1. Dietary Assessment MyPlate Comparison Chart
3-Day Diet Record and Food Frequency Questionnaire (DHQ)
(submit with Parts 2 & 3- so keep a copy!)
Name of interviewer: Rachel Mostek _________________
Client information:
Initials: __KL____ Sex: ___Female_______ Age:____22______
Habitual physical activity:
Type(s): ___walking at 3.0 mph__________________________________________
Exertion level:____moderate________ Minutes per day:_______20-45 min______
Food Group My Plate Recommended
Quantity1
DRI calorie goal: 2115
3-Day Diet Record
(Average quantity/day)2
Food Frequency
Questionnaire (DHQ)
(Approximate
quantity/day)
grams % of total
calories
grams % of total
calories
grams % of total
calories
Protein (total) 46 8.7% 54.4 19.17% 76.6 14.1%
Carbohydrate
(total)
130 24.6% 136.22 48.02% 258 52.9%
Fat (total) 31 13.2% 38.65 30.68% 80 33.1%
Fruits (cups) 2 cups 0.5 cups 0.9 cups
Vegetables (cups) 2.5 cups 0.4 cups 1.8 cups
Grains (oz-eq) 6 oz 3.4 oz 6.2 oz
Protein foods (oz,
tsp, cups)
5.5 oz 3.5 oz 10.7 oz
Dairy (cups) 3 cups 1.5 cups 2.0 cups
Added Oils/Fats
(tsp)3 6 tsp. 3.2 tsp 17.8 tsp
Discretionary
calories (kcals)3 Less than 210 kcals 152 kcals 944.9 kcals
1
The MyPlatefood group recommended listings are appropriatefor individuals who get less than 30 minutes per day of moderate physical
activity, beyond normal daily activities. You will need to make recommendation adjustments for clients who are more phy sically active.
2
For 3-day diet record, totalthe quantity eaten over three days for each food group on a separatesheet, then divide by three to determine
average daily intake. Report averages in thetable above.
3
When completing theComparison Chart, be mindful that you will need to use your professionaljudgment when deciding what to include in the
Oils/Fats (tsp) and Discretionary/empty calories (kcals) sections.
Examples in the Oils/Fats (tsp) category may include: salad dressing, butter, oils, etc.; there are 4.5 grams in a tsp.
Examples in the Discretionary/empty calories (kcals) section may include: energy drinks, soda, alcohol, high- octane desserts, etc.
2. Respondent ID: 829654925
At the time you completed your Diet History Questionnaire, we asked you to
report usual frequencies and portion sizes over the past year. Below you will
see your results. We have calculated your usual daily intake of nutrients and
food groups, and provide you with the current recommended daily intakes for
your age and gender.
These nutrient and food group intakes are only as good as the accuracy of the
information provided by you and the ability of the instrument to evaluate your
diet. Long dietary questionnaires ask individuals about many foods and portion
sizes and cannot be done with complete accuracy. Filling out the questionnaire
requires a fair amount of averaging and remembering which can be difficult.
Furthermore, it is possible that the questionnaire may not have asked you
enough about your diet to reflect your true intake. This is especially true if
many of the foods that you eat were not listed on the questionnaire or if you
prepare foods in special ways that we did not ask about. In particular, the
measurement of the number of calories you consume may not be accurate.
However,
in most cases, the information below provides a reasonable indication of your
overall diet.
