ISSA Case Analysis & Practical Application 2

Question 1

A 45-year-old male client with type 2 diabetes and a BMI of 32 wants to lose weight. He currently consumes 2,800 kcal/day. Which dietary strategy is MOST appropriate as a starting point?

Accepted Answer

Create a 500–750 kcal/day deficit to lose 1–1.5 lb/week

Answer

A moderate caloric deficit of 500–750 kcal/day promotes steady, sustainable weight loss while managing blood sugar in diabetic clients.

Question 2

A collegiate soccer player reports feeling fatigued during the second half of games despite eating a pre-game meal. Which nutrient timing adjustment is MOST likely to help?

Accepted Answer

Consume a carbohydrate-electrolyte drink during half-time

Answer

A carbohydrate-electrolyte beverage at half-time replenishes glycogen and fluids, helping sustain energy during the second half.

Question 3

A 28-year-old vegan female client's bloodwork shows ferritin of 8 ng/mL (normal: 12–150 ng/mL). What is the BEST dietary recommendation?

Accepted Answer

Increase non-heme iron sources and pair them with vitamin C-rich foods

Answer

Combining non-heme iron sources with vitamin C significantly enhances iron absorption in plant-based diets.

Question 4

A 55-year-old postmenopausal woman wants to prevent osteoporosis. Her current calcium intake is 600 mg/day. What is the MOST appropriate recommendation?

Accepted Answer

Aim for 1,200 mg/day of calcium and ensure adequate vitamin D intake

Answer

Postmenopausal women need 1,200 mg calcium daily along with sufficient vitamin D to optimize bone mineral density.

Question 5

A marathon runner reports GI distress during long training runs. She currently eats a high-fiber meal 2 hours before running. What adjustment should you recommend?

Accepted Answer

Switch to a low-fiber, easily digestible meal 2–3 hours before running

Answer

High-fiber foods slow gastric emptying and can cause GI distress during running, so low-fiber meals are preferred pre-exercise.

(ISSA) International Sports Sciences Association Certified Nutritionist Practice Test

(ISSA) International Sports Sciences Association Certified Nutritionist Practice Test

ISSA Case Analysis & Practical Application 2