Mаrthа 42 yeаr оld wife and mоther whо enjoys her job as a administrative assistant Martha has a BMI of 31 and a waist circumference of 38 inches (96 cm). Martha changed her eating and activity habits 6 weeks ago, has lost 5 pounds, and aims to lose 20 more. Martha engages in moderate activity walking her dog at 3.5 MET, 2 times a week for 15 minutes. This started at 6 weeks ago. Most of her work day is spent sitting. She reports her diet is low in fruits and vegetables. She knows she should eat more fruits and vegetables and she has tried to increase vegetables but they seem to always go bad so she stopped. Her kids have activities after school 4 days a week and the family has a habit of stopping at a fast food restaurant for dinner. If they are not eating out, her home meal are often quick frozen dinners or meat and cheese sandwiches. She drinks water, milk, tea, and seldom drinks pop or juice. She attributes the weight loss to consuming fewer evening snacks and reducing her portion size at all meals. She typically goes to bed at 11:00 after her and her husband watch TV and then she catches up on he social media apps. She gets up for work at 5:30am. She gets home from work around 3 and often takes an hour nap and then has a cup of coffee to get her through the afternoon. She has started experimenting with new sleep hygiene behaviors. Martha’s blood work indicates: LDL Cholesterol 170 mg/dL. HDL 32 mg/dL. Blood pressure 130/90 mm Hg HbA1C = 5.5%
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