"Obesity and Gastrointestinal Diseases" is a perfect example of a paper on food and nutrition. The given case is of Mr. C., 32 years old male who is presented with a chief complaint of obesity weighing 134.5 kg. His clinical presentation shows hypertension i. e. Blood Pressure 172/96 mmHg, high risk for diabetes i. e. having to fast blood glucose 146 mg/dL which is above the normal value i. e. 126 mg/dl. American diabetes association states that such a huge value is strongly indicative of probable diabetes (Diabetes Association, 2010). Mr. C.’ s total Cholesterol is also elevated than normal 200 mg/dL and is almost 250mg/dL which increases the risk of cardiac diseases more than twice according to the American heart association.
The normal lab value of triglycerides and HDL are 150mg/dl and 60 mg/dL and the lab values result for Mr. C are 312 mg/dL and 30 mg/dL respectively, both posing high threats to cardiac diseases specifically stroke (Heart Association, 2013). Keeping in view the present situation of Mr. C., it is recommended that bariatric surgery is not an appropriate intervention as it has been proved through research that certain lifestyle modifications have proven to be more fruitful than this invasive surgery.
Bariatric surgery is preferred in old age and highly obese patients whereas a young adult are never recommended such procedures as bariatric surgery also offers some serious side effects like iron deficiency anemia, leakage which may further add up more complications, depression, etc (Gloy et al, 2013) After observing the eating habits of Mr. C. and his peptic ulcer disease, it is proposed that proper clinical counseling is needed for the lifestyle and eating trend modification inpatient for the maximum therapeutic outcomes (Fujimoto, A.
et al. , 2013) So the overall problems with Mr. C lie in the following major areas: Health Perception and Management: Mr. C. increased weight is dragging him to the number of fatal diseases that need an immediate action plan, to begin with. His objective findings indicate a high risk for diabetes and cardiovascular diseases. Keeping in view the age of the patient, lifestyle modification intervention should be applied rather than referring him to bariatric surgery. Balanced Nutritional Diet: Lifestyle intervention stresses the need for a balanced diet with more health benefits and lesser calories.
That may include more use of fruits and vegetables and a no to all synthetic high caloric beverages, chocolates, junk food, fried food, oils, and red meat. Activity-Exercise Pattern: Moreover Mr. C must be counseled for a healthy physical activity each day that may include swimming, cycling, brisk walking, tread-milling for a minimum of 20-30 minutes that will not only help him fight obesity but will also replenish his blood circulation and will help him struggle against cardiac issues as well. Sleep-Rest Pattern: As the patient is hypertension and suffers from sleep-apnea so proper management of this is also required.
No doubt that the change in lifestyle pattern will eventually be helpful in a sound sleep too but till then a specific treatment must be given for sleep apnea too. Self Perception/Self Concept: Ask patients relevant questions about what he thinks about himself and then counsels him about the beauties of the world that can be well enjoyed with a smart physical appearance. It is noteworthy that maximum patients with obesity are more depressed and have a low motivational level, so, in order to bring them back towards life, proper long-term counseling will be required. Role-Relationship Pattern: Mr.
C. is single so this indicates a need for a proper family life that can be helpful in broadening his vision towards life and making him more concerned about his health as having a partner will increase care both for himself and for his partner (Galani & Schneider, 2014).
i. Diabetes Association, A. (2010). Diagnosis and Classification of Diabetes Mellitus. Diabetes Care,33(Supplement_1), S62-S69. doi:10.2337/dc10-s062.
ii. Fujimoto, A. et al., (2013). Obesity and Gastrointestinal Diseases. Gastroenterology Research And Practice,2013, 1-6. doi:10.1155/2013/760574
iii. Gloy, V. et al., (2013). Bariatric surgery versus non-surgical treatment for obesity: a systematic review and meta-analysis of randomized controlled trials. BMJ, 347(oct22 1), f5934-f5934. doi:10.1136/bmj.f5934
iv. Galani, C., & Schneider, H. (2014). Prevention and treatment of obesity with... [Int J Public Health. 2007] - PubMed - NCBI. Ncbi.nlm.nih.gov. Retrieved 18 June 2014, from http://www.ncbi.nlm.nih.gov/pubmed/18368998
v. Heart Association, A. (2013). 2013 ACC/AHA Guideline on the Treatment of Blood Cholesterol to Reduce Atherosclerotic Cardiovascular Risk in Adults: A Report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines. Circulation. doi:10.1161/01.cir.0000437738.63853.7a