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<p class="MsoNormal"><span style="font-size:11.0pt">Hi Bobby, good question! There is some disagreement in the literature. The DSM criteria for anorexia do not give a cutoff value that defines anorexia, they only share values that define the severity. UpToDate
quotes < 18.5, which is the value we will use going forward. Much more on this to come in blocks 2 and 5.<o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-size:11.0pt"><o:p> </o:p></span></p>
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<p class="MsoNormal"><span style="font-size:11.0pt"><o:p> </o:p></span></p>
<p class="MsoNormal"><span style="font-size:11.0pt">Best, Ian<o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-size:11.0pt"><o:p> </o:p></span></p>
<p class="MsoNormal"><span style="font-size:11.0pt">Ian Ward, DHSc, PA-C<o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-size:11.0pt">Assistant Professor<o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-size:11.0pt">Campbell University Physician Assistant Program<o:p></o:p></span></p>
<p class="MsoNormal" style="background:white"><span style="font-size:11.0pt;color:black">Mailing Address: P.O. Box 1090, Buies Creek, NC 27506<o:p></o:p></span></p>
<p class="MsoNormal" style="background:white"><span style="font-size:11.0pt;color:black">Physical Address: 4150 U.S. 421 S., Lillington, NC 27546<o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-size:11.0pt">Office Phone: 910-814-5532<o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-size:11.0pt">Email: <a href="mailto:iward@campbell.edu">
iward@campbell.edu</a><o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-size:11.0pt"><o:p> </o:p></span></p>
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<p class="MsoNormal"><span style="font-size:11.0pt"><o:p> </o:p></span></p>
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<p class="MsoNormal"><b><span style="font-size:11.0pt">From:</span></b><span style="font-size:11.0pt"> Robert Jones <rhjones0521@email.campbell.edu>
<br>
<b>Sent:</b> Sunday, August 13, 2023 5:29 PM<br>
<b>To:</b> Ward, Ian <iward@campbell.edu><br>
<b>Subject:</b> FW: Notes on nutrition<o:p></o:p></span></p>
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<p class="MsoNormal"><o:p> </o:p></p>
<p class="MsoNormal"><span style="font-size:11.0pt;font-family:"Times New Roman",serif">Dr. Ward,
<o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-size:11.0pt;font-family:"Times New Roman",serif"><o:p> </o:p></span></p>
<p class="MsoNormal"><span style="font-size:11.0pt;font-family:"Times New Roman",serif">My study group and I noticed a confliction in in the BMI definition for anorexia. In the vitals lecture ppt, anorexia is defined as <17.5 and underweight <18.5. In the
nutrition SDL and your email below it’s listed as <18.5. Could you please clarify further on what information source we should follow for the test?
<o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-size:11.0pt;font-family:"Times New Roman",serif"><o:p> </o:p></span></p>
<p class="MsoNormal"><span style="font-size:11.0pt;font-family:"Times New Roman",serif">Thank you!<o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-size:11.0pt;font-family:"Times New Roman",serif"><o:p> </o:p></span></p>
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<p class="MsoNormal"><span style="font-size:11.0pt;font-family:"Times New Roman",serif">--<o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-size:11.0pt;font-family:"Times New Roman",serif"><o:p> </o:p></span></p>
<p class="MsoNormal"><span style="font-size:11.0pt;font-family:"Times New Roman",serif">Sincerely,
<o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-size:11.0pt;font-family:"Times New Roman",serif"><o:p> </o:p></span></p>
<p class="MsoNormal"><span style="font-size:14.0pt;font-family:"Times New Roman",serif;color:#ED7D31">Bobby Jones<o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-size:11.0pt;font-family:"Times New Roman",serif;color:black">PA-S1<o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-size:11.0pt;font-family:"Times New Roman",serif;color:black">(863) 357-7892<o:p></o:p></span></p>
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<p class="MsoNormal"><span style="font-size:11.0pt;font-family:"Times New Roman",serif"><o:p> </o:p></span></p>
<p class="MsoNormal"><span style="font-size:11.0pt;font-family:"Times New Roman",serif"><o:p> </o:p></span></p>
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<p class="MsoNormal" style="margin-bottom:12.0pt"><b><span style="font-size:12.0pt;color:black">From:
</span></b><span style="font-size:12.0pt;color:black">Pa25 <<a href="mailto:pa25-bounces@list.campbell.edu">pa25-bounces@list.campbell.edu</a>> on behalf of Ward, Ian <<a href="mailto:iward@campbell.edu">iward@campbell.edu</a>><br>
<b>Date: </b>Thursday, August 10, 2023 at 3:29 PM<br>
<b>To: </b><a href="mailto:pa25@list.campbell.edu">pa25@list.campbell.edu</a> <<a href="mailto:pa25@list.campbell.edu">pa25@list.campbell.edu</a>>, Ward, Ian <<a href="mailto:iward@campbell.edu">iward@campbell.edu</a>><br>
<b>Subject: </b>[Pa25] Notes on nutrition<o:p></o:p></span></p>
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<p class="MsoNormal"><span style="font-size:11.0pt">Here are a few nutrition-related facts and notes, which are not emphasized in the OnlineMedEd module. They might be helpful things to learn for next week!
