NUTRITION

INDIVIDUAL ASSESSMENT AND ENERGY CALCULATIONS

NAME: ______

CURRENT HEIGHT AND WEIGHT

1a. Height______inches (“)

Convert inches to centimeters: ______inches x 2.54 = ______cm

1b. Weight ______pounds (#)

Convert pounds to kilograms: ______pounds / 2.2 = ______kg

IDEAL BODY WEIGHT (IBW)

Male:106# for first 5 ft, then add 6# for every inch > 5 ft, then +/- 10% for range

Example: 5’10” = 106# + (6 * 10) = 166#166# x 0.10 = 16.7 or 17#

166 – 17 = 149#166 + 17 = 183#range = 149#-183#

Female:100# for first 5 ft, then add 5# for every inch >5 ft, then +/- 10% for range

Example:5’4” = 100# + (4 * 5) = 120#120# x 0.10 = 12

120 – 12 = 108#120 + 12 = 132#range = 108#-132#

The range allows for variations in small, medium, or large frame.IBW RANGE: ______

2. IBW: ______%IBW (current weight/IBW) ______

Only if %IBW > 125%, DO THIS FORMULA:

  1. Current weight in pounds – IBW = difference (D)
  2. D x 0.25 – estimated lean body mass (X)
  3. IBW (median) + X = Metabolically Active Weight

3. Metabolically Active Weight: ______

ABDOMINAL FAT

Abdominal fat produces hormones that make it easier to store fat, contribute to insulin resistance, inflammation process, excessive clotting, and increased disease risk. To assess your deposition of fat, do the following measurement & compare with the standards listed. For optimal health, waist measurement should be < 35” for females and < 40” for males.

4. Waist Measurement ______inches

BODY MASS INDEX

Determine your BMI: (Current body weight) x 703, then divideby (height in inches x height in inches)

Example: 110# x 703 = 77330, 77330/64 = 1208.28, 1208.28/64 = 18.88

Compare your BMI:

Underweight: <18.5

Normal weight: 18.5 – 24.9

Overweight: 25-29.9

Obese: >30

5. BMI: ______

BASAL METABOLIC AND ACTIVITY NEEDS (Harris Benedict Equation)

Fill in the blanks. Multiply the numbers in the parenthesis and add or subtract as noted. This estimates your basal metabolic kcal needs. If you weigh more than 125% of the IBW, use the weight calculated in #3 instead of your current weight.

Women:

655 + (4.3 * wt in pounds) + (4.7 * ht in inches) – (4.7 * age) = ______

Men:

66 + (6.3 * wt in pounds) + (12.7 * ht in inches) – (6.8 * age) = ______

6. BASAL METABOLIC NEEDS (BMR) ______kcals

Use the following table to estimate energy expended for daily activities:

Activity LevelFactorExamples

Sedentary30%sitting all day, minimal activity

Light Activity35%Light Housework, college student

Moderate Activity40%Walking throughout the day, RN

Heavy Activity45%Athlete (runner)

Very Heavy Activity50%Construction Worker, heavy lifting

7. BMR x ______%Activity Factor = ______Required KCALS for Activity Needs

8. TOTAL DAILY NEEDS: ______+ ______= ______kcals/day

PROTEIN NEEDS (If you are 125% of IBW, use weight calculated in #3)

  1. Convert weight in pounds to kilograms (divide by 2.2)
  2. Multiply x 0.8 grams

9. Grams of protein required: ______gm

FLUID NEEDS (use actual body weight)

  1. Convert weight in pounds to kilograms (divide by 2.2)
  2. Multiply x 25 mL

10. ML of fluid required: ______mL

Summary:

______kcal, ______gm protein, ______mL of fluid

THIS IS THE ESTIMATED GRAND TOTAL OF MACRONUTRIENT REQUIREMENTS EACH DAY FOR YOU!!

USE THESE RESULTS TO DETERMINE IF YOU ARE MEETING/EXCEEDING YOUR DAILY NEEDS & REPORT AS PART OF THE ANALYSIS PORTION OF YOUR PAPER.

SUBMIT THIS ASSIGNMENT WITH YOUR PAPER, 3-DAY DIARY, AND ANALYSIS REPORTS – EMAILS FOR THE PROJECT WILL NOT BE ACCEPTED!!!