Question

Body comosition Anthony: 55 year male. Weight: 97.7 kg (20kg weight gain during last 3 years) Height: 1.8 m Family History: Father and Grandfather died of heart attacks~ same age as Anthony. Both of his brothers have high cholesterol. Lifestyle, daily routine and eating habit inactive, sleeps late and needs to rush to work, drinks coffee with full-cream milk and sugar, but rarely eats breakfast. Lunch is usually a small sandwich filled with leftover chicken Parmigianaor veal cutlets. Dinner is the meal he lives for. Typical meal consists of a tossed salad with an olive oil and vinegar dressing, followed by pasta with tomato sauce and grated cheese or a cheese sauce. Fresh mozzarella with sliced tomatoes is usually served also with Italian sausage or veal. Anthony fills his plate with pasta, has a second helping of sausage, and can't resist a bowl of gelato, for dessert. 1. The doctor begins by determining Anthony's BMI. Calculate Anthony's BMI, recalling that he is 1.8m and 97 kg 2. What would be a healthy BMI for Anthony? What is the corresponding weight range? 3. Knowing that Anthony does not engage in much physical activity, estimate his daily energy output. Using the Schofield equation, BMR in kilojoules per day for a male age 30 to 60 yrs. 4. We know a little about Anthony's family history; why is it particularly alarming? 5. If Anthony does not change his diet soon, what health risks, in addition to cardiovascular problems, does he need to think about? 6. Anthony is easily able to overcome hunger signals during the day. What, then, influences his food intake? 7. Although satiation sets in about 20 minutes into a meal, Anthony usually does not respond to this. What changes to his diet could influence the satiation he feels? 8. Anthony was much thinner just three years ago. Although much of his weight gain has been related to his new eating habits after marriage, other factors also contribute to it. What are some of these factors? 9. What general advice should the doctor give Anthony regarding his diet?

Answer 1

1 anthonys BMI is 29.9 which categorises him as overweight.

2. Healthy BMI for Anthony would be 18.5 to 24.9. Therefore the ideal weight should be between 60- 80 kgs.

4. Due to his overweight Anthony might be suffering from high cholesterol obesity and various blood pressure and heart related problems therefore not knowing his family history is very alarming