Question

Sally is a 43-year-old mother of two who has gained 50 pounds over the past 5 years. She is 64 inches tall and weighs 180 pounds with a BMI of 31. Her waist circumference is 37 inches. She acknowledges that she is not as physically active as she would like to be. She also notes how recent stresses in her life have affected her sleep and seem to have triggered her appetite for sweets and comfort foods. Sally’s father recently died from complications of type 2 diabetes, and her mother and sisters are overweight. Sally says she is very motivated to “not get diabetes†and is disturbed that her recent physical exam revealed mildly elevated blood pressure, glucose, and cholesterol levels.

8. Sally’s friend, Monique, was morbidly obese and had gastric bypass to help her lose weight. Sally is considering surgery as an option. Which of the following is a correct fact that you would share with Sally?

a. Bariatric surgery only reduces the size of the stomach; it has no effect on hunger hormones.

b. Bariatric surgery is appropriate for any amount of weight loss that is desired.

c. Bariatric surgery is only an option for those whose BMI ≥40 or BMI ≥ 35 with obesity-related health

problems.

d. After surgery, eating patterns do not have to be changed.

9. Sally’s estimated energy requirement, based upon her age, height, and weight is approximately 2000 kcalories per day. To reduce her weight by 1 lb per week, how many kcals should she actually consume?

a. 2000 kcals

b. 1800 kcals

c. 1500 kcals

d. 400 kcals

10. Sally is very interested in changing her daily patterns to achieve a healthy weight. You inform her that to be truly successful she needs to include all of the following EXCEPT

a. Moderate calorie restriction

b. Physical activity

c. Regular use of over the counter dietary products which advertise quick weight loss

d. Behavior modification

Answer 1

8)Option:3

Bariatric surgery is only an option for those whose BMI is >40 or >35 with obese related health problems.

BMI should be above 40 and over the age between 17 to 70 with one or more obese problems.

9)option:C

1500

Her calories should be less than 500 to her original intake.

10)option:C

Regular use of over the counter dietery products which advertise quick weight loss.

Exercise,diet, behaviour modification will decrease weight but not the quick weight loss diet it is not good for health.