University Of Balamand

Nutrition project
Student name: Melissa Rezk
ID number: A1711348
 Weight / Height / Age
 Working? yes or no. If yes what do you do?
 Do you smoke? Yes or no if yes how many cigarettes per day and how long have you been
smoking?
 Do you do any physical activity? Yes or no? if yes what do you? how many times per week?
 Do you consider yourself as a healthy person? On a scale of 1 to 10 how healthy are you
regarding your food intake?
 Can I take your waist Circumference? It should be < 80 for women and < 94 cm for men
 Do you suffer from any of the following conditions?
 High blood pressure? if yes do you take any medications?
 Diabetes? Do you take oral medications or insulin? What was the result of your last HbA1c
level?
 Do you have: Try to get the values if possible, by checking he lab test if any done • High
blood total cholesterol: yes? do you know • High LDL / Bad cholesterol • Low HDL/ Good
cholesterol • High triglycerides?
WOMAN 1: (lowest extreme)
 W: 48 H: 157 Age: 21
 No
 No
 Walking a bit
 Healthy 5/10
 68
 No high blood pressures
 No diabetes
BMI= 48/1.57*1.57=19.47
IBW=22*1.57= 34.54
BEE= 655+ (9.6*34.54) + (1.8*157) -(4.7*21) =1170.48
TEE= 1170.48*1.3= 1521.62
Diet plan:
1) BMI in the healthy range so we don’t add nor subtract.
2) 50% of CHO = 1521.62*50/100= 760.81
1 g of CHO gives me 4 calories
760.81/4= 190.20 g of CHO
1 exchange of CHO =15g
190.2/15= 12.68 – 12 exchanges
1 exchange milk
6 exchanges of CHO (bread, rice, potatoes)
3 fruit
2 exchanges of Carbohydrates (30 g) will be given as vegetables (2 *3)

20 % proteins from 1521.62 calories

1521.62*20/100 = 304.324 calories from proteins
1 g of proteins = 4 calories
304.324/4 = 76 g of proteins
76 – (amount of protein that was given from carbohydrates, from milk and from vegetables)
76 – (6+8+12) = 50 g of proteins
Each 1 exchange of proteins contains 7 g of pure proteins
50/7 = 7.14 – 7 exchanges of proteins:
4 exchanges of Lean meat
3 exchanges of medium fat meat

30% fat from 1521.62 calories

1521.62*30/100 = 456.48 calories
1 g of fat = 9 calories
456.48/9 = 50.72g
50.72 – (amount of fat from milk, from lean meat and from medium fat meat)
50.72 – (1+8+15) = 26.72 g from fat
1 exchange of fat gives me 5 g of pure fat
26.72/5 = 5.34 - 5 exchanges of fat
The total exchanges for the patient are:
1 exchange of skimmed milk
6 exchanges of CHO (bread, rice, potatoes)
3 exchange of fruit
6 exchanges of vegetables
4 exchanges of Lean meat
3 exchanges of medium fat meat
5 exchanges of fat

