1-What is Tom’s BMI? 2- What criteria are used to Diagnose Metabolic Syndrome? 3
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Question
1-What is Tom’s BMI?
2- What criteria are used to Diagnose Metabolic Syndrome?
3- What additional measurements would you need to diagnose Metabolic Syndrome for Tom?
4-Which nutritional diagnosis listed is top priority?
5-What dietary intervention would benefit Tom the most?
6- What dietary changes will affect his blood pressure most?
7- List Tom’s non-modifiable risk factors for CVD
8- List Tom’s modifiable risk factors for CVD
9-What are inflammatory markers for CVD risk?
10-How will the additional of physical activity influence Tom’s diagnosis?
sow therapy loss; weight-bearing exercise and antiresorptive drug are often necessary. Infection must be because avoided the of use of drugs. Food safety should be discussed. CLINICAL CASE STUDY om is a 55-year-old single man with hypertension blood pressure 145/92), high low-density lipoprotein cholesterol (241), and low high density lipoprotein cholesterol (38) and a CRP of 4mg/L. He has a strong family history of heart disease. He reports that he often eats in his car, so he frequents fast-food restaurants. He works long hours and, other than gardening on the weekends, he does not exercise. He is 5'10" and 220 lb. His breakfast is usually a cheese-egg biscuit, bacon, and coffee without milk or cream. Lunch is often a bean and cheese burrito and ice cream. His favorite dinner is fried chicken, mashed potatoes with gravy, collards sautéed with bacon fat, and pie. Using the following list, what are Tom's nutritional diagnoses? Which should be the top priority? Nutrition Diagnostic Term Excessive energy intake Excessive intake of fats Excessive alcohol intake Inadequate fiber intake Inadequate calcium intake Inadequate magnesium intake Inadequate potassium intake Excessive sodium intake Overweight or obesity Food- and nutrition-related knowledge deficit Undesirable food choices Physical inactivity Nutrition Care Questions most beneficial for Tom?Explanation / Answer
1. TOM'S BMI
BMI =
a) The BMI of a person who is 5'10" and weighs 220 lbs is calculated as follows- Multiply the weight in pounds by 0.45 (the metric conversion factor) to convert into kg.
Tom's weight = 220 X.45 = 99KG
B) convert height into meters
Tom's weight = 70 X .025 = 1.75m
Square the HEIGHT 1.75 X 1.75 = 3.06
Divide the answer from step A by the answer from step B = 99/3.06
= 32.35 , this is the BMI of Tom.
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2. Metabolic syndrome is occurrence of several co factors which can results into a number of CVD. The metabolic syndrome is a combination of hyperglycemia/insulin resistance, obesity and dyslipidemia
According to the NCEP ATP III definition, Criteria used to Diagnose Metabolic Syndrome are -
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3. Tom is a hypertension patient with high LDL and low HDL and even with a high BMI. Even he has a family history of heart disease. His food habits and lifestyle is also not healthy
So, Additional measurements would need to diagnose Metabolic Syndrome for Tom-
test of dyslipidemia
test of type 2 diabetes -
fasting blood sugar
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4. Excessive fat, alcohol, and sodium intake among all nutritional diagnosis can be listed in top priority.
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