LABORATORY MANUAL NUTRITION AND DIET THERAPY – MMSU CHS 1

Graziella Beatriz A. Cabuyadao BSN 2-B

NUTRITION AND DIET THERAPY LABORATORY ACTIVITY NO. 5

NUTRITION ACROSS LIFESPAN

INTRODUCTION
The human body undergoes physiologic changes as it grows and develops. As these
changes occur, the needs of the body varies. Like for instance the needs of a pregnant women
may differ from that of a non-gravid clients. Likewise, the needs of older adults may also differ
from that of a middle-aged adult.
It is important for health practitioners to be aware of these varying needs of different
population groups in order to assist them in a health growth, development, puerperium and
aging.
At the end of this activity, learners should have:
1. Determined the nutritional needs of clients across the lifespan.
2. Calculated the caloric needs of clients across the lifespan.
3. Prepared a meal plan of clients across the lifespan.

Situation 1: Ginger, a 32 y/o woman , stands 5'4" weighs 130lbs before she got pregnant to her
3rd child. She is now in her 2nd trimester. She works as a supervisor in a mall. She makes her
rounds twice a day within the mall to check.on the employees. She prefers eating fish and
vegetables so brings her.own food at work. She has stopped drinking soda 5 years ago. At
home, she still tends to her usual chores at home like cooking and doing the laundry.

I. Following the steps in estimating the desirable body weight (DBW) discussed in the lecture
portion, calculate your total energy allowance (TEA).
1. Calculate IBW/ DBW.
Ador Dionisio’s Method Tannhauser’s Method
 LABORATORY MANUAL NUTRITION AND DIET THERAPY – MMSU CHS 2

Height: 5 feet= 100lbs Height= 5’4” = 64 inches x 2.54

4in x 2= 8lbs = 162.56cm
100+8=108lbs
162.56-100
Age: 32x2= 64 62.56 x 0.10= 6.256
64/5= 12.8 62.56-6.256
=56.304
108lbs+12.8lbs= 120.8lbs =56.30kg
120.8lbs/2.2
=54.9090kg
=54.91kg

Answer 54.91 kg Answer 56.30 kg

2. Basal needs (Ador Dionisio) = 0.9 kcal x 54.91 kg x 24 hours= 1186.06 kcal

Basal needs (Tannhauser’s) = 0.9 kcal x 56.30 kg x 24 hours= 1216.08 kcal

3. Estimate physical activities (Ador DIonisio’s) = 1186.06 kcal x 0.50= 593.03 kcal
Estimate physical activities (Tannhauser’s) = 1216.08 kcal x 0.50= 608.04 kcal

4. Total Energy Allowance (Ador Dionisio’s) = 1186.06 kcal + 593.03 kcal= 1779.09 kcal

Total Energy Allowance (Tannhauser’s) = 1216.08 kcal + 608.04 kcal= 1824.12 kcal

The client is a pregnant woman, therefore I will add an additional of 340 kcal since it is
the energy requirement needed for a pregnant woman on her 2nd trimester in a day.
Ador Dionisio’s= 1779.09 kcal + 340 kcal= 2119.09 kcal
Tannhauser’s= 1824.12 kcal + 340 kcal= 2164.12 kcal
5. Distribute the total energy allowance among carbohydrates, proteins, and fats as
follows:

Carbohydrates: 50%-70%
Proteins: 10%-15%
Fats: 20%-30%

Ador Dionisio’s:
Carbohydrates= 2119.09 kcal x 0.65= 1377.41 kcal

Proteins = 2119.09 kcal x 0.15= 317.86 kcal

Fats = 2119.09 kcal x 0.20= 423.82 kcal

Tannhauser’s:
Carbohydrates= 2164.12 kcal x 0.65= 1406.68 kcal
 LABORATORY MANUAL NUTRITION AND DIET THERAPY – MMSU CHS 3

Proteins = 2164.12 kcal x 0.15= 324.62 kcal

Fats = 2164.12 kcal x 0.20= 432.82 kcal

6. Calculate the number of grams of carbohydrates, proteins, and fats.

Ador Dionisio’s:
Carbohydrates= 1377.41 kcal/4= 344.35 grams
Proteins = 317.86 kcal/4= 79.47 grams
Fats = 423.82 kcal/9= 47.09 grams

