Stan is now 59 years old, semiretired, and lives with his wife in a midtown apartment complex. Stan was diagnosed with metabolic syndrome 10 years ago, and he has since gained 15 pounds. He attributes...


Stan is now 59 years old, semiretired, and lives with his wife in a midtown apartment complex. Stan was diagnosed with metabolic syndrome 10 years ago, and he has since gained 15 pounds. He attributes his weight gain to lazy afternoons in front of the television and frequent suppers at a local buffet restaurant. Though he plans to take his wife ballroom dancing on the evening of their wedding anniversary, Stan fears he will be out of shape and uncomfortable in the tight confines of his old suit. His wife suggests that the couple speak with a health professional regarding the management of his metabolic syndrome before attempting to lose weight. The following information is obtained at a recent medical follow-up.


































Height: 5’9”



Total CHOL: 218 mg/dL



BMI: 32 kg/m2



HDL: 33 mg/dL



Waist circumference: 42”



LDL: 154 mg/dL



Weight history (in Ibs)



TRIG: 155 mg/dL



   Current: 225



FBS: 125 mg/dL



   Highest: 225



HgbA1C: 7.1%



   Lowest: 200    (Healthy BW: 155-165)



Blood pressure: 130/89




  1. From the information gathered at his medical visit, how well do you think Stan is managing his metabolic syndrome? Which of Stan’s measurements are abnormal?

  2. List and discuss two consequences of poorly managed metabolic syndrome.

  3. What is Stan’s current energy needs to maintain his weight before increasing his exercise (assuming sedentary PA)? Which formula did you use?

  4. How many fewer kcals should Stan be consuming or burning with exercise to safely lose weight and fit into his anniversary suit?

  5. List and discuss 2 dietary changes you would you discuss with Stan in order to improve the management of his condition?

  6. List and discuss 2 ways to help Stan increase physical activity to be able to dance with his wife?

Jun 09, 2022
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