Clinical nutrition practise for third year

Nutrition department
First lecture for third year
Prepared by lecturer Amal Alshukri

;Case study1

:case needs 2056 cal\day, so she needs

Cho= 282g (55%), prot=77g(15%), fat=68g(30%)

› Diet Prescription

Follow this order: Milk › Fruit › Vegetable (Always begin with CHO-containing ›
food groups)

Add all the grams of the carbohydrates you have used from milk, fruit, & veggie
exchanges. › then, Subtract(the adding chos from total g CHO, which case has needed.
After that,› divide the number you have got it by 15 to give you how many starch
.exchanges you will have

To find outhow many meat exchanges you should prescribed. You should add all the
grams of protein used from milk, veggie, and starch exchanges. ›then, Subtract the
adding pros from total grams of protein.after that, › Divide the number you have got it
.by by 7 to get out how many meat exchanges you need

Lastly, to find out how many fat exchanges you will have, Add grams of fat used so
far from starch and meat exchanges. Then,› Subtract from total fat grams and
› .finally›divide by 5

exchange No.of CHO Protein Fat Energy

serving 282 ( 77) ( 68) 2056
Milk reduce 3 3X12 (36) 3X8 (24) 3X5 (15) 3X120 (360)
fat 2%
Vegetables 5 5x5=(25) 2x5=(10) 0x5 25x5=125
Fruit 4 15x4=60 0x4 0x4 60x4=240
Total 121 34 15 725
CHO=282- 121/15=11 serving

Starch 11 15x11=165 11x3=33 1x11=11 80x11=880

Total 286 67 26 1605

Protein=77-67=10\7=1.4~~1
 Clinical nutrition practise for third year
Nutrition department
First lecture for third year
Prepared by lecturer Amal Alshukri
Meat 1 0x1 7x1=7 5x1=5 75x1=75
medium fat
Total 286 74 31 1680
Fat= 68-31=37\5=7.4~~7

Fat 7 0x7 0x7 7x5=35 45x7=315

Total 286 74 66 1995
(+4) (-3) (-2) (-61)

Recommended exchanges › 3 low fat milk group ,› 4 servings fruits ,› 5 servings

veggies › 11 servings starch ,› 1 meat exchange ›, 7 fat servings

› Breakfast 8 am

cup low fat milk (1 milk ex) 1

› slice whole wheat (1 starch) 1

› 2tsb Peanut butter (1 fat)

apple (1 fruit) 1

› mid morning snack 11:00

plain yogurt (1 milk exc) 1

Lunch 2pm

› cups pasta made with 1 tsb cooking oil (4 starch+ 1 fat) ›2

oz medium fat meat ( 1 meat exc) 1

›Cooked Veggie salad ( ½ cup beans, ½ peas, and 1 potatoes) with spray of oilve oil,
vinegar (3 starch + 1 fat)

cup Water melon ( 1 fruit) ¼ ›1

cup Peach ( 1 fruit) ½ ›

:Snack

biscuit ( 1 starch+ 1 fat) › Green tea no sugar 1 ›

Dinner ›
 Clinical nutrition practise for third year
Nutrition department
First lecture for third year
Prepared by lecturer Amal Alshukri
cup law fat milk ( 1 milk exc) 1 ›

cup lentil soup made with vegetable oil( 1 starch+ 1 fat) 1 ›

Green salad plate (tomatoes, cucumber, green leaves, and carrots, and oilve oil (4 ›
› veggies+ 1 fat)

banana ( 1 fruit) 1

› night Snack ›

whole wheat bread ( 1 starch) 1

Tbs cream cheese ( 1 fat) 1 ›

Olives (4 pieces)(1/2 fat) ›

Slices of tomatoes and cucumber ( 1 veggies) ›

 Clinical nutrition practise for third year
Nutrition department
First lecture for third year
Prepared by lecturer Amal Alshukri
Case study 2

dietetics goal for male case 2300 cal so he needs:

protein=82g/d(15%), Total fat=77g/d(30%), CHO=316g/d(55%)

a. Using meal exchanges system to plan a day's menu for Abdullah based on
his nutritional goals for energy, total proteins, , total fat, , CHO.
exchange No.of CHO(316) Protein(82) Fat(77) Energy(2300)
serving
Milk reduce 4 12x4=48 8x4=32 4x5=20 120x4=480
fat 2%
Vegetables 5 5x5=25 2x5=10 0 25x5=125
Fruit 5 15x5=75 0 0 60x5=300
Total 148 42 20 905
CHO=316-148=168 =11.2=11
15
Starch 11 15x11=165 11x3=33 0x11=0 80x11=880

Total 313 75 20 1785

Protein=82-75=7 =1
7

Meat lean 1 0 7x1=7 3x1=3 45x1=45

Total 313 82 23 1830
Fat= 77-23=54 = 10.8=11
5
Fat 11 0 0 11x5=55 45x11=495
Total 313 82 78 2325
-3 +1 +25
 Clinical nutrition practise for third year
Nutrition department
First lecture for third year
Prepared by lecturer Amal Alshukri
Possible diet plan:

4 exchanges from 2% reduced fat milk

5 vegetable exchanges

5 fruit exchanges

11 starch exchanges

1 lean meat exchanges

11 fat exchanges

Divide into

Breakfast

Lunch

Dinner

Snacks in between