M.R., age 12, weighs 26 kg and is 60 in/150 cm tall. She is concerned about her weight, but finds it hard to “diet” because her family constantly snacks while watching TV. She enjoys texting friends and using the computer for chats and surfing the latest musical groups. Her father tells her not to worry about her weight, that men like women with some “meat on their bones.” Although she likes swimming, she has stopped going to the local pool since her weight has increased.
1. Using the tables on the inside of the back cover, calculate M.R.’s BMI. What weight category does this BMI represent? Why are specific tables used to calculate BMI in children and adolescents rather than a simple formula of mass divided by height used for adults?
2. What family factors are related to M.R.’s weight?
3. What personal factors are related to M.R.’s weight?
4. M.R. is at high risk of developing metabolic syndrome because of her weight. What potential life-threatening health problems may she experience if she does develop this syndrome?
5. When will such health problems most likely occur?
6. What changes in body function occur in metabolic syndrome and how are these monitored?
7. How can M.R. change her lifestyle to reduce complications? What support would be helpful?