Jordan is a 14 year old middle school student, weighing 275 pounds and is 5’6” tall. Over the past 2 years, he has gained 60 pounds, as he has begun to withdraw from social activities, and avoid other students, due to bullying from others his age about his weight/appearance. Lately, Jordan has been missing a great deal of school too, particularly on the days he has gym. Jordan’s parents are both average in height and weight, and Jordan’s mother says that he just takes after his grandfather William, who “was a husky man, and died of a sudden heart attack at the age of 44”. She says “We just have fat genes in the family; you can’t do anything about that”! He has been told he had “no willpower, or is weak, or that he needed to change his lifestyle, eat less and exercise more.” Jordan says “I go for a couple days without eating, but then I get so hungry that I could eat the couch”! You are the school nurse doing height and weight assessments on the middle school group this year. How would you assess and advise Jordan?
Answers
As a part of the height and weight assessment, the school nurse should analyse and evaluate Jordan's BMI, following which proper advice has to be given regarding his weight management.
Jordan's BMI can be calculated as:
BMI = Weight (in kg) ÷ Height² (in m)
From the given data, his weight and height are:
Weight = 275 pounds = 124.74 kg
Height = 5'6'' = 1.68 m
Therefore, his BMI will be = = 44.2
According to the calculated BMI, Jordan falls under the category of obesity grade II. This puts him at a risk of lifestyle disorders such as cardiovascular diseases, diabetes, and hypertension.
Jordan must be made aware of the consequences of his weight as well as his eating habits. He should be advised on a proper diet to be followed for reduction of weight and prevention of diseases.
As he has started withdrawal and avoidance, he should also be encouraged to seek counselling. His parents and friends can also be involved in this process, which will provide him with the required motivation and not criticism.
Learn more about weight management in:
#SPJ2
Instead of not eating altogether, eat healthy snacks that are high in protein and low in carbohydrates and fat. Vegetables, nuts, and fruits are all great snacks. Come to school more often on gym days, to help you get more exercise, and spend about an hour outside doing physical activities every day. Go for a walk around your neighborhood.
Ignore the bullies, they just feel bad about themselves and take it out on you.
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