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حالة دراسية بالحسابات كاملة د حاتم البيطار.pdf
The document outlines a method for diet planning using the food exchange system, which categorizes foods based on their macronutrient content and allows individuals to track intake for health management. It provides an example of calculating dietary needs for a 10-year-old boy, including assessments of health status, energy requirements, and macronutrient distribution. Additionally, it illustrates how to convert exchanges into meals while ensuring proper nutrient balance.
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حالة دراسية بالحسابات كاملة د حاتم البيطار.pdf
- 1. البيطار حاتم د العالجيةالتغذية محاضر 01005684344 Diet Planning by using food exchange system
- 2. Food Exchange system ●The food exchange system is a method of categorizing and organizing foods based on their nutrient content. ● In the food exchange system, foods are grouped into different categories based on their macronutrient content, primarily carbohydrates, proteins, and fats. Each category has a specific serving size and is assigned a certain number of “exchanges”. ● By using the food exchange system, individuals can easily track and control their intake of carbohydrates, proteins, and fats, which can be helpful for managing blood sugar levels, weight, and overall health. SLIDESMANIA.COM
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- 4. The main stepsfor diet planning التاريخ الغذائي history Diet 1 2 Evaluation of health status (Calculation of Body mass index (BMI)) ا لجسم كتلة مؤشر حساب حساب احتياجات الطاقة requirements energy of Calculation 3 4 Calculations of macronutrients 5 Distribution of total energy, carbohydrates, protein, fat by using exchange list. 6 Converting the exchange into meals
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- 6. Evaluate the stateof health and design a dietary plan for 10years boy child. Child profile: Name: Omar Age: 10 years old Gender: male Weight: 35 Kg Height: 140 cm Activity: moderately active
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- 8. 2 Calculation of Body massindex (BMI) حساب مؤشر كتلة الجسم SLIDESMANIA.COM
- 9. 1 2 34 5 6 7 8 9 10 BMI = 35 = 17.9 kg/m2 (1.40)2 Normal weight SLIDESMANIA.COM
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- 12. Method (1): Harris –Benedictequation: 1 2 3 4 5 6 7 8 9 10 Name: Omar Age: 10 years old SLIDESMANIA.COM
- 13. 8 9 10 REE(Kcal/day) = 66.47 + (13.75 x wt) + (5.0 x Ht) - (6.76 x age) REE (Kcal/day): Resting energy expenditure wt: weight (kg) بالكيلوجلرام الوزن الطول بالسنتيميتر (cm) Height Ht: العمر بالسنين years by age age: REE (Kcal/day) = 66.47 + (13.75 x 35) + (5.0 x 140) - (6.76 x 10) REE (Kcal/day) = 66.47 + (481.25) + (700) - (67.6) REE (Kcal/day) = 1180.12 Kcal/ d Energy requirements = BMR x PA = 1180.12 x 1.26 = 1486.9 approx. 1500 Kcal/d. 1 2 3 4 5 6 7 Harris –Benedict equation: Gender: male Weight: 35 Kg Height: 140 cm Activity: moderately active PA = 1.26 Name: Omar Age: 10 years old SLIDESMANIA.COM
- 14. 8 9 10 12 3 4 5 6 7 Method (2): WHO REE = (12.2 x wt) + 746 REE = (12.2 x 35) + 746 REE = 1173 Kcal Energy requirements = BMR x PA = 1173 x 1.26 = 1477.9 approx. 1500 Kcal/d. Age: 10 years old Gender: male Weight: 35 Kg Height: 140 cm Activity: moderately active Name: Omar SLIDESMANIA.COM
- 15. 8 9 10 12 3 4 5 6 7 Name: Omar Age: 10 years old Gender: male Weight: 35 Kg Height: 140 cm Activity: moderately active We can also calculate BMR, TDEE through mobile applications SLIDESMANIA.COM
- 16. Calculations of macronutrients (thethree main nutrients (Carbohydrates- Protein- Fat)) 4 SLIDESMANIA.COM
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- 18. To calculate themacronutrients in a 1500 kcal diet plan, you need to determine the distribution of calories among carbohydrates, proteins, and fats. Here’s an example of macronutrient distribution based on the recommended ranges: Carbohydrates: • 45-65% of total calories • Let’s assume 50% for this example Proteins: • 10-30% of total calories • Let’s assume 20% for this example Fats: • 25-35% of total calories • Let’s assume 30% for this example
- 19. Now, let’s calculatethe macronutrients in a 1500 kcal diet plan: 1. Carbohydrates: • 50% of total calories 1500 kcal x 0.50 = 750 kcal from carbohydrates Carbohydrates provide 4 kcal per gram 750 kcal / 4 kcal per gram = 187.5 grams of carbohydrates 2. Proteins: • 20% of total calories 1500 kcal x 0.20 = 300 kcal from proteins Proteins provide 4 kcal per gram 300 kcal / 4 kcal per gram = 75 grams of protein 3. Fats: • 30% of total calories 1500 kcal x 0.30 = 450 kcal from fats Fats provide 9 kcal per gram 450 kcal / 9 kc
- 20. 5 Distribution of total energy,carbohydrates, protein, fat by using exchange list (dietary pattern).
- 21. 1 2 34 120 SLIDESMANIA.COM Plan a dietary pattern Exchange group No. of exchange CHO (g) Protein (g) Fat (g) Energy (Kcal) Starches 6 6 x15=90 6 x3=18 ------ 6x80= 480 Fruits 3 3x15=45 ------ ------ 3x60=180 Milk 3 (Whole milk) 3x12= 36 3x8=24 3x8=24 3x150=450 Non- starchy vegetables 4 4x5=20 4x2=8 ------- 4x25= 100 Meat 4 (medium-fat) --------- 4x7=28 4x5=20 4x75=300 Fat 0 --------- -------- -------- --------- 191 78 44 1510 5 6 No. of fat exchanges = 50 – (24 +20) = 6 No. of meat exchanges = 75 – (18+24+8) = 25 = 3.57 7 No. of starch exchanges= 187.5 – (45+36+20) = 86.5 = 5.7 15 187.5 grams of carbohydrates 75 grams of protein 50 grams of fat
- 22. 6 Converting the exchange intomeals تحويل الحصص لوجبات
- 23. Meal Breakfast Snack Food exchange group Starch Meat Non-starchy vegetables Milk Fruit No. of exchange 2 1 1 1 2 Food item 2 slices toast bread White cheese (30 g) Salad (1 cup) 1 cup of milk Fruit salad (½ banana Energy (Kcal) 2x80 = 160 1x75 = 75 1 x 25 = 25 1 x 150 = 150 410 2 x 60 = 120 Starches 6 Fruits 3 Milk 3 (Whole milk) Lunch Snack Dinner Starch Non-Starchy vegetables Meat Fruit Milk Starch Meat Non-starchy vegetables Milk +½ apple +½ cup strawberry) 2 10 table spoons rice 2 1 cup cooked veg. 2 60 g grilled chicken 1 ½banana or½ mango 1 1 cup yougurt 2 2 slices toast bread 1 1 boiled egg 1 Salad (1 cup) 1 1 cup of milk 120 2 x80 = 160 2 x25 = 50 2 x 75 = 150 360 1 x 60 = 60 1 x 150 = 150 210 2x80 = 160 1x75 = 75 1 x 25 = 25 1 x 150 = 150 410 1510 Non- starchy vegetables Meat Fat 4 4 (medium-fat) 0 SLIDESMANIA.COM
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