Breakfast Lunch Dinner

1 fat 2 fat 2 fat

2 CHO 2 CHO 2 CHO

2 vegetable 2 vegetable 2 vegetable

1 lean meat 2 lean meat 1 lean meat

1 fruit 1 fruit 1 fruit

1 medium fat meat 1 medium fat meat 1 medium fat meat

1 milk
WOMAN 2: (highest extreme)
 W: 70 H: 152 Age: 73
 No
 No
 Walking for 30 mins per day
 healthy 6/10
 86
 Yes for high blood pressures medications are concor 5mg, fludex and aspicot
 Yes for diabetes medication is called Jentadueto 2.5/1000
 Blood test:
BMI= 70/1.52 * 1.52= 30.29
IBW= 22*1.52= 33.44
ABW= (70- 33.44) * 0.25 + 33.44= 42.58
BEE= 655 + (9.6 * 42.58) + (1.8 * 152) – (4.7 * 73)
=994.268
TEE= 994.268 * 1.3= 1292.5484
Diet plan:
1) TEE-500KCAL= 792.5484
2) 50% of CHO = 792.5484*50/100= 396.27
1 g of CHO gives me 4 calories
396.27/4= 99.06 g of CHO
1 exchange of CHO =15g
99.06/15=6.6 – 6 exchanges
1 exchange milk
3 exchanges of CHO (bread, rice, potatoes)
1 fruit
2 exchanges of Carbohydrates (30 g) will be given as vegetables (2 *3)
20 % proteins from 792.5484 calories
792.5484 *20/100 = 158.5 calories from proteins
1 g of proteins = 4 calories
158.5/4 = 39.62 g of proteins
39.62 – (amount of protein that was given from carbohydrates, from milk and from vegetables)
39.62 – (3+8+12) = 16.62 g of proteins
Each 1 exchange of proteins contains 7 g of pure proteins
16.62/7 = 2.37 – 2 exchanges of proteins:
1 exchanges of Lean meat
1 exchanges of medium fat meat
30% fat from 792.5484 calories
792.5484 *30/100 = 237.76 calories
1 g of fat = 9 calories
237.76/9 = 26.41g
26.41 – (amount of fat from milk, from lean meat and from medium fat meat)
26.41 – (1+2+5) = 18.41 g from fat
1 exchange of fat gives me 5 g of pure fat
18.41/5 = 3.68 – 3 exchanges of fat
The total exchanges for the patient are:
1 exchange of skimmed milk
3 exchanges of CHO (bread, rice, potatoes)
1 exchange of fruit
6 exchanges of vegetables
1 exchanges of Lean meat
1 exchanges of medium fat meat
3 exchanges of fat

Breakfast Lunch Dinner

1 fat 1 fat 1 fat

1 CHO 1 CHO 1 CHO

1 fruit 3 vegetable 3 vegetable

1 milk 1 medium fat meat 1 lean meat

NOTES:
Unfortunately, only two volunteers (woman 2 and 7)
have done blood tests (they also both have diabetes and
high blood pressures) which shows the lack of
awareness of the importance of these tests.

Diet plan for the other seven volunteers:

WOMAN 3:
 W: 48 H: 153 Age: 46
 Retired so not working currently
 Yes once per day arguile for 4 years
 Treadmill walk for 15 mins a day
 Healthy 6/10
 76
 No high blood pressures
 No diabetes
BMI= 48/1.53*1.53= 20.5
IBW= 22*1.53=33.66
BMI<25kg/m2 so no ABW
BEE= 655+ (9.6 * 33.66) + (1.8 * 153) – (4.7 * 46) =1037.336
TEE=1037.336 * 1.3= 1348.5368

Diet plan:
1) BMI Normal range so we do not add nor subtract.
2) 50% of CHO = 1348.5368*50/100= 674.26
1 g of CHO gives me 4 calories
674.26/4= 168.56 g of CHO
1 exchange of CHO =15g
168.56/15= 11.23 – 11 exchanges
1 exchange milk
6 exchanges of CHO (bread, rice, potatoes)
2 fruit
2 exchanges of Carbohydrates (30 g) will be given as vegetables (2 *3)

20 % proteins from 1348.5368 calories

1348.5368 *20/100 = 269.7 calories from proteins
1 g of proteins = 4 calories
269.7/4 = 67.425 g of proteins
67.425 – (amount of protein that was given from carbohydrates, from milk and from vegetables)
67.425 – (6+8+12) = 41.425 g of proteins
Each 1 exchange of proteins contains 7 g of pure proteins
41.425/7 = 5.91 – 5 exchanges of proteins:
3 exchanges of Lean meat
2 exchanges of medium fat meat

