Martin Santiago, a 23-year-old student at the University of California, came seeking help in overcoming the obesity condition he was suffering from since his early childhood. Martin is a Latino from Mexico and a registered American citizen. He has three siblings and lives both with his parents, who are school's teachers in their home town. Martin joined the University of California early in the year to pursue a bachelor's degree in Statistics and works in the coffee shop around the university when he is off school. However, Martin has been suffering from obesity is genetic, since his mother and one of the siblings are obese. After medical consultation, the doctors said even though his condition is genetic, it can be controlled through taking the corrected diet and engaging in exercise regularly. Since adjusting his diet to the correct one with fewer fats and engaging in physical activities was a challenge, Martin decided to seek social worker help in his condition. The obesity condition has affected his studies and lowered his productivity in the coffee shop since he gets paid in commission (Yang et al., 2018). Martin believes working with a professional would help reverse his obese condition and carry on with his daily duties like an average person. Therefore, we have been working with him for some time since his enrolment.
The client's problem is a lack of consistency in taking the correct nutritional value meals with low fats, sugar, and carbohydrates. Clients also face the challenge of sticking to crucial meals a day and as per the scheduled time. Another challenge includes inconsistent working out and engaging in healthy physical activities. The client complained that several physical activities were causing some health complications and would affect the subsequent exercise. The client goal was to get professional assistance to control and reverse an obesity condition. However, to help reverse the condition, we evaluated the food that would help to stick to the proper nutrition. We agree to do away with sugar from the meals, no fatty food and food with unnecessary carbohydrates (Canuto et al., 2020) . Therefore, we agreed that he would only take three meals a day with the client: a heavy break fat, light lunch, and a balanced dinner. In between the day, he was only supposed to take fruit and drink water. After agreeing on the schedules, we drafted a meal timetable for the three meals a day, and we eliminated any sugar and fatty foods from the meal. The client was supposed to adhere to that kind of meals every day for six months to assess the progress and make the necessary adjustment.
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On the physical activities and workout, we understood that the clients would get breathing issues and other health complications on engaging in vigorous activities. Putting that into considerations and designing a workout system that would be effective, both of us opted to start with less vigorous but engaging activities. Every day, the clients would go for a morning run and in the evening would appear in the gym for cardiovascular exercise. (Hsu et al., 2019) The exercise will be engaging but less vigorous, and as he adapts and continues losing weight, then exercise will become more intense to speed up the process. All the meal intake and exercise per day will be recorded for further analysis.
After planning the intervention, we embarked on implementation with the clients and started exercises. The client corporate so well was, he started his morning run every day before going to school. Later in the evening, he would meet me in the gym, ready for his work out. In case of any complication, especially from the workout, Martin would communicate early and sign a medical measure to ensure that he was stable to resume working. On a diet, martin stuck to the prescribed schedules and made the necessary adjustment to ensure that he cut all the unnecessary sugar and fatty food from his meals. In cases where he could not attend the exercise due to school commitment, he would communicate that early enough to make necessary changes in the workout time to ensure that he never missed the exercise—his commitment to the interventions very noticeable results.
After assessing the client, one would notice that he had lost weight and his flexibility had improved. For example, during exercises, I noticed that he could do the same exercise with less time than the time we started. Martin would start handling more complex activities such as weight lifting with any straining or suffering from abnormal breathing problems (Alpert et al., 2014). From his side, Martin started experiences relaxing, sleeping and become active all day through. His performance both in school and at the coffee shop increase, which was his goals.
Evaluating the intervention, I would say it was a success and ran well since the first day. The morning workout helps out to set the day and engaging as a preparation for the evening workout. However, the abrupt changing of the diet from one to another was not that effective since it used to bring stomach complications since the digestive system could not handle the unexpected change. The intervening variables were the changes made in the client's lifestyle and his commitment and determination to stick to them. The success of the intervention was entirely dependent on the client's determination and commitment to the intervention. The intervention was a success, though, for future use; I would not commend an ultimate change of the diet at once since that will bring unnecessary stomach complications. I would recommend gradually change in meal towards a healthy meal for obese people.
References
Alpert, M. A., Omran, J., Mehra, A., & Ardhanari, S. (2014). Impact of Obesity and Weight Loss on Cardiac Performance and Morphology in Adults. Progress in Cardiovascular Diseases , 391-400.
Canuto, R., Garcez, A., Souza, R. V., Kac, G., Teresa, M., & Olinto, A. (2020). Nutritional intervention strategies for managing overweight and obesity in primary health care: A systematic review with meta ‐ analysis. OBESITY MANAGEMENT .
Hsu, K.-J., Liao, C.-D., Tsai, M.-W., & Chen, C.-N. (2019). Effects of Exercise and Nutritional Intervention on Body Composition, Metabolic Health, and Physical Performance in Adults with Sarcopenic Obesity: A Meta-Analysis. Nutrition and Exercise Metabolism , 2163.
Yang, Y., S.Shields, G., ChengGuo, & Liu, Y. (2018). Executive function performance in obesity and overweight individuals: A meta-analysis and review. Neuroscience & Biobehavioral Reviews , 225-244.
