PERSONAL HEALTH AND ExERCISE NUTRITION 1.2 Chapter 1 The Mac onumeras 35 Adult H yperlipidemi Body weight: 215 lb (97.1 kg) The following data were ained a 58 year-old execu ve who has not had annual physical examination in 5 years. He has weight and is now concerned abou his health Body mass index (BMI): 29.0 Abdominal girth: 40.9 Laboratory data o Nonfasting total cholesterol: 267 mg dL-1 HDL-C: 34 mg dl. o LDL C: 141 mg dL Medical History Blood glucose: 124 mg dl. Dietary intake from 24-hour food recall The patient has no history of chronic di or major iseases plements He does not take medicat and has no known food allergies. o Protein: 110 g (I4,7% of total kcal) ions or dietary sup- Lipid: 121 g (36.3% of total kcal) Family History Carbohydrate: 368 g (49% of total kcal) o Saturated fatty acids 18% of total kcal The patient\'s died from a heart attack at age 61 younger brother has had triple bypass and his uncle has type 2 diabetes. His mother, inactive for most of her adult life, classifies obese with high serum terol and triacylglycerol levels. Monounsatura ed fatty acids (MUFA): 7% of total Cholesterol: 390 mg.dL Fiber 10 g Folic acid: 200 ug Social History General impressions: overly fat male with possible The patient has metabolic syndrome gained 15 lb been overweight since high school. He has Case Questions ob and during the last year, which he attributes to his 1. Provide an overall assessment of the patient\'s health The changes in eating habits (eats out more frequently). status. patient JM.. wants to improve his diet but does not know what to do. He typically eats only two meals 2. What other laboratory tests could be performed? at least one meal consumed daily, with 3. Interpret blood lipid profile based on his history, at a restaurant and several snacks the interspersed. He drinks three to five cups of coffee through- physical examination, and laboratory data out the day and two to three alcoholic drinks every evening. 4. Give recommendations for improving the adequacy also smokes one pack of ciga daily and reports high of patient\'s diet. rettes stress in his job and at home (two teenage children). Patient 5. Create the best dietary approach for the patient. states he has little opportunity for exercise or leisure time 6, course of action should the patient consider to activities given his present schedule. What improve his blood lipid profile? Physical Examination/Anthropometric/ Laboratory Data Point Visit the Point.ww.com/MKKSEN4e to review e answers to these case Blood pressure: 135/90 mm Hg Height: 6 ft i82.9 cm)
Ques-1:
The overall health status of the patient:
The above patient has been suffering from \"obesity\" induced hyperlipidemia & blood pressure and diabetes because his medical records have been describing that the systolic blood pressure is higher than normal i(120/80 mm of Hg) i.e.135mm of Hg. His lipid levels are higher than normal & his blood glucose levels higher. His body mass index and circulating nonfasting cholesterol is higher & completely have higher disparity of measurements with a healthy person who is at his age.
Ques-2:
Electrocardiogram should be performed to know about the physiological changes that may triggered by high HDLs in the blood because there will possible incidence of atherosclerosis followed by myocardial infarction. Other tests are to know the functions of thyroid, thyroid test should be performed. Liver function tests should be performed to know the function of liver
Ques-3:
His LDLs levels are \"140 mg/dL\", which is very elevated & higher than normal LDL levels 100 and 129 mg per dL (2.6 and 3.3 mmol/L) so that hypercholesmenia that lead to obesity. His Lab reports of HDL describing higher chances for incidence of cardiac arrest
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