Section 1. Outline her risk factors that the doctor was concerned about. Is any one risk factor more prominent or problematic than the others? (34 pts)

Risk factors outlined in order of highest health risk as follows (1 being the highest risk):

1. Mrs. X exhibits a high-risk waist circumference of 37”. This is certainly the highest concern in regards to Mrs. X’s current symptoms and health. The high-risk waist circumference for women is noted to be any size in excess of 35 inches. A high waist circumference is associated with an increased risk for type 2 diabetes, dyslipidemia, hypertension, and CVD in patients with a BMI between 25 and 29.9 kg/m2. Being that Mrs. X’s BMI is calculated to be 28.4 kg/m2 she is at even greater risk.

2. The risk factor age for women is typically set for greater than or equal to 55 years of age, but postmenopausal women are also considered to be at risk. Therefore, Mrs. X could still possibly fall under this risk factor category as well.

3. Blood pressure measured at 135/85 mmHg with normal blood test otherwise. This indicates that while not yet hypertensive, her BP reading is consistent with prehypertension and should be monitored regularly should she not improve with lifestyle modification.

4. While I am noting sedentary lifestyle at the bottom of this list it is not any less important then the other risk factors listed above. Physical inactivity is known to be an independent risk factor that deserves its own special consideration. Physical inactivity can be related to increased CVD and type 2 diabetes as well as elevated cholesterol and blood pressure. What makes the physical inactivity risk factor so special is that the patient has the power to control the amount of it that impacts their everyday health.

Section 2. Outline a plan of lifestyle modification to target her risk factors. (33 pts)

Due to Mrs. X’s