Jennifer is a 19-year-old woman. Her height is 65″ and her weight is 138 lb. Laboratory data: glucose, 82 mg/dL; albumin, 4.2 g/dL; cholesterol, 180 mg/dL; potassium, 2.7 mol /L; serum CO2,
Jennifer is a 19-year-old woman. Her height is 65″ and her weight is 138 lb. Laboratory data: glucose, 82 mg/dL; albumin, 4.2 g/dL; cholesterol, 180 mg/dL; potassium, 2.7 mol /L; serum CO2, 31 mol/L. Anthropometric status: Skin folds: triceps, 20 mm; biceps, 7 mm; sub-scapular, 10 mm; suprailia, 13 mm; midarm circumference, 26.7 cm; midarm muscle circumference, 20.4 cm.
Jennifer has always been unhappy with her weight. She went on every fad diet throughout high school and lost some weight but always regained it. About 1year ago, Jennifer began binge eating. Binge episodes now occur three to four times per week. During these binges Jennifer consumes about 1500 to 2000 kcal in a 2-hour period. Binge foods include ice cream, cookies, potato chips, and other foods. Jennifer describes them as “fattening and unhealthy.” After binge eating Jennifer feels extremely guilty, and vomiting is immediately self-induced.
Jennifer always tries to eat as little as possible the next day, sometimes consuming only 700 or 800 kcal. Three months ago, Jennifer started to overdose on laxatives about three times a week. She occasionally uses over-the- counter diet pills, but they never really help. Jennifer feels fat in her abdomen, buttocks, and thighs. Her physical activity includes 100 sit-ups and 100 leg lifts three or four times per week.
Nutrition Diagnostic Statement
Disordered eating pattern related to binging and purging as evidenced by self-induced vomiting following binge episodes accompanied by guilt and restricted eating
Nutrition Assessment Criteria
1) AF: 1.2
2) BMI:
3) BMR:
4) TEE:
5) IBW:
6) %Body Fat:
Nutrition Care Questions
1. Determine Jennifer’s ideal body weight and goal weight for short-term and long-term treatment.
2. Calculate Jennifer’s initial caloric prescription and discuss how you arrived at this.
3. What are some possible medical complications that Jennifer may develop secondary to binge eating and her compensatory behaviors?
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