Luis Guzman Luis is a 7-year-old boy who is 48 in tall and weighs 90 pounds
Luis Guzman Luis is a 7-year-old boy who is 48 in tall and weighs 90 pounds. He is the only child of a single mother who worries that his weight is out of control. She admits she lets him eat whatever he wants, even though she knows he is eating inappropriately. His grandmother is his primary caregiver before school starts, and when school is not in session, and she also gives him whatever he wants, including fast food twice a week.
Think of Luis. His calorie intake is excessive as evidenced by his weight, and his essentially self-selected diet is of poor quality. Luis’s doctor has warned his mother that his diastolic blood pressure is high and that he is overweight. His mother evades answering questions about Luis’s typical eating pattern. How do you proceed with helping them achieve a healthier intake without knowing what his usual intake is?
Recall Luis. He has not lost weight but has grown taller so there has been some improvement in his BMI. His mom continues counseling to improve her parenting skills, which she now admits influenced her son’s overeating. She has had a hard time eating vegetables herself and tends to graze, although they are eating family dinners almost every day. How would you respond to her question of how long this “diet thing” needs to continue?
Consider Luis. He and his mother enroll in a 12-week-long weight management program at their community center. The program began by stressing healthy behaviors, including types of food to eat. What eating strategies would you encourage them to adopt? How much sedentary time per day is appropriate for Luis? What recommendations would you make about exercise, physical activity, and sedentary activity?
Recall Luis. At 48 in tall and 90 pounds, his BMI is approximately 27.5. His mother is obese and claims she gained 40 pounds during pregnancy, which is excessive. Although his mom says they rarely eat red meat or fried food, she admits he eats at will, often asking for sugar-sweetened and low-fiber cereal within 15 minutes of eating dinner. His favorite dinner is breaded chicken fingers, baked French fries, and a sweetened beverage. What recommendations would you make for improving the quality of his favorite dinner? How would you advise Luis’s mother to respond to his request for more food so soon after eating dinner?
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