Weight Management Case Study 2022

Running head: WEIGHT MANAGEMENT
WEIGHT MANAGEMENT
Name of the Student:
Name of the University:
Author’s Note:

1WEIGHT MANAGEMENT
Table of Contents
1. Identifying and discussing causes of obesity in Dave............................................................2
2. Estimating daily energy requirements of Dave......................................................................3
Harris-Benedict equation:......................................................................................................3
Schofield equation:.................................................................................................................3
Henry equation:......................................................................................................................3
FAO equation:........................................................................................................................4
WHO equation:......................................................................................................................4
3. Outlining and evaluating weight management program........................................................5
4. Identifying barriers faced during intervention.......................................................................5
5. Identifying and discussing strategies to minimise deterioration............................................6
6b. Rationale on patient communication design........................................................................7
References..................................................................................................................................8

2WEIGHT MANAGEMENT
1. Identifying and discussing causes of obesity in Dave
Dave, a 51 years old truck driver smokes forty cigarettes daily. He became
overweight due to his lifestyle. He lives on the ready to eat meals and buy those meals and
snacks at motorway. He has no physical activity. These reasons have led toward obesity.
Truck drivers have hectic life that is associated with short sleep, which creates anxiety and
stress among them (Olson et al. 2016). Truck drivers do not have any particular shifts to
work. Moreover, truck drivers are habituated to spend a sedentary lifestyle with poor dietary
habit same as Dave. Obesity can lead towards cardiopathy, hypertension and diabetes. In such
case, being a registered nutritionist it is necessary to calculate body mass index with the help
of weight and height (van der Valk et al. 2019). Studies have shown that short sleep is
associated with obesity and cigarette smoking is injurious for obese patients. Due to obesity
blood vessels become thick as fat deposition occurs; in such case, cigarette smoking increase
blood pressure.
As Dave is a chain smoker and also an obese person, he is at high risk of being
affected by hypertension and heart attack. The ready to eat foods, which Dave takes is high in
calorie and is unhygienic for health. This result increases overall mortality. According to
Joslyn and Haider-Markel (2019), obesity is more prevalent among truck drivers in
comparison to general population. The lifestyle and health behaviour of truck drivers have a
strong impact on metabolism, body composition and energy balance. Short sleep has an
impact on appetite regulation and carbohydrate metabolism Healthy lifestyle has a strong
relationship with dietary habit and moderate physical activity with proper sleep (Alston and
Okrent 2017). As Dave takes fast foods along with fried and fatty foods the calorie intake
increases than the recommended guideline. In such case, it is necessary to calculate the daily
energy requirement of an individual and guide the person carefully.

3WEIGHT MANAGEMENT
2. Estimating daily energy requirements of Dave
Harris-Benedict equation:
BMR = 66+ (6.23*weight in pound) + (12.7*height in inches)-(6.8*ages in years) kcal/day
=66+ (6.23*242.50) + (12.7*68.11)-(6.8*51)
=2103 kcal/day
According to the equation BMR of Dave is 2103 Kcal/day. Determining daily needs
of calorie, it is necessary to multiply proper activity factors with BMR. As the care seeker has
sedentary lifestyle; hence, the result is as follows:
Sedentary: Calorie-calculation
= (BMR* 1.3) calories
= (2103*1.3
= 2734 calories
Schofield equation:
BMR = 11.472*(wt kg) +873.1 kcal/day
= 2135 kcal/day (+/- 167 kcal)
According to the equation, BMR is 2135kcal/day. Hence, total energy requirement
TER = (BMI*1.3) calories
= 2135*1.3
= 2776 calories
Henry equation:
BMR= 14.2* (weight in kg) +593 kcal/day
=14.2* 110+ 593
=2155 kcal/day
As per the equation, BMR is 2155 kcal/day. Hence, total energy requirement of a day