Jacob and Mollie Case Study

A) Review the following client descriptions:

Jacob:

Jacob is a 12-year old male who is currently on the junior football team. The reason he is in your office is because his dad wants him to lose 20 pounds of fat, so he can perform better. His dad tells you it is an effort to get Jacob to exercise on a daily basis and they are lucky if he does it 30 minutes per day. His dad would like him to exercise at least 2 hours per day to be the best on the team. He currently is 5’3” tall and weighs 140 pounds. He provides you with a typical diet of what Jacob eats:
Breakfast: 2 cups of a sugar-frosted cereal and 8 oz of 2% milk
Lunch: The school lunch, which includes 4 chicken nuggets, ½ cup corn, 8oz of 2% milk, and ½ cup peaches
Afternoon Snack: At the after school program, 1 bag of pretzels and 1 cup of juice
Dinner: 6oz of chicken (skinless), 1 cup of mashed potatoes (made with 2% milk and margarine), ½ cup of green beans, and 8oz of 2% milk
Beverages: tends to only drink 2% milk, juice, and sometimes regular soda
Mollie:

Mollie is a 15-year old female, and dedicated cross-country runner who currently runs 50–60 miles weekly. She is present in your office as she has been losing weight for the past 2 months and her doctor is concerned because she has not had her period in 6 months. She recently became a lacto-vegetarian because she heard meat was bad for her and could mess up her running. She is 5’5” tall and currently weighs 110 pounds. She weighed 122 pounds 3 months ago per her medical chart. She provides you with her typical diet:
Breakfast: ½ cup unsweetened O-shaped cereal, 4oz of fat free yogurt, ½ of a banana
Lunch: 2 slices of whole wheat bread, 1 3oz slice of low fat cheese, 1 medium apple
During practice: 16 oz of Gatorade
Dinner: ½ cup fat free refried beans, 6 inch whole wheat tortilla, 1 cup fresh vegetable mix, ½ cup rice, 8oz glass of skim milk
On average she will have about 72 ounces of water per day
B) Answer the following questions about Jacob and Mollie. Your responses should be phrased as though you were counseling the clients. This means explaining your answers in detail. Please refer to question one for an example of an acceptable response.

Based on the first client, Jacob, would he be considered overweight, normal weight, or underweight? How did you determine his weight status? Example response: Based on 2-20 year old male CDC growth chart, Jacob is considered X. His height indicates he is at the X percentile and weight is at the X percentile. His BMI is at the X percentile.
Based on the second client, Mollie, would she be considered overweight, normal weight, or underweight? How did you determine her weight status?
Define the three common types of eating disorders.
Based on these two clients, does either or both of them have an eating disorder? If so, which eating disorder and why (what symptoms led you to this conclusion)?
Why would adolescents be at risk for developing eating disorders? Include at least two reasons.
Explain at least two gender similarities and at least two gender differences associated with eating disorders.
Based on the first client, Jacob, what recommendations would you have for him to maintain a healthy lifestyle? Specifically, how many minutes or hours of activity would you recommend to him and what changes would you make to his diet by including proper portion sizes.
Based on the second client, Mollie, what recommendations would you have for her to maintain a healthy lifestyle? Specifically, what changes would you make to her diet by including portion sizes and what nutrients would you need to ensure she consumes enough of since she is a vegetarian athlete.
Requirements

Responses are written in paragraph format.
Double spaced, 12 point, Times New Roman font
The minimum page limit is 3 pages or 900 words double spaced
The maximum page limit is 5 pages or 1500 words double spaced
Include at least two references. All references should follow APA style format