Your intake of nutrients
Nutrient Your Daily Intake Recommended Intake
_________________________________________________________________________________
GRAMWT_G_USDA 6877 No specific recommendation
ENERGY_KCAL_USDA 2094 Depends on age/gender/activity level
TOTAL_FAT_G_USDA 80.0 No specific recommendation
CARBOHYDRATE_G_USDA 258 Men and Women: 19+ yr: 130
PROTEIN_G_USDA 76.6 Men, 19+ yr: 56
Women, 19+ yr: 46
ALCOHOL_G_USDA 11.1 No specific recommendation
CHOLESTEROL_MG_USDA 249 Less than 300 mg
TOTAL_SATURATED_FATTY_ACID 28.7 No specific recommendation
TOTAL_MONOUNSATURATED_FATT 29.7 No specific recommendation
TOTAL_POLYUNSATURATED_FATT 15.5 No specific recommendation
DIETARY_FIBER_G_USDA 17.8 Men 19-50 yr: 38
Men 50+ yr: 30
Women 19-50 yr: 25
Women 50+ yr: 21
RETINOL_MCG_USDA 506 No specific recommendation
VITAMIN_E_AS_ALPHA_TOCOPHE 9.1 No specific recommendation
VITAMIN_K_MCG_USDA 246 No specific recommendation
VITAMIN_C_MG_USDA 82.6 Men, 19+ yr: 90
Women, 19+ yr: 75
THIAMIN_VITAMIN_B1_MG_USDA 1.4 Men, 19+ yr: 1.2
Women, 19+ yr: 1.1
RIBOFLAVIN_VITAMIN_B2_MG_U 2.3 No specific recommendation
NIACIN_MG_USDA 21.4 Men, 19+ yr: 16
Women, 19+ yr: 14
VITAMIN_B6_MG_USDA 1.7 Men, 19-50 yr: 1.3
Men, 50+ yr: 1.7
Women, 19-50 yr: 1.3
Women, 50+ yr: 1.5
TOTAL_FOLATE_MCG_USDA 436 Men and Women: 400
VITAMIN_B12_MCG_USDA 4.3 Men and Women, 19+ yr: 2.4
CALCIUM_MG_USDA 1227 Men and Women, 19-50 yr: 1000
3. Men and Women, 50+ yr: 1200
PHOSPHORUS_MG_USDA 1342 Men and Women, 19+ yr: 700
MAGNESIUM_MG_USDA 382 Men, 19-30 yr: 400
Men, 30+ yr: 420
Women, 19-30 yr: 310
Women, 30+ yr: 320
IRON_MG_USDA 14.1 Men, 19+ yr: 8
Women, 19-50 yr: 18
Women, 50+ yr: 8
ZINC_MG_USDA 11.6 Men, 19+ yr: 11
Women, 19+ yr: 8
COPPER_MG_USDA 1.7 No specific recommendation
SELENIUM_MCG_USDA 91.5 No specific recommendation
SODIUM_MG_USDA 3652* Men and Women 19-50 yr: 1500 mg
(limit intake beyond this)
Men and Women 51-70 yr: 1300 mg
(limit intake beyond this)
Men and Women >70 yr: 1200 mg (limit
intake beyond this)
POTASSIUM_MG_USDA 3195 No specific recommendation
SFA_4_0_BUTANOIC_ACID_G_US 0.8 No specific recommendation
SFA_6_0_HEXANOIC_ACID_G_US 0.4 No specific recommendation
SFA_8_0_OCTANOIC_ACID_G_US 0.2 No specific recommendation
SFA_10_0_DECANOIC_ACID_G_U 0.6 No specific recommendation
SFA_12_0_DODECANOIC_ACID_G 0.6 No specific recommendation
SFA_14_0_TETRADECANOIC_ACI 2.9 No specific recommendation
SFA_16_0_HEXADECANOIC_ACID 15.0 No specific recommendation
SFA_18_0_OCTADECANOIC_ACID 6.3 No specific recommendation
MFA_16_1_HEXADECENOIC_ACID 1.2 No specific recommendation
MFA_18_1_OCTADECENOIC_ACID 27.7 No specific recommendation
MFA_20_1_EICOSENOIC_ACID_G 0.2 No specific recommendation
MFA_22_1_DOCOSENOIC_ACID_G 0.0 No specific recommendation
PFA_18_2_OCTADECADIENOIC_A 13.8 No specific recommendation
PFA_18_3_OCTADECATRIENOIC_ 1.3 No specific recommendation
PFA_18_4_OCTADECATETRAENOI 0.0 No specific recommendation
