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Sally is a 43-year-old mother of two who has gained 50 pounds over the past 5 years. She is 64 (5’4″) inches tall and weighs 180 pounds with a BMI of 31. Her waist circumference is 37 inches. She acknowledges that she is not as physically active as she would like to be. She also notes how recent stresses in her life have affected her sleep and seem to have triggered her appetite for sweets and comfort foods. Sally’s father recently died from complications of type 2 diabetes, and her mother and sisters are overweight. Sally says she is very motivated to “not get diabetes” and is disturbed that her recent physical exam revealed mildly elevated blood pressure, glucose, and cholesterol levels. 1. Sally is interested in how appetite and hunger affect eating. You tell her that many parts of the body (GI tract, hormones, genes, etc) are involved, and the brain specifically is responsible for integrating messages from these areas and influencing our eating patterns. Which portion of the brain is noted to be the “control center” for eating? a. Cerebellum b. Brain stem c. Hypothalamus 2. Looking at Sally’s health information, you need to tell her about all of the following health risks to encourage her to lose weight. Which health risk is incorrect? a. Sally’s 37 inches waist size indicates central obesity, which increases the risk of heart attack and stroke. b. Her BMI of 31 indicates that she is of normal weight. c. She is at increased risk of developing diabetes because she now has mildly elevated blood glucose levels
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