Marsha!

Unit 8 Project Hector Bill Kaplan University EF310-01 September 9, 2013 Kristin Ondrak

Marsha! Introduction

Many diseases start with being overweight or obese. Diabetes, cardiovascular, and many forms of cancers are all related somehow to adiposity in abundance. Sedentary lifestyles, stress and the daily grind, emotional imbalances, genetics, poor diets and fast-food, hormonal changes, indoor environments closed to sunlight, physiological and psychological problems all factor in to a growing trend. A nation of fat people, young and old, that need help steering them to solutions. The fitness and nutrition world is confusing and everyone has their hands out salivating at huge profit big people can provide. Losing weight is a billion dollar industry, so picking something effectively, safe and fun is something I strive to achieve. According to fitnessstatistics.com, you will lose up to 80% of your muscular strength by the age of 65 if you have not engaged in regular exercise? With that said, we are meant to move and be active. Its in our genes to be physically active and outdoors, however todays world and demands are not supportive of our natural biodesign. Living a lifestyle that includes outdoor physical activity is more harmonious to our true selves and in-line with our original purpose. Since are bodies are structure for movement, exercise and proper nutrition are great benefits to help heal and keep the body healthy and along with a healthy body is the mind and spirit. Both obesity and diabetes hits close to me and my family. We are Native Americans and both conditions are epidemic. I dont know what nationality Marsha is but she does have family history of developing diabetes. Lets move on to her case and see whats up.

Marsha!

PAR-Q Rating Due to weight and height results, her high blood pressure, lack of present exercise, the timeframe of her last visit to her doctor, and family history I would suggest she get pre-screening by her physician before engaging in an exercise program or fit test. Granted anyone can benefit from exercise but lets be safe first. Regarding the questionnaire, there is not enough information about her physical symptoms to answer those seven questions.

Health Status Well, we dont know much about her habits other than she doesnt exercise regularly. I will assume that her eating habits arent that great due to her being obese. Her stress level might also be high because of her desk job and all that that entails.

General Medical History Marsha is 51 years old and has high blood pressure and is obese. She also hasnt had a physical examination in over three years.

Risk Factors and Precautions Our screening revealed a situation with high blood pressure.

Medications There was no mention of medication being taken at this point. Once seen by a doctor that situation may have been altered

Marsha! Health and Lifestyle Behavior Marsha has no leisurely pursuits.

Body Composition Height-5 ft 5 in., weight-240 lb. No other measurements were provided.

Conclusion Based off my initial findings, a doctor permission is warranted and a prudent safety measure. There may be conditions Marsha is unaware of and only after testing can these possibilities be eliminated. It is apparent that high blood pressure will be a concern and medication might be prescribed to get that situation under control. The doctors findings will be used to design a fitness program that will slowly and surely decrease body fat to lower levels. Upon doctors approval body fat testing and measurements will show initial numbers and reviews periods will show progress. Diet considerations will have to be figured out and a reduction of kcals by at least 400kcals per day initiated. Exercise should be at least three days of structured routines and followed with some leisurely activity like walking, gardening and using stairs instead of elevators. Progressive intensity and days added to routine will follow depending on conditioning and conditions.

References:

Marsha! Howley, E., Franks, B. (2007). Fitness Professionals Handbook. (5th Ed). Champaign, IL: http://www.ndep.nih.gov/media/FS_AmIndian.pdf