Susan is 25 years old and has just started college. Recently she has been feelin
ID: 123130 • Letter: S
Question
Susan is 25 years old and has just started college. Recently she has been feeling tired and has had difficulty concentrating in class. She goes to the health clinic where she is weighed and measured. She is examined by the nurse practitioner who asks about her medical history. Blood and urine samples are taken for laboratory analysis and she is referred to a dietitian to assess her dietary intake. What do these assessment tools tell us? The nurse practitioner notes that she appears thin and pale. Anthropometric measurements of height and weight tell us that she is 5'4" and weighs 110 pounds. She recalls that a year ago she weighed 120 pounds and hasn't been trying to lose weight. Compare these values with the BMI Values Used to Assess Weight, on the inside back cover of your book. Is her body weight in the normal range? Do you have any concerns about her weight?Explanation / Answer
According to the given situation Susan height of 5' 4" the ideal healthy weight is 130 pounds, but Susan weight is 110 pounds. Susan recommended weight range is between 116 and 145 pounds. The weight of 110 pounds is present within the ideal weight range. This was calculated using Hamwi formula, a simple formula commonly used by many clinicians. So by taking some additional calories can necessary for Susan to prevent from these symptoms due to this reason nurse refer susan to dietician. The dietician can help susan by making new diet pattern and exercise programs.
Dietician suggested healthy eating plan: (According to the Dietary Guidelines for Americans)
1. Emphasizes fruits, vegetables, whole grains, and fat-free or low-fat milk and milk products
2. Includes lean meats, poultry, fish, beans, eggs, and nuts
3. Is low in saturated fats, trans fats, cholesterol, salt (sodium), and added sugars
4. Stays within your daily calorie needs
Susan weight gain calculation:
For staying at the same weight, Susan would need approximately 1578.37 calories a day at this activity level (Sedentary little or no exercise).
Susan minimum calorie need is 1200 calories. To gain weight, Susan must choose an option from the table below. One pound of weight is gained for every 3000 extra calories you take in above what you burn.
Weight Gain Table:
Calorie Addition to BMR Calories per day
500 Calories More (approx 1 lb/week) 2078.37
1000 Calories More (approx 2 lb/week) 2578.37
15% more 1815.13
20% more 1894.04
25% more 1972.96
30% more 2051.88
Susan BMI: BMI is a gross estimate for the amount of fat in your body. It tells you whether you need to lose weight or not. Not all adults who have a BMI in the range labeled healthy are at their most healthy weight. They may have lots of fat but very little muscle.
BMI Categories:
Underweight = <18.5
Normal weight = 18.5–24.9
Overweight = 25–29.9
Obesity = BMI of 30 or greater
BMI = Weight in kilograms / (Height in meters) 2
Height: 5 feet, 4 inches
Weight: 110 pounds
Susan BMI is 18.9, indicating her weight is in the Normal category for adults of Susan height.
For Susan height, a normal weight range would be from 116 and 145 pounds.
Maintaining a healthy weight may reduce the risk of chronic diseases associated with overweight and obesity.
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