NMDW221 Case Study: Weight Management Program Comparison for Christine

This case study analyzes Christine, a 35-year-old woman with NAFLD, hypertension, and a family history of heart disease, who is seeking to manage her weight. The assignment begins with an introduction to weight management and its importance. It then presents Christine's case, including her medical history, current weight, BMI, and dietary habits. The analysis includes a detailed examination of Christine's current diet using the FoodWorks program, calculating her macro and micronutrient intake. The study reveals an imbalance in her macronutrient consumption, with high-fat and low-carbohydrate intake, and insufficient micronutrient intake. The assignment proposes short-term goals, such as decreasing calorie intake and incorporating more dietary fiber and water. The report also evaluates the efficacy of Weight Watchers, Christine's current program, and suggests the Mediterranean diet as an alternative. The reasons for choosing this diet are discussed, emphasizing its focus on whole grains, healthy fats, fruits, and vegetables. Potential implications and risks associated with the weight management strategies are also considered, along with possible barriers such as peer or family pressure and lack of determination. The assignment concludes by emphasizing the importance of weight management and dietary analysis in achieving health goals, providing a comprehensive weight management plan tailored to Christine's specific needs and health conditions.

Running head: CASE STUDY ANALYSIS
WEIGHT MANAGEMENT IN HEALTH AND DISEASE
Name of the student
Name of the university
Author note

1CASE STUDY ANALYSIS
Introduction
Weight management is a controlled and continuous process which helps individuals to
manage their increasing weight and provides them with the ability so that they could control
their increasing weight with effective and critical weight management strategies (Duncan et
al., 2017). As per Rutledge and Demark-Wahnefried (2016), with proper balanced nutrition
and maintained caloric consumption, it is possible to control or maintain a certain
anthropometric measurement, so that all the healthcare complication associated with
increased weight and obesity could be controlled.
This particular report would include the case analysis of Christine (35) and through
her anthropometric measurements and food and dietary analysis her weight management case
situation would be presented. Further, through the use of FoodWorks program, her dietary
consumptions would be analysed through macro and micro nutrients calculation. Finally,
short term and long term goals for her weight management has also been developed and a
new weight management plan would be developed so that the weight management could be
successfully obtained.
Case study of Christine
Christine (35) is a mother of two children of 12 and 8 years respectively. She works
as a part time librarian in the primary school of her children and she works there for two
weekdays. It was mentioned in the case study that Christine has been diagnosed as a patient
of Non-Alcoholic Fatty Liver Disease (NAFLD) as well as hypertension and has a family
history of Coronary Heart Disease (CHD) or other heart complications as her father died of
myocardial infarction. Her weight management disrupted after the birth of her elder son
Thomas as she was unable to lose her pregnancy fat afterwards. Currently she follows Weight
Watchers “Freestyle” program and has lost 1.5 Kgs in two months. However, she is unable to

2CASE STUDY ANALYSIS
control her food and dietary preferences and faces overeating associated complication. She
sleeps 6 hours average, weighs 95 Kgs, height 170 cm, slightly increased blood pressure
138/90 mmHg and 110 cm hip circumference.
Christine’s BMI
BMI or Body Mass Index is the calculation of the body fat that is decided based upon
the height and weight of the individual so that their weight and body fat measurement could
be obtained (Locke et al., 2015). For this calculation, the weight of the individual (in
kilograms) is divided by the height (in meter square) and through this calculation, their body
fat percentage is calculated (Di Angelantonio et al., 2016). The BMI calculated for Christine
is 32.9 Kg/ meter square. As per the Australian Government’s Department of health (2019), if
any person has BMI more than 30, then the person should be considered obese and as per
these calculations, the ideal weight range for Christine would be 70 to 75 Kg.
Current diet appraisal (Foodzone)
While critically discussing the diet and nutritional intake of Christine for three days
(weekend, working weekday and non-working day), her food intake, macro and micro
nutrient consumption and fat division should be considered. As per the dietary analysis of
Christine conducted in the Foodzone program, it was found that throughout these days, the
patients consumes total 7749.8 KJ of calories in non-working weekdays, 8098 KJ calories on
a working weekday whereas 9309.2 KJ calories on weekend. As mentioned in Nutrition
Australia (2019), healthy female within the age 31 to 50 years, height 170 cm and weight 63
to 65 Kg should consume 8000 KJ of calories every day and due to this, it could be said that
she consumes more than her caloric requirements and hence, this should be one aspect which
should be controlled. Further, while discussing her macronutrient consumption, it was seen
that 36.6% of her daily energy requirement comes from carbohydrate whereas 15% comes

