Dietary

Computation
 Body Mass Index
• The international standard for assessing body size in adults
• Is a calculated number representing a person’s level of fats or
obesity level

• BMI is computed using the following formula: BMI = Weight

(kg)/ Height (m²) or weight (lb) / height (inches) 2 x 703

• Evidence shows that high BMI (obesity level) is associated with

type 2 diabetes & high risk of cardiovascular morbidity &
mortality
 BMI (WHO - Classification)
BMI < 18.5 = Under Weight
BMI 18.5-24.5= Healthy weight range
BMI 25-30 = Overweight (grade 1
obesity)
BMI >30-40 = Obese (grade 2 obesity)
BMI >40 =Very obese (morbid or
grade 3 obesity)
 Example Computation
• Andy is 1.70 m and weighs 60 kgs.
Compute for Andy’s BMI? What
classification does he belong?
BMI = kg/(m)2
= 60/(1.70 x 1.70)
= 20.8
Andy belongs to normal category.
 English units
• Ramon is 70 inch and 220 lb. compute for his BMI
and identify his classification.
BMI = (lb/inch 2) x 703
= (220/ (70) 2) x 703
= 0.045 x 703
= 31.63
Obese grade 2
 Desirable Body Weight
(DBW) determination
DBW IN KG
• FEMALE: DBW = 45.5 kg + 2.3 KG FOR EACH INCH
OVER 5 FEET
• MALE: DBW= 50 KGS +2.3 KG FOR EACH INCH OVER 5
FEET
IF THE ACTUAL BODY WEIGHT IS GREATER THAN
30% OF THE CALCULATED IBW, CALCULATE THE
ADJUSTED BODY WEIGHT
ABW= DBW + 0.4 (ACTUAL WEIGHT –DBW)
 EXAMPLE
• A MAN WHO IS 64 INCHES TALL AND WEIGHS 70 KG.
DBW = 50 KG + (2.3 X 4)
=50 KG + 9.2
= 59.2 KG
 A WOMAN WHO IS 64 INCHES TALL AND WEIGHS 80 KG.
DBW = 45.5 KG + (2.3 X 4)
= 45.5 KG + 9.2
= 54.7 KG
ABW = 54.7 KG + 0.4 (80 KG – 54.7 KG)
= 54. 7 KG + 0.4 (25.3 KG)
= 54.7 KG + 10.1 KG
= 64.8 KG
 Total Energy Requirements
• BMR (BASAL METABOLIC RATE)
WOMEN= 655+(9.6 X WEIGHT IN KG)+(1.8 X
HEIGHT IN CM)-(4.7 X AGE IN YEARS)

MEN = 66+ (13.7 X WEIGHT IN KG) + (5 X

HEIGHT IN CM)- (6.8 X AGE IN YRS)
 EXAMPLE
• A FEMALE, AGE 27 WITH A HEIGHT OF 178CM (5’10”)
AND WEIGHT IS 69 KG (151 LBS)

BMR= 655 + (9.6 X 69) + (1.8 X 178) – (4.7 X 27)

= 655 + 662.4 + 320.4 – 126.9
= 1510.9 CALORIES/DAY
 TOTAL DAILY ENERGY
EXPENDITURE (TDEE)
• TDEE= BMR X ACTIVITY FACTOR
ACTIVITY FACTOR TABLE
AMOUNT OF DESCRIPTION TDEE/MAINTENANC
EXERCISE/ACTIVITY E
SEDENTARY LITTLE OR NO EXERCISE/DESK 1.2 X BMR
JOB
LIGHTYLY ACTIVE LIGHT EXERCISE/SPORTS 1-3 1.375 X BMR
DAYS/WEEK
MODERATELY ACTIVE MODERATE EXERCISE, SPORTS 2- 1.55 X BMR
5 DAYS/WEEK
VERY ACTIVE HEAVY EXERCISE/SPORTS 6-7 1.725 X BMR
DAYS/WEEK
EXTREMELY ACTIVE VERY HEAVY 1.9 X BMR
EXERCISE/PHYSICAL
JOB/TRAINING 2X/ DAY
 EXAMPLE
TDEE=BMR X ACTIVITY FACTOR
TDEE = 1510.9 X 1.375
= 2077.48
THIS 27 YEAR OLD WOMAN NEEDS 2077 CALORIES
PER DAY TO MAINTAIN HER CURRENT WEIHGT.
 Application to Food Exchange
list
• LIST THE CARBOHYDRATE, PROTEIN, FAT VALUES FOR MILK,
VEGETABLES AND FRUIT
• SUBTRACT THE CARBOHYDRATE VALUES OF THESE FOODS
FROM THE CARBOHYDRATE LEVEL PRESCRIBED. DIVIDED THE
DIFFERENCE BY 15 TO DETERMINE THE NUMBER OF BREAD
EXCHANGE.
• SUBTRACT THE TOTAL PROTEIN VALUES OF MILK AND MEAT
FROM TOTAL FAT DESCRIBE. DIVIDE THE DIFFERENCE BY 7 TO
DETERMINE THE NUMBER OF MEAT EXCHANGES.
• SUBTRACT THE TOTAL FAT VALUES FOR MILK AND MEAT
FROM THE TOTAL FAT PRESCRIBE. DIVIDED THE DIFFERENT
BY 5 TO DETERMINE THE NUMBER OF FAT EXCHANGES.
SAMPLE CALCUATION OF DIET
• C 150P70 F70
EXCHANGE LISTS NO OF EX. CARBOHYDRATE PROTIEN FAT
S (GM) (GM) (GM)
MILK 2 24 16 20
VEG A 1-2
VEG B 1 7 2
FRUIT 3 30
61*

BREAD 6 90 12
30**
MEAT 6 42 30
50***
FAT 4 20
TOTAL FOR THE 151 72 70
DAY
• 150-61= 89 GM CHO TO BE SUPPLIED FROM BREAD EXCHANGES
= 1 BREAD EXCHANGE = 15 GM CHO
= 89/15=6 BREAD EXCHANGE
• 70-30 = 40 GM PROTIEN TO BE SUPPLIED FROM MEAT
EXCHANGE
= 1 EXCHANGE MEAT = 7 GM PROTIEN
= 40/7= 6 MEAT EXCHANGE
• 70-50 = 20 GRAMS FAT TO BE SUPPLIED FROM THE FAT
EXCHANGE
= 1 FAT EXCHANGE = 5 GM FAT
= 20/5 = 4 FAT EXCHANGE
 MEAL PATTERN
BREAKFAST LUNCH DINNER
MILK- 1 MILK – 1 VEG GROUP A
FRUIT – 1 VEG GROUP A VEG GROUP B- 1
BREAD – 2 FRUIT – 1 FRUIT -1
MEAT – 1 BREAD – 2 BREAD 2
FAT – 2 MEAT – 2 MEAT – 3
FAT - 1 FAT - 1
 SAMPLE MENU
BREAKFAST LUNCH DINNER
1 CUP MILK 1 CUP MILK FRIED BANGUS
¼ MEDIUM 1 CUP RICE PINAKBET
PAPAYA PORK 1 CUP RICE
1 CUP RICE SINIGANG 1 PINEAPPLE
1 EGG (1 TSP 1 BANANA
BUTTER)