Tannhauser’s:
Carbohydrates= 1406.68 kcal/4= 351.67 grams
Proteins = 324.62 kcal/4= 81.16 grams
Fats = 432.82 kcal/9= 48.09 grams

7. Ador Dionisio’s Diet Rx: 2100 345-80-45

Tannhauser’s Diet Rx: 2150 350-80-50

II. Using the Food Exchange List, design your meal plan taking into consideration your food
habits, food behavior, preferences, and the like. Follow the steps in meal planning.

Food No. of CHO CHON Fat Energy Meal Distributions

Exchange Exchanges (g) (g) (g) Kcal B L D Sn
s
I. Veg A 2 3 1 0 16 1 1
Veg B 2 6 2 0 32 1 1
II. Fruits 3 30 0 0 120 1 1 1
III. Milk 2 24 16 20 340 1 1
IV. Rice 12 276 24 0 1200 4 3 2 3
V. Meat 5 0 40 50 610 2 1 1 1
VI. Sugar 6 6 0 0 36 3 3
VII. Fat 5 0 0 25 225 2 2 1 0
Total 37 345 83 50 2174
Tannhauser’s Diet Rx: 2150 350-80-50

Sample Menu for a Normal Diet

 LABORATORY MANUAL NUTRITION AND DIET THERAPY – MMSU CHS 4

Breakfast Lunch Dinner Snack

½ cup cooked 1 cup raw pokpoklo ½ cup cooked sitaw 2 hotdog rolls
kangkong 1 apple (6 cm diameter) 1 slice watermelon 3 pan de sal
½ cup raw carrot 1 ½ cup cooked rice 4 level tbsp 1 small chicken leg
1 lakatan ½ hito powdered milk
4 level tbsp 2 tsp olive oil 3 tsp sugars
powdered milk 1 cup cooked rice
3 tsp sugar 2 sapsap
2 cup cooked rice 1 tsp olive oil
2 galunggong
2 tsp olive oil

Situation 2: Denny is a 13 year-old male student. He weighs 55 kilograms and stands 5 feet 10
inches tall. He spends most of his time playing computer games which snacking. He often eats
junk foods and also loves fast food. He is allergic to seafoods and likes to eat vegetables as well.
Their school nurse often advise him about his diet but he says he keeps eating but doesn’t gain
any weight. He is often called “lampayatot” which bothers him a lot.

I. Following the steps in estimating the desirable body weight (DBW) discussed in the lecture
portion, calculate your total energy allowance (TEA).
1. Calculate IBW/ DBW.
Ador Dionisio’s Method Tannhauser’s Method
 LABORATORY MANUAL NUTRITION AND DIET THERAPY – MMSU CHS 5

Height= 5 feet= 110lbs Height= 5’10= 70in x 2.54= 177.8cm

10in x 2= 20 177.8cm-100
110+20= 130lbs 77.8cm x 0.10= 7.78
130lbs/2.2 77.8-7.78
= 59.09 kg =70.02 kg

Answer 59.09 kg Answer 70.02 kg

2. Basal needs (Ador Dionisio) = 1 kcal x 59.09 kg x 24 hours= 1418.16 kcal

Basal needs (Tannhauser’s) = 1 kcal x 70.02 kg x 24 hours= 1680.48 kcal

3. Estimate physical activities (Ador DIonisio’s) = 1418.16 kcal x 0.30= 425.45 kcal
Estimate physical activities (Tannhauser’s) = 1680.48 kcal x 0.30= 504.14 kcal

4. Total Energy Allowance (Ador Dionisio’s) = 1418.16 kcal + 425.45 kcal= 1843.61 kcal

Total Energy Allowance (Tannhauser’s) = 1680.48 kcal + 504.14 kcal= 2184.62 kcal

The recommended caloric requirement for a male age 13 years old is 2279 kcal/day. The
client has the total energy allowance below the recommended so in order to meet required
nutritional intake, let’s add an additional of 435.39 kcal
Total Energy Allowance (Ador Dionisio’s) = 1418.16 kcal + 425.45 kcal= 1843.61 kcal +
435.39 kcal= 2279 kcal

