1. Outline her risk factors that the doctor was concerned about. Is anyone risk factor more prominent or problematic than the others?
A risk factor is anything that increases a person’s chances of developing a disease. In this case with Mrs. X, her risk factors are her weight, waist circumference and blood pressure. Her weight and height puts her at a body mass index (BMI) at 28.4 kg/m2, which is associated with an increased risk for type 2 diabetes, dyslipidemia, hypertension, and cardiovascular disease (CVD). Also women are at increased relative risk if they have a waist circumference greater than 35 inches, in Mrs. X’s case she is 2 inches over the standard. As well as her blood pressure reading of 135/85mmHG, puts her on the verge of being hypertensive. Although all the risk factors are important to note, I believe that the Mrs. X’s BMI is the most problematic risk factor.
2. Outline a plan of lifestyle modification to target her risk factors.
Mrs. X’s Lifestyle Modification Plan
1. Brief reinforcement/educate on weight management
a. Does Mrs. X want to lose weight?
i. The decision to lose weight must be made jointly between the clinician and patient.
b. Those with BMI between 25 and 29.9 kg/m2 and who have one or no risk factor should work on maintaining their current weight.
2. Dietary Therapy
a. Mrs. X is in the “overweight” bracket
i. A deficit of 300 to 500 kcal/day may be more appropriate, providing weight loss of about 0.5 pounds per week.
3. Physical activity
a. Moderate levels of physical activity for 30 to 45 minutes, 3 to 5 days per week.