Question

Steve is a 39-year-old male who has been HIV positive for 6 years. His waistline is expanding, and he blames that for his recent onset of heartburn. Based on a physical examination and insulin resistance, his doctor diagnosed lipodystrophy syndrome. Steve is 6 ft tall and weighs 190 pounds. His weight has been stable for the last several years, although he “feels fatter”. He is on ART but is thinking of discontinuing the medication because of the change in his shape. He is willing to exercise but wants maximum benefit from minimum effort. He is also willing to change his eating habits but relies heavily on eating out. See chart for Steve’s typical day intake:

Breakfast	Lunch	Dinner	snacks
Fast food egg, bacon and cheese sandwich on English muffin Hash browns Large black coffee	Double hamburger French fries Cola	Grilled steak Baked potato with sour cream water	Chips from vending machine

Questions

1. What would you tell Steve about exercise?

2. What criteria would you monitor to evaluate the effectiveness of nutrition therapy?

Reference your sources in APA format

Answer 1

Answer: Exercise is important to live a healthy life. It has been reported that a minimum 35 minutes of exercise such as walking, jogging or running is sufficient to maintain healthy weight. Exercise provides benefits to mental health and keeps mind fresh. The digestive system also works properly.

Steve's nutrition related problems are as his diet is consist of high fat and carbohydrates. This is the major reason of his weight gain. He is not getting appropriate nutrients that body requires per day. His intake is junk foods, cola that is a caffeinated beverage which is the major reason of the weight gain. These beverages contains high amount of sugar and hence it increase obesity.

He should adopt healthy lifestyle by eating green vegetables and fruits.Drink plenty of water to himself hydrated. Intake of protein, fibers may help him to feel full for long period of time. He should completely eliminate the caffeinated beverages as well as foods containing saturated fat.

So, indulgence of physical activity as well as nutritional therapy may result in to better health condition of the patient. Soon he will have a proper weight with balanced nutrition intake.