Case History
Anthropometry
- Age : 17 yrs
- Weight : 99 kg
- Sex : Male
- Height : 165 cm
Client lifestyle summary
The Client has always been obese and has gained 10 kgs in 1 year.
Non-Vegetarian
Has own family restaurant and majority dinners are there.
Has done various diets and exercise regimes in the past and has lost some weight, but has regained it each time.
Emotional eater of fried or other snacks, sweets, and ice- creams frequently after meals or at late night due to lack of sleep and hunger pangs
Complaints
Obesity
Insomnia
Fatigue
Bloating
Leg pain
Not feeling satiety and constant craving for snacking
De-motivated to play or be in social gatherings due to weight gain
Goal
Weight management
Address nutrient deficiencies
Reduce gastric distress and acidity
Work on satiety and reduce snacking
Panel Suggested : Weight Management Panel
Report Summary
Genomics Findings
| Associated health condition and genes responsible | Interpretation | Nutritional and Lifestyle management |
|---|---|---|
| Cardiac Health | Low risk of cardiovascular diseases. | Quality and quantity of fats need to be monitored. |
| Inflammation | Inflammation is the contributory factor for weight gain. | Moderate support on inflammation with the anti-inflammatory food items can help in weight loss. |
| Insulin Sensitivity and Energy regulation | High risk of increased IR tendency due to saturated fat intake and obesity. Obesity is directly proportional to IR. | Limit intake of saturated fats and keep a check on weight control. Special diet to reduce insulin resistance. |
| Fat Absorption and Metabolism | Genetic tendency of increased BMI but Tendency of Low fat absorption due to which losing weight is easy. A high-intensity workout is a must. | High intensity of workout has to be planned. |
| Feeding Behavior | No Genetic snacking tendency. | 3 to 4 major meals with healthy snacking options |
| Exercise Responsiveness | A moderate response to exercise. | A planned combination of exercise is beneficial for abdominal fat loss. Diet has to be given equal importance. |
| Circadian Rhythm | Metabolism is better towards the evening time of the day. | Exercise at any time of the day is beneficial. Carbohydrates need to be distributed equally divided throughout the day. |
Post-Test Counseling - Diet
Conventional recommendations
Restricted calories
Diet recommendations
She was advised with fat 25% (MUFA & PUFA only), Protein 20%, and CHO -55% of the total calories in the diet.
Quality and quantity of fat was improved in the diet with the help of nuts, seeds, and promoting the oil cycle system in family.
Eating outside food or bulk cooked food was strictly restricted.
Even at the hotel the food has to be made especially for her in a small quantity.
Reducing insulin resistance was the major target as IR was observed to the root cause of obesity.
Refined flour like maida was completely restricted as it has low fiber and high gluten concentration and glycemic index which is inflammation to the body.
The fiber was introduced in all meals with the help of raw vegetable salads, smoothies, and soups
Anti-inflammatory food items like seeds and nut were included as a source of omega 3 fatty acids, fruits for vitamin A, E, and C, and turmeric as an anti-inflammatory food item was added in regular diet.
She had a habit of eating less out of guilt to lose weight and then eating snacks out frequently and her genetic report showed no snacking behavior, hence behavior modification was done majorly by giving her satiety meals and healthy snacking options.
Also the quantity of food at one time was modified and carbohydrates were shifted majorly towards the evening time of the day.
Exercise recommendations
Anthropometry
Day 1: Cardio (outdoor walking or similar) – 45 to 60 minutes
Day 2: Cardio (outdoor walking or similar) – 45 to 60 minutes
Day 3: Session of Yoga – 45 to 60 minutes
Day 4: Rest OR light session OR cardio (outdoor walking or similar) – 45 to 60 minutes
Day 5: Cardio (outdoor walking or similar) – 45 to 60 minutes
Day 6: Session of Yoga – 45 to 60 minutes
Day 7: Rest
Take a clearance from your doctor before beginning any exercise program.
Taking your genotype into consideration, a regular moderate level of exercise is required (45 to 60 minutes for 5 to 6 days in a week). You may choose walking, stationary cycling, swimming, or similar for aerobic exercise. Try to include some moderate-intensity strength/resistance exercises in your weekly schedule. For strength training, you can opt for weights, exercise bands, or bodyweight exercises.
With exercise, ensure adequate intake of calcium
1st Follow Up In 15 Days
Weight : 97 kgs
Current Condition
Lost 2 kgs
Feeling less fatigue
Less Bloating
Diagnosed with vitamin D3 and B12 deficiencies
Leg pain reduced
Better Sleep
Suggested
Suggested better adherence to the diet plan as it was not followed perfectly
An increase in protein intake was suggested as it did not match the requirement.
Limit gluten, refined food items, and simple sugar in the diet.
A list of fiber-rich food items was provided.
Supplementation suggested addressing vitamin D3 deficiencies.
Diet & Exercise Recommendation
High fiber, moderate protein and low carbohydrate diet with omega 3 and anti-inflammatory food items
Exercise as advised.
2nd Follow Up In 15 Days
Weight : 94 kgs
Current Condition
Lost 3 kgs
No fatigue
No leg pain
The decreased urge for snacking and increased satiety
Better sleep
Suggested
Suggested better adherence to the diet plan as it was not followed perfectly
Iron-rich recipes to improve hemoglobin and reduce breathlessness
Healthy snacking options
Different diet plan for cheat day
Diet & Exercise Recommendation
High fiber, moderate protein and low carbohydrate diet with omega 3 and anti-inflammatory food items
Exercise as advised.
3rd Follow Up In 15 Days
Weight : 87 kgs
Current Condition
Lost 7kgs in 30 days
No fatigue
No leg pain
No urge of snacking and increased satiety
No Bloating.
Very motivated
Suggested
Suggested better adherence to the diet plan as it was not followed perfectly
Was informed to connect with us if they have any queries in the future and to keep us updated
Diet & Exercise Recommendation
High fiber, moderate protein and low carbohydrate diet with omega 3 and anti-inflammatory food items.
Exercise as advised.
Conclusion
The client has lost 12kgs in the process
Has understood at a very young age about this genetics
The root cause of all symptoms was observed to be obesity and insulin resistance.
The client has identified his deficiencies and worked on it.
Has improved his stamina.
Has experienced what will work of him and is motivated that he could do it for the lifetime.
Plan has improved his confidence and willingness to play outdoor games.
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