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BALANCED DIET
&
DIET PRESCRIPTION
Balanced diet
• A balanced diet is defined as one which contains a
variety of foods in such quantities & proportions
that the need for energy, amino acids ,vitamins,
minerals, fats, carbohydrate& other nutrients is
adequately met for maintaining health, vitality &
general well being & also makes a small provision
for extra nutrients to withstand short durationof
leanness
Diet prescription
• Planning of diet for maintaining health
• Prevention of disease
• Treatment of disease
• Therapeutic diet
Factors considered
• Age & sex
• SEC of people
• Food locally available and their cost
• Nutritive value of food stuff
• To make recommended dietary allowance
• Any disease
Information needed for diet prescription
• Food groups
• Nutritive value
• Nutritional requirements
• Balanced diet principles
• Balance diet calculation
Classification by Nutritive Value
• Cereals & Millets
• Pulses (legumes)
• Vegetables
• Nuts & oilseeds
• Fruits
• Animal foods
• Fats & oils
• Sugar & jaggery
• Condiments & spices
• Miscellaneousfoods
Proteins 4 kcal/gm
Fat 9 kcal/gm
Carbohydrate 4 kcal/gm
GLV 0.2kcal/gm
Refined sugar 4 kcal/gm
Dietary fibre 2 kcal/gm
Dietary source & supply of energy
Nutrients in food is to meet the people’s
physiologicalrequirement
1. Number
2 .Kinds
3 .Ratio (Interaction)
Nutritive value
Nutritive Value of common food
Food Quantity
gm
Energy kcal Protein (gm)
Cereals 100 350 10
Pulses 100 350 20
GLV 100 20
Other veg 100 25 1-2
Roots&tubers 100 100
Fruits 100 50
Coconut 100 450
Sugar 100 400
Nutritive Value
Food Quantity Energy Protein
fat 100 900
Fish 100 100 10
Egg 100 130 13
Meat 100 200 20
Milk 100ml 60 3
Energy requirements
Adult Sedentary
worker kcal/day
Moderate
worker
kcal/day
Heavy
worker
kcal/day
Male
(60 kg)
2110
(32)
2710
(42)
3470
(53)
Female
(55 kg)
1660
(30)
2130
(39)
2720
(49)
Pregnancy +350
Lactation +600(0-6)
+520 -6-12m
Protein requirements
Adult 0.83 mg/kg body weight
Male
(60 kg)
54 gm
Female
(55 kg)
46gm
Pregnancy (+22 )
+ 9.5 gm – 1st TM
+22 gm - 2nd TM
Lactation +17gm up to 6 months
+13 gm- 6-12 months
Fat requirements- visible fat
Adult Sedentary
worker
Mx level
Moderate
worker
Mx level
Heavy
worker
Mx level
Male 60kg 25 gm/d 30gm/d 40gm/d
Female 55 kg 20 gm/d 25gm/d 30 gm/d
Pregnancy 30 gm/d
Lactation 30 gm/d
• Energy requirement reduced by
2% - 30 yrs -40 yrs
5% - 40 yrs -50 yrs
5% - 50yrs -60 yrs
10 %- 60 yrs- 70yrs
10% - 70yrs- 80 yrs
Criteria for calculation of balanced diet
1. Energy from cereals comprises 50-60% of total
calorie requirement
2. Cereal protein: pulse protein 5:1
3. All vegetable together 450gm(GLV-150gm,others
200gm, roots &tubers100gm) & fruits 150gm
4. Minimum level of fat – 10-15% of total energy
5. Minimum milk intake 300ml
6. Refined sugar and jaggery – up to5% of energy
1.Diet for adult male doing sedentary work
Energy -2110kcal
Protein -54 gm
Fat -25gm
Diet for adult doing sedentary work
1. Total energy 2110k cal& protein 54 gm
• 60% of total energy should come from Cereals
60% of the 2110 kcal is from cereal=
=2110x60 =1226 kcal(cereals)
100
(Cereal 100gm---350kcal)
1226/350 =361 gm of cereals
100gm cereal 10 gm protein
361gm----------→ 36.1gm (361x10)
100
Cereal protein = 36.1 gms
Cereal protein : pulse protein 5:1
There fore pulse protein=1/5 of cereal protein
36.1/5=7.2gms
Calculation ctd…
• 100gms pulse contain 20 gms protein