PFA_20_4_EICOSATETRAENOIC_ 0.0 No specific recommendation
PFA_20_5_EICOSAPENTAENOIC_ 0.0 No specific recommendation
PFA_22_5_DOCOSAPENTAENOIC_ 0.0 No specific recommendation
PFA_22_6_DOCOSAHEXAENOIC_A 0.0 No specific recommendation
CAFFEINE_MG_USDA 198 No specific recommendation
BETA_CAROTENE_MCG_USDA 4539 No specific recommendation
ALPHA_CAROTENE_MCG_USDA 542 No specific recommendation
BETA_CRYPTOXANTHIN_MCG_USD 96.1 No specific recommendation
LUTEIN_ZEAXANTHIN_MCG_USDA 5007 No specific recommendation
LYCOPENE_MCG_USDA 9786 No specific recommendation
FOLATE_DFE_MCG_USDA 527 No specific recommendation
FOOD_FOLATE_MCG_USDA 307 No specific recommendation
FOLIC_ACID_MCG_USDA 129 No specific recommendation
VITAMIN_A_RAE_MCG_USDA 911 Men, 19+ yr: 900
Women, 19+ yr: 700
TOTAL_SUGARS_G_USDA 122 No specific recommendation
MPED_GRAIN_TOTAL_USDA 6.2 No specific recommendation
MPED_GRAIN_WHL_USDA 0.6 No specific recommendation
MPED_GRAIN_NWHL_USDA 5.6 No specific recommendation
MPED_VEGETABLE_TOTAL_USDA 1.8 No specific recommendation
MPED_VEGETABLE_DRKGR_USDA 0.3 No specific recommendation
MPED_VEGETABLE_DPYEL_USDA 0.1 No specific recommendation
MPED_VEGETABLE_POTATO_USDA 0.2 No specific recommendation
MPED_VEGETABLE_STARCY_USDA 0.1 No specific recommendation
4. MPED_VEGETABLE_TOMATO_USDA 0.4 No specific recommendation
MPED_VEGETABLE_OTHER_USDA 0.5 No specific recommendation
MPED_FRUIT_TOTAL_USDA 0.9 No specific recommendation
MPED_FRUIT_CITMLB_USDA 0.3 No specific recommendation
MPED_FRUIT_OTHER_USDA 0.6 No specific recommendation
MPED_DAIRY_TOTAL_USDA 2.0 No specific recommendation
MPED_DAIRY_MILK_USDA 1.2 No specific recommendation
MPED_DAIRY_YOGURT_USDA 0.3 No specific recommendation
MPED_DAIRY_CHEESE_USDA 0.4 No specific recommendation
MPED_M_MPF_USDA 2.6 No specific recommendation
MPED_M_MEAT_USDA 1.1 No specific recommendation
MPED_M_ORGAN_USDA 0.0 No specific recommendation
MPED_M_FRANK_USDA 0.5 No specific recommendation
MPED_M_POULT_USDA 0.6 No specific recommendation
MPED_M_FISH_HI_USDA 0.0 No specific recommendation
MPED_M_FISH_LO_USDA 0.2 No specific recommendation
MPED_M_EGG_USDA 0.4 No specific recommendation
MPED_M_SOY_USDA 0.0 No specific recommendation
MPED_M_NUTSD_USDA 1.7 No specific recommendation
MPED_LEGUMES_USDA 0.1 No specific recommendation
MPED_DISCFAT_OIL_USDA 21.4 No specific recommendation
MPED_DISCFAT_SOL_USDA 42.6 No specific recommendation
MPED_ADD_SUG_USDA 18.2 No specific recommendation
MPED_A_BEV_USDA 0.8 No specific recommendation
TOTAL_PROTEIN_G_NDSR 75.2 No specific recommendation
ANIMAL_PROTEIN_G_NDSR 44.0 No specific recommendation
VEGETABLE_PROTEIN_G_NDSR 31.1 No specific recommendation
FRUCTOSE_G_NDSR 29.9 No specific recommendation
GALACTOSE_G_NDSR 0.8 No specific recommendation
GLUCOSE_G_NDSR 26.6 No specific recommendation
LACTOSE_G_NDSR 21.2 No specific recommendation
MALTOSE_G_NDSR 4.3 No specific recommendation
SUCROSE_G_NDSR 42.5 No specific recommendation
STARCH_G_NDSR 102 No specific recommendation