30% fat from 1348.5368 calories

1348.5368*30/100 = 404.56 calories
1 g of fat = 9 calories
404.56/9 = 44.95g
44.95 – (amount of fat from milk, from lean meat and from medium fat meat)
44.95 – (1+6+10) = 27.95 g from fat
1 exchange of fat gives me 5 g of pure fat
27.95/5 = 5.59 – 5 exchanges of fat

The total exchanges for the patient are:

1 exchange of skimmed milk
6 exchanges of CHO (bread, rice, potatoes)
2 exchange of fruit
6 exchanges of vegetables
3 exchanges of Lean meat
2 exchanges of medium fat meat
5 exchanges of fat

Breakfast lunch Dinner

2 fat 2 fat 1 fat

2 CHO 2 CHO 2 CHO

2 vegetable 2 vegetable 2 vegetable

1 lean meat 2 medium fat meat 2 lean meat

1 milk 1 fruit 1 fruit

MAN 1:
 W: 74 H: 172 Age: 52
 Retired so not working currently
 No smoking
 Walk on a treadmill once per day
 5/10
 No high blood pressures
 No diabetes
BMI= 74/1.72*1.72= 25.01
IBW= 23*1.72= 39.56
ABW= (74-39.56) * 0.25 + 39.56= 48.17
BEE= 66 + (13.7 * 48.17) + (5 * 172) – (4.7* 52)
=1341.529
TEE= 1341.529*1.3=1743.9877
Diet plan:
3) TEE-500KCAL= 1743.9877-500=1243.9877
4) 50% of CHO = 1243.9877*50/100= 621.99
1 g of CHO gives me 4 calories
621.99/4= 155.49 g of CHO
1 exchange of CHO =15g
155.49/15= 10.36 – 10 exchanges
1 exchange milk
5 exchanges of CHO (bread, rice, potatoes)
2 fruit
2 exchanges of Carbohydrates (30 g) will be given as vegetables (2 *3)

20 % proteins from 1243.9877 calories

1243.9877*20/100 = 248.79 calories from proteins
1 g of proteins = 4 calories
248.79/4 = 62.19 g of proteins
62.19 – (amount of protein that was given from carbohydrates, from milk and from
vegetables)
62.19 – (5+8+12) = 37.19 g of proteins
Each 1 exchange of proteins contains 7 g of pure proteins
37.19/7 = 5.31 – 5 exchanges of proteins:
3 exchanges of Lean meat
2 exchanges of medium fat meat

30% fat from 1243.9877 calories

1243.9877*30/100 = 373.19 calories
1 g of fat = 9 calories
373.19/9 = 41.46g
41.46 – (amount of fat from milk, from lean meat and from medium fat meat)
41.46 – (1+6+10) = 24.46 g from fat
1 exchange of fat gives me 5 g of pure fat
24.46/5 = 4.89 – 4 exchanges of fat

The total exchanges for the patient are:

1 exchange of skimmed milk
 5 exchanges of CHO (bread, rice, potatoes)
2 exchange of fruit
6 exchanges of vegetables
3 exchanges of Lean meat
2 exchanges of medium fat meat
4 exchanges of fat

Breakfast lunch Dinner

1 fat 2 fat 1 fat

1 CHO 2 CHO 2 CHO

2 vegetable 2 vegetable 2 vegetable

1 lean meat 2 medium fat meat 2 lean meat

1 milk 1 fruit 1 fruit

WOMAN 4:
 W:69/ h: 163/ age:47
 No work
 No smoking
 No sport
 Healthy 7/10
 88
 Dawa ghiddi
 No diabetes

