Weight Loss Programme for Optimal Body Composition
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This document discusses a weight loss programme to attain an optimal body composition for health through a case study. It includes information on diet plans, physical activities, predictive equations for energy expenditure, and anthropometric measurements.
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“A Weight Loss Programme To Attain An Optimal Body Composition For Health – A Case Study”
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Table of Contents ABSTRACT.....................................................................................................................................3 INTRODUCTION...........................................................................................................................3 METHODS......................................................................................................................................4 RESULTS......................................................................................................................................10 Information on normal energy intake and dietary analysis for three days (kcal).................10 Information on normal daily activities and calculation of normal energy output (kcal)......11 Discuss energy balance and relate to recommended requirements (DRV)..........................11 Anthropometric data.............................................................................................................12 DISCUSSION................................................................................................................................12 Discuss results of your nutritional assessment.....................................................................12 Discuss the reliability and limitations of the methods used in the nutritional assessment...13 Discuss any recommendations.............................................................................................14 Discuss any future monitoring procedures which could be used.........................................14 Include supporting review of literature in this area particularly focusing on the regulation of food intake for your subject..................................................................................................15 CONCLUSION..............................................................................................................................16 REFERENCES..............................................................................................................................17
ABSTRACT The study explore about weight loss programme in order to attain a manageable weight. It focus on a case study where a 40 year old man Mr. John has gained a lot of weight due to poor lifestyle. He has been diagnosed with hypertension and diabetics due to his obese condition and work life conditions. A well diet plan has been developed in the study which could help him to regulate his over weight situation. Diet plan contains fix dietary meals for him which he needs to follow strictly. Mr. John has been suggested to introduce some physical activities in his daily routine in order to increase activeness in his body and burn calories which gained by intake variety of food item per day. Respective individual needs to join yoga, aerobics, zumba classes which helps to eliminate additional body weight. Predictive Equations for Resting Metabolic Rate (RMR) in kcal/day were discussed in the study. For analysing the current weight status of candidate Anthropometric measurement method was used for evaluating geriatric nutrition in terms of identifying several condition like obesity, overweight, muscular mas loss, fat mas gain, malnutrition and redistribution of adipose tissue. Mr John was not able to follow diet plan in initial days but as a result he was able to mange his weight gradually by following dietary plan on regular basis. INTRODUCTION Mr. John is 40 years old man who had gained around 22 kilograms extra in past 10 years having total weight of 90 kg diagnose with diabetes and hypertension with obese condition. He intake high calories food and has a habit to eat regularly at his work place having sitting job of 8 to 10 hours. John is facing problem in his daily life regarding his overweight condition including reduced mobility. He lives alone and prefer to eat fast food regularly along with avoiding physical work out which results into problem of obesity. Physician has prescribe him to control his diet and prefer regular physical work out to reduce additional body fat because extra weight create complication in health issue of hypertension and diabetes of patient. The selected patient has a history of hypertension and dyslipidemia which acquire complications due to increased body weight. John has a BMI around 30 due to which hi condition is considered as obese. His ethnicity is about belong to the BAME community of the country. Obesity can be known as a health issue because this condition is responsible for causing other diseases like high blood pressure, diabetes, stroke etc. The condition of an individual with
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extra body weight has risk of occurring other health problem like slow metabolic rate and has an adverse effect on human body (Aburasayn, Al Batran and Ussher, 2016). However, the purpose of reducing weight is to maintain sugar levels and blood pressure of patient. It is required to improve his sedentary behaviour and overeating habits fort maintain proper body mas index (BMI) to remain healthy. The purpose of Johnto visit general practitioner is increasing complications in his existing health problems along with taking medicines on time. The physician suggest the cause of obesity due to which weight loss is mandatory for John to control his diabetes, hypertension and dyslipidemia. METHODS Food diary, Food Tables and/or Dietary Software for dietary analysis A food diary has been refereed to as a diet chart which contains information about intake of food items with proper quantity and calories with time. It is helpful to an individual to remain conscious and aware that how much calories they intake through daily meals which helps to reduce weight per week.By maintaining such diary, the doctor also get the type of eating habits the client indulge in their daily activities (Curtis and et. al., 2016). In case of given patient, he has a habit of continuous eating in short period of time with lack of physical activities that needs to be improved for reducing additional body fat to maintain diabetes and entire health condition of an individual.Reducing in weight of body is favourable to control diabetes easily with the help of regular medications and decrease relevant complications that occurs due to obese condition of John.The diet chart have been made below in context to manage the weight of Mr. John so as to overcome such person from obese condition.
