Download as pdf or txt
Download as pdf or txt
You are on page 1of 12

● Basal Metabolic Rate (BMR) ● Fruit-flavored Drinks

○ Energy needed to sustain ○ Drinks flavored with natural or


metabolic activities of the cells artificial essences or extracts of
and tissues and to maintain fruits
circulatory, respiratory, ● Meal Planning
gastrointestinal, and renal ○ Process of planning meals that
processes are nutritional adequate for an
● Calories individual’s age, sex,
○ A unit of energy physiological state
○ The amount of heat needed to ● Physical Activity (PA)
raise the temperature of 1 gram ○ Defined as any bodily movement
of water by 1 degree centigrade produced by skeletal muscles
○ In nutrition, calories refer to the that release energy
energy derived from food, and the ● Resting Metabolic Rate
energy used for physical activity ○ Used synonymously with Basal
● Desirable Body Weight (DBW) Metabolic Rate (BMR)
○ Believed to be the weight that is ○ The energy expended for the
annotated with good health for a maintenance of normal body
person functions and homeostasis
● Ideal Body Weight (IBW) ○ Represents the largest portion of
○ Based chiefly on height but total energy expenditure
modified by factors such as ○ May be as much 10% to 20%
gender, age, build, and degree of higher than the Basal Energy
muscular development Expenditure (BEE) allowing for
● Edible Portion the energy spent as the result of
○ Quantity of food expressed either the thermic effect of food or
in weight, volume, or count after it excess post exercise oxygen
has been cleaned, peeled, or consumption
prepared, and is ready for ● Youth in the Philippines consists of
consumption the 15-30 years old population
● Food Compositions Table (FCT) according to the “Youth in Nation
○ Composition or database Building Act of 1995” or RA 8044,
providing nutritionally important which created the Philippines
chemical composition of foods National Youth Commission (NYC)
such as energy, moisture, and ● Adolescence is the phase of life
nutrients like CPF, fiber, sugar, between childhood and adulthood,
vitamins, and minerals from ages 10 to 19
○ It is a unique stage of human
development and an important
time for laying the foundations of
● Food Exchange List (FEL) good health
○ Classification or grouping of ○ Adolescents experience rapid
foods with equivalent amounts of physical, cognitive, and
CPF and energy psychosocial growth
○ Food item within a list may be
used interchangeably
○ This affects how they feel, think, ● Tannhauser Method (Broca’s
make decisions, and interact with Index)
the world around them (WHO) 𝐼𝐵𝑊 (𝑘𝑔) = (ℎ𝑡. − 100) − [10% (ℎ𝑡. − 100)]
● Philippine Dietary Reference
Intakes (PDRI) – DOST-FNRI ● ex. Calculate the DBW of an adult
○ A set of dietary standards female who stands 5’2” tall
○ All intake for Filipinos ○ Convert height to cm
○ Daily values ■ 1 ft = 12 in
○ Example: ■ 1 in = 2.54 cm
■ 1-12 yrs. old must consume ■ 1 m = 100 cm
1500 to 2000 mg of calcium ○ Deduct from the height the factor
per day 100
■ Adults need 300 mg of ■ DBW (kg) = (157.48cm - 100)
cholesterol from the diet per = 57.48
day ○ To adjust the body frame for
■ We need to consume 20 to Filipinos, deduct additional 10%
30 grams of fiber per day to ■ 10% can be added /
be healthy subtracted to the computed
value to adjust for body frame
STANDARD DIETARY size
COMPUTATION / TOOLS FOR ■ DBW(kg) = 57.48 - 5.748
NUTRITIONAL ASSESSMENT = 51.732 or 52
DBW / IBW
● DBW – Desirable Body Weight NUTRITIONAL STATUS
● IBW – Ideal Body Weight Degree of Nutrition Table
𝐴𝑊
Infants (1-12 months old)
𝐼𝐵𝑊
× 100%
𝑎𝑔𝑒 𝑖𝑛 𝑚𝑜𝑛𝑡ℎ𝑠
𝐷𝐵𝑊 (𝑘𝑔) = 2
+3 ● AW = Actual Weight
● Interpretation Table
● eg. The IBW (DBW) of 8 months
baby NORMAL 90 - 100% of the IBW
○ DBW = (8/2) + 3 OVERNUTRITION
=4+3 Overweight 110 - 119% of the
= 7 kg IBW
Obese ≥ 120% of the IBW
Children (1-12 years old) UNDERNUTRITION
1st Degree 80 - 89%
𝐷𝐵𝑊 (𝑘𝑔) = (𝑎𝑔𝑒 𝑖𝑛 𝑦𝑒𝑎𝑟𝑠 × 2) + 8 (mild risk of
● eg. The IBW of 4 years old boy malnutrition)
IBW = (4 x 2) + 8 2nd Degree 71 - 79%
=8+8 (moderate risk of
= 16 kg malnutrition)
3rd Degree 70% below
Adolescents & Adults (severe malnutrition)
○ ex. 45 / 52 x 100 = 86.54
■ Interpretation: 1st degree TCR - Total Calorie Requirement per
malnourished day
● Note: round off final TER or TCR to
BMI nearest 50 or can be divided by 50
● WHO ● Estimating TER of Infants
𝑇𝐸𝑅/𝑑𝑎𝑦 = 90 𝑡𝑜 95 𝑘𝑐𝑎𝑙/𝑘𝑔𝐷𝐵𝑊
○ 0 - 6 mos = 90kcal/kdbw
○ 7 - 12 mos = 95kcal/kdbw