BMI= 69/1.63*1.63= 25.97

IBW= 22* 1.63= 35.86
ABW= (69- 35.86) * 0.25 + 35.86= 44.145
BEE= 655+ (9.6 * 44.145) + (1.8 * 163) – (4.7 * 47)
=1151.292
TEE= 1151.292 * 1.3 = 1496.6796
Diet plan:
1) TEE-500KCAL= 1496.6796-500=996.67
2) 50% of CHO = 996.67*50/100= 498.335
1 g of CHO gives me 4 calories
498.335/4= 122.33 g of CHO
1 exchange of CHO =15g
122.33/15= 8.15 – 8 exchanges
1 exchange milk
4 exchanges of CHO (bread, rice, potatoes)
1 fruit
2 exchanges of Carbohydrates (30 g) will be given as vegetables (2 *3)

20 % proteins from 996.67 calories

996.67*20/100 = 199.33 calories from proteins
1 g of proteins = 4 calories
199.33/4 = 49.83 g of proteins
49.83 – (amount of protein that was given from carbohydrates, from milk and from
vegetables)
49.83 – (4+8+12) = 25.83 g of proteins
Each 1 exchange of proteins contains 7 g of pure proteins
25.83/7 = 3.69 – 3 exchanges of proteins:
2 exchanges of Lean meat
1 exchanges of medium fat meat

30% fat from 996.67 calories

996.67*30/100 = 299 calories
1 g of fat = 9 calories
299/9 = 33.22g
33.22 – (amount of fat from milk, from lean meat and from medium fat meat)
33.22 – (1+4+5) = 23.22 g from fat
1 exchange of fat gives me 5 g of pure fat
23.22/5 = 4.64 – 4 exchanges of fat

The total exchanges for the patient are:

 1 exchange of skimmed milk
4 exchanges of CHO (bread, rice, potatoes)
1 exchange of fruit
6 exchanges of vegetables
2 exchanges of Lean meat
1 exchanges of medium fat meat
4 exchanges of fat

Breakfast Lunch Dinner

1 fat 2 fat 1 fat

1 CHO 1 CHO 2 CHO

2 vegetable 2 vegetable 2 vegetable

1 lean meat 1 medium fat meat 1 lean meat

1 milk 1 fruit

MAN 2:
 W: 82 / h: 180 / age: 23
 yes, coach gymnastics
 no
 yes, 20 me3de 1-minute planch 30 pushups
 Each day
 7
 no
 no
BMI= 82/1.8*1.8= 25.3
IBW= 23 * 1.8= 41.4
ABW= (82-41.4) * 0.25 + 41.4=51.55
BEE= 66 + (13.7 * 51.55) + (5 * 180) – (6.8 * 23)
=1515.835
TEE= 1515.835*1.3=1970.5855
Diet plan:
1) TEE-500KCAL= 1970.5855-500=1470.58
2) 50% of CHO = 1470.58*50/100= 735.29
1 g of CHO gives me 4 calories
735.29/4= 183.82 g of CHO
1 exchange of CHO =15g
183.82/15= 12.25 – 12 exchanges
1 exchange milk
6 exchanges of CHO (bread, rice, potatoes)
3 fruit
2 exchanges of Carbohydrates (30 g) will be given as vegetables (2 *3)

20 % proteins from 1470.58 calories

1470.58*20/100 = 294.116 calories from proteins
1 g of proteins = 4 calories
294.116/4 = 73.52 g of proteins
73.52 – (amount of protein that was given from carbohydrates, from milk and from
vegetables)
73.52 – (6+8+12) = 47.52 g of proteins
Each 1 exchange of proteins contains 7 g of pure proteins
47.52/7 = 6.78 – 6 exchanges of proteins:
3 exchanges of Lean meat
3 exchanges of medium fat meat

30% fat from 1470.58 calories

1470.58*30/100 = 441.174 calories
1 g of fat = 9 calories
441.174/9 = 49g
49 – (amount of fat from milk, from lean meat and from medium fat meat)
49 – (1+6+15) = 27 g from fat
1 exchange of fat gives me 5 g of pure fat
27/5 = 5.4 – 5 exchanges of fat
The total exchanges for the patient are:
1 exchange of skimmed milk
6 exchanges of CHO (bread, rice, potatoes)
3 exchange of fruit
 6 exchanges of vegetables
3 exchanges of Lean meat
3 exchanges of medium fat meat
5 exchanges of fat

