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This document provides information on calculating body mass index (BMI) and determining energy requirements based on BMI. It includes formulas for calculating BMI using both metric and imperial units. BMI categories are defined, with examples given. Formulas are also provided for calculating basal metabolic rate (BMR) and total daily energy expenditure (TDEE). The document concludes with an example of calculating exchanges from food groups to create meal plans meeting specific carbohydrate, protein and fat goals.

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Lloyd The Unicorn
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705 views16 pages

Case Study Question

This document provides information on calculating body mass index (BMI) and determining energy requirements based on BMI. It includes formulas for calculating BMI using both metric and imperial units. BMI categories are defined, with examples given. Formulas are also provided for calculating basal metabolic rate (BMR) and total daily energy expenditure (TDEE). The document concludes with an example of calculating exchanges from food groups to create meal plans meeting specific carbohydrate, protein and fat goals.

Uploaded by

Lloyd The Unicorn
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PPTX, PDF, TXT or read online on Scribd
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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)

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