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The patient describes a family history of heart disease in both his mother and his father.
His father takes medication for both high blood pressure and cholesterol and his mother
has had angioplasty to open a blocked artery in her heart. His uncle on his mothers
side developed Type II diabetes at age 40. There is no family history of cancer.
Recent lab work revealed that Jeremys LDL cholesterol is 130 and his HDL cholesterol
is 45. His average blood pressure was 135/85.
Jeremy feels sluggish and he is looking for ways to improve his quality of life. He wants
an assessment of his current health and he would like recommendations for how he can
integrate exercise and healthy eating habits back into his busy schedule.
BMI:
Calculate Jeremys BMI based on his height and weight and describe the
implications of this number. Take Jeremys athletic history into account.
106.69kgs/3.5m2 = BMI: 30.5
Based on the average BMI chart, Jeremy is bordering the overweight to obese
category. However, Jeremy was a competitive swimmer all through college, so
he most likely has a lot of muscle on his body. Muscle weights more than fat so
he may not have an optimal BMI, but based on his history of athletics as a
swimmer, he is most likely not on the verge of being obese.
Discuss the activity factor used in the Harris-Benedict Equation and calculate
TDEE.
The activity factor used in the Harris-Benedict Equation, is not always 100%
accurate, but it is close in most cases. It allows amount of activity to be factored into
the Basal Metabolic Rate. Jeremy is not very active anymore, even though he
swims once a week and walks to class, he is not getting very much exercise. I
would say Jeremy is classified in the sedentary group meaning he performs little to
no exercise because the only exercise he does is walk to the library and class and
he only swims once a week and his apartment is not far from the school. Therefore,
he probably less than five hours of exercise per week. The only thing that could
change this calculation is if his body is lean. This equation does not account for the
fact that lean bodies need more calories, so it could be different if he is in fact lean.
TDEE: 2,773.5 calories per day
Jeremy reports eating 2-3 servings of fruits or vegetables per day. He reports drinking 4-
5 cups of coffee per day as well as 2-3 caffeinated sodas, and 2-4 glasses of water per
day.
Overall Assessment:
Discuss overall implications of BMI and any energy imbalance on overall health.
The BMI shows that he is headed to the path of being overweight or obese. It may not
be completely accurate, but it does show that he is definitely not where he needs to be.
Also, his family has a history of poor medical conditions and he is likely to get the same
unless he improves his choices.
Analyze food choices
o Is the client getting enough of each of the designated food groups?
No, he is getting too many carbohydrates and fats and not enough fruit, vegetables, and
protein. He needs to clean up his diet and eat cleaner foods, mainly meat and
vegetables to improve his diet. His body is being overwhelmed by carbs, sodium, and
fat all of which are bad at high levels.
Propose ways to bring the energy input and output in line with Jeremys health
goals. Describe final recommendations to improve Jeremys overall health and
meet his fitness goals. How should Jeremy alter his eating habits and his
activity? Link your recommendations to his personal health history and his family
history.
For Jeremy, he needs to first clean up his diet, then integrate exercise. He needs to
stop eating fast food all the time and eat healthy meals at home. He should change
his diet to mainly meat and vegetables with small amounts of everything else added
in. He could snack during the on vegetables to prevent himself from becoming too
hungry then, eat a good meal at home. He could begin to jog to school and the
library and find a longer route to get more exercise. He should swim more than once
a week too maybe integrate it on one week day and then on the two nights on the