Nutrition Assessment

  Nutrition assessment ( CLINICAL CASE STUDY ) All in depth display of calculation from BMI to the equations used should be attached in appendix to this work no calculation of anything should be in report just mention the answer in report . This assignment consists of 4250 words and should include in indices all the calculation needed ( will explain below in depth what is needed) Referenced according to APA Design a personalised weight control programme for an overweight female age 52 who is referred by her GP to lose weight for health reasons . An abstract of 250 words is needed for this case study. Guidelines for assignment: This part should be 500 words 1-Introduction : -Give a brief background(profile ) about the 52 year old lady that is referred by the GP say that the reason is because she is having night sweats and hot flushes caused by menopause and extra weight . -Take the case that she is in the early menopause . - identify her lifestyle, activity level, job, sedentary activities . -height , weight, and BMI ( should be overweight > 25). In the introduction also mention the importance of weight loss on decreasing the risk of diseases . Also mention the cost of diseases caused by obesity and overweight on NHS in England . Also mention the % of weight loss needed to decrease risk of diseases ( referenced properly). 2-Methods : This part is 1000 words -Briefly describe the methods with justification( referring to previous research ) to be used to assess the client(52 year old lady ). Reference to original source should be cited properly . Methods to assess this lady should include the following and for each you should state how valid and reliable and practical each method is with the limitations ( it should be referenced properly) -Food intake assessment: Food diary and Nutritics software for dietary analysis : In this section you should refer to research articles and say why food diary is the best method to assess food intake in clients .Also you should mention how many weekdays she will be writing her food intake and how many weekend days ( normally its 2 weekday and 1 weekend but youu have to justify with reference to studies why this method is proper and how it is convenient and doable for a client in a clinic, mentioning the limitations of this methods of food intake. -Physical activity measurement : What is going to be used to assess her physical activity level. Mention the physical activity factor that is in SACN (2011) report and that this is going to be used to assess her activity . you have to mention why you are using this method not the activity diary (referenced ). -Predictive equations for energy expenditure : You have to state which equation are you going to use according to validity , reliability and practicality to assess this clients energy expenditure (referenced properly) why the Mifflin equation or why Harris and benedict . this should all be referenced. -Anthropometric measurements: You should mention in this part that there are several methods to test % body fat like Dexa , bod pod , skin fold thickness etc but you are using bioelectric impedance and must state why the practicality and the reliability in reference to the literature . Results : This section is 1500 words Organise this section by outcomes: 1- Information on normal food intake and dietary analysis of the three days that the client provided. Food diary : You must show A 3 day portion size diary (2 weekdays and 1 weekend) you should do 3 tables with the food intake breakfast lunch and dinner for 3 days and show that she is eating extra and of poor quality .The tables should be in the appendix part. To analyze the diet intake of the client you should use the software Nutritics to show the intake kcal and the needs kcal and how she is exceeding the daily needs . 2- Information on daily activity for this client and normal energy output: thus state the level of activity in reference to the literature of SACN (2011) report of the physical activity factor to be used to measure basal metabolic rate later . Predict energy expenditure : this should be also predicted from formulae for BMR based on age/sex and weight and activity factor. 3- Discuss energy balance and relate to recommended requirements . -Summarise the data in a table for 3 days given ( one column :energy in (food intake in kcal ) and one column :energy out : physical activity how many hours/day and type( kcal out ) -Use average energy expenditure and energy intake values to discuss energy balance to the 52 year old client. 4- Anthropometric data: Present anthropometric info as % body fat data for this client from the bioelectric impedance and calculation of ideal body weight . This can also be in table form and need to explain a bit in reference to every thing how calculated based on what. -Discussion : This section should be all referenced properly almost 90 % of this section is from evidence that links to solving the weight issue in the client . (This part is 1500 word) 1-Discuss the results of nutritional assessment . A qualitative and quantitative assessment of the diet and the lifestyle of the client as well as body weight and body fat status needs to be included. 2-Discuss any recommendations for the client based o literature (all referenced and link with her case): like physical activity, change certain stuff in lifestyle, food intake and timing, how much will you decrease the kcal /day for her to lose weight (reference needed ) 500 kcal /day about 1 kg/week loss( what reference says this ) or any other recommendation on food restriction and outcome based on previous research . Also mention the % of carbohydrate , fat and protein in her daly diet you recommend based on evidence all referenced . 3-Discuss any future monitoring procedures which could be used to make sure that weight loss is sustainable (references needed ) 4-Include supporting review of literature in this area particularly focusing on the regulation of food intake of this client. Conclusion This part is 500 words -Give an overall assessment of the client’s nutritional assessment and recommendations - you should also provide suggestions of any further test you think would be useful to provide more detailed /accurate information of the client’s nutritional status providing the rationale for this suggestions you have made .