NUTRITION AND DIET THERAPY EXAM
GROUP 5
Group Leader: Baterzal, Edverlyn
Members:
1. Abad, Arlly Faena
2. Ada-Ol, Milette
3. Ananayo, Melgie Gay
4. Apaan, Leanne Tracy
5. Ayak, Dolly
6. Catalino, Clarence
7. Cruz, Lody Lean
8. Damino, Ruthjoy
CASE:
You are having your school nursing in a rural kindergarten school. You are assigned
to a 5-year-old child, 42.5” tall and weighs 15kg. Upon observing the child, he seems to
be skinny, though well dressed, fair skin complexion, but he always runs around the class
making him sweaty. The teacher mentioned that he was always like that and has a
problem concentrating and finishing a simple task. Often times, he doesn’t like to eat
what is served by the teacher for snacks and eat his lunch if he sees them to be
vegetables even if it is mixed with meat. Sometimes he just tastes them and doesn’t finish
the food either. After class, he usually goes with her grandmother in the farm and plays
run a rounds in the rice paddies. At night he always sleeps at 9 PM and wakes up 5 AM
in the morning.
INSTRUCTIONS:
Read the cases assigned for your group. Each case contains the necessary information
you need to do the following:
a. Calculate the needed caloric intake a day. Use Tannhauser Method for DWB (5 pts)
Given:
Height: 42.5 inch Weight: 15 kg Work: School Age Child
Solution: (Tannhauser’s formula for children)
DBW= (no. of years x 2)+ 8
= (5 years old x 2) + 8
= 10 + 8
DBW= 18 kg
b. Calculate the diet prescription. (5 pts)
• Calculate the basal needs
Male: BMR = 66 + (6.23 x weight in pounds) + (12.7 x height in inches) – (6.8 x age
in years)
→ 66 + (6.23 x 33.07) + (12.7 x 42.5) – (6.8 x 5)
→ 66 + 206.03 + 539.75 – 34
→ 811.78 – 34 = 778 kcal
• Estimate physical activities= 90 %
• Calculate total energy allowance(TEA).
TEA= 778 kcal + 90% (Activity Factor)
= 868
• Total Energy Allowance(TEA) distribution
▪ Carbohydrates: 70%
▪ Proteins: 15%
▪ Fats: 15%
• For a normal diet, allot 65% of the total energy allowance for carbohydrates, 15%
proteins, and 20% fats. Thus, the corresponding energy contributors of the three
nutrients in your diet as follows
Carbohydrates=______868_________kcal x 0.70 =_______607.6________kcal
Proteins= _______868_________kcal x 0.15 =______130.2_________kcal
Fats= ________868________kcal x 0.15 =_______130.2________kcal
• Calculate the number of grams of carbohydrates, proteins, and fats by dividing
the calories for each nutrient by corresponding physiologic fuel values (4 kcal/g
CHO, 4 kcal/g pro, 9 kcal/g fat).
Carbohydrates=______607.6_________kcal / 4 =______151.9/ 152_______g
Proteins= ______130.2__________kcal / 4=______32.55 / 33 _______g
Fats= _______130.2_________kcal / 9=______14.46 / 15_________g
• Diet Rx: For a Male/5y/o, 42.5” tall and severely active.
CHO CHON FATS
152g 33g 15g
c. Use the computed values to create a meal plan. (10 pts)
Table 1-1. Meal Plan
TEA= 868 kcal CHO: ___152g___ CHON: ____33g___ FATS: ___15g_____
Food No. of CHO PRO FAT Energy
exchanges exchanges g g g Kcal
I.Veg A 2 3g 1g - 16 kcal
6g 2g 32 kcal
Veg B 1 3g 1g - 16 kcal
3g 1g 16 kcal
II. Fruits 3 10g - - 40 kcal
30 g 120 kcal
III. Milk 1 12g 8g 10g 170 kcal
12 g 8g 10 g 170 kcal
IV. Rice 3 a. 23g 0g - 92 kcal
b. 23g 2g - 100 kcal
c. 23g 4g - 108 kcal
69 g 0g 276 kcal
V. Meat 3 Low (-) 8g 1g 41 kcal
Med (-) 8g 6g 86 kcal
High (-) 8g 10g 122 kcal
24 g 3g 123 kcal
VI. Sugar 7 5g - - 20 kcal
35 g 140 kcal
VII. Fat 0 5g - - 45 kcal
0g 0 kcal
Total 20 155 g 35 g 13 g 877 al
d. Create a meal plan for a day for your nutrition intervention. Calculate and present
the caloric content for every meal that you have prepared including snacks if any.
Justify why you choose to prepare these foods. (40 pts)
Table 1-2. Sample Menu
Breakfast Lunch Dinner
½ cup cooked rice, packed ½ cup cooked white rice, 1 cup bihon (92 kcal)
(92 kcal) packed (92 kcal) ½ cup cooked broccoli (16
1 cup raw cucumber (16 4 pieces’ shrimp (41 kcal) kcal)
kcal) 1-piece hotdog (41 kcal) ½ cup squash fruit, cooked
1 slice mango (40 kcal) (16 kcal)
1 medium pc. galunggong 1 glass of whole milk (170
(41 kcal) kcal)
Total kcal= 189 kcal Total kcal= 174 kcal Total kcal= 294 kcal
Snacks
(Indicate Household measures)
AM Snack PM Snack
½ pc banana (40 kcal) 1 slice watermelon (40 kcal)
3 pcs. Fruit sugar jelly (60 kcal) 8 pcs. Banana chips (80 kcal)
Total kcal= 100 kcal Total kcal= 120 kcal
• Sample Meal Plan Total Calories
Breakfast= 189 kcal
AM Snack= 174 kcal
Lunch= 294 kcal
PM Snack= 100 kcal
Dinner= 120 kcal
Total = 877 kcal
The above mention are the foods that we have prepared and chosen for the
case of a male child with 42.5” tall and weighs 15 kg. Since the child wants to play and
often has a problem concentrating and finishing a simple task these foods are essential
and helpful for the growth and physical development of the child. These foods are
crucial specially to strengthen the child’s bone when playing and to enhance his focus
when studying. And also, some foods such as milk, banana, mango, and watermelon
are used to protect the child from infections since he usually goes with his grandmother
in the farm and play in the rice paddies. And since the child is underweight, we choose
these foods to boost metabolism and increase the appetite of the child because in
every meal there is a variety of food, at the same time snacks to ensure that the child
will be tempted to go to the table and eat the prepared foods. Thus, his weight may
increase and he can have good nutrition. Besides, these foods increase the clarity of
thought and ability to recall information which will help and boost the child to do his
given task. Also, the cucumber and watermelon will replenish the fluid that was taken
out in the body of the child due to sweating to avoid dehydration. The foods that were
prepared also contains low calories and carbs to promote digestive health and
maintain a healthy weight for the child.
