Judith is a 56-year-old female who is visiting her primary care provider for her annual check-up. Her height is 5’6” and weight today is 172 lbs, blood pressure is 132/84, and waist circumference is 37 inches. Her last period was just over a year ago so she’s now considered to be in menopause.
Calculate her BMI:
78kg/2.81 = 27.75 kg/m^2
What BMI category does she fall into?
Overweight
What does her waist circumference tell you?
Overweight because her waist circumference is larger than 35.
Her breakfasts consist of an egg or oatmeal with a banana, lunch is turkey on a slice of bread with mayo, applesauce, and a coke. She does try to cook at home but her husband does not like to try new foods so she typically makes classic “meat and potatoes” for dinner but will try to add on a side salad a few times per week. Lately, it’s been less often because she is waiting to get into her dentist to fix a cavity so eating tough meats and salad.
Based on her current diet, what fat-soluble vitamins is she at risk for deficiency?
Based on her current diet, what water-soluble vitamin could she be at risk for deficiency?
Lately, she’s been more tired than usual so she wanted to bring up some questions regarding some supplements that she’s been seeing advertised to help with energy. Her friend had suggested using Vitamin B12.
Would this be a good vitamin supplement for her to take or not? Support your position.
Her doctor has concerns about her bone health now that she’s in menopause.
What fat-soluble supplement could she take that would support healthy bones?
Her doctor is also worried about her high blood pressure (132/84) and is recommending increasing her physical activity as one way to help reduce this level.
What activities do you recommend that she should do for her age, and how often should she be doing them?