Case Study 2
Mrs. X, a sedentary 45 year old, is 64” tall, weighs 165.5lbs and has a waist circumference of 37”. At a recent routine check up with her physician her blood pressure was measured at 135/85mmHg and her blood tests were normal. Regardless, her doctor has suggested she make some changes to her lifestyle to try and reverse the deterioration in her health he has observed since her last visit. With Mrs. X’s blood pressure measuring 135/85mmHg it is placing her slightly at risk for entering levels of high blood pressure and hypertension. High levels of blood pressure are 140/90 mmHg and above. Therefore, Mrs. X is at risk of entering these high levels. Her physician is advising her to adopt a healthier life style to make sure the levels don’t increase any more than they already are. Her weight is another risk factor her physician may have shown concern with. With Mrs. X only being 64 inches tall and weighing nearly 166 pounds she is classified into Class One Obesity (Dr. Theodore 71-120). She also has excess fat in the abdominal area with a waist circumference of 37 inches and according to the NHLBI women are at increased relative risk if they have a waist circumference greater than 35 inches (Dr. Theodore 71-120). Subsequently her body mass index (BMI) is 33kg/m^2 and with these factors Mrs. X is at a higher risk of diabetes, dyslipidemia, hypertension, and the largest concern of cardiovascular disease (CVD). The most problematic risk factor is indeed her BMI. Normal levels of BMI are shown to be 18.5 – 24.9 kg/m^2, overweight levels to be 25 – 29.9 kg/m^2, and obesity levels 30-39.9 kg/m^2 (NHLBI Obesity). A treatment plan that can be given to Mrs. X will need to modify her current sedentary lifestyle. The overall goal will be to adopt a healthier and more active lifestyle to yield weight loss and therefore reduce risk of cardiovascular disease and other predisposing health factors. The first step will be to educate and assess Mrs. X on the risk...
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