BACHELOR OF SCIENCE IN NURSING:

NUTRITION AND DIET THERAPY

COURSE MODULE COURSE LAB WEEK
1 2 2

Nutrition Tools, Standards and Guidelines Nutrient Recommendation

✓ Read course and laboratory unit objectives

✓ Read study guide prior to class attendance
✓ Read required learning resources; refer to course unit terminologies for jargons
✓ Participate in weekly discussion board (Canvas)
✓ Answer and submit course unit tasks

At the end of this unit, the students are expected to:

1. Memorize the different dietary formula.

2. Compute for the Body Mass Index, Basal Metabolic Rate, Desirable Body Weight and
Total Energy Requirement.
3. Create an impressive menu tray by copy and paste some menu in a tray.

Caudal, Maria Lourdes C. (2019). Basic nutrition and diet therapy: textbook for nursing
students 2nd Edition. QC: C&E. F 613.2 C31 2019
Computer device with internet access

To facilitate the practice of students’ web navigation skills, the following rules must be
implemented:

1. The use of search engines Google, YouTube and Yahoo are allowed.
2. Use navigation techniques as mentioned in the required readings.
3. Students must submit this accomplished worksheet through email or Canvas upload.

Dietary Formulations:

Body Mass Index (BMI)

1. BMI = kg/m2

Classification of Body Mass Index

BODY MASS INDEX INTERPRETATION
< 18.5 Underweight
18.5 – 24.9 Healthy / Normal BMI
25.0 – 29.9 Overweight
30.0 – 34.9 Obese 1
35.0 – 39.9 Obese 2
>40.0 Extremely Obese

Desirable Body Weight (DBW)

2. Infants = 0 – 6 months
DBW = Birth weight (kg) + (age in mos. X 600)

3. Infants = 7 – 12 months
DBW = Birth weight (kg) + (age in mos. X 500)
* If the birth weight is unknown used 3000 grams.

4. Children
DBW = age in years x 2 + 8
 5. Adults (Tanhausser’s Method)
DBW = ht. in cm – 100 – (10%)

Total Energy Requirement (TER)/day

6. Infants = 0 – 6 months
TER = DBW x 120 Kcal/ day KDBW

7. Infants = 7 – 12 months.
TER = DBW x 110 Kcal/ day KDBW

8. Children (2-12 years old)

TER = 1000 + (100 x no. Of years)

9. Adolescent (13-17)
TER = DBW x 45 Kcal

10. Adults (Krause Method)

TER = DBW x PA value

Physical Activity (PA) – calorie requirements depend upon the type and amount of exercise or
work engaged into. The more vigorous the physical work, the greater the calorie cost.

SAMPLE PHYSICAL ACTIVITY

Bed Rest: 27.5 – Comatose, Bed-ridden
Sedentary: 30 – Secretary, Clerk, Typist, Administrator, Cashier, Bank teller
Light: 35 - Teacher, Nurse, Student, Lab Tech, Housewife with maid
Moderate: 40 – Vendor, mechanic, public utility vehicle and car driver
Heavy: 45 – Farmer, laborer, coal miner, fisherman, heavy equipment operator, wrestler,
sports player

Basal Metabolism – measure of energy needed by the body at rest for its internal chemical
activities like respiration, cellular metabolism, circulation, glandular activity and maintenance of
body temperature; approximately 1 calorie per kg of body weight per hour

Basal Metabolic Rate - rate of basal metabolism in a given person at a given time and situation

BMR Calculation:

Rule of thumb - 1 kcal per kg per hour (Male)

- 0.9 kcal per kg per hour (Female)
 Example:

11. BMR (Male)

Male 75 kg = 1 kcal X 75 X 24 = 1,800 kcal

12. BMR (Female)

Female 65 kg = 0.9 kcal X 65 X 24 = 1,404 kcal

CPF computation in grams

13. Computation of CPF in grams

Example: TER X methods 1-5 (depending on the case of the client – DM can use method 5)
TER = 2,000 X .50 = 1,000 / 4 = 250 grams of carbohydrates/day
2,000 X .20 = 400 / 4 = 100 grams of protein/day
2,000 X .30 = 600 / 9 = 67 grams of fat/day

TER of 2,000 kcal/day with diet prescription of C = 250 grams; P = 100 grams; and F = 67
grams

METHODS Carbohydrate Protein Fats

method 1 60 15 25
method 2 70 10 20
method 3 65 15 20
method 4 60 10 30
method 5 50 20 30

Calorie (kilocalorie) – is a unit of heat energy.

