nUTRITION

CHALKTALK
SESSION 1
BASIC COMPUTATIONS &
FORMULAS

EMANUELLE CANTO, RND

Content
Body Mass Index with
Interpretation
Desirable Body Weight
(Different Methods)
Adjusted Body Weight
Weight Loss Assessment and
its Interpretation
TER / TCR / Activity Levels
 Body Mass Index
BMI is a marker of Optimal Healthy Weight for height, and an
indicator of Malnutrition.

When to use: For healthy persons and not critically ill.

Do not perform in: Pregnant and lactating, in very muscular

people, in older adults who have severe loss of muscle mass,
and to determine fat distribution.
Body Mass Index formula

BMI = Weight (In kilograms) / Height (m2)

or

Weight (in lbs) / height (inches2) x 703

 Body CUT OFF CLASSIFICATION

Mass < 18.5 UNDERWEIGHT

> 18.5 - 24.9 NORMAL

Index > 25 OVERWEIGHT
interpretation
25.1 - 29.9 PRE-OBESE

30 - 34.9 OBESE 1

35 - 39.9 OBESE 2

> 40 OBESE 3
 sample computation
Michelle visited the Health Center because she
wants to know her BMI. She weighs 67 kg with a

height of 5 ft'9 inches. What is her BMI and her

BMI Interpretation?
 Calculate the BMI.
Formula: BMI = Weight (In kilograms) / Height (m2)

1. First, convert the patient's height of 5 feet'9 inches to m2

Note that 60 inches is equivalent to 5 ft.
69 x 2.54 = 1.75 m
1.75 x 1.75 = 3.06

BMI = 67 KG / 3. 06 = 21.85
Interpretation: NORMAL
desirable/ideal body weight
is defined as weight for height at the lowest
rate of mortality.

is the optimal weight associated with maximum

life expectancy for a given height.
 desirable body weight
(tANNHAUSER'S OR BROCA'S METHOD)
WHEN TO USE: FOR HEALTHY ADULTS

MALE AND FEMALE

Desirable Body Weight (kg) = (Height in cm - 100) - [0.10 x
(Height in cm - 100)]

To compute for the healthy body weight range, just add and
subtract 10 % from your desirable body weight:

 desirable body weight

(tANNHAUSER'S OR BROCA'S METHOD)
sample computation
MALE AND FEMALE
Desirable Body Weight (kg) = (Height in cm - 100) - [0.10 x (Height in cm - 100)]
Height (cm) = 152.4 cm (5’0’’ ft)
Desirable Body Weight (kg) = (152.4 - 100) - [0.10 x (152.4 - 100)] = 52.4 - 5.24
= 47.16 kg or 47 kg

To compute your healthy body weight range, just add and subtract 10 % from your desirable body
weight:
Healthy Body Weight Range (kg) = Desirable Body Weight (kg) + 10 %
Desirable Body Weight (kg) = 47.16 kg or 47 kg
Upper Limit (add 10 %) = 47 kg + (47 kg x 0.10) = 51.7 kg
Lower Limit (subtract 10 %) = 47 kg (47 kg x 0.10) = 42.3 kg
Healthy Body Weight Range (kg) = 42.3 kg - 51.7 kg
 desirable body weighT
(ADOR DIONISIO METHOD)
WHEN TO USE: FOR HEALTHY ADULTS

MALE FEMALE

Allot 110 lbs. for 5 feet height Allot 100 lbs. for 5 feet height

A. If more than 5 feet. Add 2lbs A. If more than 5 feet. Add 2lbs
every additional inch every additional inch

B. If less than 5 feet. Subtract B. If less than 5 feet. Subtract 2lbs

2lbs every inch less than 5 ft every inch less than 5 ft (<60
(<60 inches) inches)
 desirable body weight ( Nutritionist-dietitian
association of the philippines'method)
WHEN TO USE: FOR HEALTHY ADULTS

MALE
Allot 112 lbs. for 5 feet height
A. If more than 5 feet. Add 4 lbs every
additional inch
B. If less than 5 feet. Subtract 4lbs
every inch less than 5 ft (<60 inch)
FEMALE
FOR SMALL FRAME: Deduct
Allot 106 lbs. for 5 feet height
10% of Computeed DBW
A. If more than 5 feet. Add 4
lbs every additional inch
FOR MEDIUM FRAME: DBW is
AS IT IS COMPUTED
B. If less than 5 feet. Subtract
4lbs every inch less than 5 ft FOR LARGE FRAME: Add
(<60 inch) 10% of the computed DBW

2.) Adjust Body Weight according 2.) Adjust Body Weight

to body frame. according to body frame.
 adjusted desirable body
weight (fOR OBESE PATIENTS)
WHEN TO USE: Adjusting DBW for Obese Persons during
Meal Planning, Determining Creatinine Clearance,
Calculating Dosage Infusions and for Other Clinical
Needs.

