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    Case Study

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    AMAL ALSHUKRI
    The document provides guidance on prescribing diets using meal exchanges for two case studies. It outlines the daily calorie and macronutrient needs for each case and demonstrates how to calculate the number of exchanges needed from various food groups to meet the nutritional goals. Sample menu plans are also provided dividing exchanges across meals and snacks.

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    Case Study

    Uploaded by

    AMAL ALSHUKRI
    22 views5 pages
    The document provides guidance on prescribing diets using meal exchanges for two case studies. It outlines the daily calorie and macronutrient needs for each case and demonstrates how to calculate the number of exchanges needed from various food groups to meet the nutritional goals. Sample menu plans are also provided dividing exchanges across meals and snacks.

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    Food exchange

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    case study

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    The document provides guidance on prescribing diets using meal exchanges for two case studies. It outlines the daily calorie and macronutrient needs for each case and demonstrates how to calculate the number of exchanges needed from various food groups to meet the nutritional goals. Sample menu plans are also provided dividing exchanges across meals and snacks.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    22 views5 pages

    Case Study

    Uploaded by

    AMAL ALSHUKRI
    The document provides guidance on prescribing diets using meal exchanges for two case studies. It outlines the daily calorie and macronutrient needs for each case and demonstrates how to calculate the number of exchanges needed from various food groups to meet the nutritional goals. Sample menu plans are also provided dividing exchanges across meals and snacks.

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    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
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    Clinical nutrition practise for third year

    Nutrition department
    First lecture for third year
    Prepared by lecturer Amal Alshukri

    ;Case study1

    :case needs 2056 cal\day, so she needs

    Cho= 282g (55%), prot=77g(15%), fat=68g(30%)

    › Diet Prescription

    Follow this order: Milk › Fruit › Vegetable (Always begin with CHO-containing ›
    food groups)

    Add all the grams of the carbohydrates you have used from milk, fruit, & veggie
    exchanges. › then, Subtract(the adding chos from total g CHO, which case has needed.
    After that,› divide the number you have got it by 15 to give you how many starch
    .exchanges you will have

    To find outhow many meat exchanges you should prescribed. You should add all the
    grams of protein used from milk, veggie, and starch exchanges. ›then, Subtract the
    adding pros from total grams of protein.after that, › Divide the number you have got it
    .by by 7 to get out how many meat exchanges you need

    Lastly, to find out how many fat exchanges you will have, Add grams of fat used so
    far from starch and meat exchanges. Then,› Subtract from total fat grams and
    › .finally›divide by 5

    exchange No.of CHO Protein Fat Energy


    serving 282 ( 77) ( 68) 2056
    Milk reduce 3 3X12 (36) 3X8 (24) 3X5 (15) 3X120 (360)
    fat 2%
    Vegetables 5 5x5=(25) 2x5=(10) 0x5 25x5=125
    Fruit 4 15x4=60 0x4 0x4 60x4=240
    Total 121 34 15 725
    CHO=282- 121/15=11 serving

    Starch 11 15x11=165 11x3=33 1x11=11 80x11=880

    Total 286 67 26 1605


    Protein=77-67=10\7=1.4~~1
    Clinical nutrition practise for third year
    Nutrition department
    First lecture for third year
    Prepared by lecturer Amal Alshukri
    Meat 1 0x1 7x1=7 5x1=5 75x1=75
    medium fat
    Total 286 74 31 1680
    Fat= 68-31=37\5=7.4~~7

    Fat 7 0x7 0x7 7x5=35 45x7=315


    Total 286 74 66 1995
    (+4) (-3) (-2) (-61)

    Recommended exchanges › 3 low fat milk group ,› 4 servings fruits ,› 5 servings


    veggies › 11 servings starch ,› 1 meat exchange ›, 7 fat servings

    › Breakfast 8 am

    cup low fat milk (1 milk ex) 1

    › slice whole wheat (1 starch) 1

    › 2tsb Peanut butter (1 fat)

    apple (1 fruit) 1

    › mid morning snack 11:00

    plain yogurt (1 milk exc) 1

    Lunch 2pm

    › cups pasta made with 1 tsb cooking oil (4 starch+ 1 fat) ›2

    oz medium fat meat ( 1 meat exc) 1

    ›Cooked Veggie salad ( ½ cup beans, ½ peas, and 1 potatoes) with spray of oilve oil,
    vinegar (3 starch + 1 fat)

    cup Water melon ( 1 fruit) ¼ ›1

    cup Peach ( 1 fruit) ½ ›

    :Snack

    biscuit ( 1 starch+ 1 fat) › Green tea no sugar 1 ›

    Dinner ›
    Clinical nutrition practise for third year
    Nutrition department
    First lecture for third year
    Prepared by lecturer Amal Alshukri
    cup law fat milk ( 1 milk exc) 1 ›

    cup lentil soup made with vegetable oil( 1 starch+ 1 fat) 1 ›

    Green salad plate (tomatoes, cucumber, green leaves, and carrots, and oilve oil (4 ›
    › veggies+ 1 fat)

    banana ( 1 fruit) 1

    › night Snack ›

    whole wheat bread ( 1 starch) 1

    Tbs cream cheese ( 1 fat) 1 ›

    Olives (4 pieces)(1/2 fat) ›

    Slices of tomatoes and cucumber ( 1 veggies) ›


    Clinical nutrition practise for third year
    Nutrition department
    First lecture for third year
    Prepared by lecturer Amal Alshukri
    Case study 2

    dietetics goal for male case 2300 cal so he needs:

    protein=82g/d(15%), Total fat=77g/d(30%), CHO=316g/d(55%)

    a. Using meal exchanges system to plan a day's menu for Abdullah based on
    his nutritional goals for energy, total proteins, , total fat, , CHO.
    exchange No.of CHO(316) Protein(82) Fat(77) Energy(2300)
    serving
    Milk reduce 4 12x4=48 8x4=32 4x5=20 120x4=480
    fat 2%
    Vegetables 5 5x5=25 2x5=10 0 25x5=125
    Fruit 5 15x5=75 0 0 60x5=300
    Total 148 42 20 905
    CHO=316-148=168 =11.2=11
    15
    Starch 11 15x11=165 11x3=33 0x11=0 80x11=880

    Total 313 75 20 1785


    Protein=82-75=7 =1
    7

    Meat lean 1 0 7x1=7 3x1=3 45x1=45


    Total 313 82 23 1830
    Fat= 77-23=54 = 10.8=11
    5
    Fat 11 0 0 11x5=55 45x11=495
    Total 313 82 78 2325
    -3 +1 +25
    Clinical nutrition practise for third year
    Nutrition department
    First lecture for third year
    Prepared by lecturer Amal Alshukri
    Possible diet plan:

    4 exchanges from 2% reduced fat milk

    5 vegetable exchanges

    5 fruit exchanges

    11 starch exchanges

    1 lean meat exchanges

    11 fat exchanges

    Divide into

    Breakfast

    Lunch

    Dinner

    Snacks in between

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