Salsa(285 calories) (345 calories) (220 calories) calories)58gfat, 1741mg sodiumand 1221 calories. Physical Activity Journal Physical activity is must for John to increase activeness in his body and burn calories which gained by intake variety of food item per day. It is essential for every individual to conduct physical exercise daily for remaining fit and healthy. In context of given case, it has been analysed that overeating habits of patient results into extra intake of calories which cannot burn due to they convert into fat molecules and get deposited in body tissues. However, John has lack of physical activities in his daily routine with problem of overeating which is responsible for extra fat gained by an individual (Hunt and et. al., 2016). It has been analysed that diet is not sufficient in given case but continuous physicalworkoutis also necessary for removing additional body fat. According to the prescription given by general practitioner of John, it has been evaluated that effective physical activities should be follow by him in terms of maintain body weight which helps to control diabetes as well as hypertension. Basically, the patient is required to focus on daily morning and evening walk that increase metabolism and prevent deposition of extra fat molecules in tissues of human body.Meanwhile, it is required for selected individual to join yoga, aerobics, zumba classes and many more (Torjesen,2016). Moreover, daily physical work out helps to improve mobility then they can prefer water aerobics also which helps to eliminate additional body weight.The physical activities were used in case of John because diet plan is not much enough to reduce weight but physical exercise was also essential as it is helpful to burn calories easily. It is suitable to balance the calories intake and calorie burn which facilitate to maintain body weight and other problems for remaining disease free. Meanwhile, the physical activity has been used because it is favourable for enhancing total energy expenditure that facilitate an individual to stay with energy balance along with reducing weight (Molino and et. al., 2016). It is also beneficial to decrease body and eliminate risk of developing abdominal obesity.
Predictive equations for energy expenditure Predictive Equations for Resting Metabolic Rate (RMR) in kcal/day. All equations use weight in kilograms (kg), height in centimetres (cm) except the WHO/FAO/UNU equation that uses height in meters (m). Mifflin-St Jeor Men: RMR = 9.99 X weight + 6.25 X height – 4.92 X age + 5 Women: RMR = 9.99 X weight + 6.25 X height – 4.92 X age – 161 Harris Benedict Men: RMR = 66.47 + 13.75 X weight + 5.0 X height – 6.75 X age Women: RMR = 655.09 + 9.56 X weight + 1.84 X height – 4.67 X age Owen Men: RMR = 879 + 10.2 X weight Women: RMR = 795 + 7.18 X weight WHO or FAO or UNU Weight only: Age (yr) Men 18-30 RMR = 15.3 X weight + 679 31-60 RMR = 11.6 X weight + 879 >60 RMR = 13.5 X weight + 487 Women
18-30 RMR = 14.7 X weight + 496 31-60 RMR = 8.7 X weight + 829 >60 RMR = 10.5 X weight + 596 Weight and height (m): Age (yr) Men 18-30 RMR = 15.4 X weight – 27 X height + 717 31-60 RMR = 11.3 X weight + 16 X height + 901 >60 RMR = 8.8 X weight + 1128 X height – 1071 Women 18-30 RMR = 13.3 X weight + 334 X height + 35 31-60 RMR = 8.7 X weight – 25 X height + 865 >60 RMR = 9.2 X weight + 637 X height – 302 Anthropometric measurements The term anthropometric measurements can be described as a set of quantitative activities of measurements in order to assess the overall composition of human body. It includes the criterion of measuring certain prats of body such as bone, muscle and adipose tissue which ca be utilise for carry out assessment of entire body composition. However, can be known an an important feature for evaluating geriatric nutrition in terms of identifying several condition like obesity, overweight, muscular mas loss, fat mas gain, malnutrition and redistribution of adipose tissue (Bibiloni and et. al., 2017). Moreover, this process contains utilisation of anthropometric
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indicators in respect of evaluating prognosis of acute and chronic diseases which helps care practitioners to implement appropriate medical interventions for wellness of the patient. The process of anthropometric measurement has been carried out for determining actual condition of John with the help of evaluating muscle, adipose tissue and bone or assessing the problem of patient. It was observed that BMI is not normal and fat molecules deposition exists in adipose tissue (Prioste and et. al., 2017). However, it was also determined that patient has a problem of hypertension due to extra fat in blood vessels which may results into stroke if not controlled within the specific duration of time. Moreover, it as diagnosed that increased fat of body create complication of diabetes which should be control by removing additional weight. RESULTS Information on normal energy intake and dietary analysis for three days (kcal) By