Kunci Jawaban Soal Dietetics

1. Seorang lansia laki-laki 65 tahun, 70 kg mengalami gagal ginjal grade 5 sehingga harus
hemodialisis 3x perminggu. Setiap selesai hemodialisa, berat pasien turun ±15 % Tentukan
perhitungan kebutuhan kalori dan makronutrient yang diperlukan!

TEE Calculation
• BB kering = 100% - 15% = 85%
= 85% x 70 kg = 59.5 kg

• Energy req. = 30 kcal/kg BB

= 30 x 60
= 1800 kcal/ day

Macronutrient Requirement
• Protein 1.2 g/kg = 1.2 x 60kg
= 72 g protein

• Carb 55% = 1800kcal x 55% kcal

= 990kcal / 4 kcal/g
= 247.5 g carb

• Fat (sisa) = 1800kcal – 990 kcal – 288 kcal

= 522 kcal / 9kcal/g
= 58 g fat

2. Seorang bapak berusia 39 tahun dengan berat 85 kg dan tinggi 168cm. Beliau sehari-hari
bekerja sebagai direktur Bank Maju Terus. Beliau mengalami masalah BB. Tentukan BMI, TEE,
dan distribusi makronutrient beliau.

BMI = wt (kg) / ht2 (m)

= 85 kg / (1.68m) 2 = 30, 12kg/m2  obese!

IBW = (Body height in cm – 100) – 10% (Body height in cm – 100)

= 168 – 100 – 10% (168 – 100)
= 61.2 kg

TEE = (BMR + TEF) x AF x SF

1. BMR Men = 66.47 + (13,75xWT) + (5xHT) – (6,76xA)
= 66.47 + (13,75x61.2) + (5x168) – (6,76x39)
1484.33 kcal
2. TEF = 8% BMR
= 8% x 1484.33 kcal = 118.7 kcal
3. AF  slightly mobile – sedentary, based on age group 1.26
4. SF  apparently healthy 1

TEE = (1484.33 kcal + 118.7 kcal) x 1.26 x 1

= 1603 kcal x 1.26 = 2020 kcal
Macronutrient Requirement
• Protein 15% = 2020 kcal x 15% = 303 kcal
= 303 kcal / 4kcal/g
= 75.75 g protein

• Carb 55% = 2020kcal x 50% kcal

= 1010kcal / 4 kcal/g
= 252.5 g carb

• Fat (sisa) = 2020kcal x 35%

= 707 kcal / 9kcal/g
= 78.5 g fat