Answer :
Let's analyze the given information and derive the advice the dietician will provide, based on the patient's actual percentages of macromolecule intake compared to the suggested percentages.
### Carbohydrates
- Suggested percentage: 45-65%
- Actual percentage: 70%
The actual percentage of carbohydrates is 70%, which is above the suggested maximum of 65%. Therefore, the patient should reduce their carbohydrate intake.
### Lipids
- Suggested percentage: 20-35%
- Actual percentage: 5%
The actual percentage of lipids is 5%, which is below the suggested minimum of 20%. Thus, the patient should increase their intake of lipids.
### Proteins
- Suggested percentage: 10-35%
- Actual percentage: 25%
The actual percentage of proteins is 25%, which is within the suggested range of 10-35%. No changes are necessary for protein intake.
### Conclusion
Based on the analysis:
- The patient needs to reduce carbohydrates intake, which would typically include foods like rice and pasta.
- The patient needs to increase lipids intake, which can be done by incorporating more oils in the diet.
Therefore, the dietician's advice should be: "The patient should decrease the amount of rice and pasta and increase the amount of oils in his or her diet."
This matches the option:
The patient should decrease the amount of rice and pasta and increase the amount of oils in his or her diet.
### Carbohydrates
- Suggested percentage: 45-65%
- Actual percentage: 70%
The actual percentage of carbohydrates is 70%, which is above the suggested maximum of 65%. Therefore, the patient should reduce their carbohydrate intake.
### Lipids
- Suggested percentage: 20-35%
- Actual percentage: 5%
The actual percentage of lipids is 5%, which is below the suggested minimum of 20%. Thus, the patient should increase their intake of lipids.
### Proteins
- Suggested percentage: 10-35%
- Actual percentage: 25%
The actual percentage of proteins is 25%, which is within the suggested range of 10-35%. No changes are necessary for protein intake.
### Conclusion
Based on the analysis:
- The patient needs to reduce carbohydrates intake, which would typically include foods like rice and pasta.
- The patient needs to increase lipids intake, which can be done by incorporating more oils in the diet.
Therefore, the dietician's advice should be: "The patient should decrease the amount of rice and pasta and increase the amount of oils in his or her diet."
This matches the option:
The patient should decrease the amount of rice and pasta and increase the amount of oils in his or her diet.