TOTAL_DIETARY_FIBER_G_NDSR 18.8 No specific recommendation
SOLUBLE_DIETARY_FIBER_G_ND 5.7 No specific recommendation
INSOLUBLE_DIETARY_FIBER_G_ 12.9 No specific recommendation
TOTAL_VITAMIN_A_ACTIVITY_I 10140 No specific recommendation
BETA_CAROTENE_EQUIVALENTS_ 5073 No specific recommendation
VITAMIN_D_CALCIFEROL_MCG_N 4.8 No specific recommendation
TOTAL_ALPHA_TOCOPHEROL_EQU 10.9 No specific recommendation
BETA_TOCOPHEROL_MG_NDSR 0.4 No specific recommendation
GAMMA_TOCOPHEROL_MG_NDSR 12.5 No specific recommendation
DELTA_TOCOPHEROL_MG_NDSR 2.0 No specific recommendation
PANTOTHENIC_ACID_MG_NDSR 5.3 No specific recommendation
SFA_17_0_MARGARIC_ACID_G_N 0.1 No specific recommendation
SFA_20_0_ARACHIDIC_ACID_G_ 0.2 No specific recommendation
SFA_22_0_BEHENIC_ACID_G_ND 0.3 No specific recommendation
MUFA_14_1_MYRISTOLEIC_ACID 0.1 No specific recommendation
TRYPTOPHAN_G_NDSR 0.8 No specific recommendation
THREONINE_G_NDSR 2.6 No specific recommendation
ISOLEUCINE_G_NDSR 3.3 No specific recommendation
LEUCINE_G_NDSR 5.9 No specific recommendation
LYSINE_G_NDSR 4.6 No specific recommendation
METHIONINE_G_NDSR 1.5 No specific recommendation
CYSTINE_G_NDSR 1.1 No specific recommendation
PHENYLALANINE_G_NDSR 3.4 No specific recommendation
TYROSINE_G_NDSR 2.6 No specific recommendation
VALINE_G_NDSR 3.8 No specific recommendation
5. ARGININE_G_NDSR 3.9 No specific recommendation
HISTIDINE_G_NDSR 1.9 No specific recommendation
ALANINE_G_NDSR 3.2 No specific recommendation
ASPARTIC_ACID_G_NDSR 6.6 No specific recommendation
GLUTAMIC_ACID_G_NDSR 15.9 No specific recommendation
GLYCINE_G_NDSR 2.9 No specific recommendation
PROLINE_G_NDSR 5.6 No specific recommendation
SERINE_G_NDSR 3.6 No specific recommendation
ASPARTAME_MG_NDSR 59.2 No specific recommendation
SACCHARIN_MG_NDSR 56.0 No specific recommendation
PHYTIC_ACID_MG_NDSR 606 No specific recommendation
OXALIC_ACID_MG_NDSR 322 No specific recommendation
METHYLHISTIDINE_MG_NDSR 9.3 No specific recommendation
SUCROSE_POLYESTER_G_NDSR 0.1 No specific recommendation
ASH_G_NDSR 21.7 No specific recommendation
WATER_G_NDSR 6446 No specific recommendation
TOTAL_VITAMIN_A_ACTIVITY_M 1350 No specific recommendation
TRANS_18_1_TRANS_OCTADECEN 3.0 No specific recommendation
TRANS_18_2_TRANS_OCTADECAD 0.3 No specific recommendation
TRANS_16_1_TRANS_HEXADECEN 0.1 No specific recommendation
TOTAL_TRANS_FATTY_ACIDS_TR 3.6 No specific recommendation
NIACIN_EQUIVALENTS_MG_NDSR 34.7 No specific recommendation
OMEGA_3_FATTY_ACIDS_G_NDSR 1.3 No specific recommendation
MANGANESE_MG_NDSR 4.6 No specific recommendation
VITAMIN_E_IU_NDSR 13.9 No specific recommendation
NATURAL_ALPHA_TOCOPHEROL_M 8.2 No specific recommendation
SYNTHETIC_ALPHA_TOCOPHEROL 1.2 No specific recommendation
DAIDZEIN_MG_NDSR 0.9 No specific recommendation
GENISTEIN_MG_NDSR 1.5 No specific recommendation
GLYCITEIN_MG_NDSR 0.2 No specific recommendation
COUMESTROL_MG_NDSR 0.2 No specific recommendation
