Question

SCENARIO:

Mr. Hussain, 65-year-old male was admitted in the Male Medical Ward of Nizwa Hospital with generalized weakness, body pain and difficulty in performing activities of daily living. Upon admission, the nurse recorded his weight as 205 lbs. and height as 5′ 7.”  

Questions/Instructions:

1. Calculate and interpret Mr. Hussain’s BMI. ​​​(5 marks calculation +

2-marks interpretation)

2. State three (3) health teachings or instructions to Mr. Husain.​

Answer 1

1. Body Mass Index(BMI) can be calculated using the below formula

BMI = weight in Kg/ Height in metre square

Given that, weight of the Mr. Hussain is 205lbs

Height of the Mr.Hussaim is 5' 7''

1 pound = 0.453592

Therefore, 205 pound = 205 × 0.453592

= 92.98636

~93

Height = 5'7"

1foot = 0.3048m

1inch = 0.0254m

Therefore, to find out height in metre

5 feet + 7 inches

= 5× 0.3048 + 7 × 0.0254

= 1.7018 m

So, Body mass index

= 93/2.8961232

= 32.11189313891

=32.1 kg/m^2

BMI can also be calculated using the formula

BMI = 703 × weight(Ibs)/ Height ( inch)^2

Weight = 205Ibs

Height = 5'7"

1 foot = 12 inch ; 5 foot = 60 inch

Total height = 60 + 7 = 67 inch

Therefore, BMI = 703 × 205/(67)^2

= 703 × 205/4489

= 32.10403207

= 32.1kg/m^2

Interpretation

Body Mass Index is the measure of body fat based on height and weight that applies to both adult men and women. BMI does not differentiate between body fat and body mass.

WHO classified BMI into 4 categories

Body Mass Index	weight status
Below 18.5	underweight
18.5 - 24.9	Normal
25 - 29.9	Overweight
30 - 40	Obesity
<= 40	Morbidly obese

Since the BMI of Mr.Hussain was found to 32.1, he is considered as obese.

2. Health teachings or instructions to Mr. Husain includes;

●Body Mass Index is 32.1 so being obese increases the risk for various health problems like hypertension, diabetes mellitus, osteoarthritis, cardio vascular diseases. So it is important to maintain healthy body weight.

● Changes in dietry habits helps in reducing body weight.

Limit sugar - sweeten beverages and other high glycemic foods.

Eat 5 servings daily of fruits and vegetables

Less intake of fatty foods ( >20- 30%)

● Exercises is one of the common stratergy which helps in reducing body weight and to improve mood and decreases the risk of many chronic diseases.

Exercises such as brisk walking, cycling and many more other mild exercises.

Yoga helps in revealing stress.