NUTR 35.210
LAB 4
OBJECTIVE: To assess and evaluate vitamin/mineral status to determine the safety and necessity of using supplements.
For this lab, you will focus on vitamin and mineral deficiencies and toxicities. For each assessment category (ABCDE) you
will complete an assessment. Once you have gathered all your data, you will decide if you are in danger of any
deficiencies or toxicities and make a plan to either increase or decrease intake, depending on your findings.
To perform a full nutrition assessment, you want to gather as much information as possible about a person’s nutritional
health. The ABCDE method stands for:
Anthropometric:
Calculate % usual body weight using the following formula:
%UBW = (100 x Actual Weight)/Usual body weight
Biochemical: For this you will measure your blood pressure in class as an indication of sodium, magnesium, and
potassium status. Record blood pressure in raw data table.
Clinical: Use the Vitamin and Mineral Deficiencies and Toxicities: Clinical Assessment Chart to identify any clinical signs
of vitamin or mineral deficiency or toxicity.
Dietary: Use your two-day day food diary to analyze intake of nutrients. Instructions for entering dietary data into the
computer program to analyze your diet are as follows:
1.
2.
3.
4.
Go to https://www.choosemyplate.gov/SuperTracker/default.aspx
Create a profile using your information.
Click on Track Food &Activity- a drop down will appear.
Once in the Super Tracker you will enter all the foods you ate. Record everything you ate, and be sure to be as
accurate as possible. DO NOT forget to include all liquids- portions count here too.
5. By the “Related Links” tab you can choose “Nutrient Intake Report”. Run the report and export this as a word
document then PRINT 1 copy of the Nutrient Intake report.
Environment: Identify environmental factors that can influence vitamin and mineral status like financial barriers, living
situations, jobs, etc. that would impact what food you can purchase.
1
Lab report (Please type the final report)
Introduction:
Your introduction should include a short title for this lab.
You also need a discussion of why this lab is important, what you hope to learn from it, and what the information gathered
can be used for.
Materials and Procedures:
This section should include a list of any materials or supplies you used to complete this lab.
You also need to include a step by step description of what you did during this lab.
Results and Analysis:
Please include,
 Raw data table - make sure you create a descriptive title for you raw data table
 Raw data: two-day food journal
 Vitamin and Mineral Deficiencies and Toxicities: Clinical Assessment sheet
 Your nutrient analysis report that analyzes your dietary data (from choosemyplate.gov)
Conclusions:
Create a table that includes TOTAL intake (from food and supplements) for all vitamins and minerals listed in the
nutrient analysis report.
Use the ABCDE method to summarize your findings about your nutrition status. Make sure to discuss whether any
suspected deficiencies or toxicities put you at a health risk. If so, discuss how you can reduce health risks.
Conclusions Part 2:
Using the table you created in the Conclusions, add another column titled “supplements”. In this column, enter the
nutrition information from the back of the bottle of any micronutrients supplements you take. If you do not take any
supplements, find a multivitamin and mineral supplement (you can search online, or borrow a friend’s bottle) and add the
nutrition information for all the micronutrients that are on your table. Now create one more row that adds your usual intake
with your supplemental intake. Do you think most Americans need to take supplements?
2
Raw data table:
Anthropometric/ Biochemical:
Please create a title for this raw data table:
Variable
Weight from last week (lbs)
Weight from this week week (lbs)
Blood pressure (systolic) mmHg
Blood pressure (diastolic) mmHg
Value
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Clinical
Vitamin and Mineral Deficiencies and Toxicities: Clinical Assessment Chart (CIRCLE ANY THAT APPLY TO YOU)
Vitamin/
Mineral
Vitamin A
Vitamin K
Thiamine
Riboflavin
Niacin
Vitamin B6
Folate
Vitamin B12
Vitamin C
Magnesium
Iron
Zinc
Sodium
Selenium
Physical Signs of Deficiency
Physical Signs of Toxicity
Hair follicle blockage with a permanent “goose-bump” appearance
Dry, rough, skin
Small, grayish, foamy deposits on the conjunctiva adjacent to the cornea
Drying of the eyes and mucous membranes
Night blindness
Small hemorrhages in the skin or mucous membranes
Unexplained weight loss
Muscular wasting
Sometimes edema
Malaise or fatigue
Tense calf muscles
Distended neck veins
Jerky movement of eyes
Difficulty walking
Round, swollen (moon) face
Tearing, burning, and itching of the eyes with fissuring in the corners of the eyes
Soreness and burning of the lips, mouth, and tongue with fissuring and/or cracking
of the lips and corners of the mouth
Purple swollen tongue
Capillary overgrowth around the corneas
Bone pain
Dermatitis or skin eruptions
Tremors
Sore tongue
Diarrhea
Tongue inflammation
Inflammation of the lining of the mouth
Fissures in the corners of the mouth
Weakness, fatigue, and depression
Pallor/pale skin
Skin lesions
Lemon-yellow tint to the skin and eyes
Smooth, red, thickened tongue
Impaired wound healing
Edema
Swollen, bleeding, and/or retracted gums or tooth loss; mottled teeth; enamel
erosion
Lethargy and fatigue
Skin lesions
Small red or purplish pinpoint discolorations on the skin or mucous membranes
(petechiae)
Darkened skin around the hair follicles
Tremors, muscle spasms, and tetany
Personality changes
Skin pallor
Pale conjuctivia
Fatigue
Thin, concave nails with raised edges
Pica (ice chewing)
Delayed wound healing
Hair loss
Skin lesions
Eye lesions
Rare
None known
Flushing, nausea, vomiting
None known
None known
Bright yellow urine
Tingling in hands
None known
None known
Nausea, diarrhea, stomach
cramps
Diarrhea, cramps, nausea
Nausea, vomiting, diarrhea,
constipation
Nausea, vomiting, cramps,
diarrhea, impaired immune
function
Hypertension
Brittle hair and nails, skin rash,
garlic breath odor, fatigue
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Instructor Signature______________________________________
Excellent (3 pts)
Good (2 pts)
Includes the question or
purpose to be answered by
One of the "excellent"
the lab, states the reason
Introduction
conditions is not met,
why this is important
two conditions met
and has a short, relevant
title.
Adequate (1 pts)
Needs Work (0.5 pt)
Two of the "excellent"
conditions is not met, one is
met
Introduction present, no
exemplary conditions
met
Not
attempted
(0)
Would be difficult to
Description or step-by-step
The description gives
Description included,
repeat, reader must
Materials and process is included, could
generalities, enough for reader
some steps are vague
guess at how the data
Procedures
be repeated by another
to understand how the lab was
or unclear
was gathered or lab was
scientist
conducted
conducted
Results and data are clearly Results are clear and Results are unclear, missing
Results are disorganized
recorded, organized so it is labeled, trends are not labels, trends are not obvious,
Results and
or poorly recorded, do
easy for the reader to see
obvious or there are disorganized, there is enough
Analysis
not make sense; not
trends. All appropriate labels
minor errors in
data to show the experiment
enough data was taken
are included
organization
was conducted
1. Summarizes data used to
draw conclusions
2. Conclusions follow data
2 of 3 of the "excellent"
Conclusions (not wild guesses or leaps of
conditions is met
logic),
3. Discusses applications or
real world connections
Answers all additional
Conclusions
questions required correctly.
part 2
Answers 2 or 3
additional questions
correctly.
1 of 3 of the "excellent"
conditions is met
Conclusion section is
present but no conditions
are met
Answers 1 of 3 additional
questions correctly.
Attempts to answer
questions but none are
correct.
5