</span><span style="font-size:11.0pt;font-family:"Segoe UI Emoji",sans-serif">😉</span><span style="font-size:11.0pt"><o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-size:11.0pt"> <o:p></o:p></span></p>
<ul style="margin-top:0in" type="disc">
<li class="MsoListParagraph" style="margin-left:0in;mso-list:l0 level1 lfo3"><span style="font-size:11.0pt">Metabolic Syndrome is a cluster of conditions that increase the risk of heart disease, stroke, and type 2 diabetes. Being overweight or obese is the
biggest risk factor for metabolic syndrome. A diagnosis of metabolic syndrome is made when at least 3 of the following occur: (a) abdominal obesity, (b) triglycerides > 150 mg/dl, (c) HDL cholesterol < 40 mg/dl for men or < 50 mg/dl for women, (d) blood pressure
> 130/85, and (e) fasting blood glucose > 110 mg/dl.<o:p></o:p></span></li><li class="MsoListParagraph" style="margin-left:0in;mso-list:l0 level1 lfo3"><span style="font-size:11.0pt">Anorexia nervosa is an eating disorder that is diagnosed when BMI < 18.5, the patient restricts energy intake relative to requirements, although underweight
the patient has a fear of gaining weight, and the patient has a disturbance in the way they perceive their own body.
<o:p></o:p></span></li><li class="MsoListParagraph" style="margin-left:0in;mso-list:l0 level1 lfo3"><span style="font-size:11.0pt">Height/weight/BMI and physical activity screening should be a part of every family med visit.<o:p></o:p></span></li><li class="MsoListParagraph" style="margin-left:0in;mso-list:l0 level1 lfo3"><span style="font-size:11.0pt">Know the main causes of lack of each of the B vitamins.<o:p></o:p></span></li><li class="MsoListParagraph" style="margin-left:0in;mso-list:l0 level1 lfo3"><span style="font-size:11.0pt">Know the main causes for low levels of K and Na.<o:p></o:p></span></li></ul>
<p class="MsoNormal"><span style="font-size:11.0pt"> <o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-size:11.0pt"> <o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-size:11.0pt">Best, Ian<o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-size:11.0pt"> <o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-size:11.0pt">Ian Ward, DHSc, PA-C<o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-size:11.0pt">Assistant Professor<o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-size:11.0pt">Campbell University Physician Assistant Program<o:p></o:p></span></p>
<p class="MsoNormal" style="background:white"><span style="font-size:11.0pt;color:black">Mailing Address: P.O. Box 1090, Buies Creek, NC 27506</span><span style="font-size:11.0pt"><o:p></o:p></span></p>
<p class="MsoNormal" style="background:white"><span style="font-size:11.0pt;color:black">Physical Address: 4150 U.S. 421 S., Lillington, NC 27546</span><span style="font-size:11.0pt"><o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-size:11.0pt">Office Phone: 910-814-5532<o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-size:11.0pt">Email: <a href="mailto:iward@campbell.edu">
iward@campbell.edu</a><o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-size:11.0pt"> <o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-size:11.0pt"> <o:p></o:p></span></p>
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