• Therefore amount of pulses =
7.2x100/20=36gms
• Energy from 36 gms of pulses=36x350/100= 126kcal
• Amount of fat required = 25 gm (1gm fat=9kcal)
• Energy=25x 9=225kcal
• GLV -100 gms -------------20 Kcal
• Other veg 200= 50 kcal & 2gm protein
• Roots &tubers-100gm=100kcal
• Fruits 150 = 75 kcal
• Milk 300ml=180Kcal and 9 gms protein
• Sugar- 5% = 105 kcal
1gms sugar 4 Kcal. 105/4= 21.1= 26.25 gm =25gms
Food item quantity Kcal Protein
cereals 361 1226 36.1
pulses 36 126 7.2
fat 25 225
GLV 100 20
Other veg 200 50 2
Routs &tubers 100 100
fruits 150 75 1.35
sugar 25 100
milk 300ml 180 9
Total 2102 55.65
Non vegetarian
50% of the pulses can be replaced by one egg or
30gm meat
Measurements
1 cup =200ml
1 glass=200- 250ml
1 teaspoon=5ml
1 tablespoon=15ml
1 thavi=40ml
Caloric value of Cooked foods
Item Quantity Gm/ml Calorie
kcal
Protein
gm
Puri 1 20gm 80
Puttu 1 70gm 70
Dosa 1 50gm 125
Iddly 1 50 gm 75
Uppuma 1 plate 125 gm 270
Sambar 1 cup 190 ml 110
Chutney 2 tbsp 30ml 120
Tea 1 cup 200ml 75 0.9
Caloric value of Cooked foods
Item Quantity Gm/ml Calorie protein
Rice 1 cup 170 gm 170 17 gm
Sambar 1 cup 190 ml 110
Dhal curry 1cup 150ml 200 40gm
chicken curry 1 cup 130 gm 320
Veg thoran 1 cup 150gm 150
Chappathy 1 30gm
Egg 1 60gm 70 6
Banana 1m 100gm 104
Mango 1m 100 74
Menu -1
Break fast 2 piece puttu + 3 table spoon green
gram curry
Tea 1 glass (with milk)
Lunch 1 plate rice + 2tbsp sambar+beet
root upperi 1tbsp +curd 1tbsp
Evening tea 1 glass tea ( with milk)
1 medium banana
Dinner 1 plate rice + vegetable curry 2
table spoon+Drum stick leaf thoran
3 table spoon
Milk 200ml
Thank you

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Balanced Diet & diet prescription.pdf

  • 2. Balanced diet • A balanced diet is defined as one which contains a variety of foods in such quantities & proportions that the need for energy, amino acids ,vitamins, minerals, fats, carbohydrate& other nutrients is adequately met for maintaining health, vitality & general well being & also makes a small provision for extra nutrients to withstand short durationof leanness
  • 3. Diet prescription • Planning of diet for maintaining health • Prevention of disease • Treatment of disease • Therapeutic diet
  • 4. Factors considered • Age & sex • SEC of people • Food locally available and their cost • Nutritive value of food stuff • To make recommended dietary allowance • Any disease
  • 5. Information needed for diet prescription • Food groups • Nutritive value • Nutritional requirements • Balanced diet principles • Balance diet calculation
  • 6. Classification by Nutritive Value • Cereals & Millets • Pulses (legumes) • Vegetables • Nuts & oilseeds • Fruits • Animal foods • Fats & oils • Sugar & jaggery • Condiments & spices • Miscellaneousfoods
  • 7. Proteins 4 kcal/gm Fat 9 kcal/gm Carbohydrate 4 kcal/gm GLV 0.2kcal/gm Refined sugar 4 kcal/gm Dietary fibre 2 kcal/gm Dietary source & supply of energy
  • 8. Nutrients in food is to meet the people’s physiologicalrequirement 1. Number 2 .Kinds 3 .Ratio (Interaction) Nutritive value
  • 9. Nutritive Value of common food Food Quantity gm Energy kcal Protein (gm) Cereals 100 350 10 Pulses 100 350 20 GLV 100 20 Other veg 100 25 1-2 Roots&tubers 100 100 Fruits 100 50 Coconut 100 450 Sugar 100 400
  • 10. Nutritive Value Food Quantity Energy Protein fat 100 900 Fish 100 100 10 Egg 100 130 13 Meat 100 200 20 Milk 100ml 60 3
