When counseling a client in ways to prevent cholecystitis, which of the following guidelines is most important?
A. Eat a low-protein diet.
B. Eat a low-fat, low-cholesterol diet.
C. Limit exercise to 10 minutes/day.
D. Keep weight proportionate to height.
Correct Answer: D. Keep weight proportionate to height.
Obesity is a known cause of gallstones, and maintaining a recommended weight will help protect against gallstones. Excessive dietary intake of cholesterol is associated with the development of gallstones in many people. Being overweight makes one more likely to develop gallstones. To achieve a healthy weight, reduce calories and increase physical activity. Maintain a healthy weight by continuing to eat well and exercise.
Option A: Dietary protein isn’t implicated in cholecystitis. Diets high in fat and low in fiber may increase the risk of gallstones. To lower the risk, choose a diet high in fruits, vegetables, and whole grains.
Option B: Liquid protein and low-calorie diets (with rapid weight loss of more than 5 lb [2.3kg] per week) are implicated as the cause of some cases of cholecystitis. Rapid weight loss can increase the risk of gallstones. If the client needs to lose weight, aim to lose 1 or 2 pounds (0.5 to about 1 kilogram) a week.
Option C: Regular exercise (30 minutes/three times a week) may help reduce weight and improve fat metabolism. Reducing stress may reduce bile production, which may also indirectly decrease the chances of developing cholecystitis.
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