1. SCENARIOS FINAL DISCUSSION Ashley, Emily, and Jerome are in positive energy balance; that is, energy intake is greater than energy used and they are gaining weight. You should consider the issue of weight gain in adolescents (described in the energy balance reference manual) and concluded that Ashley’s weight gain is normal and healthy for a girl her age. On the other hand, Emily and Jerome may be gaining too much weight. Kim is in energy balance, a state that is not healthy for adolescents because of the extra energy required for growth and development. Enrique is in negative energy balance; that is, his energy intake is less than his energy output and he is losing weight. This, too, is not healthy, since he needs to consume more calories than he expends in order to have energy to meet the needs for growth.

2. “If the five patients were adults rather than middle school students, would your answer be the same?” Why or why not? If the five patients were adults, achieving energy balance would be optimal; that is, over the long term, Energy in and Energy out would be equal. Kim is in this state. This is optimum for adults because they no longer need extra calories for growth and should strive to maintain a healthy weight.

3. Additional Information Jerome’s diet, for instance, contains no fruits or vegetables other than French fries. Enrique’s diet also contains fewer than the recommended servings of fruits and vegetables.