  • 11. Energy requirements Adult Sedentary worker kcal/day Moderate worker kcal/day Heavy worker kcal/day Male (60 kg) 2110 (32) 2710 (42) 3470 (53) Female (55 kg) 1660 (30) 2130 (39) 2720 (49) Pregnancy +350 Lactation +600(0-6) +520 -6-12m
  • 12. Protein requirements Adult 0.83 mg/kg body weight Male (60 kg) 54 gm Female (55 kg) 46gm Pregnancy (+22 ) + 9.5 gm – 1st TM +22 gm - 2nd TM Lactation +17gm up to 6 months +13 gm- 6-12 months
  • 13. Fat requirements- visible fat Adult Sedentary worker Mx level Moderate worker Mx level Heavy worker Mx level Male 60kg 25 gm/d 30gm/d 40gm/d Female 55 kg 20 gm/d 25gm/d 30 gm/d Pregnancy 30 gm/d Lactation 30 gm/d
  • 14. • Energy requirement reduced by 2% - 30 yrs -40 yrs 5% - 40 yrs -50 yrs 5% - 50yrs -60 yrs 10 %- 60 yrs- 70yrs 10% - 70yrs- 80 yrs
  • 15. Criteria for calculation of balanced diet 1. Energy from cereals comprises 50-60% of total calorie requirement 2. Cereal protein: pulse protein 5:1 3. All vegetable together 450gm(GLV-150gm,others 200gm, roots &tubers100gm) & fruits 150gm 4. Minimum level of fat – 10-15% of total energy 5. Minimum milk intake 300ml 6. Refined sugar and jaggery – up to5% of energy
  • 16. 1.Diet for adult male doing sedentary work Energy -2110kcal Protein -54 gm Fat -25gm
  • 17. Diet for adult doing sedentary work 1. Total energy 2110k cal& protein 54 gm • 60% of total energy should come from Cereals 60% of the 2110 kcal is from cereal= =2110x60 =1226 kcal(cereals) 100 (Cereal 100gm---350kcal) 1226/350 =361 gm of cereals
  • 18. 100gm cereal 10 gm protein 361gm----------→ 36.1gm (361x10) 100 Cereal protein = 36.1 gms Cereal protein : pulse protein 5:1 There fore pulse protein=1/5 of cereal protein 36.1/5=7.2gms
  • 19. Calculation ctd… • 100gms pulse contain 20 gms protein • Therefore amount of pulses = 7.2x100/20=36gms • Energy from 36 gms of pulses=36x350/100= 126kcal • Amount of fat required = 25 gm (1gm fat=9kcal) • Energy=25x 9=225kcal
  • 20. • GLV -100 gms -------------20 Kcal • Other veg 200= 50 kcal & 2gm protein • Roots &tubers-100gm=100kcal • Fruits 150 = 75 kcal • Milk 300ml=180Kcal and 9 gms protein • Sugar- 5% = 105 kcal 1gms sugar 4 Kcal. 105/4= 21.1= 26.25 gm =25gms
  • 21. Food item quantity Kcal Protein cereals 361 1226 36.1 pulses 36 126 7.2 fat 25 225 GLV 100 20 Other veg 200 50 2 Routs &tubers 100 100 fruits 150 75 1.35 sugar 25 100 milk 300ml 180 9 Total 2102 55.65
  • 22. Non vegetarian 50% of the pulses can be replaced by one egg or 30gm meat Measurements 1 cup =200ml 1 glass=200- 250ml 1 teaspoon=5ml 1 tablespoon=15ml 1 thavi=40ml
  • 23. Caloric value of Cooked foods Item Quantity Gm/ml Calorie kcal Protein gm Puri 1 20gm 80 Puttu 1 70gm 70 Dosa 1 50gm 125 Iddly 1 50 gm 75 Uppuma 1 plate 125 gm 270 Sambar 1 cup 190 ml 110 Chutney 2 tbsp 30ml 120 Tea 1 cup 200ml 75 0.9
  • 24. Caloric value of Cooked foods Item Quantity Gm/ml Calorie protein Rice 1 cup 170 gm 170 17 gm Sambar 1 cup 190 ml 110 Dhal curry 1cup 150ml 200 40gm chicken curry 1 cup 130 gm 320 Veg thoran 1 cup 150gm 150 Chappathy 1 30gm Egg 1 60gm 70 6 Banana 1m 100gm 104 Mango 1m 100 74
  • 25. Menu -1 Break fast 2 piece puttu + 3 table spoon green gram curry Tea 1 glass (with milk) Lunch 1 plate rice + 2tbsp sambar+beet root upperi 1tbsp +curd 1tbsp Evening tea 1 glass tea ( with milk) 1 medium banana Dinner 1 plate rice + vegetable curry 2 table spoon+Drum stick leaf thoran 3 table spoon Milk 200ml