Krause\'s Food & the Nutrition Care Process 14th edition Chapter 21 Case Study M
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Question
Krause's Food & the Nutrition Care Process 14th edition Chapter 21 Case Study
Maria is a 45-year-old Latina woman who has tried numerous weight loss programs. She has followed strict diets and has never exercised in previous weight loss attempts. She takes several cardiac medications, none of which she can remember. Her blood pressure is 160/90, she is 5 ft 4 in, and she weighs 195 lb. Her lowest body weight was 130 lb at age 30, maintained for 2 years. Maria mentioned that she tried numer- ous diets while a teenager, when she weighed 170 lb for 3 years. What guidelines would you offer to Maria at this time?
Nutrition Diagnostic Statements:
Limited adherence to nutrition-related recommendations related to multiple failed weight loss attempts as evidenced by no change in weight
Overweight and obesity related to excessive energy intake as evidenced by weight 70 lb over desirable weight
1. What is Maria’s blood pressure classified as?
2. Maria wants to consider the Paleo diet, what can you tell her about it?
3. Maria’s history of weight loss and weight gain influence her metabolism in what way?
4. What are ways that you could collect data on Maria’s body composition?
5. High fat, low carbohydrate diets are low in what nutrients?
6. Very low fat diets are low in what vitamins and minerals?
7. What are some possibly effective non- prescription weight loss products you could talk with Maria about using?
8. What does the NWCR report about maintaining weight loss?
9. Calculate Maria’s BMI, is bariatric surgery the only long-term effective treatment?
10. How can Maria reduce her exposure to Obesogens?
Explanation / Answer
Answer:
Maria's blood pressure: 160/90
Height: 5 ft 4 in
Maria's Weight: 195 lb.
1. What is Maria’s blood pressure classified as?
Maria's blood pressure is very high and would be classified as Hypertension.
Answer: Maria's blood pressure would be classified as :
2. Maria wants to consider the Paleo diet, what can you tell her about it?
Paleo diet is high protein, high fiber diet containing lean meat, fruits, vegetables, seeds, nuts, coconut oil and is devoid of refined sugar, salt, dairy items, processed or canned foods. This diet is promising in losing weight but lacks in calcium as well as Vitamin D which needs to be supplemented separately.
3. Maria’s history of weight loss and weight gain influence her metabolism in what way?
Maria's metabolism has been altered by cycles of weight loss and weight gain. Upon weight loss her metabolism rate increases and upon weight gain her metabolism rate decreases.
4. What are ways that you could collect data on Maria’s body composition?
There are different techniques to collect data on body composition like:
5. High fat, low carbohydrate diets are low in what nutrients?
6. Very low fat diets are low in what vitamins and minerals?
7. What are some possibly effective non- prescription weight loss products you could talk with Maria about using?
Some possibly effective non-prescription weight loss products are:
8. What does the NWCR report about maintaining weight loss?
9. Calculate Maria’s BMI, is bariatric surgery the only long-term effective treatment?
Height: 5 ft 4 in (5*12 + 4 = 64 inches, 1 feet = 12 inches)
Maria's Weight: 195 lb.
BMI can be calculated using the formula: BMI = 703* (weight in pounds) / (Height in inches)2
BMI = 703* (195) / (64)2 = 33.46
Recommendations for weight loss surgery:
10. How can Maria reduce her exposure to Obesogens?
Maria can reduce her exposure to Obesogens: Obesogens (e.g. BPA, phathalates etc.) disrupt the normal metabolism of lipids leading to fat accumulation and obesity. Exposure to Obesogens can be reduced by being careful while using the cosmetic products that may contain these compounds. Maria should use only BPA free plastic containers and bottles.
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