BIOCHANIN_A_MG_NDSR 0.0 No specific recommendation
FORMONONETIN_MG_NDSR 0.0 No specific recommendation
ACESULFAME_POTASSIUM_MG_ND 0.0 No specific recommendation
SUCRALOSE_MG_NDSR 1.6 No specific recommendation
AVAILABLE_CARBOHYDRATE_G_N 246 No specific recommendation
GLYCEMIC_LOAD_GLUCOSE_REFE 146 No specific recommendation
GLYCEMIC_LOAD_BREAD_REFERE 209 No specific recommendation
CHOLINE_MG_NDSR 317 No specific recommendation
BETAINE_MG_NDSR 185 No specific recommendation
ERYTHRITOL_G_NDSR 0.0 No specific recommendation
INOSITOL_G_NDSR 0.0 No specific recommendation
LACTITOL_G_NDSR 0.0 No specific recommendation
MALTITOL_G_NDSR 0.0 No specific recommendation
MANNITOL_G_NDSR 0.2 No specific recommendation
PINITOL_G_NDSR 0.0 No specific recommendation
SORBITOL_G_NDSR 0.3 No specific recommendation
XYLITOL_G_NDSR 0.0 No specific recommendation
NITROGEN_G_NDSR 12.3 No specific recommendation
Your percentage of energy (calories) from protein, carbohydrate, and fat
Nutrient Your Daily Intake Recommended Intake
_________________________________________________________________________________
%Energy from CARBOHYDRATE_ 49.4 45-65%
%Energy from PROTEIN_G_USD 14.6 10-35%
%Energy from ALCOHOL_G_USD 3.7 No specific recommendation
6. Your servings of food groups (based on the food guide pyramid serving sizes)
Food Group Your Daily Intake Recommended Intake
_________________________________________________________________________________
Observations
Process of Completing the DHQ:
The process of completing the DHQ was a lot more intensive than I ever would have imagined. As the
interviewer, it felt like I was talking forever and if I was doing this with any other person besides a nutrition
student, they would be thoroughly annoyed. As an interviewee, I was fine with answering all of the questions but I
realized that there could be a large amount of error. For example, I recently started a vegetarian diet so my
current diet wasn’t reflective of the whole year. It was also hard to remember exactly how I ate before the diet/
lifestyle change.
Over the FFQ was highly extensive and could get a large amount of error from false reporting. I think it would
be good for participants to realize certain habits and work on those, such as the frequency of alcohol intake. Even
though it was time consuming, I do feel that it gave an accurate report and gave important information that I can
now provide to my partner. The list of foods seemed complete for the most part, I think there could be a benefit
to asking how much gum a person chews.
Compare and Contrast dietary intake assessment methods:
The MyPlate recommendation for fruit was to consume 2 cups a day. In the 3-day food record the client
reported consuming 0.5 cups per day, while the FFQ showed consumption of 0.9 cups per day. Results from both
FFQ and the 3-day food record was close and seemed to accurately reflect the amount the client consumes on an
average day.