Example: 8 months old


DBW = (age in months / 2) + 3
= (8 / 2) + 3
=4+3
= 7kg DBW
● Filipino BMI
TER = 95kcal / kgDBW (8 months)
𝑤𝑒𝑖𝑔ℎ𝑡 ( 𝑘𝑔 ) = 7kg (DBW) x 95kcal / kdbw
𝐵𝑀𝐼 = 2 = 665 or 650 kcal/day (rounded
ℎ𝑒𝑖𝑔ℎ𝑡 ( 𝑚 )
off)

● Estimating TER of Children


(1-12 years old)
○ Using kcal/kg body weight based
on 2015 PDRI
𝑇𝐸𝑅(𝑘𝑐𝑎𝑙) = 𝑘𝑐𝑎𝑙 /𝑘𝑔 𝐷𝐵𝑊 × 𝑤𝑒𝑖𝑔ℎ𝑡 (𝑘𝑔.)

Age kcal / kg DBW


● Note: 1 inch = 2.54 cm; 1 m = 100 cm Range Boys Girls
1-2 83 80
Example: The BMI of 15 yrs. old boy who 3-5 77 72
stands 5’ and weighs 45kg
6-9 70 65
○ Height in meters:
10 - 12 62 55
■ 5 x12 = 60 in.
■ 60 x 2.54 cm = 152.4 cm ÷ 13 - 15 56 47
100 cm = 1.524 m 16 - 18 51 44
2
■ 1.524 x 1.524 = 2.32 𝑚 Example: 4 years old girl with 16 kg
𝑤𝑒𝑖𝑔ℎ𝑡 ( 𝑘𝑔 )
■ BMI = 2
body weight
ℎ𝑒𝑖𝑔ℎ𝑡 ( 𝑚 )
45 𝑘𝑔 2 TER (kcal) = 72 kcal/kdbw (table) x
■ BMI = 2 = 19.4 kg/ 𝑚
2.32 𝑚 16kg
■ Interpretation: Normal = 1152 kcal / day (exact)
= 1150 kcal / day (rounded
TER & TCR off)
TER - Total Energy Requirement per ● Estimating TER of Adolescence /
day Teenager (13-18 years old)
○ Still based off 2015 PDRI Table Moderate Occupations that require 40
extended periods of walking,
𝑇𝐸𝑅(𝑘𝑐𝑎𝑙) = 𝑘𝑐𝑎𝑙 /𝑘𝑔 𝐷𝐵𝑊 × 𝑤𝑒𝑖𝑔ℎ𝑡 (𝑘𝑔.) pushing or pulling or lifting or
carrying heavy objects
Example: The TER of a 15 years old (cleaning / domestic services,
waiting table, homebuilding
boy who stands 5’ task, farming, patient care)
Very Occupations that require 45
extensive periods of running,
DBW = 5ft x 12 inches Active / rapid movement, pushing or
= 60 inches x 2.54 cm Vigorous pulling heavy objects or tasks
frequently requiring
= 152.4 cm - 100 (height factor) strenuous effort and
= 52.4 - 5.24 (10% of 52.4) extensive total body
movements (teaching a class
= 46.76 = 47 kg or skill requiring active and
strenuous participation, such
as aerobics or PE instructor;
TER / day = 56 kcal (table) x 47 kdbw firefighting; masonry and
= 2632 kcal / day (exact) heavy construction work; coal
mining; manually shoveling;
= 2650 kcal / day (rounded using heavy non-powered
off) tools)

