Nutrition Through The Life Cycle
7th Edition
ISBN: 9781337919333
Author: Brown, Judith E.
Publisher: Cengage Learning,
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Chapter 19, Problem 2.3CS
Summary Introduction
To determine: The energy needs for Person EW and suggestions regarding strategies she might use to regain some energy.
Introduction: The Dietary Reference Intake (DRI) energy calculations are based on age and physical activity and its goal is to maintain a healthy body weight. Underweight individuals require to regain energy in order to bring the body mass index (BMI) to normal.
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The patient is a 65-year-old male with long history of type 2 Diabetes and obesity. He does not smoke. He had knee surgery 10 years ago but otherwise has had no other major medical problem. Over the years he has tried low glycemic diet and Aerobic exercise program to reduce his weight but has not been very successful. His granddaughter just started high school and he wants to see her graduate and go on college. He understands that his diabetes puts him at high-risk for heart disease and is frustrated that he cannot lose the necessary weight. His neighbor told him about a colleague at work who had his stomach stapled (Gastric or Bariatric surgery) and as a result not only lost over 100 lbs, but also “cured” his diabetes. In addition, one family member told him about intermittent fasting and Keto diet while other relative is regularly doing High-intensity interval training (HIIT). He wants to know which among those treatments or interventions would be the best option for him.
1.…
uanita, a 42-year-old woman with no significant medical history, has just finished her annual medical appointment. Her doctor told her that her hemoglobin A1c is slightly elevated, putting her in the range for prediabetes.
Her doctor said if she loses 5-10% of her current weight and makes better food choices, her A1c should go down and this will decrease her risk of developing type 2 diabetes in the future.
Juanita stops by your office (an assistant nutrition educator) to get more information.
What questions would you ask Juanita before providing any guidance? Please ask three or more questions that are not answered in the prompt above.
Make up Juanita's answers to these questions in full sentences, just like a real conversation.
Based on this week's readings and Juanita's answers to your questions, describe at least three key components to healthy weight loss that Juanita will be able to implement immediately. This section should be in paragraph format.
A 63-year-old woman reports for her annual physical examination. She has no major previous medical
history but does have a recent history of a broken wrist she sustained after a mild fall. Three years ago
her height was recorded at 5'3" and is now recorded at 5'1". She complains that she can't be quite as
active as she used to be and that her back is beginning to bother her. This leads her to be outside less
frequently. Her physician orders some laboratory testing and diagnoses her with osteoporosis.
Analyte
2/20/2018 08:00
Reference Range
135-145 mEg/L
3.5-5.0 mEg/L
95-105 mEg/L
22-28 mEg/L
70-100 mg/dL
7-20 mg/dL
0.5-1.1 mg/dL
Na
141
K
4.1
CI
101
CO2
25
Glucose
98
BUN
15
Creat
0.9
BUN/Creat Ratio
17
10-20
8.5-10.5 mg/dL
25-80 ng/mL
10-65 g/mL
Calcium
10.4
25-Cholecalciferol
15
ΙPTH
89
Highlight the abnormal results in the above table.
List three risk factors this patient has for osteoporosis.
What is the most likely cause of her case of osteoporosis? Explain.
What are two treatments…
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