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Unit 3 NS270 Nutritional Assessment and Management

Unit 3 NS270 Nutritional Assessment and Management. Amy Habeck, RD, MS, LDN. Recognition. Excellent sources Critical thinking skills. Unit 3 Learning Objectives:. Case study – 45 year old male Found in Doc Sharing and on Seminar tab of Unit 3 Course Home

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Unit 3 NS270 Nutritional Assessment and Management

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  1. Unit 3NS270 Nutritional Assessment and Management Amy Habeck, RD, MS, LDN

  2. Recognition Excellent sources Critical thinking skills

  3. Unit 3 Learning Objectives: • Case study – 45 year old male • Found in Doc Sharing and on Seminar tab of Unit 3 Course Home • Complete a nutrient analysis on a food intake to identify actual and potential nutrient deficiency • Review- Stanfield and Hui • Chapter 5 – Vitamins • Chapter 6 – Minerals • DRI tables • Answer your questions

  4. Case Study • 45 year old male • Ht: 5’10” • Wt: 190 pounds • Calculate BMI • Determine BMI Classification • Calculate energy needs • Assess intake • Recommendations

  5. BMI Calculation-Metric Conversion • What is his height in meters? 5’10” = _______m • What is his weight in kilograms? 190 pounds = _______kg

  6. Convert Height to Meters • Ht: 5’10” = 70 inches 70 inches x 2.54 cm/in = 177.8 cm 177.8 cm ÷ 100 cm/m = 1.78 m (1.78m)2 =1.78 x 1.78 = 3.17 m

  7. Convert Weight to Kilograms • Weight • 190 pounds x kg/2.2 pounds = 86.36 kg

  8. Calculate BMI Weight in Kg (Ht in m)2 =_________ http://www.nhlbisupport.com/bmi/bmi-m.htm

  9. Calculate BMI • Using Standard Measurements Wt (pounds) (x 703)= Ht (in)2

  10. 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?

  11. 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

  12. Calorie Assessment • Calorie calculator • MyPyramidTracker.gov

  13. 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

  14. 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?

  15. 2005 Dietary Guidelines

  16. Dietary Analysis http://www.MyPyramidTracker.gov

  17. Dietary Analysis http://www.fitday.com

  18. Identify nutrients below RDA/AI • Fiber • Omega-6 • Omega-3 • Vitamin C • Vitamin E • Folate • Magnesium • Potassium

  19. Inside the Pyramid

  20. Inside the Pyramid

  21. Inside the Pyramid

  22. 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?

  23. Questions About Measurement and Assessment of Intake?

  24. Farewell • Thank you for your kind attention and participation! • Email any time - ahabeck@kaplan.edu • Call if your concern or question is urgent • 630 323 3307

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