Nutrition and Diet Therapy 6th Edition by Carroll Lutz, Erin Mazur , Nancy Litch

تمرين 10

Mrs. R is a 40-year-old mother of three. She has arthritis in both knees. She weighs 180 pounds, has a medium frame, and is 5 ft, 3 in. tall. Her BMI is 32. Her physician has told her to lose weight to help reduce her knee pain. According to 1.Mrs. R, she never thought she was overweight until she was 24 years old. At this time, her weight started increasing. When she weighed 140 pounds, she started to diet. One time she lost a total of 25 pounds, which she promptly regained plus an additional 5 pounds. The client described four additional weight cycles. 1.Mrs. R claims she cannot exercise because "it is too painful on my knees." She has tried every conceivable type of diet, including a comprehensive medically supervised weight-control program. 1.Mrs. R states that for the past year, no matter how little she eats, she cannot lose weight even on a 1200-kilocalorie diet. 1.Mrs. R:
A) Apparently knows a great deal about lowkilocalorie foods, because she has successfully lost weight before
B) Knows very little about foods, because she always regained the weight she lost
C) Lacks motivation, because she has an inability to follow through with the appropriate behavior
D) Should be discouraged from further attempts to control her weight