Question

Case Study: Ellen is a 55-year-old African American woman with multiple medical problems, including chronic back pain. She is 66 inches tall (5’6”) and weighs 286 pounds. She takes medications for high blood pressure and hypercholesterolemia, both of which are currently under control, and she is a non-smoker. She also takes pain medications every day and has difficulty walking but attends a water exercise class at the local sports center one day a week. She states that she has been overweight most of her life and confesses that foods, especially sweet foods, are a comfort to her when she experiences physical or emotional pain. Her diet history reveals an intake of two or three cans of regular soft drinks each day. Her usual meals with her husband include meat or chicken (she does not like fish) and starchy vegetables, such as corn and potatoes. She snacks on several types of frozen desserts between meals. A recent visit to her doctor reveals a weight gain of 15 pounds over the past 6 months and an increase in her fasting blood glucose level into the “pre-diabetes” range. She has a family history of diabetes. Her doctor has recommended she lose weight and make lifestyle changes to prevent her from developing type 2 diabetes. 7. What factors should be considered in developing a fitness plan for Ellen? (5pts) 8. Develop an appropriate/individualized comprehensive fitness routine including all four components of fitness that would help Ellen achieve her goals. (10pts) 9. How will the diet and physical activity recommendations you made impact Ellen’s health status? Describe all factors that will be influenced.

Answer 1

7 - The factors that should be considered in developing a fitness plan for ellen is

1) her health conditions

obese, chronic inflammation(back pain) , Blood pressure, cholestrol. she might also be pre diabetic.
all these conditions has to be looked into and a fitness plan has to be made accordingly.
- she has to cut down on her sugar intake and start working out and eat healthy regularly.
- she also has really low intake of fiber and phytochemicals

- Limit trans fats to less than 1% of daily kcalories

8 - An appropriate/individualized comprehensive fitness routine including all four components of fitness that would help Ellen achieve her goals.

1 . Diet

2. Exercise

3. Enough sleep

4, The components of fitness include: cardiorespiratory fitness , muscular strength, muscular endurance, flexibility.

Diet : Healthy food, good saturated fats, chicken, rotis , salads , fresh fruit juices , vegetables, eggs, milk etc ahould be consumed by Ellen.
she should also make sure she doesn't binge eat on sugar or desserts. She should cut down sugar intake.

Exercise : Exercise or physical activity is a must , it helps in many ways, it helps in weight loss, it helps in maintaining heart health , it helps in maintaining many other aspects and is good for the overall health of the individual.

Enough sleep: along with good food and sleep if is also very important to get enough sleep. The Body should get enough rest.

- Cardiorespiratory fitness. Since ellen is aging it is important she has a control over her breathing patients and her heart health so she should practice youga, meditation, or even breathing exercises.
such as huffing, segmental breathing, deep breathing exercises etc.

-Flexibility- it is important to move the body and get some stretches , it helps the muscles and joints to relax . Also since she has Backpain. Some exercises might help.

- Muscular strength and endurance. Strength training improves muscle  and bone health, and helps with weight loss.
if Ellen follows all this she would be able to lose some pounds easily.