Assignment Title: Case Study Obesity Nutrition for Health and Disease - Case Study: Obesity The prevalence of obesity in England has more than tripled in the last 25 years. (Department of Health 2012) largely due to dramatic changes in dietary/lifestyle trends with attributing factors such increasing use of transportation, sedentary lifestyles, wider food choices, availability of cheap convenience foods in times of economic decline and also powerful food advertising through media coverage and the increase in fast food restaurants and larger portions; all of these factors have led to a dramatic rise in obesity in the UK, leaving the government with a major public health dilemma due to its …show more content…
This case study looks at an obese male aged 25 years of age (L) and the table below (Figure 3) provides observation results as an indication of his health. Waist circumference (37+ inches = at increased risk) 42 inches Height 6’2” (188cms) Weight 115 kilograms (253lbs) BMI (Over 30 obese) 32.6 kg/m2 RMR Resting Metabolic Rate 2412 calories BMR Basal Metabolic Rate 2385 calories Blood Pressure 138/85 Cholesterol 5.2 mmol/L. Resting Heart Rate 80bpm (Figure 3) Analysis of client (L) results: Waist circumference: Client (L) has a waist of 42 inches, this puts him in the at risk category. Raised waist measurements are also risk factors for Type 2 diabetes. A waist circumference greater than 80cm (32in) for women and 94cm (37in) for men increases the risk of cardiovascular diseases - for example, heart attacks, stroke and diabetes. (hsph 2012) RMR. This indicates individuals resting metabolic rate and shows calories burned when the body is in a resting state. Client (L) has a RMR of 2412 calories daily. This is good starting point from which to diet. This is the amount of calories needed to maintain current body weight in a resting state. BMR. Basal Metabolic rate – this is the amount of calories client (L) would need to
| | | |Males: Calories Expended for Body Function(6.27 x weight in lbs.) + (12.68 x height in inches) - (6.76 x age) + 66| |
Farburn et al (2002) suggests that “the prevalence of obesity and its physiological and psychological complications is increasing among children and adults. These findings emphasize the need for effective prevention and treatment programs. Public health policies and strategies are implemented to meet targets to tackle health issues and socioeconomic problems (Lydia Balsdon, 2009). The House of Commons Health Select Committee (HSC 2004) foreseen the rise in health-care costs related to obesityas the figures are predicted to double by 2050, the estimated cost in 2002 was around £3340-3724 million. Obesity usually relates to limitations in mobility, which results in challenges with daily activities and affecting the quality of life and preventing individuals from finding employability. Health and psychological complications from obesity and related diseases impact the health and social care cost as individuals have high sickness and absence levels from work, which results in low productivity and enforces costs on industries.(McCormick et al, 2007). The government addresses the national strategies in tackling and reducing the obesity figures in the UK. (DH, 2005b). The National Institute for Clinical Excellence (2013) declared that from April 2013, the local government took on a widespread concern for public health within
by Brahmadeo Dewprashad Department of Science Borough of Manhattan Community College The City University of New York and Geraldine S. Vaz Ambulatory Care Department Jamaica Hospital, Queens, New York
In the 21st century obesity within the UK was starting to become a major concern, after the issue of smoking had been dealt with. In order to get a handle on the growing problem of obesity, the prime minister at the time released a new piece of legislation otherwise known as “Choosing Health: Making healthy choices easier”. This piece of legislation was designed with the
In the table shown, it reflects my diet over a 3 day period. It shows the intake necessary based on a 2000 calorie diet and shows if the participant was receiving over or under the amount of nutrient necessary during the 3 day
The purpose of this lab is to gain knowledge and understanding of the scientific principle of RER, using indirect calorimetry to measure caloric expenditure, including the caloric equivalent and to understand the concepts behind estimating oxygen consumption and caloric expenditure from heart rate, including the limitations. In addition the purpose was to learn skills of how to measure and graph the linear relationship between heart rate and VO2 and then determine the regression equation line and to estimate the caloric expenditure from VO2, heart rate, and caloric equivalent values.
