What diseases and causes of death have been experienced by this “side” of your family?

RISK OF DISEASE DUE TO HEREDITY AND LIFESTYLE PROJECT
1. Interview of Family Member:
Interview two family relatives or individuals who have been influential in your life to gather the following information to determine your potential to develop diseases that could be life-threatening and/or life-limiting . You will use this information, along with your personal dietary and lifestyle behaviors to evaluate your potential for development of these diseases and to develop a dietary and lifestyle action plan for the future as you complete this course.
a. Answer the following questions:
1. Current age of relatives or influential individuals
2. Age(s) at death, or current age, of close relatives or
individuals
3. What diseases and causes of death have been experienced by this “side” of your family?
2. Analysis of Dietary Habits of Family Member
a. How often did they eat per day?
b. Do/did they eat any of the following?
1. Whole grains or processed bread and cereal
2. Vegetables
3. Fruits
4. Dairy/condiments
5. Types of meat  and frequency of consumption of these and
eggs per week.
3. Analysis of Physical Activity and Lifestyle Habits of Family Member
a. What is/was the occupation of these relatives or individuals? What types and amount of physical
activity does/did this require?
b. Do/did they engage in any recreational exercise? If so, what activities do/did they perform?
c. Did they engage in organized exercise? What type of exercise did they perform? How long
were their exercise sessions?
d. Do/did they smoke? If so, how many packs/cans per day?
e. Do/did they drink alcohol? If so, how many drinks per day or week?
4. Your Personal Dietary and Behavior Habits
a. How often do you eat per day?
b. How many servings do you typically eat per day of the following.
1. Whole grains or processed bread and cereal
2. Vegetables
3. Fruits
4. Dairy products/condiments
5. Meat, chicken, turkey, fish, eggs
c. How often do you engage in physical activity per week?
1. Average length of each exercise session
2. Average intensity of each session

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