considering initial 3 days of food diary, it has been analysed that patient is not capable to follow the provided diet chart in proper way because of having a habit of overeating. It is not possible for John to follow complete diet plan at initial level as habits are not easily changeable. However, it has been analysed that nutritional intake of patient was not much appropriate but less than previous days of him. In addition to this, it is observed that first day plan was about to intake 1203 calories which is standards set for the person but they intakes around 1500 calories but the efforts put by them is much dedicated and effective (Fuller and et. al., 2017). Meanwhile, the the second day of week, John is required to intake 1215 calories whereas his actual intake is around 1476 calories which is less than day 1. Moreover, the third of week requires set energy intake of 1190 calories and actual gaining was observed to be 1450 calories. Additionally, he fourth day has real attaining of 1420 calories whereas the desired was 1220 calories for the given patient. On the other hand, 1220 calories are at standards that are required to be be intake in fifth day whereas the actual intake was measured to be around 1300 calories which is a good thing to observe that calorie intake was continuously reducing. Meanwhile, on the second last day the calories intake was 1280 as compare to standards one i.e. 1190 calories. However, 1221 is the standards calories gained for the last day of week whereas the actual intake was around 1250 calories. Moreover, the better thing was that continue reducing the intake of calories is much effective for eliminating extra body weight very soon. Furthermore, it is helpful for the patient to
maintain the diabetic condition and high blood pressure along with managing entire health condition (Broglio and et. al., 2017). Information on normal daily activities and calculation of normal energy output (kcal) Besides of considering new diet plan and physical work of patient. The normal activities consist to do a sitting job for 8 to 10 hours daily with taking small meals in short duration of time. It includes the sedentary behaviours and lack of physical activities which is responsible extra weight gained condition of John. Basically, the selected patient is not interested in any other physical activities like go outside for travelling and other adventures but only likes to enjoy watching movies and cricket matches on television. He do not have any interest in terms of outdoor games and other other activity in which physical work out is involved. In addition to this, it has been analysed that regular intake is more as compared to normal requires which not get burned completely and converts into fat molecules which make deposition in body tissues that results into increase in weight. The DAPA measurements toolkit was used to analyse the condition of patient to provide accurate diet plan and physical exercise suggestions for welfare of people. Discuss energy balance and relate to recommended requirements (DRV) Energy is needed by every individual to sustain and has to be taken up normal quantity for maintaining in standard shape. Earlier Mr. John used to take very high energy content food which had lots of fat and sugar. After getting a properly designed diet chart, the subject slowly started to rely on the food which were mentioned and the energy content was later started to overlap with the standard calories intake (Seshadri and et. al., 2018). During the start of the week the actual calories intake was very different and high when compared to standard calories intake. It has been clearly seen that by changing the eating habits, the respective subject lost a great amount of weight and started to feel confident. Week daysStandard intakeActual intake Monday1203 calories1500 calories Tuesday1215 calories1476 calories Wednesday1190 calories1450 calories
Thursday1220 calories1420 calories Friday1220 calories1300 calories Saturday1190 calories1280 calories Sunday1221 calories1250 calories Anthropometric data Anthropometry is defined as the measurement of the fats which are deposited on the body of human, such fat may be gathered on bone, adipose tissues and muscles. Mr. John was earlier very fatmeasuring about90 kilograms,thesubjectwasconsideredobese based on the calculation of Body Mass Index. In 1 month the subject may lost 2-2.5 kilograms because of the daily exercising and strict follow up of food diary. In 6 months, the respective subject can lost about 12- 13 kilograms which may be a major achievement for such obese person. The past weight of such individual was 90 kilograms but after following the diet chart and conducting physical activities in daily routine, the subject may achieve weight of 88-89 kilograms after 1 month. After the close examination of subject's weight it may be observed that the subject may succeed 76-77 kilograms of weight (Daniels and et. al., 2018). DISCUSSION Discuss results of your nutritional assessment The biochemical, dietary and