Question

Ms. Sara, a 40-year-old housewife, approached you for a nutritional assessment. She is 5 feet 5...

Ms. Sara, a 40-year-old housewife, approached you for a nutritional assessment. She is 5 feet 5 inches tall and weighs 180 pounds (lb). Mrs. Sara is upset about her 10-kg weight gain. She relates to you that since 1 month ago she has lost interest in many of her usual physical and social activities. She says her eating habits have changed considerably. She takes snacks while watching TV and rarely prepares complete meal, and depends on restaurant food.


Discuss Mrs. Sara’s nutritional problems and make recommendations to solve the problems.

Homework Answers

Answer #1

Ms. Sara, a 40-year-old housewife, approached you for a nutritional assessment. She is 5 feet 5 inches tall and weighs 180 pounds (lb).

As per the above data The BMI of Sara is -30 (A BMI of 30 and more is considered as obesity)

As per Sara's communication about her changed habbits since last month the following nutritional problems can be identified:-

  1. Reduced physical activity- As evidenced by her loss of interest in physical activity or exercise
  2. Changed eating habbits- Sara is now more into eating snacks and junk food hense adding on the extra calories without any nutritional values.
  3. Sedentary life style- Sara has confessed about leading a rather sedentary life by avoiding her usual social activities and watching more Tv
  4. Malnutrition- As Sara rarely prepares complete meal and eating Restaurant food that has high amount of total fat, cholesterol and sodium and low fibre reduces its overall nutritional quality making her prone to malnutrition.

Recommendations to solve the problems

Changing to healthy food habbits-

  • Reducing calorie intake-Cutting down on processed food and carbohyrates and replacing it with healthy snack like fresh fruits, sprouts, vegetable salad and nuts.
  • Eating food which keeps full for longer duration- food like nuts, fruits and vegetable provides small calorie in large portion. Protein rich food offers healthy option over carbohydrates and keeps full for a longer duration hense reducing binge eating habbit.
  • Choose frome healty food groups- Plant source food are healthy option for weight loss fruit vegetable beans lentils etc are excellent source of protein. Animal based food Sara should opt for lean cut meats. Eat minimally processed foods like whole grains.
  • Healthy cooking habbits- Limit salt,sugar and oil in food preparation, Choose healthy oil (Olive oil) for cooking. Avoid sugary beverages, high carbohydrate and full fat food products fo weight management.
  • Eating Small proportion of food - eating smaller portions of healthy food can reduce the feeling of hunger and avoid overeating.
  • Physical activity and exercise- Everyday at least 1 hour of moderate to vigorous exercise every day should be done to reduce weight and burn extra calorie.
  • Reducing screen time- Watching television promotes sedentary lifestyle and promote unhealthy eating habbits reduce the screen time to 1-2 hrs a day.
  • Preparing food at home- Home cooked food are healthier and are are much less in calorie, fat salt and sugar as cumpared to restaurant foods. Home cooked food also provide more balanced diet an prevent risk of malnutrition.
  • Engaging in social activities- keeping involved in activities with family and friends helps in preventing obesity by keeping one active and gives less free time to think of unhealthy snacking.
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