Given the table summarizing the patient's diet and the suggested dietary proportions:
| Macromolecule | Suggested percentage of diet | Actual percentage of diet |
|----------------|------------------------------|---------------------------|
| Carbohydrates | 45-65% | 70% |
| Lipids | 20-35% | 5% |
| Proteins | 10-35% | 25% |
Let's analyze the given data:
1. Carbohydrates:
- Suggested: [tex]\(45-65\%\)[/tex]
- Actual: [tex]\(70\%\)[/tex]
- The patient's carbohydrate intake is higher than the suggested range.
2. Lipids:
- Suggested: [tex]\(20-35\%\)[/tex]
- Actual: [tex]\(5\%\)[/tex]
- The patient's lipid intake is lower than the suggested range.
3. Proteins:
- Suggested: [tex]\(10-35\%\)[/tex]
- Actual: [tex]\(25\%\)[/tex]
- The patient's protein intake is within the suggested range.
The patient’s carbohydrate intake is too high, and lipid intake is too low. Protein intake is within the suggested range, so no change is needed there.
### Advice
Based on this analysis:
- Carbohydrates are too high: So, the patient should decrease the amount of carbohydrate-rich foods like rice and pasta.
- Lipids are too low: Typically, one would suggest increasing the amount of foods that are rich in healthy fats (like oils) to bring lipid intake into the suggested range.
- Proteins are in range: No change needed for proteins.
Combining these steps, the best advice for the patient is:
- Decrease the amount of rice and pasta (carbohydrates).
- Increase the amount of lean meats (although protein intake is okay, emphasizing lean meats for overall health is typical advice).
Thus, the advice the dietician is likely to give is:
The patient should decrease the amount of rice and pasta and increase the amount of lean meats (proteins) in his or her diet.
This matches conclusion [tex]\( \textbf{4} \)[/tex].
