Part 3 Nutritional Status Assessment (60 points)
1.) Using Mifflin St. Jeor – calculate your client’s baseline caloric needs and then take into consideration their activity level. You must show your math as well as the final determination of your client’s own daily caloric needs. I will be uploading a 3-day diet record of the client and a Nutrient average chart and a food record analysis of the client to help you with this assignment. Also three files of the recommended allowances for calcium, potassium and Vitamin D.
Help with calculations: Female RMR: (9.99 X W) + (6.25 X H) – (4.92 X A) -161
Male RMR: (9.99 X W) + 6.25 X H) – (4.92 X A) + 5
W = weight in kg
H = height in cm
A = age in years
Activity Levels (https://globalrph.com/medcalcs/resting-metabolic-rate-rmr/):
Sedentary. Little to no regular exercise. (factor 1.2)
Mild activity level: Intensive exercise for at least 20 minutes 1 to 3 times per week. This may include such things as bicycling, jogging, basketball, swimming, skating, etc. If you do not exercise regularly, but you maintain a busy life style that requires you to walk frequently for long periods, you meet the requirements of this level. (factor 1.375)
Moderate activity level: Intensive exercise for at least 30 to 60 minutes 3 to 4 times per week. Any of the activities listed above will qualify. (factor 1.55)
Heavy or (Labor-intensive) activity level: Intensive exercise for 60 minutes or greater 5 to 7 days per week (see sample activities above). Labor-intensive occupations also qualify for this level. Labor-intensive occupations include construction work (brick laying, carpentry, general labor, etc.). Also farming, landscape worker or similar occupations. (factor 1.7)
Extreme level: Exceedingly active and/or very demanding activities: Examples include: (1) athlete with an almost unstoppable training schedule with multiple training sessions throughout the day (2) very demanding job, such as shoveling coal or working long hours on an assembly line. Generally, this level of activity is very difficult to achieve. (factor 1.9)
2.) Fill out the Comparison Chart below following these instructions for client-specific recommendations:
– Compare the client’s 3-day average calorie intake to their recommended calorie intake based on their weight, height, age, and activity level (Mifflin St. Jeor formula above).
– Acceptable Macronutrient Distribution Ranges (AMDRs) are as follows: Protein: 10-35%, Carbohydrate: 45-65%, Fat: 20-35%
*Remember Protein=4kcal/g, Carb=4kcal/g, Fat=9kcal/g
– Compare the client’s average nutrient intake with recommended dietary reference intakes (DRIs) or Adequate Intakes (AIs) to assess if the individual’s diet meets their nutritional needs. (Attached are the references you can use to compare your client’s intake: calcium, potassium, vitamin D)
– Remember that the recommended fiber intake is 14g/1,000 kcal intake
– Added sugars should amount to 10% or less of total calories (sugars are carbs so Carb=4kcal/g)
– Saturated fat should amount to 10% or less of total calories (saturated fat uses the same idea: Fat=9kcal/g)
Comparison Chart which i will upload a file on how the chart should look:
Kcal
Protein (g)
Carbohydrate (g)
Fat (g)
Saturated Fat (g)
Added Sugar (g)
Fiber (g)
Calcium (mg)
Potassium (mg)
Vitamin D (IU)
Client-specific recommendations
Client’s average intake