Breakfast Lunch Dinner

1 fat 2 fat 2 fat

2 CHO 2 CHO 2 CHO

2 vegetable 2 vegetable 2 vegetable

2 lean meat 2 medium fat meat 1 lean meat

1 fruit 1 fruit 1 fruit

1 milk 1 medium fat meat

WOMAN 5:
 W: 71 H: 165 Age: 38
 No work
 Yes twice a day arguile for 20 years
 Walking every day for 30mins
 healthy 8/10
 85
 No high blood pressures
 No diabetes
BMI=71/1.65*1.65= 26
IBW= 22*1.65=36.3
ABW= (71- 36.3) * 0.25 + 36.3= 44.975
BEE= 655 + (9.6 * 44.975) + (1.8 * 165) – (4.7 * 38)
=1205.16
TEE= 1205.16*1.3= 1566.708
Diet plan:
1) TEE-500KCAL= 1566.708-500=1066.708
2) 50% of CHO = 1066.708 *50/100= 533.354
1 g of CHO gives me 4 calories
533.354/4= 133.33 g of CHO
1 exchange of CHO =15g
133.33/15= 8.88 – 8 exchanges
1 exchange milk
4 exchanges of CHO (bread, rice, potatoes)
1 fruit
2 exchanges of Carbohydrates (30 g) will be given as vegetables (2 *3)

20 % proteins from 1066.708 calories

1066.708 *20/100 = 213.34 calories from proteins
1 g of proteins = 4 calories
213.34/4 = 53.335 g of proteins
53.335 – (amount of protein that was given from carbohydrates, from milk and from
vegetables)
53.335 – (4+8+12) = 29.335 g of proteins
Each 1 exchange of proteins contains 7 g of pure proteins
29.335/7 = 4.19 – 4 exchanges of proteins:
2 exchanges of Lean meat
2 exchanges of medium fat meat

30% fat from 1066.708 calories

1066.708 *30/100 = 320 calories
1 g of fat = 9 calories
320/9 = 35.55g
35.55 – (amount of fat from milk, from lean meat and from medium fat meat)
35.55 – (1+4+10) = 20.55 g from fat
1 exchange of fat gives me 5 g of pure fat
20.55/5 = 4.11 - 4 exchanges of fat

The total exchanges for the patient are:

1 exchange of skimmed milk
4 exchanges of CHO (bread, rice, potatoes)
1 exchange of fruit
 6 exchanges of vegetables
2 exchanges of Lean meat
2 exchanges of medium fat meat
4 exchanges of fat

Breakfast Lunch Dinner

1 fat 2 fat 1 fat

1 CHO 2 CHO 1 CHO

2 vegetable 2 vegetable 2 vegetable

1 lean meat 2 medium fat meat 1 lean meat

1 milk 1 fruit

WOMAN 6:
 W: 60 H: 150 Age: 20
 No
 No
 Work out sometimes
 8/10
 No
 No
BMI= 60/1.5*1.5=26.66
IBW=22*1.5= 33
ABW= (60-33) * 0.25+33= 39.75
BEE= 655+ (9.6*39.75) + (1.8*150) –(4.7* 20)
=1212.6
TEE=1212.6*1.3=1576.38
Diet plan:
1) 1576.38 -500KCAL= 1076.38
2) 50% of CHO = 1076.38*50/100= 538.19
1 g of CHO gives me 4 calories
538.19/4= 134.54 g of CHO
1 exchange of CHO =15g
134.54/15= 8.96 – 8 exchanges
1 exchange milk
4 exchanges of CHO (bread, rice, potatoes)
1 fruit
2 exchanges of Carbohydrates (30 g) will be given as vegetables (2 *3)

