ESTIMATION OF TOTAL

ENERGY REQUIREMENTS
INFANTS
Old Diet Manual
Revised Diet Manual
 TER/day = (0-6 months) 120 kcal / kg DBW
= (7-12 months) 110 kcal / kg DBW

Note: TER rounded off to the nearest 50 kcal

Example: 4-month-old infant

TER = 5.4 kg x (120 kcal/DBW)
= 648 kcal
= 650 kcal

USING THE OLD DIET MANUAL

 TER/day = (0-6 months) 95 kcal / kg DBW
= (7-12 months) 80 kcal / kg DBW

Note: TER rounded off to the nearest 50 kcal

Example: 4-month-old infant

TER = 5.4 kg x (95 kcal/DBW)
= 513 kcal
= 500 kcal

USING THE REVISED DIET MANUAL

(5th edition, 2010)
FEL, 2019 PAGE 76
TER/day = 90-95 kcal / KDBW
CHILDREN
Narins and Weils
 Age Range Kcal/kg DBW
(years) Boys Girls
1-2 83 80
3-5 77 72
6-9 70 65
10-12 62 55
13-15 56 47
16-18 51 44

USING KCAL/KG BODY WEIGHT

BASED ON 2015 PDRI
 TER/day = 1,000 (100 x age in years)

Note: TER rounded off to the nearest 50 kcal

Example: 7-year-old child

TER = 1, 000 plus (100 x 7 years)
= 1,700 kcal

NARINS AND WEILS

 Age Range CMBRG

1-3 100
4-6 90
7-9 80
10-12 70
13-15 60
15 years and above 50

COOPER, BARBER ETC

ADOLESCENTS
Recommended Energy and Nutrients Intake
 13 -15 years (boys) kcal/kg DBW) 56
(girls) kcal/kg DBW) 45.9
 16 -18 (boys) kcal/kg DBW) 49
(girls) kcal/kg DBW) 41

Average both sexes : 45 kcal/kg DBW

2002 RENI, Philippines

ADULTS
Krause, NDAP, Harris-Benedict Method
Example : 52 kg, moderate activity Activity Kcal / kg DBW / day
Bed rest 27.5
Sedentary 30
Light 35
TER = 40 kcal/kg DBW x 52 kg Moderate 40
Heavy 45
= 2, 080
= 2,100 kcal

METHOD 1: KRAUSE
 Activity Kcal / kg DBW / day
Level
Example of activities: Male Female
In bed but 35 30
 Sedentary - secretary, clerk, typist, mobile
administrator, cashier, bank teller Light 40 35
 Light - teacher, nurse, student, lab Moderate 45 40

techinician, housewife wiht maids Heavy 50 --

 Moderate - housewife without maid, vendor,

mechanic, jeepney and car driver
 Heavy - farmer, laborer, cargador, coal
miner, fisherman, heavy equipment operator

NDAP FORMULA
 BMR (males)
= 66.47 + 13.75(W) + 5.003(H) – 6.755(A)

BMR (females)
= 655.1 + 9.563 (W) +1.850(H) – 4.676(A)

Where:
W = weight in kg.
H= Height in cm.
A= Age in years

HARRIS BENEDICT FORMULA (FEL, p6)

 RMR (males)
= 9.99 (actual weight) + 6.25(H) – 4.92(A + 5)

RMR (females)
= 9.99 (actual weight) + 6.25(H) – 4.92(A – 161))

Where:
W = weight in kg.
H= Height in cm.
A= Age in years

MIFFLIN –ST. JEOR EQUATION

 BMR Equations (Kcal/day)
Age in years
Male Female

18-30 16.0 W + 545 13.1 W +558

30-60 14.2 W +593 9.74 W +694

60-69 13.0 W + 567 10.2 W +572

70 + 13.7 W +481 10.0 W +577

OXFORD EQUATIONS
 FOR WEIGHT GAIN (1 lb. per week)
Add 500 kcal to TER

 FOR WEIGHT LOSS (1 lb per week)

Deduct 500 kcal from TER
PREGNANT WOMEN
Recommended Energy and Nutrients Intake
 TER/day = normal requirements + 300 kcal

RENI FOR PREGNANT WOMEN

(2ND AND 3RD TRIMESTER)
LACTATING WOMEN
Recommended Energy and Nutrients Intake
 TER/day = normal requirements + 500 kcal

RENI FOR LACTATING WOMEN

DISTRIBUTION OF TER INTO
CARBOHYDRATES, PROTEIN A
ND FATS
METHOD I - BY
PERCENTAGE DISTRIBUTION
(AMDR) PDRI, 2015
% of TER
1. Carbohydrates 55-75%
2. Proteins 10-15%
3. Fats 15-30%
METHOD II- NPC METHOD
Determine the protein calories first according to the normal allowances
in gms/KBW and divide the non-protein calories (NPC) into:

CHO: 55-80% or an average of 70%

Fats: 20-45 % or an average of 30%
END OF PRESENTATION