CALCULATIONS

Calculation of Ideal Body Weight

IBW for Men = 106 lb for first 5 feet & 6 lb for each additional
inch
IBW for Women = 100 lb for first 5 feet & 5 lb for each
additional inch
● For male 5’ = 106lb
● 1inch = 6lb
● Height 4’8’’
● 6’3’’ height

● 106 lb + 15 x 6 =
● 106 + 90 = ans /2.2 kg
 Example

Men 5’3” Men 6’3” Men 4’8”

5’=106 lb 1’= 12” 1’= 12”
1”= 6 lb 12 + 3= 15 12 - 8= 4
= 106 + (3*6) = 106 + (15*6) = 106 – (4*6)
= 106 + 18 = 106 + 90 = 106 – 24
= 124/2.2 = 196/2.2 = 82/2.2
= 56.3 kg = 89 kg = 37.2 kg
 Calculation of Body Mass Index

BMI= Weight (kg)

Height (m)2
Obesity Adjustment: (Actual BW – IBW) x 0.25 + IBW

1feet = 12 inches
12 x 2.54 = Ans in Cm
Cm ans / 100 = ans in meters

Standard BMI Women Men

Under weight <18.5 <18.5
Desirable weight 18.5-24 20-25
Over weight 25-30 25-30
Obese grade I 30-35 30-35
Obese grade II 35-40 35-40
Obese grade III 40-45 45-50
 Example

1’ = 12”
● Ht: 5’3”, Wt: 89 kg 5’3”
BMI= Weight (kg) 5 (12) = 60
Height (m)2 = 60 + 3
= 63 inches
= 89kg / (1.61m)2
= 89/ 2.69 For conversion inches to
=34.3 kgm-2 (Obese class I) meters

= 63/39
● Obesity Adjustment: = 1.61 m
(Actual BW – IBW) x 0.25 + IBW
= (89 – 56) x 0.25 + 56
= (33) x 0.25 + 56
= 64.25 kg
 Wrist Circumference

r = Height (cm)
Wrist Circumference (cm)

Male Female Frame

r> 10.4 r > 11.0 Small
r 9.6 – 10.4 r 10.1 – 11.0 Medium
r < 9.6 r < 10.1 Large
 Example

Height (Male): 5' 3" 5’3”

Wrist: 6“ 12(5) + 3 = 65 inches
63 x 2.54 = 160.02 cm
r = Height (cm)
6”
Wrist Circumference (cm) 6 x 2.54 = 15.24 cm

r = 160.02 cm
15.24 cm

r = 10.5 cm (Small Frame Size)

 Calculations of Caloric Requirement

Total caloric requirement = BEE x Activity factor x

Injury factor
Basal Energy Expenditure (BEE)
Harris-Benedict Equation
a) BEE for Male = 66.5 + (13.7 × Weight) + (5 × height) – (6.8 × age)
b) BEE for Female = 655.1 + (9.6 × Weight) + (1.85 × height) – (4.7 × age)

Weight = kg, height = cm, age = years

Conversion of Height in cm
Feet x 30 cm, inches x 2.5 cm,
 Activity & Injury Factor

Activity Factor
●
Sedentary= 1.0- 1.39 ( physical activity required Injury Factor (Surgery)
for daily living ) Major = 1.3-1.9
●
Low Active = 1.4- 1.59 (Daily living + 30-60 Minor = 1.0-1.1
min moderate activity ) Infection
●
Active = 1.6- 1.89 (Daily living + ≥ 60 min
moderate activity ) Mild= 1.0-1.2
●
Very Active = 1.9 and above (Daily living + ≥ Moderate = 1.2-1.5
60 min moderate activity and ≥ 60 min vigorous Severe = 1.4=1.8
activity or ≥ 120 min moderate activity
Trauma
PA FACTOR Skeletal = 1.2-1.35
Blunt = 1.15- 1.35
Men Women Boys Girls
19 yr 19 yr 3- 18 3-18 yr Burns
onwards onwards yr Up to 40% body surface
Sedentary 1.0 1.0 1.0 1.0 Area= 1.0- 1.5
Low Active 1.11 1.12 1.13 1.16 Over 100% BSA= 1.95
Active 1.25 1.27 1.26 1.31
Very Active 1.48 1.45 1.42 1.56
● Ht: 5’3”, Wt: 89 kg, Age: 35 yr
BEE for Male = 66.5 + (13.7 × Weight) + (5 × height) – (6.8 × age)
= 66.5 + (13.7 × 89) + (5 × 160.02) – (6.8 × 35)
Ht: 5’3”
= 66.5 + 1219.3 + 800.1 – 235 = 5(12) + 3 = 63
inches
= 2085.9 – 235 For cm
63 × 2.54 = 160.02 cm
= 1850.9 kcal/day

Total caloric requirement = BEE x Activity factor

= 1850.9 × 1.2
= 2221.08 kcal/day
 Types of Activity

Sedentary Activity:
Eating, Writing, Watching television, working on computer, typing and table work in
office.
Low Activity:
Preparation of food, washing the utensils, dusting, ironing, light walk, fast computer
typing,
Active:
Mopping, brooming and brisk walk.
Very Active
Vigorous Exercise:
Washing clothes with hands, white washing, and very brisk walk, playing golf and
gardening.
Strenuous Exercise:
Swimming, jogging, bicycling, playing cricket and other games.
 Quick Methods of Caloric Calculation

Estimate Energy Needs Based On Stress

Normal: 30-35Kcal/kg body weight
Elective Surgery: 35-40Kcal/kg body weight
Severe Injury: 30-40Kcal/kg body weight
Extensive Burn or trauma 44-55Kcal/kg body weight

Energy Needs Based on Weight & activity

Weight Sedentary Moderat Active

e
Over weight 20-25Kcal/kg 30Kcal/kg 35Kcal/kg

Normal 30Kcal/kg 35Kcal/kg 40Kcal/kg

Under weight 30Kcal/kg 40Kcal/kg 45-50Kcal/kg

 Estimating Protein Needs

Normal Health ----------- 0.8-1.0gm/kg body weight

Fever, Fracture, Infection ------1.5-2gm/kg body weight
Protein depleted -----------1.8-2gm/kg body weight
Extensive burns ---------------1.5-3.0gm/kg body weight
 Estimating Fluids Needs

Based on age:
Adult ----------------- 30-50ml/kg body weight
Infant ----------------- 100-150ml/kg body weight
Children ----------------- 70-110ml/kg body weight
Adolescent ----------------- 40-60ml/kg body weight
Based on weight:
First 20 kg 1500 ml & for each additional kg 25ml.
Based on energy intake:
1ml/ Kcal
Fluid calculation for renal patients:
In oliguria restricted to the daily urine output plus 500 ml. this includes the water
present in foods and drink.

(1 cup) 1 glass = 250 ml e.g. if one’s fluid requirement is 1800ml to

calculate 1800 ml in glasses then 1800÷250 = 7.2 which means 7 glasses.
 Example

Weight: 89 kg
First 20 kg 1500 ml
89 – 20 = 69 kg
69 x 25 = 1725 ml
1725 + 1500 = 3225 ml
(1 cup) 1 glass = 250 ml
3225/250 = 12.9 g/day
10 – 12 g/day