BODY COMPOSITION REPORT

File Num: 9 State: Active Personal data Name: Michael Surname: Cummings Date of birth: Identification: Address Address: Town: City: P.C.: Contact Phone 1: Phone 2: Mobile: Fax: E-Mail: Notes Clasification: None Clinical Hist.: Other: Family Father: Mother: Personal: Eating disorder:

BODY COMPOSITION Gender: Age: Weight: Height: Build: Population: Medium Adult Skinfolds Subscapularis Suprailiac Biceps Triceps □MEASURED □REFERENCE TBW: Total Body Water ECW: Total Extracellular Water ICW: Total Intracellular Water Body water Intracellular Extracellular % of Weight % of body water % of body water Extracellular Mass Body Cell Mass Body Cell Mass Index 10,4

Body mass index: 27,45 kg/m² Obesity Grade: Overweight WAIST-HIP CIRCUMFERENCES ACTUAL Waist-Hip Circumferences: Ratio Waist/Height HANDGRIP STRENGTH MEASURED Measured Value Average Value

ACTUAL IDEAL

Data from external source BIOCHEMICAL dmaximum □ actual dminimum Total Cholesterol HDL Cholesterol LDL Cholesterol Triglycerides Iron Glucose Urea GOT - AST GPT - ALT GAMMA -GT Hematocrit Hematin Leukocyte Hemoglobin Uric acid Creatinine

= WHO = Physical Activity Level: --Total Energy Expend: --- kcal

Waist-Hip Circ. *: Desired Weight Desired Weight WATER ExtraCellular m IntraCellular TOTAL

Blood Pressure Systolic BLOOD PRESSURE

Stamina Abdominals Cardiac Function Rest 1 Minute After Test

References: f Frecuency Z Impedance Rb Resistance Xb Reactance P Phase Valoration: Body cells in good condition

Treatment Duration 12 weeks Burn by Exercise 0 kcal Metabol. Rate 1.817 kcal + Burn at Work909 kcal Total Burn 2.726 kcal - Ideal Intake 2.341 kcal_ Intake - Burn -385 kcal ■ Weight (kg) ■ Intake (Kcal) Weight Weight Plan Intake

Initial Date Initial Value Weekly Increase Final Objective Measured Objective (steps) (steps) Measured Objective (steps) (steps) Objective (steps) Measured Steps