42 Y F presents to her primary care physician with high blood pressure and pain

Question

42 Y F presents to her primary care physician with high blood pressure and pain in her knees. Her doctor requests that she meet with a dietitian for weight reduction advice to help lower her blood pressure & relieve the pressure on her joints. The patient reports eating most meals out (fast food) and doesn't like more fruits and vegetables. She also is unable to exercise. You are asked to assess her nutritional status using commonly used anthropometric standards. - -- Current Body Wt=285 lbs, Ht=5' 2", Usual Body Weight 1 year ago= 281 lbs

1) Calculate her BMI, IBW, %IBW and summarize results

2) Estimate her energy (kcal/kg method) & protein requirements

3) Write a PES statement based upon your findings

Explanation / Answer

1Ans:

Convert Body weight 285lbs into 129.274, height 5feet 2inches into 157.48cms.

BMI formula : Weight in Kg/Height in cms

= 129.274/157.48

= 52.1

BMI 52.1 Obese.

Calculate IBW (Ideal Body Weight):

Females: IBW = 45.5 kg + 2.3 kg for each inch over 5 feet.

= 45.5kg +2.3kg+2.3kg (as she has 2inches more height above 5feet)

= 50.1kg

But her weight is 129.1kg

%IBW : She has is 157.6% more than the actual IBW

2Ans: To calculate calory requirement you need to enter age, height, weight, gender and activity level in online calculator. As she is no twilling to to do excercise activity level i kept as sedentary or no excercise and got the below calory requirement for weight loss.

She need 4,154 Calories/day to maintain your weight.

she need 3,654 Calories/day to lose 1 lb per week.

she need 3,154 Calories/day to lose 2 lb per week.

  To calculate protein requirement you need to enter age, height, weight, gender and activity level in online calculator. As she is no twilling to to do excercise activity level i kept as sedentary or no excercise and got the below proein requirement for weight loss.

Based on the weight, American Dietetic Association (ADA) recommend taking at least 228 - 285 grams of protein per day.

Based on the conditions, Centers for Disease Control and Prevention (CDC) recommend taking 101 - 355 grams of protein per day, which is 10% - 35% of your daily Calorie intake.

3Ans.

PES statement describes the cause of obesity

Problem: Obesity with high blood pressure and joint pains

Etiology: Obesity due to sedentary or not willing to excercise and diet habit not consuming fruits and vegetables she is loosing vitamins and minerals from the body that results in loosing strenth in bone.

Signs and symptoms: Over weight resulted high IBW% which is 157% and high BMI 50.6 resulted in developing further complications.

She reuired to plan calory intake should be 3,154 Calories/day to lose 2 lb per week.and protein intake 101 - 355 grams of protein per day, which is 10% - 35% of your daily Calorie intake.

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