Author Question: Evaluate Mr. Page's UBW and BMI. What will be an ideal ... (Read 21 times)

sdfghj · **on:** Aug 21, 2018

Evaluate Mr. Page's UBW and BMI.

What will be an ideal response?

Question 2

Are there nutrition recommendations that could impact the inflammatory mechanisms of Mr. Page's disease process?

How might these recommendations be different than those aimed at controlling symptoms of his Crohn's disease such as diarrhea, gas, or abdominal pain?

vboyd24 · **Reply #1 on:** Aug 21, 2018

Answer to Question 1

Ht. 69; Current wt. 140; UBW 166-168; 84 UBW; BMI: 20.7
Mr. Page has experienced a 17 weight loss in the previous six months.
Any change greater than 10 is considered to place him at significant nutritional risk.
His BMI is within normal limits.
Though this measurement assesses disease risk from obesity, the lower BMI is consistent with his obvious low body fat secondary to his significant weight loss.
The most important factor for Mr. Page is this significant unintentional weight loss.

13 Calculate Mr. Page's energy and protein requirements.

Answer to Question 2

Certain nutrients, such as omega 3 fatty acids, may provide an anti-inflammatory benefit. Furthermore,
increasing fiber and avoiding concentrated sweets and red meat, may promote the growth of beneficial microbiota. These dietary recommendations are consistent with the meal pattern associated with the Mediterranean diet. Very few controlled nutrition studies have examined this effect of diet and Crohn's disease. Consumption of high-fiber foods (e.g. vegetables, fruits, whole-grains) may be problematic due to strictures or during periods of exacerbation. Nutrition recommendations will need to be individualized with consideration of disease process, current symptoms, previous surgeries and response to medications.