Question

Assess Mr. Glenn Birch height and weight. Calculate his BMI and % usual body weight. What would be a reasonable weight goal for Mr. Glenn Birch? Give your rationale for the method you used to determine the goals.

This is a middle-aged male, who presented recently to the Bariatric Center for evaluation and treatment of longstanding morbid obesity and associated comorbidities. He underwent standard bariatric evaluation, consults, diagnostics, and preoperative Medifast induced weight loss in anticipation of elective bariatric surgery.

45 years old

Admitted weight 375lbs

While admitted his weight was 360 lbs

Activity factor for the patient is 1.4-1.5 as he can do seated work with little movement, with little to no leisure.

Stress factor is 1.0-1.1

Answer 1

Assess Mr. Glenn Birch height and weight. Calculate his BMI and % usual body weight. What would be a reasonable weight goal for Mr. Glenn Birch? Give your rationale for the method you used to determine the goals.

BMI can be used to screen for weight categories that may lead to health problems but it is not diagnostic of the body fatness or health of an individual.

BMI formula

BMI= m/h2

BMI= body mass index

m= mass (in kg)

h= height ( in meters)

BMI Categories

Underweight= below 18.5

Normal weight= 18.5-24.9

over weight= 25-29.9

obesity= BMI of 30 or greater

Obase class 1=30-35

obase class 2=35-40

obese class3=above 40

Mr.Glenn Brich height not mentioned in the question ( so i am considering Avarage height of men in the United states as per CDC is 69.1 inches or 175.4 cm)

weight = 360lbs= 163.29 Kg

Height= 175.4Cm=1.75m

BMI= 163/(1.75)2

= 53.36 is his BMI and he is under Obase class3

his reasonal weight goal is maximum 80 KG

His BMI should be bring down to 25

Medical management

A weight loss diet with behavioural modifications and excercise is usually unsuccessful. Depression may occure. Depression can be treated using bupropion hydrochloride .

Surgical Management

Bariatric surgery includes gastric restriction procedures such as gastric bypass and vertical banded gastroplasty

Body contouring after weight loss involves lipoplasty to remove fat deposits or a panniculectomy to remove excess abdominal skinfolds.