Situation:

The parents of 7 year old, Marie, is in a dilemma of making their child eat her vegetables. They
are aware of Marie’s picky eating habits. The mother admits that they seldom prepare vegetables in their
household. Marie excels as a 1st grader in Mary Immaculate School. Besides from academics, she plays
the violin and actively participates in the children’s dodge ball team of their school
Details:
Age: 7 years old
Height: 4 ft.
Weight: 20 kg.
BMI: 13.4
Calculation of Diets
I. Desirable Body Weight (DBW)
For children aged 5-`4 years: Weight (kg) = 4x age in years
=4x7
= 28 kg
II. Total energy allowance
28 kg x 45 (very active) = 1260 kcal
III. Percentage Distribution
CHO CHON FAT
1260 x 0.65 = 819 1260 x 0.15 = 189 1260 x 0.20 = 252
Physiologic Value
CHO CHON FAT
819/4 = 204.5 189/4 = 47.25 252/9 = 28
Diet Prescription: 1260 kcal; CHO 205, PRO 45, FAT 30
 Diet Prescription: 1260 kcal; CHO 205 – PRO 45 – FAT 30

Food No. of CHO (g) PRO (g) FAT (g) Energy

Exchanges
Veg. List I- A 2 3 1 0 16
Veg. List I-B 1 3 1 0 16
Fruit List II 4 40 0 0 160
Milk List III 3 36 24 15 375
Sugar List VII 9 45 0 0 180
Partial 127
sum:
205 (prescribed CHO) 3 69 6 0 300
-127 (partial sum)
78/23 = 3 no. of rice exchange
Partial 32
sum
40 (prescribed PRO) 1 0 8 6 86
-32 (partial sum)
8/8 = 1 no. of meat exchange

Partial 21
sum
30 (prescribed FAT) 2 0 0 10 90
-21 (partial sum)
9/5 = 2 no. of fat exchange

Total 196 40 31 1223

 MEAL PLAN AND MENU FOR ONE DAY
Diet Prescription: 1260 kcal; CHO 205 – PRO 45 – FAT 30
Total Food for the Day
Vegetable A 2 exchanges
Vegetable B 1 exchange
Fruit 4 exchanges
Milk 3 exchanges
Sugar 9 exchanges
Rice 3 exchanges
Meat and Fish 1 exchange
Fat 2 exchanges

Food No. of Sample Menu Approx. Size Per

Exchanges Exchanges Serving
Breakfast
Rice or rice 1 Champorado 3 cups
products
Sugar 2 Cocoa 3 (9cm dia x .3
cm thick)
Milk ¼ Powdered Milk 1 tablespoon

Food Exchanges No. of Sample Menu Approx. Size Per

Exchanges Serving
Mid A.M. Snack
Fruits 1 Apple 1/2 of 8 cm
diameter or 1
(6cm diameter)
Rice 1/2 Bread 1 slice (11 ⁄2
oz)
Fat 1 Mayonnaise 1 teaspoon
Vegetable A 1 Lettuce 1 cup cooked
 (45 g)
Meat and Fish 1/4 Tuna sardines 1-1/2 of 6 x 4 x
3 cm each
Sugar 2 Marshmallow 1 (2-1/2 cm
diameter)

Food No. of Exchanges Sample Menu Approx. Size Per

Serving
Lunch
Rice 1 Rice, cooked ½ cup
Vegetable B 1 Carrot 1/2 cup cooked
(45g)
Meat ¼ Pork 1 slice,
matchbox size (5
x 3-1/2 x 1-1/2
cm
Fat 1/4 Oil ¼ teaspoon

Food No. of Exchanges Sample Menu Approx. Size Per

Serving
Mid-PM Snack

Fruit 1 Saba 1 (10 x 4 cm)

Sugar 2 White Sugar 1 teaspoon

Fat 1/4 Oil ¼ teaspoon
Fruit 2 Mango 1 slice (12 x 7 cm)
or 1/2 cup cube
Sugar 2 Marshmallow 1 (2-1/2 cm
diameter)

Supper No. of Exchanges Sample Menu Approx. Size Per

 Serving
Meat and fish or ½ Meat 1 slice,
substitute matchbox size (5
x 3-1/2 x 1-1/2
cm
Vegetable A 1/2 Raddish 1/2 cup cooked
(22.5g)
Vegetable A 1/2 Swamp Cabbage 1/2 cup cooked
(22.5g)
Rice 1/2 Rice cooked ¼ cup
Oil ¼ Oil ¼ teaspoon
Sugar 2 Pulvoron 1 (4 x 2-1/2 x 1 cm

Bet-Time Snack No. of Exchanges Sample Menu Approx. Size Per

Serving

Milk ¾ Powdered Milk 3 tablespoon