20 17 Case Analysis Health Manager's Questions and Answers

Mr. Zhang, male, 45 years old, height 170cm, manager of a company, weighing 90kg, waist circumference 90cm and hip circumference 85cm. Eating habits: like meat and greasy food, like fried food, especially French fries and fried chicken pieces; Do not like to eat vegetables and fruits; Large daily food intake; I like snacks such as peanuts and melon seeds. Exercise habit: due to work reasons, I usually have more social activities, don't like sports, don't like sports, and sit in front of the computer at work.

Chief complaint: I feel tired and dizzy recently and come to the nutrition department of the hospital for treatment.

Physical examination: moderate fatty liver, blood pressure 160/96mmHg.

Laboratory examination: total cholesterol 6.0mmol/L, triglyceride 5.6 mmol/L.

(1) Please calculate the standard weight and body mass index (list the calculation process) to judge the degree of obesity.

(2) Judging obesity type (calculating waist-hip ratio)

(3) Combining the eating habits and exercise habits, put forward some suggestions to control obesity.