Mrs. Sparrow, a 40 year old African American woman who is 5'6" tall, visited the nutrition expert for advice on weight loss and nutrition. She previously weighed 250 pounds but lost 25 pounds unintentionally over the past 3 months due to illness. Based on her current weight of 225 pounds and measurements, her BMI is 36.3 which classifies her as obese class II. She meets the criteria for abdominal obesity as well. The expert calculates her ideal body weight range and total daily energy needs both before and after a car accident that left her bedridden for a month. The expected weight change during her recovery would not be concerning according to malnutrition guidelines.
Mrs. Sparrow, a 40 year old African American woman who is 5'6" tall, visited the nutrition expert for advice on weight loss and nutrition. She previously weighed 250 pounds but lost 25 pounds unintentionally over the past 3 months due to illness. Based on her current weight of 225 pounds and measurements, her BMI is 36.3 which classifies her as obese class II. She meets the criteria for abdominal obesity as well. The expert calculates her ideal body weight range and total daily energy needs both before and after a car accident that left her bedridden for a month. The expected weight change during her recovery would not be concerning according to malnutrition guidelines.
Mrs. Sparrow, a 40 year old African American woman who is 5'6" tall, visited the nutrition expert for advice on weight loss and nutrition. She previously weighed 250 pounds but lost 25 pounds unintentionally over the past 3 months due to illness. Based on her current weight of 225 pounds and measurements, her BMI is 36.3 which classifies her as obese class II. She meets the criteria for abdominal obesity as well. The expert calculates her ideal body weight range and total daily energy needs both before and after a car accident that left her bedridden for a month. The expected weight change during her recovery would not be concerning according to malnutrition guidelines.
Mrs. Sparrow, a 40 year old African American woman who is 5'6" tall, visited the nutrition expert for advice on weight loss and nutrition. She previously weighed 250 pounds but lost 25 pounds unintentionally over the past 3 months due to illness. Based on her current weight of 225 pounds and measurements, her BMI is 36.3 which classifies her as obese class II. She meets the criteria for abdominal obesity as well. The expert calculates her ideal body weight range and total daily energy needs both before and after a car accident that left her bedridden for a month. The expected weight change during her recovery would not be concerning according to malnutrition guidelines.
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Last4digitsofPSUID:7952
Nutr 453 Spring 2016
Body Weight, BMI, TDE Homework 16 points TO RECEIVE CREDIT YOU MUST SHOW ALL OF YOUR CALCULATIONS! Mr. Sparrows wife (Mrs. Sparrow) has decided to come see you. She is a 40 y/o African American female who is 56 tall with a small frame who weighed 250 lb 3 months ago. She was recently ill and feels her poor lifestyle and eating habits are to blame. You learn that she lost 25 pounds unintentionally during the past 3 months due to illness. She is healthy now and does not want to gain back the weight she has lost. You measure her waist and find that it is currently 40. Obesity Assessment: 1. a. What is Mrs. Sparrows current BMI? a. 225 lb/2.2= 102.3 kg b. 66 in/39.3258= 1.68 m c. 1.68x1.68= 2.82 m2 d. 102.3 kg/2.82 m2= 36.3 BMI a What is her weight classification based upon her BMI? a. Obesity class II a. What health risks are associated this weight category according to the 2013 AHA/ACC/TOS guideline? a. Increased risk of CVD, mortality of all causes b. What is advised for someone classified this way according to the 2013 AHA/ACC/TOS guideline? a. Weight loss is advised 1 a. What is the AHA/ACC/TOS cut-point for abdominal obesity? a. Greater or equal to 80 cm a Would Mrs. Sparrow be classified as having abdominal obesity according to the 2013 guideline? a. 40 in/39.3258= 1.0171m b. 1.0171x100=101.7 cm c. 101.7 cm > 80 cm d. Yes, she would be classified as having abdominal obesity 1 a. How much should she weigh according to the Miller equation? You must show your calculations to get credit using the formula provided in the lecture