NOTE: THIS FORMULA IS ALSO LIMITED TO OBESE

PEOPLE 60 INCHES TALL AND ABOVE IN HEIGHT
adjusted body weight
Adjusted Body Weight = IBW + 0.4
(Actual Weight - Ideal Body Weight)
AdjBW = Adjusted Body Weight
AW = Actual Weight
IBW - Ideal Body Weight
 sample computation
Adjusted Body Weight = IBW + 0.4 (Actual Weight - Ideal Body Weight)

Mielle is a Nurse who consulted you because she wants to lose weight. Her actual
body weight is 108 kg, and is standing 165cm. Compute for her Adjusted Body Weight.

Compute for the Ideal Body Weight first:

165 cm - 100 = 65 kg
65 kg - 6. 50 kg = 58 kg

Adjusted Body Weight = IBW + 0.4 (Actual Weight - Ideal Body Weight)
0.4 (108 kg - 58 kg) + 58 kg
0.4 (50) + 58 kg
20 + 58 kg = 78 kg
 weight loss assessment
This is useful to determine a healthy weight
loss within a period of time in a patient. A
significant weight loss may warrant nutrition
therapy and additional medical care.
weight loss assessment
% Weight Loss = ((Usual Weight - Actual
Weight) / Usual Weight)) x 100

TIME SIGNIFICANT LOSS (%) SEVERE LOSS (%)

1 WEEK 1-2 >2

1 MONTH 5 >5

3 MONTHS 7.5 > 7.5

6 MONTHS 10 > 10
 sample computation

Case: Armand is an Architect who usually weighs 57 kgs.

After 3 months, he's now at 55 kgs. Assess whether his

weight loss is significant.

Step 1: Compute using the formula for Weight Loss
Assessment
% Weight Loss = ((Usual Weight - Actual Weight) / Usual Weight)) x 100

57 kg - 55 kg = 2 kg
2 kg / 57 kg = 0.0350
0.0350 x 100 = 3.50%

Step 2. Interpret Weight Loss using the Table

Interpretation: Armand's Weight Loss is

3.50% and is not significant or severe.
Krause and ndap activity
level categories
sedentary light moderate heavy

cLERK TYPIST COMPUTER TECHNICIAN PAINTER coal miners

BANK TELLER STUDENT JEEPNEY DRIVER construction workers

CASHIER TEACHER VENDOR carrying load uphill

PROGRAMMER DOCTOR Carpenter kargador

heavy equipment
CALL CENTER AGENT TAILOR cyclist
operators
 total energy allowance
(krause method)

x suggested kcal allowance
Total Energy Allowance = DBW (kg)
ACTIVITY LEVEL KRAUSE KCAL/DBW

BED REST 27.5

SEDENTARY 30

LIGHT 35

MODERATE 40

HEAVY 45
 TOTAL ENERGY ALLOWANCE
(NDAP METHOD)
Total Energy Allowance = DBW (kg) x suggested kcal allowance
ACTIVITY LEVEL KRAUSE KCAL/DBW

BED REST --

30 (Female)
SEDENTARY
35 (Male)

35 (Female)
LIGHT 40 (Male)

40 (Female)
MODERATE 45 (Male)

HEAVY 50
 sample computation
Question: What is the total energy requirement of Angela, a
College Student, having occasional to no workout with a height of
165 cm?

Tannhauser's IBW = Height in CM - 100

*Deduct 10% for Filipinos
165 cm - 100 = 65 kg
65 kg x 10% = 6.50 kg
65 kg - 6.50 kg = 58.5 kg

TER = 58 KG X 35 (Level of Activity; Light) = 2,030 calories