Julie is in for her yearly checkup. She is having her BMI done. She loves to watch her favorite shows with snacks after working all day after stopping by the local fast-food joint on the way home
She frequently feels tired, lethargic, and does not have much energy when she gets home. Julie states she just eats for no reason, especially at night watching television, whether she's hungry or not. She is told her BMI is 31 and needs to see a dietician.
a. Explain to Julie what BMI is and how it is calculated.
b. What might her eating disorder be?
c. What are the treatment options for her?
Students' answers should include the following:
a. BMI or body mass index is based on weight and height of the client and is used to evaluate his or her size in relationship to the population's normal.
• BMI of 18.5 to 24.9 is considered healthy; 30 and over, obese; less than 16, anorexic
• BMI = client's weight in kilograms/client's height in square meter (height is in inches times 39.4 to convert to meters then squared)
• BMI is usually over 30 with other medical complications such as diabetes, cholesterol, and serum lipids elevated.
b. Compulsive eating is eating in spite of the absence of hunger pains or regardless of feeling of fullness.
c. Weight reduction, exercise, short-term drug therapy, and consultation with dietitian are the managed treatment regimens.
Bariatric surgery may be an option for those who are excessively obese.
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