Question

Fred has returned for his next visit.

Client: Fred

Age: 56

Height: 5 feet 10 inches                            Weight: 270 pounds         

BMR calculations:

Males BMR= 66+(6.23 x weight in pounds) +(12.7 x height in inches) -(6.8 x age)

Physical Activity (PA) Estimates

1.2 = little to no exercise

1.375 = light exercise 1-3 days per week

1.55 = moderate exercise 3-5 days per week

1.725 = hard exercise 6-7 days per week

1.9 = hard daily exercise/job

5. Fred has mentioned several types of diets he has followed in the past. All resulted in weight loss, but eventually he regained the weight. Discuss fad diets with Fred (2 points) and provide three characteristics that make a diet a fad diet. (3 points)

6. From your sessions, you know Fred has tried to reduce calorie intake in the past. However, he never mentioned behavior modification. Explain to Fred what this is.

7. To verify that Fred understands, have him name three types of behavior modification strategies.

a.

b.

c.

8. To conclude the session, you discuss android obesity with Fred. Explain what android obesity is and the health risks associated with this type of obesity.

Answer 1

5. Fad diet is a popular way of losing weight now a days. It usually promises rapid weight loss by doing little effort

Three characteristics that make diet a fad diet:

1. promises quick solution
2. believes that food can change body chemistry
3. exclusion or severe restriction of certain food groups or nutrients.

6. Behavior modification is a component which if added along with nutrition and physical activity can lead to weight loss. It aims to reduce calorie intake, increasing physical activity, widening of knowledge related to nutrition and food choices. Successful behaviour modification require time and patience. Psychological expert groups and counsellorrs are there for inculcating these modifications for weight loss.

7.

• Positive reinforcement
• negative reinforcement
• aversion therapy

8. Android obesity is also called central obesity as the body's extra fat gets distributed over the abdominal region of the body because of which the person's body's shape Look like apple shaped.

Android obesity increases risk for having coronary heart disease and hypertension. Person with this type of obesity have high hematocrit and RBCs, increased blood viscosity. These persons have high fasting insulin level and develop insulin resistance.