FNU 527 Adult Weight Management
October 3, 2013
Essay 2
Your essay should be typed in Times New Roman 12-point font. Answer the questions in question format (i.e numbering and answering the questions).
1. 1) Among waist circumference, BMI, waist-to-height ratio, and waist-to-hip ratio, what is a better screening tool to identify a risk factor of obesity, cardiovascular disease, and other chronic diseases?
BMI (body mass index) has been used as a prevalent screening tool for obesity. However, recent studies found that individuals with larger adiposity lead to have greater risk of diabetes and other cardiovascular risk factors. The studies showed that measurement of central obesity by waist-to-height ratio (WHtR) and waist circumference (WC) has higher discriminative ability not only for hyperglycemia and diabetes, but also for cardiovascular risk factors, such as hypertension, atherogenic dyslipidemia and metabolic syndrome than BMI, which indicates only total body fat. In addition, a study exhibits that WHtR is a better predicting tool for identifying a risk factor of diabetes, dyslipidaemia, hypertension, and cardiovascular disease in both men and women of various nationalities and ethnic groups than WC.
2) You are a registered dietitian with a female patient Susan: age 32, height 5’6”, weight 153 lbs, waist circumference 36” (all self-reported), and hip circumference 40”. Family history reveals one grandfather with CVD and her father with type 2 diabetes. She wanted to see a dietitian because of her concerns with her family history. How would you assess Susan’s weight and risk status? What recommendations would you make and why?
I would recommend her to start a physical activity in particular of moderate-intensity exercise at least 30 minutes up to 60 minutes per day to remove the excess body fat. In addition, strength training would be recommended to combat against abdominal fat. I would also recommend her to start paying...