3CASE STUDY ANALYSIS
from protein and a major section of energy is derived from fat (32.7%). As per the Australian
Bureau of Statistics (2019), the amount of energy that should be consumed from
macronutrients or the Acceptable Macronutrient Distribution Range (AMDR) of the
macronutrients, Christine should consume adequate amount of calorie in which 45% to 65%
of energy should come from carbohydrates, 20 to 35% from fat and 15 to 25% of energy
should be consumed in form of proteins (Zinn, Rush & Johnson, 2018). However, in her diet,
carbohydrate deficit, fat in upper limit and fat in lower range was found, which could be a
complication for her obesity condition. Therefore, it should be mentioned that these are the
complications that should be addressed in her weight management (Mirtschinet al., 2018).
Further, while discussing about her micronutrient consumption it was observed that she
consumes only 60% of her water requirements as well as her dietary fibre consumption is less
than her adequate intake (88%). Therefore, these are critical aspects of her diet and nutrition
that was observed from her food and diet analysis (Wood, Carragher & Davis, 2017).
Short term goals
Therefore, the primary goal that would be developed and implemented for the weight
management of Christine would be decreasing her daily calorie intake and include more of
the missing micro nutrients in her diet. She would be asked to include dietary fibres, water,
and would be asked to omit sugar and saturated fat such as margarine so that adequate
amount of carbohydrate and fat could be included in her diet so that within 2 to 3 months her
weight could be managed.
Outline measurement
As per Ludwig et al. (2018) to analyse the obtained outcomes for Christine the weight
of patients should be observed every week so that the benefit new diet and nutritional routine
is providing to the patients could be analysed. Further, in this aspect, the BMI of the patient

4CASE STUDY ANALYSIS
should be continuously analysed to understand the amount of fat reduced due to her new
dietary regime. As per De Filippis et al. (2016), these would be appropriate outcome
measurement aspects that would help Christine to overcome her food and dietary
complications.
Efficacy of weight watchers freestyle program
As per John et al. (2018) weight watchers is a developed and famous weight
management program which is implemented among the individuals that are suffering from
overweight or are willing to gain or lose weight. It helps the individuals to understand the
benefit of living a healthy and fit life and as per the researchers that have spent majority of
their time in assessing the benefits of weight watchers program, mentions that this helps them
to overcome the critical health complication associated with overweight of the individual.
Further as per Wood, Carragher and Davis (2017) it was also found that due to proper
nutritional and dietary changes proposed by the weight watchers program, people that are
enrolled for the weight loss are able to develop effective lifestyle habits so that they could
overcome from the difficult condition.
Alternative weight loss program (from the three provided)
As per Valls-Pedret et al. (2015), the alternative diet that should be included in the
diet regime of Christine is the Mediterranean diet which primarily includes the consumption
of whole grains, healthy fats, fruits, vegetables and includes weekly intake of fish, beans
eggs, poultry and others. This would help Christine to increase her dietary intake, would
increase the amount of unsaturated fat and she would consume more raw and refined source
of carbohydrate that would balance her dietary and caloric intake. Further, through the help of
this clean and green diet, her complications related to cardiac concerns, and hypertension
would be addressed (De Filippis et al., 2016).

5CASE STUDY ANALYSIS
Reason of choosing this program
One of the primary reason of choosing this diet is its increased clean carbohydrate,
increased unsaturated fat and decreased saturated fat proportions which is important for
making the diet of the patient healthy (Valls-Pedret et al., 2016). The patients has decreased
dietary fibre and water intake which would be overcome through the application of this diet
and the Christine would be able to understand the importance of these aspects in weight
management process. Further, through the help of this diet, several disease would be
prevented and helps to develop healthy lifestyle (De Filippis et al., 2016). Therefore, this is
the alternative diet plan that would be implemented in the weight management process of
Christine.
Discuss any potential implications or risks
There are no such mentioned complication that may arise due to the weight
management strategies implemented for the weight management of Christine as all these
strategies has been implemented so that the over consumption of the calorie and improper
ingestion of nutrients could be minimised. However, one complication that Christine may
face is light headed ness, lack of energy for a week and others as her body would take time to
get accustomed to the new diet and nutritional regime (Hodge et al., 2018).
Identify possible barriers
While implementing these weight management strategies, the barriers that may arise
or affect the development is the peer or family pressure due to which majority of the
participants starts consuming unhealthy and improper diet (Metzgar et al., 2015). The second
barrier would be her lack of determination towards her goals. Therefore, to overcome both of
these she would be educated about the ways she could overcome these complications and she

6CASE STUDY ANALYSIS
would be motivated time to time so that she could stick to her regime (Olmos-Ochoa et al.,
2019).
Conclusion
While concluding this paper, it would be mentioned that weight management and
dietary analysis are aspects that help to understand the enablers and barriers of one’s weight
management journey. This paper discusses about the health complication of Christine and
discusses her weight management journey, her complications and he possible scopes. Further,
through her dietary and nutritional analysis her improper dietary preferences were highlighted
so that she could stick to the new and healthy dietary regime formulated for her in this case
study analysis report.

