Case Questions For Medical Nutrition Therapy Essay

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Case Questions for Medical Nutrition Therapy: A Case Study Approach 4th ed. Title: Case 2 – Bariatric Surgery for Morbid Obesity Understanding Diagnosis and Pathophysiology 1. Discuss the classification of morbid obesity. Morbid obesity, which is also called extreme obesity or class III, is defined as an individual having a BMI of 40 kg/m2 or greater. This classification is made based on increased risk for comorbidities, including hypertension, cardiovascular disease, sleep apnea, gallbladder disease, metabolic syndrome, type II diabetes mellitus, hyperlipidemia, osteoarthritis, nonalcoholic fatty liver disease, hormonal cancers, and depression, among others.1 2. Describe the primary health risks involved with untreated morbid obesity. What health risks does Mr. McKinley present with? According to Krause’s Food & the Nutrition Care Process (2011), one primary health risk involved with untreated morbid obesity is metabolic syndrome, which tends to occur with the progression of excessive visceral adipose tissue and low cardiorespiratory fitness.1 Mr. McKinley’s BMI classifies him as morbidly obese, and he works as an office manager and has had a total knee replacement, which may contribute to physical inactivity and therefore increases metabolic syndrome risk. Since Mr. McKinley has elevated triglycerides (245 mg/dL) and fasting glucose (145 mg/dL), and lowered high-density lipoprotein (HDL) levels (32 mg/dL), he meets the criteria for metabolic syndrome. The presence of

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