1gram of CHO - 4 calories
1gram of CHON - 4 calories
1gram of Fats - 9 calories

Direction: Compute the following problem:

Actual Weight Work/Physical
Name Age Height in (kilograms) Activity (PA)
May (F) 67 years old 5’8” 64 Doctor
Manny (M) 64 years old 5’5” 56 Carpenter
Cora (F) 56 years old 5’1” 63 Medical Technologist
Shangrila (F) 45 years old 5’8” 68 Housewife w/ maid
Gerry (M) 33 years old 5’11” 87 Wrestler
Melody (F) 18 years old 5’5” 65 Secretary
Frey (M) 12 years old 5’0” 43 Student
Lanie (F) 7 years old 4’0” 30 Student
Nerissa (F) 8 months 29 in 12 Infant
MJ (M) 2 months 26 in BW=4,200g Infant

BODY MASS INDEX:

Using the formula given, compute for the body mass index and interpret the classification of
the following people listed above.
1. Not applicable 6. BMI = 22.5 Healthy / Normal
o 5x12 = 60 + 5 = 65 x 2.54 = 165.1
o 165 ÷ 100 = 1.65
o 1.7 × 1.7 = 2.89
o 65 ÷ 2.89 = 22.49 or 22.5

2. BMI = 19.4 Healthy / Normal 7. Not applicable

o 5x12 = 60 + 5 = 65 x 2.54 = 165.1

o 165 ÷ 100 = 1.65
o 1.7 × 1.7 = 2.89
o 56 ÷ 2.89 = 19.37 or 19.4

3. BMI = 24.6 Healthy / Normal 8. Not applicable

o 5x12 = 60 + 1 = 61 x 2.54 = 154.94
o 155 ÷ 100 = 1.55
o 1.6 x 1.6 = 2.56
o 63 ÷ 2.56 = 24.60 or 24.6

4. BMI = 23.5 Healthy / Normal 9. Not applicable

o 5x12 = 60 + 8 = 68 x 2.54 = 172.72

o 173 ÷ 100 = 1.73
o 1.7 x 1.7 = 2.89
o 68 ÷ 2.89 = 23.52 or 23.5

5. BMI = 26.9 Overweight 10. Not applicable

o 5x12 = 60 + 11 = 71 x 2.54 = 180.34
o 180 ÷ 100 = 1.80
o 1.8 x 1.8 = 3.24
o 87 ÷ 3.24 = 26.85 or 26.9
DESIRABLE BODY WEIGHT:
Using the formula given, compute for the desirable body weight of the following people listed
above.
11. 172.72 cm – 100 – (10%) = 73 kg 16. 165.10 cm – 100 – (10%) = 65 kg

12. 165.10 cm – 100 – (10%) = 65 kg 17. 12 years x 2 + 8 = 32 kg

13. 154.94 cm – 100 – (10%) = 55 kg 18. 7 years x 2 + 8 = 22 kg

14. 172.72 cm – 100 – (10%) = 73 kg 19. 3000g + (8 mos x 500) =

7000 g or 7 kg

15. 180.34 cm – 100 – (10%) = 80 kg 20. 4200g + (2 mos x 500) =

5200 g or 5.2 kg

TOTAL CALORIE REQUIREMENT/ TOTAL ENERGY REQUIREMENT:

Using the formula given, compute for the total calorie requirement or TER of the following
people listed above.
21. 73 kg x 35 = 2555 kcal / day 26. 65 kg x 30 = 1950 kcal / day

