Sally is a 43-year-old mother of two who has gained 50 pounds over the past five

Question

Sally is a 43-year-old mother of two who has gained 50 pounds over the past five years. She is 64 inches tall and weighs 180 pounds with a BMI of 30.8. Her waist circumference is 37 inches. She acknowledges that she is not as physically active as she would like to be. She also notes how recent stresses in her life have affected her sleep and seem to have triggered her appetite for sweets. Sally’s father recently died from complications of type 2 diabetes and her mother and sisters are overweight. Sally says she is very motivated to “not get diabetes” and is disturbed that her recent physical exam revealed mildly elevated blood pressure, glucose, and cholesterol levels.

1.   How does Sally’s family history influence her weight and risk for diabetes? What lifestyle choices may influence her genetic predisposition to be overweight?

Explanation / Answer

1). It is given that the BMI of Sally is, 30.8, means, she is obese. Also, Salley's father died from type II diabetes, her mother and sisters are also overweight. Being obese, family history of type II diabetes and stress are the most important risk factors for developing type II diabetes.

The lifestyle, which is sedentary, stressful, the appetite for sweets or other high-calorie foods or foods containing refined carbohydrates, are all the factors that influence a person's genetic predisposition to be overweight.

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