CODE#_________________

DIET  RECORD

SUMMARY SHEET

NAME ________________________________________

CODE #_____________

Energy Use:

1. Calculate resting energy expenditure (REE) using the Harris Benedict Equation:

REE for a female (kcal/day) = 655 +  9.7(W) + 1.8(H)  - 4.7(A)

REE for a male (kcal/day)   =  66 + 13.7(W) + 5(H) - 6.8(A)
where,
W = weight in Kg
H = height in cm
A = age in years

BEE _____________________________________

2. Estimate the calories used for daily physical activity.________

Sedentary Activity (mostly sitting):  20% -40% of REE
Light Activity (Sedentary activity plus daily walking program):  55%-65% of REE
Moderate Activity ( more active profession plus moderate exercise program):  70%-75% of BMR
Heavy Activity  ( Mail carrier who walks a route or daily vigorous exercise program): 80%-100% of BMR

3. Estimate the calories used for the thermic effect of food.  _______________

Approximately 10% of the sum of REE +physical activity

4.  Calculate estimated total daily energy use (1+2+3).__________________

5. From the diet analysis, what is the average daily caloric intake?_________

6. Subtract the daily caloric intake (5) from the daily energy use (4).   (4)-(5)=_________

7. If the number calculated in 6 is positive the individual should be losing weight.  If the number is negative the individual should be gaining weight.  Is the calculation consistent with this person's experience?

Composition of the diet: Fill in the table using averages for the three days you recorded.

 Nutrient Recommended Diet Your Diet % kcal from Protein 15 % kcal from Carbohydrate 55 % kcal from Fat 30 % kcal from Saturated Fat <10 % kcal from Monounsaturated Fat >10 % kcal from Polyunsaturated Fat 10 Dietary Fiber (grams) 20-35 Protein (grams) 50 (women), 63 (men) Calcium (mg) 1000 Vitamin C (mg) 60 Iron (mg) 15 (women), 10 (men) Sodium (mg) <2000

Based on the values in the table, would you make any recommendations for dietary changes?

What recommendations would you suggest?