Assess Mitch's weight and BMI. What would be a healthy weight range for Mitch?
What will be an ideal response?
• UBW was used since patient's current weight is after fluid loss. This will probably be re-gained once patient is re-hydrated. UBW: 228 lbs. / 2.2 = 103.6 kg. Ht.: 5' 9" (69 in.). BMI: 228 lbs. x 703 / 69 in. / 69 in.= 33.7 . Using current weight of 214 lbs., BMI = 214 x 703 / 69 / 69 = 31.7 . Either way, Mitch is considered obese based on his BMI assessment since his BMI is greater than 30
• A healthy weight range would be achieved if Mitch lost approximately 10% of his body weight. 0.90 x 214 = 193 lbs. An initial goal would be to reduce Mitch's BMI below 30 . Mitch should aim to lose about 20 lbs. to meet this goal.
• His ideal body weight per the Hamwi equation is: 106 lbs + 6 lbs/1" (after 5') = 106 + 6 x 9 = 160 lbs. Allowing some flexibility of +/- 10%, gives a range of 144-176 lbs. This goal is 52 lbs from his UBW or a loss of 33% of his bodyweight. This is not a realistic goal at this point.
• Weight reduction should be gradual, not exceeding more than 2 lbs. per week, which promotes fat loss and minimizes risk of lean body mass loss.
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