The document outlines a dietary plan for a child with underweight and undernutrition, detailing caloric requirements and macronutrient distributions. It includes calculations for carbohydrates, protein, and fats, along with a food exchange summary and meal examples. Additionally, it poses questions regarding the importance of various dietary fibers, ketosis, the effects of excessive fiber intake, and gluconeogenesis.

1. Case: A child suffering from
underweight/under nutrition.

Using a 1500 caloric
requirement, calculate and plan a high
CHO diet allowing 70-80% of total caloric
requirement for CHO.

2. CHO: 1500 x .75 = 1,125kcal
1,125kcal/4 = 281.25g
CHON: 1500 x .10 = 150kcal
150kcal/4 = 37.5g
FATS: 1500 x .15 = 225kcal
225kcal/9 = 25g

3. Food
exchange
# of
exchanges
CHO
CHON
FATS
ENERGY
g
g
g
kcal
2g
I. Veg A
Veg B
2
6g
II. Fruits
4
40g
III. Milk
2
24g
16g
IV. Rice
8
184g
16g
V. Meat
1
VI. Sugar
5
VII. Fat
1
TOTAL
32
160
8g
20g
340
800
2g
25g
50
100
5g
279g
1116kcal
42g
168kcal
45
27g
243kcal
1,527kcal

4. Food
Exchange
# of
Exchanges
Breakfast
I. Veg A
Veg B
2
II. Fruits
4
1
III. Milk
2
1
IV. Rice
8
3
V. Meat
1
1
VI. Sugar
5
1
VII. Fat
1
Lunch
Dinner
1
1
1
1
Snacks
1
1
3
2
1
1
1
2

5. Chopsuey (sautéed in butter)
 Strawberry shake
 Plain rice


6. 
Chopsuey (sauteed in butter)
- cabbage ( 1/8 cup )
- pea pods ( 1/4 cup )
-carrots (1/8 cup)
- reduced fat butter ( 1 tbsp. )

7. Fruit shake
- 1 ¼ cups of whole berries
- 1 tsp. of sugar
 Plain rice
- 1 cup of rice


8. 1.
What is the importance of the following
to the body?
a. Insoluble fibers
b. Soluble fibers

9. 2. what is ketosis
3. what are the harmful effects of
excessive fiber intake?
4. How does the body make glucose
from protein?