Dietary Computations

Jemma G. de Leon
UERMMMCI – College of Nursing
 Nutrition Evaluation
Height
► A linear measurement
► Indication of past or chronic nutritional
status
 How to obtained correct height
measurement?
► Infantometer for infants
 How to obtained correct height
measurement?
► Stadiometer for children and adults
 How to obtained correct height
measurement?
Infants:
 How to obtained correct height
measurement?
Children and adults:
 How to obtained correct height
measurement?
Knee Height
► To estimate stature of the patients whose
standing height cannot be taken accurately
 How to obtained correct height
measurement?
Knee Height
► Bent the knee to a 90 degree angle
 How to obtained correct height
measurement?
Knee Height
► Measure by using a tape measure, from the knee
cap to the tibia
► Make at least 2 readings
► Get the knee height in cm

► Formula
Men: 64.19 – (0.04 x age in years) + (2.02 x knee height in cm)
Women: 84.88 – (0.24 x age in years) + (1.83 x knee height in cm)
 Waist to Hip Ratio
► Abdominal ratio
► To measure body fat distribution and adiposity
 Waist to Hip Ratio
► Guide in evaluating health risk
 Waist to Hip Ratio
► Formula:

Waist Circunference (cm)

Hip circumference (cm)

►> 1 in men =android obesity

► > 0.8 in women = android obesity
 Mid Upper Arm Circumference
► It evaluate fat stores
► It measures the arm, muscle mass, subcutaneous fat and
bone
► It estimates wasting of an individual

Steps:
► Use a measuring tape
► Allow the subject to sit and hang his arm on the side
► Mark the midpoint
► Place the tape around the mid upper arm
► Measure 3 times (nearest cm)
► Average the 3 measurements
Mid Upper Arm Circumference
(Children 1- 5)
MUAC Level of nutrition

> 14 Normal

12.5 - 14 Mild / moderate

malnutrition
< 12.5 Severe malnutrition
Mid Upper Arm Circumference
(Adults)
MUAC Level of nutrition

Male: > 23 Normal

< 23 Malnourish

Female: > 22 Normal

< 22 Malnourish
 Desirable Body Weight
► Ideal body weight
► Healthy weight
► Indicates a person’s body composition has a
good balance of lean body mass and fat
tissue
 Desirable Body Weight (Infants)
Based on birth weight and age
► First 6 months:
DBW = Birth weight (gm) + (age in mo. X 600)

►7 months – 1 year:
DBW = Birth weight (gm) + (age in mo. X 500)
 Desirable Body Weight (Infants)
Based on age

► DBW (k) = (age in mo./2) + 3

Desirable Body Weight (Children)

► DBW (k) = (age in years x 2) + 8

 Desirable Body Weight
(Teens & Adults)
Nutritionist-Dietitians’ Association of the
Philippines (NDAP) Formula
► Used by FNRI

Method:
1.Men – 112 lbs for 5 feet tall
Women – 106 lbs for 5 feet tall
2. Add 4 lbs for every inch above 5 feet
Subtract 4 lbs for every inch below 5 feet
 Desirable Body Weight
(Teens & Adults)
Tannhauser’s / Broca Index

Method:
► DBW (k) = height (cm) – 100
► Deduct 10% when subject is Filipino
 Desirable Body Weight
(Teens & Adults)
BMI derived formula

Formula:
► Men: DBW (k) = height in meters2 x 22
► Women:DBW (k) = height in meters2 x 20.8
 Desirable Body Weight
(Amputees)
Formula:
► Compute DBW
► Adjust DBW accdg to type of amputation

Adjusted DBW = DBW (DBW x % total wt. amputed

 Desirable Body Weight
(Amputees)
Body part % of total body
weight
Hand 0.3
Forearm and hand 2.6
Entire arm 6.2
Foot 1.7
Below knee amputation 7.0
Above knee amputation 11.0
Entire leg 18.6
 Total Energy Requirement
► Formuscular and metabolic activities of the
body which requires energy
► Energy – comes from oxidation of food
► Measured in kilocalories / kilojoules
► Consider: age, sex, physical activity and
health condition
► TER is rounded off to the nearest 50 kcal
Total Energy Requirement (Infants)

►1 – 6 months
TER (kcal /day) = 120 kcals
K DBW

►7 months – 1 year
TER (kcal /day) = 110 kcals
K DBW
Total Energy Requirement (Children)
► Narins and Weil
TER = 1000 + (100 x age in years)
► Calorie Needs for age & DBW
TER = DBW (k) x calorie allowance accdg to age
Age Suggested kcal / k DBW
/day
1–3 105
4–6 90
7–9 75
10 - 12 65 (boys); 55 (girls)
 Total Energy Requirement
(Adolescents)
► TER = DBW (k) x calorie allowance based on age

Age Suggested kcal / k DBW

/day
13 – 15 55 (boys); 45 (girls)
16 – 19 45 (boys); 40 (girls)
Average 45
 Total Energy Requirement (Adults)
► Energy Allowance Based on Activity Level
TEA = DBW (k) x Physical Activity
Activity level:
Bed rest (hospital patients) 27.5

Sedentary (mostly sitting) 30.0

Light (Tailor, Nurse, Physician, Jeepney driver) 35.0

Moderate (Carpenter, Painter, Heavy housework) 40.0

Very active (swimming, lumberman) 45.0