Nutrition Across the Lifespan Quiz
e201611
CaseStudyAdam.pptxCase Study: Adam
12-year old white male presents to clinic with stomach pains for >6 months (2 bowel movements per week)
Height: 64.5 in, Weight 130 lbs, SMR level: 2
Weight hx: One year ago, Adam was 62 in. and 100 lbs. Has a 30-lb weight gain over the last year – mom is concerned.
Medical hx: Blood pressure and heart rate normal for age and height.
Family social hx: Parents have been divorced for ~1 year and he is unable to see his father often. Mom and Adam moved to new neighborhood and mom works late and unable to prepare home cooked meals regularly. Adam not allowed to cook when mom is not home
Family medical hx: Mother recently diagnosed with type 2 diabetes, father is overweight and has hypertension
Case Study: Adam
Case Study: Adam – Food/nutrition related history
Average intake:
3,100 kcal/day
90 g protein
37% kcal from fat
14 g fiber
1000 mg calcium
14 mg iron
3,800 mg sodium
Other:
Fast food 2X/week
Sweetened beverages (~40 oz per day)
2 or < servings fruits/vegetables/day
no whole grain servings/day
Limited availability of home prepared meals
Symptoms of constipation
Case Study: Adam – Physical activity
PE at school; greater than 3 hours TV/video; after-school activities limited by mother’s perception of lack of safety in neighborhood
Case Study Discussion: Adam
What does Adam’s BMI percentile mean? Where was he one year ago?
https://nccd.cdc.gov/dnpabmi/Calculator.aspx?CalculatorType=Metric
What are Adam’s energy needs and protein needs?
What factors are affecting nutrient and physical activity requirement?
Identify interventions to use in counseling Adam and his mother.
