Case #1
Profile:
Patient: Female
Age: 52 years old
Height: 5’6
Weight 200 lbs
Activity level: Sedentary
Blood pressure: 130/80
LDL cholesterol: 190 mg/dl
HDL cholesterol: 30 mg/dl
Case history: This patient is concerned about her risk for colon cancer. Her father had colon cancer and she is consulting you to design a diet that would reduce her risk for this disease.
1. What is her BMI? (Show your calculation—4pts) What is the significance of her BMI? (3 pts) Is there a relationship between her BMI and risk for colon cancer? (3 pts)
a. (200lbs x703)/66 inches^2 = 32.277 rounded to 32.
b. The significance of her BMI is used for the estimation of weight that is associated with health and longevity. It is currently the preferred weight-for-height standard because it is the clinical measurement most closely related to body fat content. A BMI of 32 is considered obese meaning that she has an increased health risk.
c. There is a relationship between her BMI and her risk for colon cancer. The greater the degree of obesity, the more serious health problems generally become. Various cancers including colon cancer have been found to be partially attributed to estrogen production by adipose cells; animal studies suggest excess calorie intake encourages tumor development.
2. Based on the above noted information, what lifestyle changes can she make to help lower her risk for colon cancer? (lifestyle not dietary changes!---list minimum of 2 changes)
d. Chain-braking: separate behaviors that tend to occur together such as snaking on chips while watching a movie. Although these activities do not have to occur together, they often do. changing this lifestyle habit can assist in lowering a risk for colon cancer as there is a reduction of caloric intake.
e. Cognitive restructuring: changing one's frame of mind regarding eating- for example, instead of using a difficult day as an excuse to overeat, substituting other pleasures for rewards,