Example: The ter of a 35 years old


● Estimating TER of Adults & Elderly female teacher (light PAL) who
𝑇𝐸𝑅/𝑑𝑎𝑦 = 𝐷𝐵𝑊 × 𝑃𝐴𝐿 stands 5’2
○ TER based on estimate of energy
DBW = 5 x 12 + 2 = 62 inches
expenditure according to physical
= 62 inches x 2.54 cm = 157.48
activity level Physical Activity
cm
Level (PAL)
= 157.48 - 100 = 57.48 kg
○ Underweight
= 57.48 - 5.748 (10%) = 51.732
■ + 250 kcal – BMI = 16.5 to
kg
18.5
= 52 kg
■ + 500 kcal – BMI < 16.5
○ Overweight
TER / day = 35 kcal x 52 kdbw
■ - 250 kcal – BMI = 25.0 to
= 1820 kcal / day (exact)
29.9
= 1800 kcal / day (rounded
■ - 500 kcal – BMI ≥ 30
off)
Activity Sample Occupation kcal /
Level kg PERCENTAGE DISTRIBUTION
Category / body OF TER TO CPF
Work weight ● Determine the amount of
Intensity macronutrients for diet prescription
Sedentar Mostly resting with little or no 30
activity ● Determining the carbohydrate,
y protein, and fat requirement based on
Light Occupations that require 35
minimal movement, mostly Acceptable Macronutrient Distribution
sitting / desk work or Range (AMDR) as suggested in the
standing for long hours and /
or with occasional walking [ 2015 PDRI
professional, clerical,
technical workers, Acceptable Macronutrient
administrative and Distribution Range
managerial staff, driving light
vehicles (cars, jeepney),
housewives with light
housework (dishwashing,
preparing food) ]
● Thus, Diet Prescription: 1500 kcal,
245g Carbohydrates, 55g Protein,
and 35g Fat
Note: For clinical conditions, and for
children and other age or physiological Food Label
groups, modifications in the distribution Serving Information
of carbohydrate, protein, and fat must
● Indicate how much ang isang
be made accordingly
container
𝐶𝑃𝐹 = 𝑇𝐸𝑅 × % 𝑜𝑓 𝑇𝐸𝑅 (𝑑𝑒𝑐𝑖𝑚𝑎𝑙) ● Yung isang pack ilang seving yan
For a regular diet (ex. TER = 1500 kcal) ● In one pack merong 4 serving so 4
● Allot 65% of the TER for cups each cup kay 226g (refer to
carbohydrates, 15% protein, and picture below)
20% for fat as shown in the example: ● Look at number of servings and
– this is based off AMDR range table serving size
above ● Serving sizes are standardized to
Carbohydrat 1500 kcal x 0.65 = 975 make it easier to compare similar
es kcal foods
Protein 1500 kcal x 0.15 = 225 ● Serving size reflects the amount that
kcal people typically eat or drink
Fat 1500 kcal x 0.20 = 300 ● NOT a recommendation of how
kcal much you should eat or drink
● Calculate the number of grams of
carbohydrate, protein and fat by
dividing the kcal for each nutrient by
the corresponding physiological fuel
value (4 kcal for CHO, 4 kcal for
CHON, and 9 kcal for fat per gram) – Calories
RENI equivalents ● Amount per serving
Carbohydrat 975 kcal ÷ 4 kcal/g = ● So merong 280 calorie per serving
es 243.75 ● If mahurot in one sitting, (280 x4,
Protein 1225 kcal ÷ 4 kcal/g = since 4 servings man per container)
56.25 ● Provide a measure of how much
Fat 300 kcal ÷ 9 kcal/g = 33.33 energy you get from a serving of this
● Round off total calories to the food
nearest 50, and for carbohydrates,
proteins and fats, to the nearest 5
grams (divisible by 5)
Carbohydrat 243.75 → 245 g
es Nutrients
Protein 56.25 → 55 g ● A guide on what nutrients is present
Fat 33.33 → 35 g on food
● Shows you some key nutrients that
impact your health
● You can use label to support your ● Indicates calories per serving and
personal dietary needs per container
● Look for foods that contain more of ● Helps people know kung gaanoa
the nutrients you want to get more of karami ang kanilang calories ma
or and less of the nutrients you may consume if ubosin or hindi
want to limit
● Saturated fat, sodium, added sugars =
consume less of this