The MyPlate recommendation for vegetables was to consume 2.5 cups a day. In the 3-day food record the
client reported consuming 0.4 cups per day, while the FFQ showed consumption of 1.8 cups per day. While doing
the 3-day food record interview, the client disclosed that the amount of vegetables they ate during the 3 days
was not normal. The FFQ more accurately showed an average consumption, and still may have been high, as the
client may have felt the need to over report.
The MyPlate recommendation for grains was to consume 6 ounces a day. In the 3-day food record the client
reported consuming 3.4 ounces per day, while the FFQ showed consumption of 6.2 ounces per day. Again the 3-
day food record was inaccurate when it came to consuming grains as it was an odd couple of days. The FFQ was
able to show the clients general trend and that they are meeting the recommendation.
The MyPlate recommendation for protein foods was 5.5 ounces a day. In the 3-day food record the client
reported consuming 3.5 ounces per day, while the FFQ showed consumption of 10.7 ounces per day. During the
7. FFQ, there was many questions about this, and the client was more hesitant on this section and they seemed
more unsure of the answers on this one. This leads me to believe they over reported and an accurate amount of
protein consumption for this client would lie somewhere between the results of the 3-day food record and the
FFQ.
The MyPlate recommendation for dairy was 3 cups a day. In the 3-day food record the client reported
consuming 1.5 cups per day, while the FFQ showed consumption of 2 cups per day. Both results were comparable
and reliable, and client was aware they should be getting more dairy.
The MyPlate recommendation for added oils/fats was 6 tsp. a day. In the 3-day food record the client
reported consuming 3.2 tsp per day, while the FFQ showed consumption of 17.8 tsp per day. I believe the FFQ
was abnormally high because there was questions about cooking with oils and the client rarely did this but most
of the time they aren’t spreading butter on bread of over consuming oils. Overall I think the questions may have
confused the client leading to over reporting and that the 3 day food record showed a more accurate
consumption.
The MyPlate recommendation for discretionary calories was less than 210 kcals a day. In the 3-day food
record the client reported consuming 152 kcals per day, while the FFQ showed consumption of 945 kcals per day
in discretionary calories. I thought this number was extremely high and I think the discrepancy might have come
from over reporting on the amount of fats, sugar, and alcohol they drank. There were even times when the client
said, “I think that’s too much but the next option is way to less.” The client agreed that not everyday is the same
and some days there may be no discretionary calories and days were most of the calories come from this source.
I feel in this case the 3-day food record was more accurate.
Nutrition Advice:
I would recommend they increase their dairy intake by one more additional dairy cup equivalent. This
client like greek yogurt and milk so I suggested adding a glass of milk to either lunch or dinner, or if they don’t
wish to do that they might like having a greek yogurt as a mid afternoon snack.
I would also recommend decreasing Calories from discrentionary foods. We discussed limiting alcohol to one
drink per hour when going out to the bars and making sure to eat a balanaced meal before hand. We also talked
about eating candy and other dessert items every once in a while as apposed to every day.
I would recommend increasing fruit and vegetable intake. For example, having fruit with her greek yogurt as
a snack or eating carrots and hummus as another alternative snacks. They could also add fruit to their oatmeal in
the morning, such as peaches, apple, and blueberries. Additionally they enjoyed steamed vegetables so I
recommended making a serving of steam broccoli, carrots, or any vegetable of their choosing for part of dinner.
Additionally, I would want to check in to make sure they understood protein portion sizing as their reports
different so drastically. I would educate them that a serving of chicken would be the size of a deck of cards and
that 3 ounces is generally 1 serving of protein.
8. Experience and Reflection:
I had always heard that it was sort of a pain to complete these FFQ but I think It was needed for all of use to do
it so we could really understand and sympathize with people that have to complete these. It is already a known
limitation that it is extremely time consuming, and I found this to be more than true. To counteract this, a major
strength of the FFQ is to give us the idea of a bigger picture when it comes to someone’s eating habits. I felt like
the process itself allowed for some self-reflection on certain habits and then getting to review the report
reinforced the consequence of certain habits
