UNIT 3 NS270 NUTRITIONAL ASSESSMENT AND MANAGEMENT Amy Habeck, RD, MS, LDN
Jan 03, 2016
UNIT 3NS270 NUTRITIONAL ASSESSMENT AND MANAGEMENT
Amy Habeck, RD, MS, LDN
Recognition
Excellent sourcesCritical thinking skills
Unit 3 Learning Objectives:
1) Case study – 45 year old malea) Found in Doc Sharing and on Seminar tab of
Unit 3 Course Homeb) Complete a nutrient analysis on a food intake
to identify actual and potential nutrient deficiency
2) Review- Stanfield and Huia) Chapter 5 – Vitaminsb) Chapter 6 – Mineralsc) DRI tables
3) Answer your questions
Case Study
45 year old male Ht: 5’10” Wt: 190 pounds Calculate BMI Determine BMI Classification Calculate energy needs Assess intake Recommendations
BMI Calculation-Metric Conversion What is his height in meters?
5’10” = _______m
What is his weight in kilograms?
190 pounds = _______kg
Convert Height to Meters
Ht: 5’10” = 70 inches70 inches x 2.54 cm/in = 177.8 cm177.8 cm ÷ 100 cm/m = 1.78 m(1.78m)2 =1.78 x 1.78 = 3.17 m
Convert Weight to Kilograms
Weight 190 pounds x kg/2.2 pounds = 86.36 kg
Calculate BMI
Weight in Kg (Ht in m)2 =_________
http://www.nhlbisupport.com/bmi/bmi-m.htm
Calculate BMI
Using Standard Measurements
Wt (pounds) (x 703)= Ht (in)2
Case Study
45 year old male Ht: 5’10” = 1.78 m2 = 3.17 Wt: 190 pounds = 86.36 kg Calculation
Kg/m2
86.36 ÷ 3.17 = 27.3 BMI: 27.3 What is his BMI classification?
BMI
BMI: 27.2 BMI Classification: Overweight
BMI Categories: Underweight = <18.5 Normal weight = 18.5-24.9 Overweight = 25-29.9 Obesity = BMI of 30 or greater
Calorie Assessment
Calorie calculator
MyPyramidTracker.gov
Calorie Calculator
Based on the Mifflin-St Jeor equation BMR for a man = 10 x wt (kg) + 6.25 x ht (cm) – 5 x
age (years) + 5 BMR for a woman = 10 x wt (kg) + 6.25 x ht (cm) -5 x
age (years) – 161 Multiply by an activity factor: P 233 Lee and Nieman
1.2 confined to bed 1.3 ambulatory, low activity 1.5-1.75 average activity 2.0 highly active
Discrepancy
Why do you think there is a difference between the calorie recommendations determined by MyPyramidTracker.gov and Calorie Calculator?
Do you think this is a significant difference?
2005 Dietary Guidelines
2005 Dietary Guidelines
Calories 2542 Dietary fiber (RDA) 20-25 gm
Fat (%) 20-30% Sodium (RDA) 1500-2300 mg
Saturated fat (%) <10% Potassium (RDA) 4700 mg
Carbohydrate (%) 45-65% Calcium (RDA) 1000 mg
Protein (%) 10-35% Magnesium (RDA) 420 mg
Dietary Analysishttp://www.MyPyramidTracker.gov
Nutrient AnalysisActual Intake 24 hour recall
Calories 3295
Grams % kcals Grams/Mg %RDA
Fat 115.3 31.5% Dietary Fiber 13 gm 52-65%
Saturated fat
46.8 12.6% Sodium 3798 mg 165-253%
Carbohydrate
440 53% Potassium 4205 mg 89%
Protein 129 16% Calcium 1684.5 mg 168%
Magnesium 361.7 mg 86%
Dietary Analysishttp://www.fitday.com
Nutrient AnalysisActual Intake 24 hour recall
Calories 3234
Grams
% kcals Grams/Mg %RDA
Fat 116.9 33% Dietary Fiber
13.8 gm 52-65%
Saturated fat 47.5 13% Sodium 3650 mg 237%
Carbohydrate 424 52% Potassium 4297 mg 91%
Protein 130 16% Calcium 1688 mg 169%
Magnesium 363.5 mg 87%
2005 Dietary Guidelines
FitDay.com MyPyramid.gov
Calories 2400 3234 3295
Fat 20-30% 116.9 115.3
Saturated Fat
<10% 47.5 46.8
Carbohydrate
45-65% 424 440
Protein 10-35% 130 129
Fiber 20-25 gm 13.8 13
Sodium 1500-2300 mg 3650 3798
Potassium 4700 mg 4297 4205
Calcium 1000 mg 1688 1684.5
Magnesium 420 mg 363.5 361.7
Identify nutrients below RDA/AI Fiber Omega-6 Omega-3 Vitamin C Vitamin E Folate Magnesium Potassium
2005 Guidelines
Actual Intake Excess or Shortage
Fruits 2 cups 0 -2 cups
Vegetables 3-3.5 cups 2.7 cups -0.3-1.2 cups
Grains 8-9 oz 6.3 oz -2.3-3.3 oz
Meats and Beans 6.5 oz 8.2 oz +1.7 oz
Milk 3 cups 4.9 cups +1.7 cups
Fats and Oils 7 tsp
Discretionary 362 kcal
Inside the PyramidFood Group Key Health Benefits Key Nutrients
Grain
Vegetables
Fruit
Milk
Meat and Beans
Healthy Oils
Inside the PyramidFood Group Key Health Benefits Key Nutrients
Grain CHD, constipation, weight management, neural tube defects
Fiber, B vitamins, Fe+
+, Mg++, Se
Vegetables Stroke, CV diseases, Type II DM, GI cancer, CHD, kidney stones, bone loss, lower calorie intake
K+, fiber, folate, Vitamins A, E and C
Fruit Stroke, CV disesases, Type II DM, GI cancer, CHD, Kidney stones, bone loss, lower calorie intake
K+, fiber, vitamin C
Inside the PyramidFood Group Key Health Benefits Key Nutrients
Milk and milk products Osteoporosis, bone health, higher overall nutritional quality
Ca++, K+, Vitamin D
Lean Meat and Beans Cholesterol and heart disease
B vitamins, vitamin E, Fe++, Zn, Mg++
Healthy Oils EFA deficiency, cholesterol levels
Vitamin E
Health Risks
What are the major problems you see with the subject’s diet?
What are the health risks of the type of diet our subject is following?
What recommendations would you give him?
What are the limitations of the data and how could you improve the accuracy of this assessment?
Questions About Measurement and Assessment of Intake?
Farewell Thank you for your kind attention
and participation! Email any time - [email protected] Call if your concern or question is
urgent 630 323 3307