Exam 2
Provide your answers to the questions below. Use your own words (copy and pasting from the notes and other class content will not earn points for a correct answer). Additionally, show your work where indicated.
Short Answer:
Pretend you are a client of yours. Explain in your own words why you need kcals/calories/energy. In other words, what does our body need energy for (hint: there are three main areas where our bodies use energy. This is NOT the same as foods we get our energy from.) (6pts)
In addition:
Explain the difference between basal metabolic rate (BMR, also referred to as BEE) and total energy expenditure (TEE, also referred to as EER). (2pts)
Name 3 reasons or scenarios why someone may need more kcal/calories. (3 pts)
For each of the following individuals, offer one appropriate method of energy (kcal) need estimation and describe why it would be appropriate for that individual. (9pts) Note: there are many correct answers, but also incorrect methods that are not appropriate for the listed individual.
An adult in critical care (not ambulatory)
15-year-old
College athlete (over 19 years old)
Four measurements are listed below. List the tool that would yield the most accurate data, as well as listing what it is meant to estimate/measure. (6 pts)
Measurement #1: Knee height
Tool:
What is it meant to estimate/measure?
Measurement #2: Skin folds
Tool:
What is it meant to estimate/measure?
Measurement #3: Waist circumference
Tool:
What is it meant to estimate/measure?
Measurement #4: Mid-upper arm circumference (MUAC)
Tool:
What is it meant to estimate/measure?
List two assessment methods of body composition that could be used to preserve a level of accuracy and are accessible and useful in multiple settings with a limited budget. (2 pts)
2.For each person below, offer one body composition assessment method you think would work best and explain why. Additionally, also offer one body composition assessment method that you do not think would work well for the given person and explain why. (9 pts) Note: there are many correct answers, but also incorrect methods that are not appropriate for the listed individual.
Child
Pregnant woman
Subject in a research trial
How is osteoporosis diagnosed? Of the tools we discussed to measure this, which is meant to only screen and not diagnose? Why? (3pts)
List three factors that increases someone’s risk of developing osteoporosis and provide an explanation for each risk factor of why that puts a person a risk. (4.5pts)
1.
2.
3.
What is recommend in the prevention of osteoporosis? (2.5 pts)
You are gathering anthropometric data on your client, a healthy, 32-year-old female. You start by taking her height using a recumbent board followed by her waist circumference using a measuring tape (made with flexible, but non-stretchy material). Your client reports having just seen the doctor at which she was weighed in their office and reports her weight of 157# (pounds). This information is then documented. What is the error(s) that were made in the collection of this information? (2 pts)
Name the two stages in life where lean body mass tends to be lower and explain why this is. (2 pts)
Why does a person’s hydration status impact body composition measurements? Provide one example of this. (2 pts)
Explain why we measure anthropometric data. In addition, what stage of nutrient deficiency or depletion is detected by anthropometric methods of nutritional assessment? (4 pts)
Circle/highlight which components and tissues listed below would be considered fat free mass. (2.5 pts)
Organs
Non-essential fat
Essential fat
Muscle
Water
Bone
Subcutaneous fat
Calculations:
Using the quick method (kcal/kg body weight), estimate energy expenditure for a healthy (a.k.a. normal BMI) male who is 70 inches tall and weighs 165# (lbs). Show your work. (3 pts)
Use the Harris Benedict equation to calculate the EER of a 22 year-old female who is 61 inches tall, weighs 140# (lbs.) has a BMI of 26.5 and is moderately active. Show your work. (3 pts)
After completing a full diet history using multiple methods of dietary assessment, you determine that your patient, a 25-year old female weight training athlete who is 65 inches tall and weighs 145# (lbs), is not receiving adequate protein in her diet. What level of protein intake below would fall within an appropriate range for this person? Show your work. (3 pts)
A client of yours reports usually weighing 145# (lbs). You take her weight today and she weighs 126# (lbs). She reports weighing her usual weight four months ago and has not done anything to lose weight. Calculate the percent weight loss of your client. Is this a cause for concern? If so, why? Show your work. (1.5 pts)
