Nutritional Assessment

The Body Mass baron (BMI) is the ratio of charge to height and is employ to classify people as creation underweight, normal, or obese (BMI Classification, 2007). Using the international classifications, a BMI of 32.2 would be fenceed as Obese Gr. 1. The case being answered is why is a soulfulness who eats normally at 4-5 fairly wellnessy meals every day, satisfies the recommended al wiped out(p)ances sort out as obese?Many factors moldiness be considered when answering this case. nigh important among these is whether the measurement of the BMI is done under normal conditions, that is, if the individualify type, health berth, personate composition and metabolic function of the patient are considered. Truly, on that point are some instances when the BMI classification is not applicable.It must be notable that the Body Mass Index is a standard for determining the essay of normal people. It cannot be used for people who have high ponderosity mass. Muscle is considered a s heavier compared to fat and a more muscular somebody would naturally be higher in body weight compared to his or her more normal counterpart. Two psyches, for example whitethorn have a 32.2 BMI provided whitethorn have different body compositions one may appear fat because of greater body fat composition and the early(a) may appear truly lean and strong because his or her body composition is mainly of muscles.A bodybuilder may always be classified as overweight or obese if BMI standards are used when Arnold Schwarzenegger won a certain competition, his BMI was 31 (Whitney, Cataldo and Rolfes, 2002). As it is, the definition of the BMI must be kept in mindit only considers the persons weight and height and not the persons body composition. In other words, in assessing the health risks of a person using a BMI, the body composition or body type of a person should be considered first because the results may erroneously represent the real status of the individual.The results of t he Body Mass Index can to a fault be influenced by the water composition in the body. If the person is retaining water, for example, he or she should not be classified using the BMI standards because the weight is affected by the inessential water that is retained inside the body. If water is retained and the person is measured, the BMI would naturally result to a higher value which would not represent the persons reliable health status. Edema or water remembering can sometimes happen to people with kidney failure, and to women who are pregnant.The BMI classification should also not be used to pregnant women because in measuring the BMI, the weight of the unborn child is not considered which could also erroneously increase the true value of the index. The result would then, not become representative of the true health status of the individual.If however, the patient is not muscular, the relatively high BMI of the person, patronage his or her normal intake can be attributable to t he persons rate of metabolism. There is a possibility of the person having low metabolism as a result of previous abnormalities in dietary practices and intake or possibly a thyroid disorder. Hypothyroidism can belittle the rate of metabolism of a person by as oftentimes as 30%. At such rate, the person, no matter how healthy his or her eating habits are, is at risk to gaining more weight, having higher BMI and thus, being at risk to the diseases associated with higher BMI.These factors must be considered first in assessing whether there is something significant in the BMI of the patient under study. The 32.2 BMI of the person may not be signifying a risk in health but a mere indication of erroneous use of the classification without considering the body composition, water retention, or pregnancy. But if these factors are considered, the person must really be at risk for high fat deposition as a result of low rate of metabolism. The person should then consider doing more physical a ctivity or consulting a doctor on how to normalize the thyroid function.Works CitedBMI Classification. (2007). World Health Organization. Retrieved 26 Feb 2007 from http//www.who.int/bmi/index.jsp?introPage=intro_3.html,Whitney, Cataldo and Rolfes. (2002). misgiving Normal and Clinical Nutrition. 6th ed. Stamford, CT Wadsworth Thomson Learning.