22. 65 kg x 45 = 2925 kcal / day 27. 1000 + (100 x 12) = 2200 kcal / day

23. 55 kg x 35 = 1925 kcal / day 28. 1000 + (100 x 7) = 1700 kcal / day

24. 73 kg x 35 = 2555 kcal / day 29. 7 kg x 110 cals / day = 770 kcal / day

25.
80 kg x 45 = 3600 kcal / day 30. 5.2 kg x 120 cals / day = 624 kcal / day
BASAL METABOLIC RATE:
Using the formula given, compute for the basal metabolic rate of the following people listed
above.

31. 1382 kcal 36. 1404 kcal

Solution Solution
0.9 kcal x 64 kg x 24 = 1382.4 0.9 kcal x 65 kg x 24 = 1404

32. 1344 kcal 37. 1032 kcal

Solution Solution
1 kcal x 56 kg x 24 = 1344 1 kcal x 43 kg x 24 = 1032
33. 1361 kcal 38. 648 kcal

Solution Solution
0.9 kcal x 63 kg x 24 = 1360.8 0.9 kcal x 30 kg x 24 = 648

34. 1469 kcal 39. 259 kcal

Solution Solution
0.9 kcal x 68 kg x 24 = 1468.8 0.9 kcal x 12 kg x 24 = 259.2

35. 2088 kcal 40. 101 kcal

Solution
1 kcal x 87 kg x 24 = 2088
Using TER compute for CPF distribution in grams:
41. Method 1 – 46. C-50%, P-20%, F-30% –
Solution: Solution:
2555 x .60 = 1533 / 4 = 383 g 1950 x .50 = 975 / 4 = 244 g
2555 x .15 = 383.25 / 4 = 96 g 1950 x .20 = 390 / 4 = 98 g
2555 x .25 = 638.75 / 9 = 71 g 1950 x .30 = 585 / 9 = 65 g

42. Method 2 – 47. Method 4 –

Solution: Solution:
2925 x .70 = 2047.5 / 4 = 512 g 2200 x .60 = 1320 / 4 = 330 g
2925 x .10 = 292.5 / 4 = 73 g 2200 x .10 = 220 / 4 = 55 g
2925 x .20 = 585 / 9 = 65 g 2200 x .30 = 660 / 9 = 73 g

43. Method 3 – 48. Method 3 –

Solution: Solution:
1925 x .65 = 1251.25 / 4 = 313 g 1700 x .65 = 1105 / 4 = 276
1925 x .15 = 288.75 / 4 = 72 g 1700 x .15 = 255 / 4 = 64
1925 x .20 = 385 / 9 = 43 g 1700 x .20 = 340 / 9 = 38

44. Method 4 – 49. Method 2 –

Solution: Solution:
2555 x .60 = 1533 / 4 = 383 g 770 x .70 = 539 / 4 = 135 g
2555 x .10 = 255.5 / 4 = 64 g 770 x .10 = 77 / 4 = 19 g
2555 x .30 = 766.5 / 9 = 85 g 770 x .20 = 154 / 9 = 17 g

45. C-55%, P-15%, F-30% 50. Method 1 –

Solution: Solution:
3600 x .55 = 1980 / 4 = 495 g 624 x .60 = 374.4 / 4 = 94 g
3600 x .15 = 540 / 4 = 135 g 624 x .15 = 93.6 / 4 = 23 g
3500 x .30 = 1080 / 9 = 120 g 624 x .25 = 156 / 9 = 17 g
Make a copy paste menu tray here:

Send screenshot (email or Canvas) of the ‘submission confirmation screen’ to your

instructor along with this worksheet.

Date Completed: 7/3/2023

Date Submitted: 7/3/2023

Caudal, Maria Lourdes C. (2019). Basic nutrition and diet therapy: textbook for nursing
students 2nd Edition. QC: C&E. F 613.2 C31 2019
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