Brian is a 10, 4-month-old male who gained 15 pounds during the past school year

Question

Brian is a 10, 4-month-old male who gained 15 pounds during the past school year. His height is 54 inches, and his weight is 110 pounds. Brian moved to a new home and began a new school a year ago after his parents’ divorce. After-school Brian is with a retired neighbor, who loves to bake for Brian. He has few friends in the neighborhood, and his main leisure activities have been watching television and playing video games. When he gets bored, he often looks for a snack. His mother reports that they often rely on take-out and fast-food meals because of the time constraints of her full-time job, and she has gained weight herself. She recently started an aerobics class with a friend and is interested in developing healthier eating habits for herself and Brian.

7. Identify t wo methods for determining Brian ’s energy requirements other than indirect calo rimetry, and then use them to calculate Brian ’s energy requirements. What goals would you use for Brian ?

Explanation / Answer

Basal energy expenditure formula is

BEE=66+(13.7× weight in Kg)+(5 ×height in cm)-(6.8x Age in years)

      =66+(13.7× 49.94)+(5×137.16)-(6.8×10.4)

     =66+684.178+685.8-70.72

    =1435.978-70.72

    =1365.258 kcal/day

Brian is not following exercise or doing sedentary work like playing video games and watching t.v

So,

Daily kilocaries needed=BMR×1.2

                                       =1365.25×1.2 =1638.309

Next formula is

BMR= 66+(6.23×Weight in pounds)+(12.7×height in inches)-(6.8×age in years)

        =66+685.3+685.8-70.72

        =13665.45 kcal/day

BMI of Brian is BMI=weight in Kg/height in meter square

So BMI=49.94/1.879=26.577

BMI IS high which indicates the grade I obesity

The main goal /objectives are:

* first step towards dietary treatment of obesity to determine the amount of weight that is to be reduced which requires calorie adjustment for weight loss

In order to lose one pound per week or about four pounds per month ,it is necessary to decrease the daily calorific intake by 500 kcal.This could be further aided by increasing the appropriate physical activities.

Here we can substract 500 to determine kilo calorie requirement for Brian's weight loss

It is 13665.45-500=13165.45 ;this much kcal are required for weight loss

* encourage the child to play outdoor games such as tuning ,cycling,swimming this will aid in reducing the weight

* Avoid eating fast foods.Maintenance diet should be taken until the desirable weight loss is obtained.once theit is attained a maintenance diet has to be formulated.

* whenever there is a desire to have a snack , prepare one with fresh, raw vegetables and fruits which in seasons.These supply bulk, large amounts of fibre and good amount of B complex vitamins and minerals.

* learn to become more mobile.Be active.Develop a habit of exercising at least for half hour.

Related Questions

Navigate

• Browse (All)
• Browse B
• Subjects

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