Michael is a 45-year-old male with a BMI of 35. He just had his annual physical exam and was diagnosed
with type 2 diabetes and has gained significant weight over the course of the last year.
Medical History:
Michael has previous history of chronic disease but no major hospitalization. However, he has been
diagnosed with high serum cholesterol and triglyceride levels since he was in the 9th grade. He also suffers
from hypertension and Irritable Bowel Syndrome (IBS). He does not take any supplements. He is lactose
intolerant; but otherwise has no food allergies.
Family History:
Michael’s father suffers from hypertension, hypercholesterolemia, and coronary heart disease. His
grandfather died from a heart attack at the age of 63. His mother is type 2 diabetic.
Michael lived in family that is considered physically inactive and mostly consumed processed and fast
foods. Fast food was a quick and great way to get food on the table and was a convenient option for his
working parents. Most of his family members are classified as either overweight or obese.
Social History:
Michael has been overweight since the 5th grade. The peak of his weight gain was during adolescents and
continued throughout high school and college; he was never able to lose that weight from then after.
His dietician attributes his weight gain to social stress (being bullied and not liking his physical image) and
job stress as well as his eating habits (he eats out at least 5 times/week for lunch and dinner). Michael’s
dietary pattern is identified as a “Western Diet” that is rich in added sugars, saturated fats and high in
protein and is low in fruit, vegetable and whole grain intake.
He smokes a pack of cigarettes a day and reports that he has little opportunity to exercise. He also feels
embarrassed to work out in the gy.m and in public because he “does not know how to use the equipment
properly and lacks the knowledge of the various activities he can do.
Despite his dietician’s advice and the strict instructions of his physician, Michael is having a hard time
understanding what he needs to do and wants to understand more about his condition and how his
dietary and physical activity habits and behavior can help him with his condition.
Part 3: Develop a Physical Activity Plan Explain in detail and include scientific evidence to your comments including in-text citation and add to
final reference page.
• Explain the significance of vitamin intake and supplements for Michael’s condition
• Explain the significance of minerals intake and supplements for Michael’s condition
• Develop a physical activity plan/recommendation for Michael
• Plan for Michael at least 150 minutes/week of activities
• ChooseMyPlate.org gives some examples such as:
Moderate physical activities include:
• Walking briskly (about 3½ miles per hour)
• Bicycling (less than 10 miles per hour)
• General gardening (raking, trimming shrubs)
• Dancing
• Golf (walking and carrying clubs)
• Water aerobics
• Canoeing
• Tennis (doubles)
Vigorous physical activities include:
• Running/jogging (5 miles per hour)
• Walking very fast (4½ miles per hour)
• Bicycling (more than 10 miles per hour)
• Heavy yard work, such as chopping wood
• Swimming (freestyle laps)
• Aerobics
• Basketball (competitive)
• Tennis (singles)
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