Based upon the 48-hour intake journal, patient eats between 1500 to 2000 calories a day. Patient has been trying to minimize foods high in sodium and fat to help regulate recommended caloric, fat, and sodium intake. Patient wants to reduce the risks of hypertension and diabetes. Patient states that she runs on the treadmill 2 times a week for 1 hour. She walks around the mall 3 times a week for approximately an hour and walks to school 4 times a week for 30 minutes. Patient sleeps approximately 7 hours per night (falls asleep around 10:00 pm and wakes up at 5:30 am). Patient falls asleep due to fatigue. Patient wakes up in the middle of the night due to difficulty sleeping, from thinking about school and stressed. Patient’s quality of sleep
The difference between basal metabolic rate (BMR) and resting metabolic rate (RMR), is the hours that determine the metabolic velocity. The basal metabolic rate takes place in supine position. In a thermonetural atmosphere the basal metabolic rate can be assed 12-18 hours after a meal. The resting metabolic rate is assessed after 4 hours of a light meal, and 30-60 minutes after resting quietly.
Maria is a 19 year old female that is 5’8” tall and weighs 145 lbs. Based on the use of an online calculator, her BMI would be 22.0 (nih.gov). Which would put her in the normal weight range, but only 3 points from being overweight and 8 points from being considered obese. The use of another online calculator would determine that she needs to consume 2316 calories per day to survive (Adult energy needs). The Basal Metabolic Rate or BMR for Maria would be 1516.05 (BMR calculator). BMR is defined as the amount of energy used by the body in a sedentary state with no digestion occurring. Running 2.5 miles while traveling at 4.76 miles per hour would take 31.5 minutes and burn roughly 262 calories. Based on Maria’s vitals, her running three times a week would burn off roughly 786 calories. She burns a total of 110441.4 calories each month. Then she consumes 119820 calories a month leading to a net of +9378.6 calories a month. Which when divided by the number of calories in a pound (3500 calories0 is a gain of 2.7 pounds a month or 32.4 pounds a year.
If you are interested in losing weight, knowing your basal metabolic rate is a good place to start. Basal Metabolic Rate, or BMR, is the minimum calorific requirement that a resting person needs in order to sustain life. Or, it is the rate at which the body burns calories. In other words, it is the amount of energy which is measured in calories that is expended by the body if a person was in a state of rest. In humans, it is measured by the heat produced per unit time and is expressed as the calories released per kilogram of body weight or per square meter of body surface per hour. If you are considering losing weight and keeping it off, you should know your metabolic rate.
James, W. P. (2008). The epidemiology of obesity: the size of the problem. Journal of Internal Medicine, 336-352. Retrieved from http://eds.a.ebscohost.com.library.gcu.edu:2048/ehost/pdfviewer/pdfviewer?sid=9ede2d6d-4d02-42e9-aff7-dd9b2486a3c3%40sessionmgr4004&vid=8&h
The basis for the argument is that everybody’s body is different. Some people have a higher metabolism than others while some people just burn more calories than others. Some people have more bacteroidetes in their gut extracting fewer calories and others may have less bacteroidetes in their gut extracting more calories during intake. Another thing to consider is that diets vary from person to person and our body masses are not universally the same. This shows that you cannot simply use this equation. So the basis for the argument again is that there are too many things that we have to take into account to simply narrow down to one simple equation; we are all different and react differently in our own ways.
The first report generated by the software was energy balance. Within this energy balance report was the (a) kCal consumed each day based on the combined caloric value of each food, (b) the kCal burned based on the fitness level specified and (c) the net kCal for each day. For
BMR = 655 + (4.35 x 159) + (4.7 x 67) – (4.7 x 31) = 1515.85 kcal/day
The subject data represented in the table above indicate high energy expenditure and low energy intake, in comparison to the recommended adult daily intake of 8700kJ per day (Australian Government Department of Health 2006). However, this figure can greatly vary due to natural variations in gender, bodyweight and energy expenditure levels. The numerical similarity of the two values indicates the subject’s requirement for a greater energy intake, which is consistent with the recorded weight fluctuations.