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The patient describes a family history of heart disease in both his mother and his father.
His father takes medication for both high blood pressure and cholesterol and his mother
has had angioplasty to open a blocked artery in her heart. His uncle on his mothers
side developed Type II diabetes at age 40. There is no family history of cancer.
Recent lab work revealed that Jeremys LDL cholesterol is 130 and his HDL cholesterol
is 45. His average blood pressure was 135/85.
Jeremy feels sluggish and he is looking for ways to improve his quality of life. He wants
an assessment of his current health and he would like recommendations for how he can
integrate exercise and healthy eating habits back into his busy schedule.
BMI:
106.59 kg
BMI = 2 = 30.16
1.88 m
'
may be slightly lower due Jer e m y s athletic history increased muscle mass .
Jeremy reports eating 2-3 servings of fruits or vegetables per day. He reports drinking 4-
5 cups of coffee per day as well as 2-3 caffeinated sodas, and 2-4 glasses of water per
day.
Overall Assessment:
Discuss overall implications of BMI and any energy imbalance on overall health.
The implications of Jeremys BMI is that he is burning more calories than he is
consuming; however, Jeremy is not burning enough to maintain a healthy weight.
His current BMI puts him at obesity. Obesity can causes high blood pressure,
high cholesterol, and even diabetes which then leads to heart conditions. Jeremy
should consider his diet intake and exercise.
Recommended: Jeremy:
Based on recommended daily values, he is consuming too many fats, carbs, and
sodium. Which can cause high blood pressure and cholesterol. He is also not
consuming enough protein which could explain his lack of energy and sluggish feeling.
Propose ways to bring the energy input and output in line with Jeremys health
goals. Describe final recommendations to improve Jeremys overall health and
meet his fitness goals. How should Jeremy alter his eating habits and his
activity? Link your recommendations to his personal health history and his family
history.
Jeremy needs to alter his diet to bring his weight and BMI back to a healthy
range. This can be done by heating healthier and consuming less carbs, fats,
and sodium and by increasing the amount and rigor of his weekly exercise.
Jeremy should decrease the amount of coffee and soda he is consuming. And
increase the amount of fruit, vegetables, and protein.
Considering that Jeremys immediate family has a history of high cholesterol and
blood pressure, Jeremy should retain the amount of sodium he consumes which
decreases the risk of either condition. By adding to his water intake, Jeremy
could naturally reduce his sodium levels.