Mrs. X, a sedentary 45 year old, is 64” tall, weighs 165.5lbs and has a waist circumference of 37”. At a recent routine check up with her physician her blood pressure was measured at 135/85mmHg and her blood tests were normal. Regardless, her doctor has suggested she make some changes to her lifestyle to try and reverse the deterioration in her health he has observed since her last visit.
With Mrs. X’s blood pressure measuring 135/85mmHg it is placing her slightly at risk for entering levels of high blood pressure and hypertension. High levels of blood pressure are 140/90 mmHg and above. Therefore, Mrs. X is at risk of entering these high levels. Her physician is advising her to adopt a healthier life style to make sure the levels …show more content…
X will need to modify her current sedentary lifestyle. The overall goal will be to adopt a healthier and more active lifestyle to yield weight loss and therefore reduce risk of cardiovascular disease and other predisposing health factors. The first step will be to educate and assess Mrs. X on the risk factors she is facing and to ask if she wants to lose weight. Next, as a physician, one must initiate a goal system of losing 10% of baseline weight at a rate of 1 to 2 pounds per week (Dr. Theodore 71-120); which in Mrs. X’s case would be losing a total of 20 pounds ideal within at least 6 months. Dietary therapy and increased physical activity are some components necessary for weight loss therapy. Dietary therapy will advise her in the modification of the low calorie diet to reduce calorie intake to 1000-1200 kcal/day (Dr. Theodore 71-120). This will help achieve a slow but progressive weight loss. Physical activity will also be a part of the treatment plan; advising Mrs. X to exercise at a moderate level for 30-45 minutes, 3-5 days per week. One should encourage physical activity to be initiated slowly since it has not been an active part in her previous lifestyle habits this could be as simple as taking the stairs, walking, or swimming at a slow