physical methods are some techniques through which the nutritional assessment is possible. The data which are being interpreted by anthropometric, dietary or biochemical methods demonstrate whether an individual falls under the category of under, well or over nourished. From the so far study it can be stated that earlier Mr. John was over or under nourished from the irregular eating habit but after assessment of their nutritional content, such individual became well nourished. The qualitative approach is a way through which the behaviour and the action of people can be gathered and then proper information are arranged. Such approach can assist Mr. John in determining the healthy food choices and categorise food as per the fortification level, such data can be achieved by in depth interviewing, group discussions and direct observation.
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The respective method classifies the food and help in identifying the specific food which may be helped in the process of intervention. Through such process the subject can lose weight effectively. The quantitative approach on the other hand demonstrate average ingestion of food in association with demographic groups. They also help in formulating diet and disease relationship, such parts are assessed by analysing the dietary history of subject and through conducting food frequency questionnaire which helps in identifying the lifestyle of Mr. John as well as the history of their family (Pietsch and et. al., 2019). By examining the history of subject's family the risk factors associated with obesity becomes more clear and such approaches help in implementing thefood polices.The body weight of subject is 90 Kilograms, which is majorly deposited in the part of abdomen, thighs and arms. Such obese condition can be overcome by utilising various nutritional assessments which helps in restricting the fat in specific part of body and make the lifestyle of a person more healthy and disease free. Discuss the reliability and limitations of the methods used in the nutritional assessment. The formation of food diary is one of the most reliable assessment method because this allow a person to get a complete idea of what to eat during whole week, following such diet plan aids in making a person more fit and healthy. Such method not only manages eating pattern but also makes the mood of an individual better. The possible biasses may be a limitation of food diary where highly qualified and trained interviewers are needed which is very time consuming and may be expensive. Indulging a person in physical activities is very much reliable in making a person physically as well as mentally fit and manages the diseases (Lee and et. al., 2019). It has been observed that obesity give rise to many cardiovascular disorders, diabetes, blood pressures and so on, thus such assessment method lowers the possibilities of making the status of people stable. Moreover, such method can not be applied to those individuals who are physically disabled and or who can not indulge in high physical activities due to their busy schedule or personal preferences. Predictive equations for energy expenditure renders the energy amount which will be gained after eating a certain amount of food in different time periods. This give the trainers idea about how much more or less the energy quotient has to be added or reduced in daily food content but such process also require involvement of high paying trainers. TheAnthropometric measurements is an accurate and reliable method which renders information based on chronic time nutritional history, such activities are not achievable with other techniques. The limitation
of such measurement is that it is relatively desensitized and it can not identify the imbalance of nutritional condition over less period of time (Ewe and et. al., 2018). It does not have the efficiency to categorise the disruption in the development of the body or body make up which are caused by nutrient lacking. Discuss any recommendations It has been recommended that Mr. John who is an obese should not only reduce the content of dietary fat in their daily diet but they must also reduce the level of dietary carbohydrate which significantly assist them in lowering the chances of getting high calories in the given food item. Thus, Mr. John is suggested to stick with the food dairy that have been made while keeping in mind all such necessary information. Physical activities are suggested to be a part of all the therapies which are associated with the weight loss programmes because they contributes mainly reducing the abdominal fat. Enhances the cardio as well as respiratory fitness and manages the weight losing properties in every individual. The physical exercise may ranges from 30 to 45 minutes depending upon the health status of a person, must be conducted 3 to 5 days in a week for properly loosing and managing the weight. All the adults who are not necessarily in the obese category should include 20-30 minutes of workout in their