Single Ingredients Sugar Label


Percent Daily Value ● Packages and containers of
● Percentage value for each nutrient in products such as pure honey, syrup,
a serving of the food. they are not required to include
● Reference amounts of nutrients to declaration of number of grams of
consume or not to exceed each day number of sugars, but declaration of
● Shows how much a nutrient in a percent daily value of sugar must be
serving of a food contributes to a included
total daily diet ● Manufactures are encouraged to use
● Helps you determine if a serving of a cross symbol immediately
food is high or low in nutrient following the added sugar percent
daily value because this will lead to
a foot note located at the bottom that
explains the amount of added sugar
that one serving of the product
contributes to the diet as well as the
contribution of s serving of a product
toward the percent daily value for
added sugar
● Labeled this way so that it does not
look that more sugar has been
added to the product and to ensure
Nutritional Facts Label Variation
that consumers have information
Dual Column Label how serving of the product
● Products that are larger than a contributes to the daily value of
single serving added sugar and to their daily diet
● May be consumed in one sitting or
not
a. 1 Medium Fat meat
● Find MFMeat in table
● Compute CHO, CHON, AND FAT
○ CHO: Since no CHO, do not
solve
○ CHON: (8x4)
○ FAT: (6x9)
● Add all
○ (8x4) + (6x9) = 86 kcal
● Another way is copy lang from
Food Exchange List
last column ng FEL table if given
● Quick estimation of CHO, CHON,
fat, and energy content of the diet
● Carbs, protein, and fats values is
constant

Fel Table

Ex. 2

● Grams x percentage = answer x


distribution of calorie
● For C:
○ 100g x.50 = 50
○ 50 x 4 = 200 kcal
COMPUTATIONS FOR FEL ● For P:
○ 100G X .20 = 20
NOTE: CHO - 4 | CHON - 4 | FAT - 9 ○ 20 X 4 = 80 kcal
Energy Content ● For F:
● Note: Always refer from the FEL ○ 100 x .30 = 30
table ○ 30 x 9 = 270 kcal
Ex. 1 ● Add everything
○ 200 + 80 + 270 = 550 kcal

Number of Exchange
● Quantity ÷ legend
● Ex. find # of EX of mango
○ 980g ÷ 70g = 14
● OR quantity ÷ # of exchange ■ For old: skimmed
○ For fat, usually 2-3
Quantity
● Exchange x legend ● To solve for CHO or C-gram
● Ex. find quantity of mango ○ Take the C-gram value of the
○ 14 x 70 = 980 food given in FEL table (found in
book)
■ Ex. for vegetable C-gram
is 3
○ Multiply the value that you took
from the FEL table to the
number of exchange you placed
Note: match the units ■ Ex. 3 x 6 = 18

Sample FEL table computation


● Note: FEL = 2 decimals
● First solve for diet prescription (Refer ● To solve for CHON or P-gram
to previous lab lesson) ○ Take the P-gram value of the
Note: we will solve FEL of a 15 year old who food given in FEL table (found in
stand 5’0 book)
■ Ex. for vegetable is 1
○ Multiply the value that you took
from the FEL table to the
number of exchange you placed
■ Ex. 1 x 6 = 6

● To solve for FAT or F-gram


○ Take the F-gram value of the
food given in FEL table (found in
book)
■ Since there is no f-gram
● You will decide how many exchange value indicated for
you will input but note the following: vegetable we will use meat
○ Vegetables: max is 6 as our example
○ Fruits: max is 10 (but check px ● Ex. for low fat milk is 3
health; lowered if px has ○ Multiply the value that you took
diabetes) from the FEL table to the
○ Milk: usually 2 glasses number of exchange you placed
■ for children: pwede high ■ 1x3=3
fat
■ For adult: pwede low fat
● To solve for kcal ○ C-gram: 400
○ Multiply the C-gram, P-gram, ■ 400 + 5 = 405
and F-gram values you solved ■ 400 - 5 = 395
to distribution of calories (C- 4, ■ Range = 395 to 405
P- 4, F- 9) ○ P-gram: 100
■ We will use vegetable as ■ 100 + 5 = 105
example for this ■ 100- 5 = 95
● C-gram: 18 X 4 = 72 ■ Range = 95 to 105
● P-gram: 6 x 4 = 24 ○ F-gram: 75
● Since there is no Fat, ■ 75 + 5 = 80
you will not solve ■ 75 - 5 = 70
anything ■ Range = 80 to 70
○ Add everything ○ Kcal: 2650
■ 72 + 24 = 96 kcal ■ 2650 = 50 = 2700
■ So, total kcal for vegetables ■ 2650 - 50 = 2600
in your fel is 96 kcal ○ Note: Pasok dapat ang ang total
values mo sa range para correct
na

