September 26, 2011 S. Ms.

B is 30 years of age and states that she has gained 20lbs in 2 years since she has been at her job. After her ann al physical e!am "ith her primary care physician she has been referred to me for assistance in losing "eight. #eart disease does r n in her family and her blood press re is no" rising. Ms. B has no time to "or$ o t d e to her job altho gh she $no"s that physical acti%ity is $ey to helping her lose "eight. &ith the long ho rs she "or$s, she tends to eat o t more often beca se she has no time to ma$e a home coo$ed meal. '. 30 ('&& )iagnosis* in%ol ntary "eight gain Anthropometrics* #t* 66+ &t* 160, BM-* 2../ $g0m2 -B&* 130, 11232-B&3 4B&* 150, 111524B&3 152 "eight gain in 2 years MA6* 2/ cm 7S8* 26 mm 19.2tile3 MAMA* 35.6 1.0:9.2tile3 ;abs* <0A ==> 11.3 acti%ity factor3 1/00:2000 $cals0day =stimated protein re? irement* 55.3gm0day 10.@:1.0 g pro0$g3 Meds* <0A 25 hr recall res lts * 2.93 $cals, 90gm pro, 120gm fat, 220gm cho A. -n%ol ntary "eight gain related to "or$ing long ho rs at her job and no time for physical acti%ity by se%ere "eight gain 120, in 2 years3. Ms. BAs BM- falls in the o%er"eight category, ho"e%er her MAMA and 7S8 n mbers are considered a%erage. Ms. BAs diet assessment indicates that she cons mes a high:fat diet and lo":protein diet. 7his can most li$ely contrib te to her eating o t a lot as opposed to coo$ing meals at home. #eart disease is $no"n to r n in her family, "hich ma$es her more prone to de%eloping the disease by eating o t a lot. 7his %ery m ch co ld be one of the reasons "hy her blood press re is rising. -t seems as if Ms. B is tired of her lifestyle and "o ld li$e to become more acti%e, coo$ more and eat healthier. B. )ecrease her fat inta$e and incorporate more fr its and %egetables into her diet. 3 meals0 2 snac$s 3:5 ser%ings0day of fr its and %egetables More comple! carbohydrates .:6 ser%ings. More protein in her from dairy prod cts, chic$en, t r$ey, and0or leg mes. Begin a physical acti%ity regimen. 8ind time to coo$ meals at home, c t eating o t to 1:2! a "ee$. 8ollo": p in 2 "ee$s for "eight chec$ and diet assessment. )anielle Maina, >)