7CASE STUDY ANALYSIS
References
Australian Bureau of Statistics. (2019). 4364.0.55.008 - Australian Health Survey: Usual
Nutrient Intakes, 2011-12. Retrieved 4 October 2019, from
https://www.abs.gov.au/ausstats/abs@.nsf/Lookup/by%20Subject/4364.0.55.008~201
1-12~Main%20Features~Acceptable%20Macronutrient%20Distribution
%20Ranges~210
Australian Government’s Department of health. (2019). Body mass index (BMI) | Healthy
Weight Guide. Retrieved 4 October 2019, from
http://healthyweight.health.gov.au/wps/portal/Home/get-started/are-you-a-healthy-
weight/bmi
De Filippis, F., Pellegrini, N., Vannini, L., Jeffery, I. B., La Storia, A., Laghi, L., ... &
Turroni, S. (2016). High-level adherence to a Mediterranean diet beneficially impacts
the gut microbiota and associated metabolome. Gut, 65(11), 1812-1821.
Di Angelantonio, E., Bhupathiraju, S. N., Wormser, D., Gao, P., Kaptoge, S., de Gonzalez, A.
B., ... & Lewington, S. (2016). Body-mass index and all-cause mortality: individual-
participant-data meta-analysis of 239 prospective studies in four continents. The
Lancet, 388(10046), 776-786.
Duncan, M., Davison, K., Remington, G., & Faulkner, G. (2017). Behavioural interventions
for weight management among patients with schizophrenia. In Psychiatric care in
severe obesity (pp. 257-273). Springer, Cham.
Hodge, A. M., Bassett, J. K., Dugué, P. A., Shivappa, N., Hébert, J. R., Milne, R. L., ... &
Giles, G. G. (2018). Dietary inflammatory index or Mediterranean diet score as risk

8CASE STUDY ANALYSIS
factors for total and cardiovascular mortality. Nutrition, Metabolism and
Cardiovascular Diseases, 28(5), 461-469.
Locke, A. E., Kahali, B., Berndt, S. I., Justice, A. E., Pers, T. H., Day, F. R., ... & Croteau-
Chonka, D. C. (2015). Genetic studies of body mass index yield new insights for
obesity biology. Nature, 518(7538), 197.
Ludwig, D. S., Hu, F. B., Tappy, L., & Brand-Miller, J. (2018). Dietary carbohydrates: Role
of quality and quantity in chronic disease. Bmj, 361, k2340.
Metzgar, C. J., Preston, A. G., Miller, D. L., & Nickols‐Richardson, S. M. (2015). Facilitators
and barriers to weight loss and weight loss maintenance: a qualitative
exploration. Journal of Human Nutrition and Dietetics, 28(6), 593-603.
Mirtschin, J. G., Forbes, S. F., Cato, L. E., Heikura, I. A., Strobel, N., Hall, R., & Burke, L.
M. (2018). Organization of dietary control for nutrition-training intervention
involving periodized carbohydrate availability and ketogenic low-carbohydrate high-
fat diet. International journal of sport nutrition and exercise metabolism, 28(5), 480-
489.
Nutrition Australia. (2019). Australian Dietary Guidelines: Recommended daily intakes.
Retrieved 4 October 2019, from:
https://www.nutritionaustralia.org/national/resource/australian-dietary-guidelines-
recommended-daily-intakes
Nutrition Australia. (2019). Balancing energy in and out | Nutrition Australia. Retrieved 4
October 2019, from https://www.nutritionaustralia.org/national/resource/balancing-
energy-and-out

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Olmos-Ochoa, T. T., Niv, N., Hellemann, G., Cohen, A. N., Oberman, R., Goldberg, R., &
Young, A. S. (2019). Barriers to participation in web-based and in-person weight
management interventions for serious mental illness. Psychiatric rehabilitation
journal, 42(3), 220.
Rutledge, L., & Demark-Wahnefried, W. (2016). Weight management and exercise for the
cancer survivor. Clinical journal of oncology nursing, 20(2), 129.
Valls-Pedret, C., Sala-Vila, A., Serra-Mir, M., Corella, D., De la Torre, R., Martínez-
González, M. Á., ... & Estruch, R. (2015). Mediterranean diet and age-related
cognitive decline: a randomized clinical trial. JAMA internal medicine, 175(7), 1094-
1103.
Wood, K., Carragher, J., & Davis, R. (2017). Australian consumers' insights into potatoes-
Nutritional knowledge, perceptions and beliefs. Appetite, 114, 169-174.
Zinn, C., Rush, A., & Johnson, R. (2018). Assessing the nutrient intake of a low-
carbohydrate, high-fat (LCHF) diet: a hypothetical case study design. BMJ open, 8(2),
e018846.