● Proceed into FEL distribution to Bfast,


NOTE: assuming that you have finished
lunch and supper/dinner ‘
solving and filling the whole FEL table, add
○ To get kcal per food, multiply # of
up all values to get its total
exchange to kcal of food based of
FEL table (yung galing sa book)
■ EX. fruits
● Total exchange: 3
● Value from FEL: 40
● 3x40 = 120 kcal

● Check if you have placed the correct


number of exchanges and if your
dietary prescription is correct. To do
this, you will have to solve for
allowance. To solve for the allowance
of your CPF, you will add 5 and
subtract 5. To solve for the allowance
of you kcal, add 50 and subtract 50
■ 207 divided by 551 x 100 =
● Make a summary of total kcal per 37.57
meal ○ Add all answers and should be
equal to 100
○ If may discrepancy na konti like
99.99 okay lang yan

● Kcal per serving


○ Divide kcalorie content per
Note: we will use another example here
nutrient to how many serving
(number of servings)
■ 66 divided by 8 = 8.25
■ 278 divided by 8 = 34.45
■ 207 divided by 8 = 25.88
○ Add all then yun kcal per serving

● Solve for total grams and total content ● Grams per serving
(use 4,4,9) ○ Total grams divide to number of
○ Add the total of Cgram, Pgram, serving
Fgram ■ 16.50 divided by 8 = 2.06
○ After adding divide it to CPF value ■ 69.50 divided by 8 = 8.69
(4,4,9) ■ 23 divided by 8 = 2.88
■ 16.50 x 4 = 66 ○ Add all for total
■ 69.50 x 4 = 278
■ 23 x 9 = 207
○ Add everything together and the
answer should be equal to total PHIL-FCT
calorie content ● Unique identifying name of country’s
web based nutrition tool which
provides accessible and detailed
information on the nutritional
● Solve for Percentage distribution
composition of about 1500
○ Take total Kcal per CPF then
commonly consumed foods in the
divide it to total kcal x 100. In
country
short, divide the total calorie per
● It is used as a basis in dietary intake
nutrient divided by total calorie
assessments, nutritional research,
content x 100
and nutritional epidemiology. It is
■ 66 divided by 551 x 100 =
also used for agricultural research,
11.98
food formulation, and assessing food
■ 278 divided by 551 x 100
biodiversity and food security
=50.45
● Note: use 3 decimal places
● CHOLE
○ Take the cholesterol value of food
from FCT then multiply it to
frequency of use
■ Bangus: 52 x 2.80 = 145.600
(ang mag labas sa calcu kay
145.6)

● SFA
○ FCT value x FOU
■ Ex. Bangus: 1.66 x 2.80 =
4.648

● Solve for Frequency of use ● Vitamins and Minerals


○ Quantity divided by weight based ○ FOU x FCT value
on FCT table provided or list of ■ Ex. Vit A: 2.80 x 0.1 = 0.280
ingredients na legend (basta this ● Total per nutrient
is provided) ○ Add everything together
○ Match the units
■ Bangus: 280g divided by 100g =
2.80
■ Ginger: 200g divided by 100g =
2
● Per nutrient classification
■ Onion: 80g divided by 40g = 2
○ E total lahat ng vitamins
■ Eggplant: 1 cup divided by ½ ○ E total lahat ng minerals din
cup = 2
■ Garlic: 9g divided by 3g = 3
■ Peppercorn: 1 tsp divided by 1
tsp = 1
■ Finger chili: 5 pcs divided by 10
pcs = 0.50
■ Vegetable oil: 1 tbsp divided by
1 tbsp = 1
■ Salt: 1 tsp x ¼ ( e x 4 ang 1/4
tsp para ma 1 tsp) = 4
■ Vinegar cane = 1 cup ang given
so convert to grams since
walang cup unit. May note: 1
cup or 250 ml = 250 g.
Therefore,, 250 g divided by 100
= 2.5
● Percentage Distribution
○ Total per nutrient divided by total
per nutrient per classification x
100 = percentage distribution
■ .61 divided by 95.18 x 100 =
0.62
■ .21 divided by 95.18 x 100 =
-.22
■ 94.36 divided by 95.18 x
100= 99.14
● E add ang tatlo dapat
100
● If 99. something,
katanggap-tanggap

● Quantity per serving


○ Divide total per nutrient to per
serving
■ .61 divided by 8 =0.08
■ .21 divided by 8 = 0.03
■ 94.56 divided by 8 = 11.80
○ Arrange from highest to lowest by
numbering it

● Transfer everything that you have


computed to food label

You might also like