daily schedule for stabilising the state of person and making them away from getting such disease. The combination of both of practices allows a person not only lowers the abdominal fat but also make the heart of a person strong. The people are advised to get their weight checked up by the doctors quite often for knowing the status of the weight they are possessing at that time, such idea also make the person aware about their weight and they start doing such activities which may lead to either loss or gain of weight depending upon person to person (Sonneville and et. al., 2016). It has been also recommended that behavioural therapies as well as proposed diet chart must also be incorporated in weight management sessions through which an individual can alter their habit of exercising and ill eating habits. Such therapies can work really well in managing the weight as well as coping up with the habits that are actually responsible in gaining weight. Discuss any future monitoring procedures which could be used Surveillance can be considered as an optional monitoring procedure which involves in analysing and monitoring the descriptive data so as to evaluate the health problems which may be raised due to the condition of obesity. Through such process the asymptomatic people also
gets diagnosed and later treated. An individuals can themselves get an idea about the unevenness of their body weight when they put on their clothes. Sometimes it has been found that people can not fit into their current clothes which give such person an idea about how they should get checked up or must indulge themselves into healthy habits. The calculation of Body Mass Index (BMI) have been regarded as an essential tool which can be efficaciously utilised in determining which individual is falling in the category of the obesity (Sagayama and et. al., 2018). The calculation categorise the person in under, well or over weight categories by determining the ratio of an individuals weight as per the height of a person. The artificial intelligence which are used in smart watches are working effectively in understanding need and vitals of the human body deeply. The current frequency of heart beats and any issues emerging in the body are reflected by such devices which later get addressed by people either passively or through the consultation of doctors. Such trackers help in monitoring the health issues in the person and also assist in maintaining the weight up to the level. Through more evidences it has shown that such monitoring practices can be employed in making the individual aware about the obesity state. Include supporting review of literature in this area particularly focusing on the regulation of food intake for your subject The diet which a person intake has a major effect on the development of a human body. It majorly focus on the quality and the quantity of the food which are consumed by a person during their life course. Food plays a very crucial role in making a person healthy as well as assist in maintaining the weight. The food content which are rich in carbohydrate, sugar and fat are not balanced and lead in making a person obese. Such diet was earlier consumed by Mr. John who had a sitting job and was constantly in irregular habit of eating, which eventually made the subject excessive fat. By regulating the diet chart and making it completely healthy and balanced Mr. John can lose as well as manage weight. However, the role of central nervous system in the regulation of food intake have came forward, the hypothalamus present in CNS have been seen to regulate the feeding behaviour. Such behaviour is primarily responsible in maintaining and influencing the feeding action of a person which controls the hunger and eating capacity of a person. The psychological factors like stress and depression which may be originated in the workplace by the subject may positively or negatively regulate the proportion of food intake in an individual. People who are tends to be in stressed situation may get indulge in excessive
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eating habit thereby, affecting the body fat and results in deposition of the fat in less appropriate manner like in the case of Mr. John. CONCLUSION From the above assignment, it has been concluded that obesity can be described as a condition of an individual having additional weight which create problem related to health, it includes the case of selected patient in which problem of hypertension and diabetes get developed which acquire complications due to obese condition. However, it consist instructions of general practitioners to follow proper diet chart by observing specific calories intake that facilitate to reduce the extra body fat that helps to control diabetic condition in appropriate manner. Moreover, it has been analyse that only diet plan is not sufficient but the patient is required to carry out physical activities including exercise, zumba, yoga etc. in daily basis.
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