Question

Case study

Jane is a 38 year old woman who recently was told by her doctor that she is “pre-diabetic” and her blood pressure is 130/82.  Jane is 5 feet, 5 inches tall (5’5”) and weighs 200 lbs.  Her waist circumference is 38 inches.  Jane’s total cholesterol is 250, her HDL is 35, and her LDL is 162.  Jane’s father died of a heart attack last year.

Jane does not currently participate in an exercise program, but she does walk 10 minutes every day to the subway to go to work and to return home.  Jane’s doctor cleared her for exercise.  To support her effort, Jane’s husband purchased a membership at a local gym for her.

1. Calculate Jane’s BMI:

2. What category of BMI does Jane fall into? (Underweight, Normal (healthy), Overweight, or Obese)

3. What percentageof body weightwould Jane need to loseto reduce her risk of heart disease, and diabetes, and also lower her blood pressure?

4. Jane is pre-diabetic.  
   1. What range does her fasting blood glucosefall into? (Give the numerical values)

2. What range is considered normalfasting blood glucose?

5. List all the risk factorsJane has for chronic disease.  Be thoroughhere and read Jane’s profile carefully, there are at least 8.  

6. Does Jane have Metabolic Syndrome?  
   1. Definewhat metabolic syndrome is.

2. Based on the definition, explain your answer using Jane’s information.

7. What following cholesterol levels are recommended for Jane for optimalhealth?
   1. Total Cholesterol:
   2. LDL:

8. Jane has borderline hypertension.  What are 2 changes she can make in her DIETto help her reduce her blood pressure?

9. List 2 things, other than exercise,that Jane can do to lose weight.  Be specific.

How much exercise per week is recommended for Jane?

Answer 1

The list contains so many questions. So let me answer first 6 questions (as per HOMEWORKLIB RULES)

• Calculate Jane’s BMI:

1. BMI is calculated by dividing your weight in kilograms by your height in metres squared.
2. So Jane's BMI is 33.4

• What category of BMI does Jane fall into? (Underweight, Normal (healthy), Overweight, or Obese)

1. Jane fall to Obese category as her BMI is above 30

• What percentage of body weight would Jane need to lose to reduce her risk of heart disease, and diabetes, and also lower her blood pressure?

1. The normal BMI is between 18.5-24.9
2. Her current weight is 90.9 Kg and height is 165 cm
3. She needs to reduce the weight to 65 Kg in order to be in normal BMI range
4. So the percentage of weight loss needed =
5. =28.49
6. 28.5% of body weight has to be reduced.

• Jane is pre-diabetic.  
  1. What range does her fasting blood glucosefall into? (Give the numerical values)

The blood sugar range for prediabetes is 100-125 milligrams per deciliter (mg/dL), and the A1c range is 5.7% to 6.4%

2. What range is considered normal fasting blood glucose?

A fasting blood sugar level less than 100 mg/dL (5.6 mmol/L) is normal.

• List all the risk factorsJane has for chronic disease.  Be thoroughhere and read Jane’s profile carefully, there are at least 8.

   Her risk factors for chronic disease are

• obesity
• prediabetes
• borderline hypertension
• increased cholesterol levels
• increased LDL and decreased HDL values
• waist circumference is increased
• family history of death due to cardiac arrest
• lack of exercise except 10 minutes walking