Question

Tonya is 5' 3" tall, weighs 151 pounds, and is 38 years old. Her waist circumference is 37". Her life is busy but sedentary. She simply does not have the time or energy to stay with an exercise program after working all day as a receptionists and caring for her two socially active children. She would like to lose about 20 pounds but knows dieting doesn’t work for her—all the diets she has tried in the past have left her hungry and feeling deprived. Losing weight has taken on greater importance since her doctor told her that both her blood pressure and glucose levels are at “borderline” high levels.

• What is her BMI? Assess her weight based on BMI.
• Estimate her total calorie requirements using the rule-of-thumb method of calculating BMR and adding calories for a sedentary lifestyle. How does it compare to the level of calories recommended in Table 7.3 of your text for a woman her age with a sedentary lifestyle? Which calorie level do you think is most accurate? Why?
• How many calories would she need to eat to lose 1 pound of weight per week if her activity level stays the same? Two pounds per week? Is a 2-pound weight loss per week a reasonable goal?
• To help her avoid feeling hungry while eating fewer calories, what foods would you recommend she consume more of? She knows she should drink fewer soft drinks. What advice would you give her to help her do that?

$xid-69322560_1$ Bill

Bill is a 45-year-old bachelor who eats a grab-and-go breakfast, eats all of his lunches out, and has takeout or “something easy” for dinner. Bill’s doctor is concerned that his blood pressure is progressively rising with every office visit and has advised him to cut out the salt to lower his sodium intake. Bill rarely uses salt from a salt shaker and is unsure what else he can do to lower his sodium intake.

$xid-69320289_1$ Click the icon to see a typical day’s intake for Bill.

• What foods did Bill eat yesterday that were high in sodium? What foods were relatively low in sodium? What are better choices for him when eating out? How can he lower his sodium intake while still relying on “something easy” when he prepares food at home?
• Knowing that potassium may help blunt the effect of a high-sodium intake on blood pressure, what foods would you recommend he add to his diet that would increase his potassium intake?
• In overweight people, weight loss helps lower high blood pressure. Bill is “a little heavy.” What changes/substitutions could help him lose weight?

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Answer 1

O Body mass index (BMI) H is calculated by the body mass divided by square of the body height Weight of Tonya is 68.6 kg , height 16 mtrs, BMI is 26.7. And she is overweight. Normal | BMI is a5, but her BMI is high it is associated with increased risk of morbidity and mortality, @ By using the rule-of-thumb method, | total calories requirement of tonya can be calculated I by estimating her BMR, total calaries. As Tonya is overweight healthy normal weight is 131 pounds. But she is 151 pounds. The average is 141 pounds, estimated BMR is | 141 dbs x10 = 1410 calories.. She is leading sedentary lifestyle the calaries spent on activity is 1410x20%. = 282 calories. The level of calories recommended for her age is 1800. The total estimated total calaries requirement of her is 1692 calaries. This is more accurate because Bule-of-thomb method only takes weight into account: she could have to lose 500 calasies / week if she want to loose 1 pound 1000 calories week if want to loge 2 pounds. It is reasonable goal as it gives best outcomes in long-tom. © Boiled potatoes, Nuts, Legumes, Apples, Oatmeal, whole eggs, Broth - Base soups, fruits are recommended for consuming to avoid hunger.