Cori Wong 3.2.5 Metabolism Bios: Jeremy Brown is a 24yearold man who has always been in good health. A busy law student, Jeremy finds he has less and less time to exercise. He used to cook most of his meals at home, but now he grabs whatever he can when he is on the way to the library or to class. His doctor just called him to let him know that his routine physical results revealed a mildly elevated LDL and a low HDL level. Both his mom and his dad have shown early signs of heart disease. Client Name: Jeremy Brown Health History (including any specific health goals):
Jeremy is a 24yearold law student at the local university. A competitive swimmer throughout college, Jeremy has always been in good health. Now that his schedule has become so hectic, he has limited time for exercise other than walking to class. He eats most meals outside of the house and admits to snacking and drinking caffeinated beverages to stay up to study. The patient describes a family history of heart disease in both his mother and his father.
His father takes medication for both high blood pressure and cholesterol and his mother has had angioplasty to open a blocked artery in her heart. His uncle on his mother’s side developed Type II diabetes at age 40. There is no family history of cancer. Recent lab work revealed that Jeremy’s LDL cholesterol is 130 and his HDL cholesterol is 45. His average blood pressure was 135/85. Jeremy feels sluggish and he is looking for ways to improve his quality of life. He wants an assessment of his current health and he would like recommendations for how he can integrate exercise and healthy eating habits back into his busy schedule. Height: _______6’ 2”________ Weight: _______235lbs___________
● Calculate Jeremy’s BMI based on his height and weight and describe the implications of this number. Take Jeremy’s athletic history into account. BMI= 106.69 kg/ (1.8796 m)^2= 30.2
Activity Level: BMR and TDEE (Output):
Jeremy reports going to the campus pool about once a week for a 3045 minute swim.
He walks to class each day, but his apartment is not far from the main law buildings or the library. Jeremy spends 45 hours a night at the library studying or writing. About once a month, he meets his father to play golf. They play 18 holes, but use a golf cart to maneuver around the course. ● Compute Jeremy’s BMR.
= 66.5 + (13.75 x 106.69) + (5.003 x 187.96) – (6.775 x 24)
● Discuss the activity factor used in the HarrisBenedict Equation and calculate
Jeremy was once active when he was a competitive swimmer yet he no longer does any sports or any real exercise. His walk to classes does not affect the TDEE because he lives fairly close to them.
TDEE=2311.25 x 1.2
Food Intake (Input):
Jeremy completed a food diary for one week. Analysis of his food choices revealed the following results: Average calories consumed per day
Average fat consumed per day
Average saturated fat consumed per day
Average carbohydrates consumed per day 355g
Average protein consumed per day
Average sodium consumed per day
Jeremy reports eating 23 servings of fruits or vegetables per day. He reports drinking
45 cups of coffee per day as well as 23 caffeinated sodas, and 24 glasses of water
per day. Jeremy reports eating fast food at least once a day. Calorie Deficit or Surplus (Compare Inputs and Outputs):
● Compare calories consumed versus calories expended. Consumed
● Describe what will happen to Jeremy’s weight over the next month if he continues the same eating patterns. Show your work. He is consuming an extra 251 calories than needed. This extra calorie intake is not very great and could easily be burned off if he spent a small amount of time exercising.