Sally is a 43-year-old mother of two who has gained so pounds over the past 5 ye

Question

Sally is a 43-year-old mother of two who has gained so pounds over the past 5 years. She is 64 inches tall and weighs 18o pounds with a BMI of 3o.8. Her walst 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 and comfort foods. Sally's father recently died from complications of type 2 diabetes, and her mother and sisters cholesterol levels. 1. Sally stated that recent stresses in her life are affecting her sleep and seemed to have triggered her appetite for sweets and comfort foods. Which of the folleowing statements would be best to explain why her lack of sleep has increased her appetite? O a. The satiety hormone leptin increases with lack of sleep. O b. Lack of sleep increases uncoupling protein. c.Levels of Neuropeptide Y, a brain chemical that causes carthyhte cravings, are high and may crtreute to her sleep protiems. O d. Lack of sleep increases levels of ghrein which stimutes appetite and decresses levels of lepen wich decreas appethe. e.Lack of sleep decreases ghrelin levels. a Looking at Sally's health information, you need to tell her about all of the following health riaks to encoursgn her to lose weight. Which health risk is incorest a.Her met of 30.5 indicates that she is overweight. O b Saly's 37 inch waist size indicates centrai obesity which increases the risk of heet attack and stroke c. Sbe has also gained moro than 10pounds since the age of 18, which dobes the risk of devepng diabetes d. Her mldly elevated blood pressure inceases the risk f hypertension te near future, and hypertension is a majger rak factor for heart dnse O e She is at increased risk of developing diabetes because she now has mildy elevated blood glucose levets and her father had type 2 dabetes

Explanation / Answer

Ans 1. The best statement to explain why Sally's lack of sleep has increased her appetite is option "d" because in the sleep deprived or disturbed condition, around four hours a night, there is increase in the levels of appetite stimulating hormone ghrelin which generates the urge to eat. On the other hand, there is decrease in the levels of leptin which is appetite suppressor and stimulates energy expenditure. In a normal functioning brain, both the hormones are switched ON and OFF regulating the normal feelings of hunger and thus maintaining the energy balance of the body. But, research has correlated the sleep deprivation with the altered levels of ghrelin and leptin.

2. Looking at Sally's heath information and analysingall the health risks mentioned, option "c" is incorrect because just gaining more than 10 pounds since the age of 18 does not doubles the risk of developing diabetes as, there will also be an increase in height which would maintain the normal BMI. And, it is not necessary that all overweight or obese people would develop specifically diabetes, although they may develop some other disorders in the body.

Related Questions

Navigate

• Browse (All)
• Browse S
• Subjects

---

---

Integrity-first tutoring: explanations and feedback only — we do not complete graded work. Learn more.