Question

Emma is 33 years old, measures 5 ft 1 in. tall, and weighs 160 pounds. Since the age of 21 years, her weight has ranged from 100 to 160 pounds. Her goal is to weigh 110 pounds. She is a certified personal trainer but changed professions because it was “fueling bad behaviors”. She does not have a medical history, although she admits to being hospitalized at one point because of very low potassium levels. She wants to achieve “more normal” eating behaviors.
1.   What is Emma’s current BMI?
2.   Does it present a health risk?
3.   What was her BMI when she weighed 100 pounds?
4.   Would you identify Emma as a candidate for weight loss? If so, what would be a reasonable weight goal?
In an effort to lose weight, she has been weighing and measuring her food and tracking her total daily intake, which averages between 900 and 1100 calories/day. Her food records show she eats grains and protein foods but no vegetables, fruits or dairy.
5.   What would you tell Emma about appropriate calories and weight loss diets?
6.   What would you tell her about healthy eating?
Emma admits that she has seen a counselor for an eating disorder and that she binges and purges when she’s “bad”. She recognizes that bingeing and purging are not normal behaviors and admits to feeling out of control when a binge begins. Her restrictive dieting practices always precede her periods of bingeing. She purges with vomiting and laxatives, which caused her to be hospitalized for hypokalemia.
7.   Is counting calories a good strategy for Emma?
8.   What strategies would you recommend to help Emma normalize her eating behaviors?

Answer 1

Given:

Height:5'1"(1.5m) (175cm)

Weight:160Ibs (72.5kg), 100Ibs(45.3kg)

Goal: 110pounds(49.8kg)

1.BMI

It is the measurement of body fat.It is calculated with the height and weight of an individual

Normal :18.5 to 24.9kg/m²

Under weight: <18.5kg/m²

Over weight :25 to 30kg/m²

Obesity=>30kg/m²

Given

Weight:72.5 kg or 73kg

Height:1.5m

BMI= weight (kg)÷Height (m²)

=73÷(1.5)²

=23.8 kg/m² (Normal)

2.The present BMI  does not pose any greater health risk.

3.When the weight is 100pounds

BMI=Weight(kg)÷Height (m²)

BMI=45÷(1.5)²

=14.7kg/m²

Severely underweight and pose a great risk for health issue like osteoporosis, hair and nail brittle, poor skin turgid,extreme fatigue,anemia )

4.Emma's goal weight is 110pounds (50kg)

This is comparatively less because her weight.The ideal body weight in accordance to BMI shoukd be 56.7 to 76.6 kg

The diet should be in such a way that 0.5 kg /week shoukd be increased for weight gain.

The BMR is nearly 1498kcal /day .She should include healthy fruits and vegetables in her diet.