This case study involves CJ, a 26 year old married female. CJ’s height is 64 inc

Question

This case study involves CJ, a 26 year old married female. CJ’s height is 64 inches and weight is 180 pounds. Her blood pressure is chronically high and she has a family history of diabetes. She is domineering and wants everyone to follow all her directions at her work place. She refuses to eat vegetable. The only vegetable she likes is iceberg lettuce and tomato in her cheeseburger. Frequently she orders Dunkin donuts for breakfast and pizza for lunch for everyone while at work. Fresh fruit is a “foreign” to her, and she loves sweet tea and super size drinks that she gets from the gas station which is near her work place. Dinner is mostly at home that her husband prepares. To burn calories, she often dances up to midnight at local bars.

1.     Identify the health risk/s with CJ’s lifestyle and typical food intake. How would you assess the seriousness of CJ’s weight in relation to her health?

2.     What would you estimate to be a reasonable amount of weight for CJ to lose over the next six months?

3.     What suggestions would you recommend for CJ to improve her variety of fruit and vegetable intake?

4.     CJ would like to lose weight. Plan a 1400 calorie diet for one day incorporating meals and an afternoon snack.

5.     What are some advantages for CJ to keep a food and exercise record? What other habits besides food intake and physical activity may be especially useful for CJ to record?

6.     Why might strength training be an important addition to CJ’s exercise regimen?

Explanation / Answer

Answering first four questions according to the answering guidelines as it is a multi sub-part question.

1. The most prominent health risk is that of diabetes and hypertension which may lead to further complications like hemorrhage.

2. According to the Robinson formula (1983) the reasonable amount of weight would be 119.3 lbs. Therefore CJ would need to loose about 60 lbs.

3. Fruits and vegetables are low energy density foods and it has high water and fiber content and low fat content. Therefore CJ would need to take a lot of citrus fruits and non starchy vegetables like soybean and cauliflower. She should avoid starchy vegetables like potatoes and corn.

4. Here is a diet plan for a day.

Breakfast: 1 muffin or cake, 1 teaspoon butter, one egg poached, half bowl grapefruit (~400 cal)

Snack - 1 medium banana (~100cal)

Lunch - A sandwich containing smoked tuna, 2-4 slices of whole wheat bread, 2 teaspoon yogurt, four ounces baby carrots,one apple (400 cal)

Evening snack - 4 ounces of cubed tofu (~100 cal)

Dinner - 1 cup of lettuce or broccoli, 1 sweet potato, 1 grilled chicken breast (~450 cal)

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