Diet Analysis Case: Weight Gain
The RDN measured Sebastian's waist circumference at 44 inches. What does this value indicate about Sebastian's body fat distribution?
He has android obesity (apple shape) and carries the excess fat on his upper body.
Sebastian's body fat percentage was measured at 32% by the Bod Pod® system. Review the DRI table for Body Weight Classification by Body Mass Index and Body Fat Content. What can be concluded from Sebastian's body fat assessment?
His excess weight is in the form of fat; he meets the criteria for obesity.
Sebastian has been consuming more calories than he needs, which is contributing to gradual weight gain. Using the Single Nutrient Report: Calories, which food contributed most of Sebastian's calories on this day?
Quesadilla
Sebastian Morales 40 years old, Male, 5'10", 203 lbs Weight Loss/Gain: Maintain Activity Level: Low Active
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After a stressful day at work, Sebastian enjoys watching TV in the evenings. Even if he has already eaten dinner and feels full, Sebastian typically consumes snack foods (e.g., chips, cookies, and ice cream) while he watches TV. What is driving Sebastian to eat these snack foods?
Appetite
Body Mass Index (BMI) is a tool used to evaluate an individual's weight status. Using Sebastian's height and weight, calculate his BMI and use the results to determine his weight status.
Overweight
Sebastian's waist circumference is greater than 40 inches. This indicates he is at higher risk for which disease(s)?
Type 2 diabetes, cardiovascular disease, and hypertension
What are other behavior modification strategies Sebastian could use to help him understand his eating patterns and change his food choices to reduce his calorie intake in an effort to lose weight?
Use a mobile phone app to track his food and beverage intake and reflect on why he chooses unhealthy foods at certain times.
Examine Sebastian's MyPlate Report. Even though Sebastian is consuming more calories than he needs, he falls short of his MyPlate recommendations for servings of
fruits and vegetables.
Sebastian snacks a lot during the day. While at work, he eats foods that are available in the break room during work breaks. As mentioned, he also eats while watching TV in the evening. These snack foods are contributing a significant portion of his daily calories. On the Spreadsheet Report: Snack, find the column for Calories (Cals). Approximately how many calories did Sebastian consume from snacking throughout the day?
2000 kcal
Sebastian may be bingeing on snack foods in the evenings as a way to cope with stress. The RDN helped Sebastian to identify some healthier alternatives to manage his stress. One strategy recommended for Sebastian is to take a walk after dinner to reduce his stress. What is another strategy Sebastian could use in place of mindlessly eating while watching TV?
Instead of watching TV, Sebastian could call a friend to talk and decompress on stressful days.