Ruthie is a 11-year-old female with a twin sister. They

Ruthie is a 11-year-old female with a twin sister. They are identical twins and hard to tell apart. Ruthie’s family is Hispanic with two parents at home. Her father is an engineer and her mother a second-grade schoolteacher. They are upper middle class and live in an urban area. The family lives close to their extended family and sees them often. The twins are overweight, and their grandmother is very vocal about the twin’s weight and what they are eating. Ruthie is tired of the comments from her grandmother and always being compared to and mistaken for her sister. So, to stand out and lose weight, she has decided to be a vegetarian. She knows little about being a vegetarian and got the idea from a friend who is always dieting. A vegetarian diet as she understands it means that you do not eat meat. Her pediatrician has referred her to you when she mentioned becoming a vegetarian at her annual doctor’s checkup. Ruthie’s anthropometric data: Height: 4 ft 6 inches Weight: 100 lbs Ruthie’s 24 hr diet recall: Breakfast: 2 cups of Honey, Nut Cheerios, 1 Cup Whole Milk, 2 cups of Calcium Fortified Orange Juice Lunch: 1 piece of Cheese Pizza from School Cafeteria, 16 oz Gatorade After School Snack: 1 Medium Banana, 1- 3.5 oz bag of Cheetos, Dinner: 1 Medium Cheese Quesadilla, 2 slices of tomatoes, 16 oz Gatorade, 1 cup white rice, 1 cup whole milk Snack: 1/2 cup vanilla ice cream, 1 tbsp chocolate syrup Questions: 1. Assess and interpret the anthropometric and dietary data. Provide Cronometer dietary analysis for her current vegetarian diet as an appendix. 2. Is it appropriate based on her situation to follow a vegetarian diet? Why or why not? 3. Provide a one day menu based on your recommendation to Ruthie. Either an updated vegetarian diet or a diet that you would like to see Ruthie follow. 4. What nutrition advice would you give Ruthie? 5. What nutrition advice would you give her parents? 6. How would Scripture guide your interactions with Ruthie?

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