Sally Case Study- Age: 12 yr old, 5.5 mo Female. Anna reports no medical concern
ID: 126462 • Letter: S
Question
Sally Case Study- Age: 12 yr old, 5.5 mo Female. Anna reports no medical concern. Mother reports concern over recent weight gain.
Lab results show:
Sexual Maturity Rating: early stage 3
BMI: 23.3
Menarche: Not occurred yet
Hematocrit: 35.1%
Height: 58 inches
Hemoglobin: 11.9 g/dl
Weight: 111 lbs.
Blood Pressure: 121/77
Sally reports no medical concern. Mother reports concern over recent weight gain.
Sally’s last hospital visit was 5 months before for an upper respiratory infection.
Lab results 5 months before: BMI: 21.4; Previous height: 56 inches; Previous weight: 95 lbs.
Sally is referred to a nutritionist for counseling and weight management, where a 24 hr. dietary recall is suggested.
24 hour recall results show:
Breakfast:
7 am- 8 oz. apple juice at home
10 am- candy bar from school vending machine
Lunch:
12:15 pm- Hamburger from school cafeteria, non-diet cola, and 1 oz. bag of potato chips
3 pm- 3 oz. tortilla chips with ½ cup cheese sauce and 12 oz. non-diet cola at home.
Dinner:
6:30 pm- 2 c. chicken casserole, 8 oz apple juice, 2 crescent rolls with 1 TB butter
8:30 pm- 8 cups of butter flavored microwave popcorn
Physical activity: Walked in between classes 1-2 minutes. Played basketball for 35 min. Walked 3 blocks. Sat in classroom for 35-45 minutes. On computer for 40 minutes. Watched television for 2 hours.
Questions:
1. List 2 nutrients that are likely to be inadequate in her diet.
2. Choose one of the nutrients you selected in the question above. If Sally continues to have inadequate amounts of the nutrient in her diet, how can that affect her health later in life?
3. List 2 recommendations you suggest to Sally to improve her food intake. (Consider her age)
4. List 2 recommendations you suggest to Sally to improve her physical activity. (Consider her age)
Sexual Maturity Rating: early stage 3
BMI: 23.3
Menarche: Not occurred yet
Hematocrit: 35.1%
Height: 58 inches
Hemoglobin: 11.9 g/dl
Weight: 111 lbs.
Blood Pressure: 121/77
Explanation / Answer
Sally Height - 58 inches Weight - 111lbs BMI- 23.3
Sally weight increases to 16lbs within the 5 months.
Her BMI shows she is overweight for her age.
Sally Hb is 11.9g/dL (Normal value of Hb is 12.0 to 16.0g/dL).
1. Overweight of Sally is due to lack of Knowledge of healthy eating habits. A temporary eating solution will not help Sally. Healthy eating practices with 1500 to 1800 calories daily is necessary to maintain a balanced diet.
The lack of 2 essential nutrients in her diet is Iron and proteins.
Proteins are rich in meat, poultry, eggs, fish, and nuts.
Iron is rich in meat and poultry, grains, cereals, green leafy vegetables, and bread.
Her 24-hour diet does not include these nutrients in essential amounts.
2. If Sally does not get enough iron in her diet, it leads to anemia. Because iron is essential for teenage girls. As she once attains puberty, she loses blood while menstruating will result in the decrease of iron level in blood. Iron is needed for the transportation of oxygen to the cells in the body. Lack of iron makes her feel tired, can't concentrate and the body does not function properly.
The RDA of iron for teenage girls is 15mg per day.
3. Recommendations to improve her food intake:
5 ounces
The food high in fats and sugars contains only calories and not of nutrition. Limits of these foods or altered foods such as water, milk and sugar-free juices help to improve healthy eating practices.
4. Recommendations to improve her physical Activity:
Calories 1600 Kcal/day Milk / Dairy 3 cups Lean meat/ beans 5 ounces Fruits 1.5 cups Vegetables 2 cups Grains5 ounces
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