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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:
Calculate Jeremys BMI based on his height and weight and describe the implications of
this number. Take Jeremys athletic history into account.
o BMI = 106.69/1.87 = 106.69/3.497 = 30.51
o Jeremy's BMI is 30.5. This number is interpreted as him being clinically obese. Now he
may be partially overweight but much of the mass may be due to muscle from his
previous swim career. A healthy BMI is between 18-24 and an overweight BMI is 25-29.
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.
Describe what will happen to Jeremys weight over the next month if he continues the
same eating patterns. Show your work.
o Jeremy's weight has the potential to rise over the next month as he has an incredibly
high sodium diet and does menial exercise. He will then be more likely to get heart
disease as it runs in his family.
Overall Assessment:
Discuss overall implications of BMI and any energy imbalance on overall health.
o Energy imbalance plays a large role in Jeremys potential for weight gain. He has a
surplus of 100 calories per day which means he gains weight if that extra energy is left
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.
o Essentially, Jeremy can either exercise more per week or consume less calories daily to
achieve the level of health that he desires. He needs to consume less sodium and fat-
filled foods in his daily diet and increase his protein and dairy intake as well as fruits and
veggies. He can continue to eat a high calorie diet if he wishes but only if he
compensates with considerable exercise.