DIETARY CALCULATIONS - PPT Version 1
DIETARY CALCULATIONS - PPT Version 1
DIETARY CALCULATIONS - PPT Version 1
ASSESSMENT AND
DIETARY CALCULATIONS
ESTIMATING HEIGHT STATURE
CHILDREN
Height or Length at birth
1 year : + 24 cm.
2 years : + 12 cm.
3 years : + 8 cm.
4 to 8 years : + 6cm. every year
ESTIMATING HEIGHT STATURE
Knee Height Measurements to
Approximate Height ( for ages
65-90)
Equipment: Sliding Broad Blade Caliper
Derive Height using the following
formula
Height in cm (women)= (1.83xKH) -
(0.24x age in years) + 84.88
Height in cm (men)= (2.02xKH) – (0.04x
age in years) + 64.19
ESTIMATING HEIGHT STATURE
ARM SPAN
Use for people who cannot stand
Arms are extended straight out to the side 90
degrees angle from the body, distance from
the longest fingertip of one hand is measured
to longest fingertip of the other hand.
Height in cm (Male)= 118.24 + (0.28 x arm
span) – (0.07 x age)
Height in cm (Women)= 63.18 + (0.63 x arm
span) – (0.17 x age )
ESTIMATING DESIRABLE BODY
WEIGHT
INFANTS
First 6 months
7-12
months
DBW= Birth weight (gms) + (age in
months x 500)
CHILDREN
DBW (kg) = ( age in years x 2 ) + 8
ESTIMATING DESIRABLE BODY
WEIGHT OF ADULTS
A. Tannhauser’s Method
Measure height in centimeters. Deduct
from this factor 100and the answer is the
DBW in kg. The DBW obtained applies to
Filipino stature by taking off 10%
B. Adopted Method
For 5 feet, use 105 lbs. For every inch
above 5 feet, add 5 lbs.
Example:
Height: 5’2’’
5 feet = 105 lbs
2 inches = 5 x 2 = 10 lbs.
DBW = 115 lbs or 52 kg.
ESTIMATING DESIRABLE BODY
WEIGHT OF ADULTS
D. Hamwi Equation
Women : DBW(lbs)= 100lbs for first 5 feet of
height, + 5 lbs for each additional inch
Wrist Circumference
Frame size=Height(cm)/Wrist circumference
(cm)
1. Calculation of % IBW
% IBW = (Actual Weight / IBW) x 100
% IBW Interpretation
>= 200% Morbidly obese
> 130 % Obese
110-120% Overweight
91-109% Normal
80-90% Mild malnutrition
70-79% Moderate
malnutrition
< 69% Severe malnutrition
INTERPRETATION OF BODY
WEIGHT MEASUREMENTS
GOMEZ CLASSIFICATION OF
MALNUTRITION IN CHILDREN
90-110% normal
Wellcome Classification of
Malnutrition in Children
- It evaluates the child with edema with the
Gomez Classification System
- It does not differentiate acute from chronic
malnutrition
Interpretation:
<18.0 Underweight
18-24.9 Normal
25-29.9 Overweight
30-40 Obese
> 40 Very Obese
INTERPRETATION OF BODY
WEIGHT MEASUREMENTS
BMI
The Food and Nutrition Research
Institute of the Department of Science
and Technology (FNRI_DOST) used
the following internationally-accepted
classification for BMI.
INTERPRETATION OF BODY
WEIGHT MEASUREMENTS
Waist Circumference
An indicator of body fat distribution,
hence risk of cardiovascular disease.
Waist-Hip Ratio
An indicator of body fat distribution
W/H Ratio = waist circumference (in)/
hip circumference (in)
A W/H ratio of 0.85 for women and 1.0
for men indicate central body fat
distribution hence a risk to dyslipidemia,
cardiovascular disease, NIDDM and other
diseases related to obesity.
ESTIMATING TOTAL ENERGY
REQUIREMENT
Children
A. TER/day = 1000 + (100 x age in
years)
B. Reference Range (RENI 2002)
1-3 years old 82.3 kcal
4-6 years old 74.2 kcal
7-9 years old 66.6 kcal
10-12 years old 62.9 kcal (boys)
55 kcal (girls)
ESTIMATING TOTAL ENERGY
REQUIREMENT
Adolescents
A. Reference Range ( RENI 2002)
13-15 years old 56 kcal (boys)
45.9 kcal (girls)
16-18 years old 50 kcal (boys)
40 kcal (girls)
ESTIMATING TOTAL ENERGY
REQUIREMENT OF ADULTS
Bed Rest 10
Sedentary 30
Light 50
Moderate 75
Heavy 100
ESTIMATING TOTAL ENERGY
REQUIREMENT OF ADULTS
B. Method II (Krause)
TER/day = Cals/KDBW/Day
Activity
Bed Rest 27.5
Sedentary 30
Light 35
Moderate 40
Heavy 45
ESTIMATING TOTAL ENERGY
REQUIREMENT OF ADULTS
C. NDAP FORMULA
Activity Level Male Female
In bed but mobile 35 30
Light 40 35
Moderate 45 40
Heavy 50 -
Example of activities:
Sedentary – secretary, clerk, cashier, teller
Light- teacher, nurse, students
Moderate- housewife w/o maid, vendor, jeepney driver
Heavy- farmer, laborer, fisherman
ESTIMATING TOTAL ENERGY
REQUIREMENT OF ADULTS
Where:
W = weight in kg.
H= Height in cm.
A= Age in years
ESTIMATING TOTAL ENERGY
REQUIREMENT OF ADULTS
LACTATING WOMEN
TER/day= Normal Requirement = 500
kcal
Distribution of TER Into Carbohydrates,
Protein and Fats
Method I- by percentage
distribution
% of TER
1. Carbohydrates 50-70%
2. Proteins
Infants 10%
Adults 10-12%
3. Fats
Normal Adults 20-25%
Children, adolescents 30-35%
Distribution of TER Into Carbohydrates,
Protein and Fats