn about healthy food
choices and eating habits. Go to www.choosemyplate.gov to assess Hattie’s 24-hour recall
using the “My Plate” and “Healthy Eating Style” sections listed at the top of the home page.
2) Use the “My Plate” section (upper tool bar) to answer the following questions.
a) Does Hattie’s 24-hour recall contain the 5 food groups shown on the plate? If not,
which ones are missing?"
b) Would you be concerned about her meeting the recommendations of any of the 5
food groups? If so, which ones?
3) Use the “Healthy Eating Style” section (upper tool bar) and then go to “Choosing
Foods and Beverages” to review the guidelines for added fats, sodium, added sugars,
and caffeine in the diet and answer the following questions.
a) Review Hattie’s 24-hour recall and identify specific foods and/or beverages that
would fit under each of the 4 areas listed below.
Saturated, Unsaturated and Trans Fats:
1) Based on your overall assessment related to food groups, added fats, sodium, added
sugars and caffeine, does Hattie have a “healthy diet”? Explain.
2) List three suggestions for improvement that you would recommend to make her diet
3) A 24- hour recall is a retrospective view of someone’s diet. What are 2 limitations of this
type of dietary assessment?
4) The RD has recommended Hattie come back for a follow-up visit. What method of
dietary assessment might the RD request from Hattie to help get a more complete
picture of Hattie’s intake?
Complete the answers on this worksheet, convert the file to a PDF and submit to the
D2L Assignment folder.
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