Maria is a 45-year-old Latina woman who has tried numerous weight loss programs. She has followed strict diets and has never exercised in previous weight loss attempts. She takes several cardiac medications, none of which she can remember. Her blood pressure is 160/90, she is 5 ft 4 in, and she weighs 195 lb. Her lowest body weight was 130 lb at age 30, maintained for 2 years. Maria mentioned that she tried numerous diets while a teenager, when she weighed 170 lb for 3 years. What guidelines would you offer to Maria at this time?
Nutrition Diagnostic Statements
1. Limited adherence to nutrition-related recommendations related to multiple failed weight loss attempts as evidenced by no change in weight
2. Overweight and obesity related to excessive energy intake as evidenced by weight 70 lb over desirable weight
Nutrition Care Questions
1. How would you address the concern about medications?
2. What types of exercise would you be likely to discuss?
3. Which macro- and micronutrients would you discuss with Maria (e.g., total fat, saturated fat, sodium, potassium, calcium)?
4. How would you bring up exercise and what would you recommend for Maria?
5. What would be the goals of her treatment?