Ideal Body Weight (IBW) • Modified Tanhouser’s Method – DBW (kg) = (Ht in cm – 100) – 10%(Ht in cm – 100) • Body Mass Index (NV 19-24.9) – Desirable for males = 22 – Desirable for females = 20.8 or 21 • Adopted method – Males = Ht of 5ft = 112lbs – Females = Ht of 5ft = 106lbs – Add 4lbs (1.8kg) for every inch above 5ft or subtract 4lbs for every inch below 5ft Total Caloric Requirement (TCR) or Total Energy Requirement (TER) • Krause Method (based on physical activity) • Cal/kg DBW/day Activity Cal/kg DBW/day Bed rest (confined in hospital) 27.5 Sedentary (bank teller) 30 Light (teacher) 35 Moderate (housewife w/o maid) 40 Heavy (construction worker) 45 Weight loss/gain • Add/subtract 500Cal to/from TER to gain/lose 1lb/week • 1000Cal to/from TER to gain/lose 2lbs/week • Use activity above or below the actual activity of individual in computing for TER to gain or lose 1-2lbs/week Distribution of TER to CHO, CHON, fats Nutrient Percentage of TER Calories/gram Carbohydrates 50-70% (60%) 4 Proteins 10-15% (15%) 4 Fat 20-25% (25%) 9
Normal Protein requirement: 1.14g/kg DBW/day
For protein build-up = 1.5g/kg DBW/day (ex malnourished patients)