OBESITY

PRESENTED BY- AASHLESHA KAWALE

SUBMITTED TO- DR. RITA BHARGAVA
INTRODUCTION
• Diagnosis- HTN/ Hypothyroidism/ Osteoarthritis/ Anemia/ Obesity
• OBESITY
• Obesity is complex disease involving an excessive amount of body fat.
Obesity medical problems, such as heat disease, diabetes, high risk blood
pressure and certain cancers.
• People are classified as obese when their body mass index a measurement
obtained by dividing a person’s weight by square of the person’s height is
over 30kg/m². the range 25-30kg/m² is defined as overweight.
• OSTEOARTHRITIES
• Osteoarthritis also known as degenerative joint disease, is the most common
type of arthritis. Osteoarthritis is more likely to develop as people age.
• Inflammation and injury to the joint cause bony change, deterioration to
tendons and ligaments and breakdown of cartilage, resulting in pain,
swelling, deformity of the joint.
• TOTAL KNEE ARTHOPLASTY (KNEE REPLACEMENT)
• Total knee replacement is the surgical removal of the diseased joint and
replacing it with an artificial joint that is attached to the thighbone (femur)
and the shinebone (tibia). This is known as prosthesis.
PATIENT DETAILS

• Patient name- XYZ

• Date of admission- 9/05/2022
• Diagnosis - HTN/ Hypothyroidism/ Obesity/Osteoarthritis/Anemia
• Age- 66 years
• Height- 150 cm
• Weight- 78.9 kg
• BMI- 34.9 Kg/m² (Obese)
• Pure veg (Jain) no onion, no garlic, no Brinjal
• Family Members- 5 Members
• Oil- 5 liter/ 2 months Suffola Gold (sunflower oil)
16.6 liter/person
• Water- 2 liter/ day
• Fruits- Daily 2-3 times
• Sweet- 2-3 times/week
• Exercise- Yoga (30 min)
• Sleep- with medicine 6-7hr
 BIOCHEMICAL PARAMETERS
8/5/2022
Hb% 9.3
TLC 7570
Polymorphus 60
Lymphocytis 31
Eosinophils 06
Monocytes 03
Platelets 3.44
Blood Urea 21.4
Creatinine 0.76
Na+ 142.8
K+ 3.7
Bil total 0.47
Direct/ Indirect 0.07/0
S. Alk phos 64.2
SGOT 25.27

SGPT 20.27

T- PROT 6.8

INR 1.11

Blood Sugar 114.63

TSH 3.56
 MEDICINE
Tab. Losakind H Losakind H tablet is combination of two medicine namely Losartan &
hydrochlorothiazide. When one medicine alone is not controlling your blood pressure
effectively.
Tab. Thyronorm To treat an underactive thyroid gland.

Injection supacef To treat bacterial infections in your body

Injection pan Injection is medicine that reduces the amounts of acid produced in your stomach.

Injection tramadol Relive moderate to sever pain in conditions that affect joints and muscles.

Injection emeset To control nausea and vomiting due to certain medical condition like stomach upset

Paracetamol Is a common painkiller used to treat aches and pain.

Injection pause Is used to treat bleeding

Alprax Alprax 0.5 mg makes you sleep

 HOME DIET RECALL
Early Morning Tea with sugar 1 cup
6.00 am
Energy 1550kcal
Breakfast Poha ( no onion)
8.00am
Protein 50.3 gm
Lunch 12.00pm 2chapatti, 1 bowl rice, 1bowl dal, 1bowl sbji

Snacks 4.00pm Tea with sugar 1cup Fat 42 gm

2 biscuit

Dinner 8.00pm Khichdi 1 bowl, kadhi 1bowl Carbohydrate 232.3 gm

Bed time Milk no sugar
10.00pm
 THREE DAYS RECALL OF MEDICAL NUTRITION
THERAPY
9/05/22 10/05/22 11/05/22

Early morning Tea 1 cup NBM 7am- 10pm Tea 1 cup

Biscuits Biscuits

Breakfast Idli sambar (no onion) Veg savai upma

Lunch 1 bowl dal ,1 bowl rice 1 bowl Dal

3chapatti ,Barbati sbji 1 bowl khichdi
Salad

Snack Tea 1cup ,2 biscuits Tea 1 cup, 2 biscuits

Veg soup, chiwda Fruits, Rava kheer

Dinner 1 bowl dal, 1bowl rice 1 bowl dal, ½ rice

3 chapatti, beans sbji, salad 2chappati, Tinde sbji
Salad

Bed time 1 glass Milk 1 glass Milk

AVARAGE SCORE OF HOSPITAL MNT RECALL
DAYS ENERGY PROTEIN FAT CHO
DAY 1 1350 kcal 48.9gm 24..5gm 211.6gm
DAY 2 NBM NBM
DAY 3 1175 kcal 41.4gm 23.6gm 191gm

AVARAGE 1262.5 kcal 45.1 gm 24.05 gm 201.3 gm

MEDICAL NUTRITION THERAPY
NUTRIENT RDA MDA

ENERGY 1660 Kcal 1177.5 kcal

PROTEIN 46.0 gm 49.5 gm

FAT 30 gm 20gm

CHO 180 gm 200gm

 EXCHANGE LIST OF DISCHARGE DIET PLAN
FOOD GROUP QUNTIT ENERGY PROTEIN FAT CHO
Y
Cereals and millets 116 gm 400 11.2 2.4 80

Grain legumes 94.5 gm 300 21.3 2.7 45

Green leafy veg 170 gm 50 4.7 1.8 4.8

Soya chunks 15gm 51.7 7.8 0 4.9

Other veg 215 gm 50 3.1 0.6 7.1

Fruits 80 gm 50 0.7 0.4 10.5
Skimmed Milk 100ml 25 2.15 0.075 3.9
Soya milk 200ml 120 6.5 2 21
Sugar 15 gm 50 - - 15
Oil 11.1 gm 100 - 11.1 -
Total 1196 kcal 57.4gm 21 gm 192.2 gm
 DIET PLAN
Early Morning 1cup Tea
2 biscuits
Breakfast 1 plate sprouts
Mid morning 1 Apple

Lunch 1 bowl Salad

1 bowl Soya sbji
½ Rice
1 Chaptti

Snacks 1 cup tea

1 plate veg Upma

Dinner 1 Bowl salad

2 chaptti
1 Bowl Palak dal

Bed time 1 glass Soya Milk

FOODS TO BE INCLUDED AND AVOIDED
• INCLUDED
 Salad, Sprouts, chia seeds, Green leafy
veg, Messi roti, whole cerals and pulces,
Panner, fruits, Soya and Soya products,
skimmed milk, Egg or Egg white,
Chicken.
 Cooking Methods- Steaming, Boiling,
roasting, shallow fry, air fry.
 30-45 min physical exercise( walking,
running, cycling, yoga, Zumba etc)
• AVOIDED
 fried food, junk food, bakery products,
Refined wheat flour, red meat, sugar,
jaggary, honey intake should be moderate,
sugar sweetened beverages (soda, fruit
drinks, sports drink) .
 Oil intake should be in moderate amount.
 Do not skip meals,