Question

3. Kristin B. , like many Americans is overweight. Kristin is 43-year-old and a mother of two. She has gained 40 pounds since the birth of her youngest child five years ago. She is 65 inches tall and weighs 175 pounds with a BMI of 29.1. Her waist circumference is 37.5 inches. Kristin can’t figure out why it is so hard to lose weight and keep it off.

Kristin decides something must be wrong with her to be such a dieting failure. Maybe she just doesn’t have sufficient willpower or maybe she has abnormal metabolism. She feels tired most of the time and has very little energy. She is very busy with her children and has a demanding job as a middle school teacher. Kristin tries to cook healthy meals for her family but is often too tired or stressed to bother, so she stops to get some fast food on her way home. To make matters worse, her seven year-old son recently came home from school and said the kids were teasing him for being fat.

Kristin’s father recently died from complications of type 2 diabetes. At her last medical checkup, her blood pressure was mildly elevated but all of her laboratory blood tests were normal.

Kristin decides it is time to make some changes for her entire family but she doesn’t know quite where to start. She hopes she can help her son by finding a diet that works for him. Complicating the problem is the fact that Kristin’s husband doesn’t have a weight problem. Knowing that you are studying nutrition, Kristin decides to ask you for advice.

1. Based on her health history and physical measurements, describe how you would determine the seriousness of Kristin’s weight gain in relation to her health.

2. Using the information in chapter 9, what would you estimate to be a reasonable amount of weight for Kristin to lose over the next six months?

3. What are some advantages for Kristin of keeping a food and exercise record? What other habits besides food intake and physical activity may be especially useful for Kristin to record?

4. You advise Kristin to limit her daily caloric intake to 1,400 kcalories. Use Table 9-3 (page 274) in your text to plan one day of meals and snacks to meet her nutritional needs within this calorie level. Use the chart below (one row is already completed):

Answer 1

a, Health history:
Her stressful job, tiredness, fast food habits, father history of diabetes, her blood pressure elevation and recent weight gain indicate she is at high risk for heart disease and diabetes. Her weight gain put her for health risk, her BMI 29.1 indicates she is overweight for her age and height.
b, Patient Ideal body weight should be 132lbs.
Ideal body weight = 22 X H2(m2)
=22 X 2.72 = 60kg
60 kg= 132ibs
she needs to lose up to 40Ibs in the next six months. She needs to reduce calorie intake and need to burn 500 calories per day.
c, Keeping food under control and regular exercise can benefit her from weight loss, portion control and help her to avoid unhealthy habits it makes positive changes in her life. Physical activity and weight loss can fit people body. maintaining a balanced diet, adequate sleep, meditation, yoga therapy, stress-free environment, warmup can help the patient to physically healthy.
d, One-day diet plan:
Breakfast:
-1 boiled egg(155cal)
-1cup skim milk (86cal)
- 1cup all-bran cereal(78cal)
Lunch:
1 glass of avocado juice(277cal)
- 1 serving superfood chopped salad with salmon and creamy garlic dressing(409cal)
snack:
-1 cup of carrot slice(52cal)
-1/4 cup hummus(109cal)
dinner
-1/2 bowl brown rice(108cal)
-1 serving roasted broccoli with lemon-garlic vinaigrette(167cal)
Total 1441calories...