The nutrition information area and the clinical nutrition
Ms. Rosa Santana, a 60-year-old housewife, attends a health visit sponsored by her community hospital. It goes to the nutrition information area and the clinical nutrition specialist collects the nutritional history.
Ms. Santana is very concerned about the 20 pounds of weight she has gained.
The clinical nurse reports that, since the death of her husband a month ago, she has lost interest in many of her usual physical and social activities.
He no longer attends exercise and swimming sessions, and has lost touch with his group of friends who were meeting.
She claims to be bored and depressed, and feels very unhappy with her appearance.
Her body habit is small and she has always been proud of her small figure. He says his eating habits have changed considerably, he eats snacks while watching TV and rarely prepares a full meal.
Physical examination
Size:64 inches
Weight: 140 lbs
Temperature: 37°C
Pulse:76/min
Breaths:16/min
Blood pressure: 144/84 mmHg
Triceps fold: 21mm =.82 inch
Small body habit, excess weight of 10% with respect to the ideal weight according to your height and body habit.
Diagnostic data
Normal complete blood count, negative urinalysis, negative chest x-ray, thyroid profile within normal limits.
Patient #2
Andrés is 16 years old and sedentary.
He is 5′ 8″ tall, weighs 218 pounds and has a BMI of 33. He has been overweight for most of his life, as have most of his extended paternal family. Her mother has tried “everything” over the years to get her to lose weight, from putting it on her own weight-loss diet to hiding foods she shouldn’t have, such as non-alcoholic beverages and chips, to limit her access.
He has a part-time job at a fast food restaurant and can leave school property at lunchtime for lunch where he works.
He’s not good at sports, but he loves to pay for video games and watch movies. He hates being so big, but he feels desperate to change. The intake of your normal day is as follows:
| Breakfast | two donuts and a large glass of apple juice
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| Lunch | a double cheeseburger, fries and a large smoothie
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| Food | The same as lunch in the evenings he works. If you’re at home, eat whatever’s available, often pizza or snacks and chips, ice cream and a soda.
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| Snacks | fries with sauce and soft drinks
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Using BMI for age percentiles for children, what is Andrew’s weight status? Is it an appropriate approach to limit Andrew’s calories to overcome his current weight status?
How many calories should Andres consume daily? According to the intake levels of My Healthy Plate or My Plate.
In which groups are you consuming the appropriate amounts?
Which groups are you not eating enough of? What are the sources of empty calories in your diet? What would you suggest to your mother to do to maintain better eating habits and a healthier weight?
