You have a 32-year-old fer ale patient with the following anthropometric measurements: Weight: 120 lb Height: 5ft 4 in BMI: 20.6 kg/m2
She has been keeping a diet record, and after analyzing it, you find that her average energy intake for each meal/snack
is as follows:
Breakfast: 500 kcal
Midmorning snack: 200 kcal
Lunch: 1000 kcal
Afternoon snack 250 kcal
Dinner. 550 kcal
Evening snack: 400 kcal
1. Thus, her total energy intake averages
kcal/day.
You calculate her basal energy needs according to the Mifflin-St. Jeor equation and find that her basal energy
expenditure (BEE) is 1240.5 kcal/day. She reports a very active lifestyle. Therefore, you multiply her BEE by a physical
activity factor of 1.725. Her total energy expenditure is 2140 kcal/day.
2. You explain to your patient that she eats more kilocalories than she is using in a given day, thus she has a positive
energy balance of kcal/day.
Questions for Analysis
3. If she continues to consume and burn the same amount of energy, how long will it take for her to gain a pound of
fat?
DAYS
4. How would you recommend that she change her lifestyle to maintain her current weight?