Question

Adam is 5’11” tall and weighs 190 pounds. He is a single father with two teenage sons. The commute to and from his software development job takes about 90 minutes. He likes his coworkers and the work environment and is happy that his workplace provides a cafeteria so he doesn’t have to bring a lunch. He believes it is important for the family to have a “hot meal” every night, but he mostly relies on frozen entrees or take-out to accomplish this. Frequently, the evening meal is from the drive-through window of a fast-food restaurant on the way to his sons’ sport events. Adam is an avid football and basketball fan and spends many hours watching televised games. In his spare time, he is restoring an old car with his sons.

1. Calculate Adam’s current BMI (include the formula and show your work). (2 pts) How would you classify his weight status based on the clinical classifications in Table 17.3 (Table 17.2 in 4^th edition)? Also include WHO Obesity Class if applicable. (2 pts)

2. What would you consider a healthy BMI and “healthy weight” for Adam? Explain your answer. (2 pts)

3. What lifestyle and dietary factors are related to Adam’s weight status? Include at least 5. (5 pts)

Diagnosis:

4. What is Adam’s nutrition diagnosis? (1 pt) What modifiable factors cause or contribute to this problem? (2 pts) What evidence do you have for the problem? (2 pts)

Intervention:

5. What dietary prescription would you have for Adam? (4 pts) What goal would you recommend? (2 pts) Hint: Calculate a calorie intake level (show your work) and estimate the number of weeks it would take for Adam to reach a healthy weight. Please read textbook Page 409 (Page 414-415 for 5^th Edition) to calculate EER.

6. What interventions would you use to help Adam reach the goal? What topics and suggestions would you discuss with Adam? (5 pts)

Monitoring and Evaluation:

7. What would you measure later to determine if Adam was making progress? (3 pts)

Answer 1

1) BMI

Body Mass Index = Weight (lbs) ~ 703 [Height (in)] where 703 is conversion factor for Ibs/in2 to kg/m² BMI = 190 X 703 (5'4") = 26.5 This is considered Oveeweight.

Adam is considered overweight since BMI for overweight is 25 to 29.9.

He is not obese based on WHO classification, since obese class starts from BMI 30 ,but he can be considered Preobese .

Healthy BMI for Adam will be 22.3 according to his body condition. Healthy weight for Adam according to his height will be 160pounds.

Adam's weight gain is due to his lifestyle. He is working in software field which is a sedentary job.Also he prefers food from outside , frozen food which further contribute to unhealthy weight gain.Also his habit of watching television for long add on to his overweight. He is having no body exercise. Also no diet control,that makes him overweight.