notes. a. 56= 118 lbs x(3 lbs x6)= 136 lbs- (0.1 x 136)= 122.4 lbs a Now go to calculator.net and compare your answer to the answers they provide for the Robinson, Miller, Devine, or Hamwi formulas. How does your calculated value using the Miller equation compare to the value you got using calculator.net for Miller body weight? BE SURE TO ADJUST FOR FRAME SIZE FOR YOUR CALCULATED VALUE AS WELL AS FOR THE VALUES PROVIDED BY CALCULATOR.NET. a. Robinson: 130.5 lbs-(0.1 x 130.5)= 17.45= 117.5 lbs b. Miller: 135.1 lbs-(0.1 x 135.1)= 121.59= 121.6 lbs c. Devine:130.7lbs(0.1x130.7)=117.63=117.6lbs d. Hamwi: 129.4 lbs-(0.1 x 129.4)= 116.46= 116.5 lbs e. My answer using the Miller equation was almost a full pound (0.8 lb) more than calculator.net
Last4digitsofPSUID:7952 a. Which IBW is the highest for the following equations: Robinson, Miller, Devine, or Hamwi? Which is the lowest? Are they all within the range provided by the healthy BMI recommendation after adjusting for frame size? a. Highest: Miller b. Lowest: Hamwi c. Yes, they are all in the range of health BMI of 103.1 lbs to 139.4 lbs i. 114.6 lbs-(0.1 x 114.6)= 103.1 lbs ii.154.9 lbs-(0.1 x 154.9)= 139.4 lbs Malnutrition Assessment: 4. As mentioned above, Mrs. Sparrow was recently ill and lost 25 pounds over the last 3 months. Prior to that her weight had been fairly stable for a year. Mrs. Sparrow currently weighs what % of her usual weight? a. (225/250)x100= 90% 5. What % of her usual weight did Mrs. Sparrow lose in the past 3 months? a. (250-225)-250=0.1 x 100=10% 6. Since her weight loss was unintentional how would this amount of weight loss be classified? Why (be sure to cite your source for your classification and reason)? a. Her weight loss would be classified as chronic illness severe malnutrition (greater than 7.5% in 3 months) b. Mrs. Sparrow was classified in chronic illness/injury and not acute illness/injury because she has been ill for the past three months, but did not have a rapidly worsening illness such as massive internal trauma or third degree burns on majority of her body. c. *From White, JV et al. J Acad Nutr Diet. 2012;112:730-738. Consensus Statement of the Academy of Nutrition and Dietetics/American Society for Parenteral and Enteral Nutrition:Characteristics Recommended for the Identification and Documentation of Adult Malnutrition (Undernutrition) *From overweight and obesity PowerPoint* Calculating Energy Needs: Mrs. Sparrow currently works as a law enforcement officer on rotating shifts; therefore she does not get much exercise on a regular basis. 7. Calculate Mrs. Sparrows current TDE using the Mifflin St.-Jeor equation and her current body weight. Round your final answer to the nearest 50 kcal. a. REE=[9.99 X 102.3 kg] + [6.25 X 168 cm] - [4.92 X 40] -161 a. 1,021.98 + 1050 196.8 161=1,714.2= 1,714 kcal b. AF= 1.3 (average person w/ no increased physical activity) c. TDE= 1,714 x 1.3 x 1 (no injuries)= 2,228.2= 2,250 kcal/day Mrs. Sparrow is hospitalized about a week later after being in an automobile accident and suffering skeletal trauma as a result. She is currently bed-ridden and will be for the next month. As a result, she will not be able to return to work during that time. You have been called to consult on the case. 8. What is Mrs. Sparrows TDE now? (Round your final answer to the nearest 50 kcal) a. TDE= 1,714 x 1.1 (confined to bed) x 1.35 (skeletal trauma)= 2,545.29= 2,550 kcal/day 9. If Mrs. Sparrow continues to eat the same amount of energy that she did before her accident a. How much weight would she be expected to gain or lose during the 30-day recovery period? b. Should you be concerned? Why or why not? Be sure to cite your sources! b. 2,250- 2,550= - 300 kcal/day x 30 days= - 9,000 kcal/30 days c. -9,000 kcal/3500 kcal per lb= -2.6 lbs a month 2
Last4digitsofPSUID:7952 d. 2.6/250 (wt prior to injury) x 100= 1.04% loss in 1 months e. No, I would not be concerned. A 1.04% loss in one month does not put Mrs. Sparrow at risk for malnutrition according to the Identification and Documentation of Adult Malnutrition Chart a. *From White, JV et al. J Acad Nutr Diet. 2012;112:730-738. Consensus Statement of the Academy of Nutrition and Dietetics/American Society for Parenteral and Enteral Nutrition:Characteristics Recommended for the Identification and Documentation of Adult Malnutrition (Undernutrition)
