Exercise 5

Exercise 6.1 25 y/o female office clerk, 5’1” tall

DBW= 50 kg
TEA= 1500 kcal

Caloric Distribution: CHO- 60% CHON- 15% Fat- 25%

Note: Determine Cg, Pg and Fg

CHO= 900 kcal ÷ 4 kcal/g= 250 g

CHON=225 kcal ÷ 4 kcal/g= 50 g

Fat= 375 kcal ÷ 9 kcal/g= 50 g

Dietary Prescription: 1500 kcal 250 Cg 50 Pg 50 Fg

Exercise 6.2 25 y/o office clerk, 5’1” tall

DBW= 50k TEA= 1500 kcal

Protein Allowance= 1. 12 x 50 kg = 56 g or 50 g

Exercise 6.3 Protein calories= 50 g x 1.1

kcal/g CHON
= 55 kcal or 50 kcal

Exercise 6.4 NPC= TEA- protein calories

= 1,500kcal - 50 kcal
 = 1450 kcal
Exercise 6.5
NPC =1.12 g/kg x 50 kg= 56g protein
= 56g protein x 4 kcal/g = 224 kcal protein
= 1500 kcal - 224 kcal protein = 1276 or 1300 kcal
= 1300 x 0.70 = 910 kcal CHO
= 910 kcal CHO / 4 = 227.5 or 250 kcal
= 1300 kcal x 0.30 = 390 kcal Fat
= 390 / 9 = 43.3 or 50 kcal

CHO= 70%= 250 kcal

Fat= 30%= 50 kcal

Exercise 6.6 CHO= 250 kcal ÷ 4kcal/g CHO= 62.5g

= or 63g

FAT= 50kcal ÷ 9 kcal/g FAT= 5.5g

= or 6g

Exercise 6.7 Compute the nutrient requirement of 5’0” pregnant on her 30 th week
pregnancy; light activity
TER= DBW x Physical activities + 300
= 47 kg x 35 + 300
= 1,945 kcal or 1,950 kcal
Exercise 6.8 Compute the TER of 4’10” mother on her 3rd month of lactation with
light activity (Use Tannhauser’s Formula to get DBW)

4’10”
4 ft x 12 inches= 48 inches +10 inches= 58 inches x 2. 54 cm = 147.32cm

Tannhauser Formula:
DBW (k)= Height (cm)-100
= 147.32 cm - 100
= 47. 32 kg / 10
= 47.32 - 4.732
= 42.588 kg or 43 kg

TER= DBW x Physical activities + 500

= 43 kg x 35.0 + 500
= 2,005 kcal or 2000kcal

Exercise 6.9 Compute for the energy, protein, carbohydrate and fat
requirements of a 5’0” pregnant on her 30 th week of pregnancy (Use
Tannhauser’s Method to determine DBW).
5’0”
5ft x 12 inches= 60 inches +0 inches= 60 inches x 2. 54 cm = 152.4cm

Tannhauser Formula:
DBW (k)= Height (cm)-100
= 152.4cm - 100
= 52.4 kg / 10
= 52.4- 5.24

= 47.16 kg or 47 kg
TER= DBW x PA +300
= 47 kg x 35.0 + 300
= 1,945 kcal or 1950 kcal
Protein Allowance= DBW x protein allowance
= 47 kg x 1.12
= 52.64 g or 50 g

Protein Calories = 47 g x 1.1

kcal/g CHON
= 51.7 x 4
= 206.8 or 200 protein calories

Non Protein Calories= TEA- protein calories

= 2,100 cal- 200 protein calories
= 1900 NCP
TEA = 47 kg x 45 cal/kg
= 2,115 cal or 2,100 cal
CHO: 70% of NPC
CHON : 15 % of NCP
Fat: 30% of NPC
CHO (g)= 2,100 x 70%
= 1470 g or 1450 g
Fats (g)= 2, 100 x 30%
= 630 g or 650 g
CHON (g) = 2,100 x 15%
= 315 g or 300 g
Dietary Prescription:
 Energy 2,100 kcal- CHO 350 g-CHON 100 g-Fat 50g

Exercise 7
Questions for Discussion
1. Differentiate biological value (BV) from net protein utilization (NPU)?

● Biological value measures protein quality by calculating the nitrogen used for tissue
formation divided by the nitrogen absorbed from food. This product is multiplied by 100
and expressed as a percentage of nitrogen utilized. The biological value provides a
measurement of how efficient the body utilizes protein consumed in the diet. A food with
a high value correlates to a high supply of the essential amino acids. Animal sources
typically possess a higher biological value than vegetable sources due to the vegetable
source’s lack of one or more of the essential amino acids. There are, however, some
inherent problems with this rating system. The biological value does not take into
consideration several key factors that influence the digestion of protein and interaction
with other foods before absorption. The biological value also measures a protein’s
maximal potential quality and not its estimate at requirement levels whereas net protein
utilization is similar to the biological value except that it involves a direct measure of
retention of absorbed nitrogen. Net protein utilization and biological value both measure
the same parameter of nitrogen retention. Net protein utilization is from nitrogen
ingested.

2. What are the health effects of protein?

● Protein is required for your body to function properly and remain healthy. More than
10,000 different varieties can be discovered in your organs, muscles, tissues, bones,
skin, and hair. Protein is also an important component of the mechanisms that feed your
energy and transport oxygen throughout your body in your blood. It also aids in the
production of antibodies that fight infections and illnesses, as well as the maintenance of
healthy cells and the formation of new ones.

3. Differentiate acute protein-energy malnutrition (PEM) from chronic PEM.

● Malnutrition may be described as chronic or acute, both are serious global problems that
contribute significantly to the mortality of children under five. Acute malnutrition is the
result of a relatively short period of inadequate nutrition, which leads to wasting and, if
severe, may also lead to oedema. Chronic malnutrition is the result of prolonged
episodes of inadequate nutrition and leads to stunting.