20 % proteins from 1076.38 calories

1076.38*20/100 = 215.276 calories from proteins
1 g of proteins = 4 calories
215.276/4 = 53.8 g of proteins
53.8 – (amount of protein that was given from carbohydrates, from milk and from
vegetables)
53.8 – (4+8+12) = 29.8 g of proteins
Each 1 exchange of proteins contains 7 g of pure proteins
29.8/7 = 4.25 – 4 exchanges of proteins:
2 exchanges of Lean meat
2 exchanges of medium fat meat

30% fat from 1076.38 calories

1076.38*30/100 = 322.9 calories
1 g of fat = 9 calories
322.9/9 = 35.8g
35.8 – (amount of fat from milk, from lean meat and from medium fat meat)
35.8 – (1+4+10) = 20.8 g from fat
1 exchange of fat gives me 5 g of pure fat
20.8/5 = 4.16 - 4 exchanges of fat

The total exchanges for the patient are:

1 exchange of skimmed milk
4 exchanges of CHO (bread, rice, potatoes)
1 exchange of fruit
6 exchanges of vegetables
2 exchanges of Lean meat
2 exchanges of medium fat meat
4 exchanges of fat
 Breakfast Lunch Dinner

1 fat 2 fat 1 fat

1 CHO 2 CHO 1 CHO

2 vegetable 2 vegetable 2 vegetable

1 lean meat 2 medium fat meat 1 lean meat

1 milk 1 fruit

WOMAN 7:
 W: 70 H: 170 Age: 49
 No
 No
 Healthy 8/10
 83
 Yes for High blood pressures medication name cynt 0.3 mg and coveram 5/5 mg
 Yes for diabetes, glucophage 500 XR
 Blood test:
BMI=70/1.7*1.7= 24.22
IBW= 22* 1.7=37.4
BEE= 655 + (9.6 * 37.4) + (1.8 * 170) – (4.7 * 49)
=1089.74
TEE= 1089.74*1.3=1416.662
Diet plan:
1) BMI normal range so we don’t add nor subtract.
2) 50% of CHO = 1416.662*50/100= 708.331
1 g of CHO gives me 4 calories
708.331/4= 177.08 g of CHO
1 exchange of CHO =15g
177.08/15= 11.8 – 11 exchanges
1 exchange milk
6 exchanges of CHO (bread, rice, potatoes)
2 fruit
2 exchanges of Carbohydrates (30 g) will be given as vegetables (2 *3)

20 % proteins from 1416.662 calories

1416.662*20/100 = 283.332 calories from proteins
1 g of proteins = 4 calories
283.332/4 = 70.83 g of proteins
70.83 – (amount of protein that was given from carbohydrates, from milk and from
vegetables)
70.83 – (6+8+12) = 44.83 g of proteins
Each 1 exchange of proteins contains 7 g of pure proteins
44.83/7 = 6.4 – 6 exchanges of proteins:
3 exchanges of Lean meat
3 exchanges of medium fat meat

30% fat from 1416.662 calories

1416.662*30/100 = 424.998 calories
1 g of fat = 9 calories
424.998/9 = 47.22g
47.22 – (amount of fat from milk, from lean meat and from medium fat meat)
47.22 – (1+6+15) = 25.22 g from fat
1 exchange of fat gives me 5 g of pure fat
25.22/5 = 5 exchanges of fat

The total exchanges for the patient are:

1 exchange of skimmed milk
6 exchanges of CHO (bread, rice, potatoes)
2 exchange of fruit
6 exchanges of vegetables
3 exchanges of Lean meat
3 exchanges of medium fat meat
5 exchanges of fat

Breakfast Lunch Dinner

1 fat 2 fat 2 fat

2 CHO 2 CHO 2 CHO

2 vegetable 2 vegetable 2 vegetable

2 lean meat 2 medium fat meat 1 lean meat

1 fruit 1 fruit 1 medium fat meat

1 milk