5. Distribute the total energy allowance among carbohydrates, proteins, and fats as
follows:

Carbohydrates: 50%-70%
Proteins: 10%-15%
Fats: 20%-30%

Ador Dionisio’s:
Carbohydrates= 2279 kcal x 0.65= 1481.35 kcal

Proteins = 2279 kcal x 0.15= 341.85 kcal

Fats = 2279 kcal x 0.20= 455.8 kcal
 LABORATORY MANUAL NUTRITION AND DIET THERAPY – MMSU CHS 6

Tannhauser’s:
Carbohydrates= 2184.62 kcal x 0.65= 1420 kcal

Proteins = 2184.62 kcal x 0.15= 327.69 kcal

Fats = 2184.62 kcal x 0.20= 436.92 kcal

6. Calculate the number of grams of carbohydrates, proteins, and fats.

Ador Dionisio’s:
Carbohydrates= 1481.35 kcal/4= 370.34 grams
Proteins = 341.85 kcal/4= 85.46 grams
Fats = 455.8 kcal/9= 50.64 grams

Tannhauser’s:
Carbohydrates= 1420 kcal/4= 355 grams
Proteins = 327.69 kcal/4= 81.92 grams
Fats = 436.92 kcal/9= 48.55 grams

7. Ador Dionisio’s Diet Rx: 2300 350-85-50

Tannhauser’s Diet Rx: 2200 355-80-50
II. Using the Food Exchange List, design your meal plan taking into consideration your food
habits, food behavior, preferences, and the like. Follow the steps in meal planning.

Food No. of CHO CHON Fat Energy Meal Distributions

Exchange Exchanges (g) (g) (g) Kcal B L D Sn
s
I. Veg A 2 3 1 0 16 1 1
Veg B 3 9 3 0 48 1 1 1
II. Fruits 4 40 0 0 160 1 1 1 1
III. Milk 4 48 32 20 500 2 2
IV. Rice 12 276 24 0 1200 4 3 3 2
V. Meat 3 0 24 30 366 1 1 1
VI. Sugar 4 4 0 0 16 2 2
VII. Fat 0 0 0 0 0
Total 32 380 84 50 2306
Ador Dionisio’s Diet Rx: 2300 350-85-50

Sample Menu for a Normal Diet

LABORATORY MANUAL NUTRITION AND DIET THERAPY – MMSU CHS 7

Breakfast Lunch Dinner Snack

½ cup cooked ½ cup cooked ½ cup cooked 1 slice watermelon
cabbage kangkong squash fruit 2 hamburger
½ cup cooked toge ½ cupcooked sitaw 1 pear
8 level tbsp.
1 apple 1 lakatan
powdered milk
8 level tbsp. 1 ½ cup cooked rice
2 tsp sugar
powdered milk 3 slices spam
1 ½ cooked rice
2 tsp sugar
1 slice pork ham
2 cups cooked rice
2 slices luncheon
meat
 LABORATORY MANUAL NUTRITION AND DIET THERAPY – MMSU CHS 8

Situation 3: Maria Buban is a 60 year old woman with mild mental retardation. She lives in an
independent support living arrangement and she works at a bakery in a supported employment
arrangement. Her height is 127 cm and she weighs 205 pounds. Maria has never been involved in
regular exercise. Her only regular exercise is her walk down the street to the convenience store and her
two-block walk from the bus stop to the bakery where she works. One of the activities she does like is
going to parks. Anything that involves being outside seems to be fun for her.

I. Following the steps in estimating the desirable body weight (DBW) discussed in the lecture
portion, calculate your total energy allowance (TEA).
1. Calculate IBW/ DBW.
Ador Dionisio’s Method Tannhauser’s Method
Height= 127cm
127-100
27 x 0.10= 2.7
27-2.7
= 24.3 kg

Answer Answer 24.3 kg

2. Basal needs (Ador Dionisio) =

Basal needs (Tannhauser’s) = 0.9 kcal x 24.3 kg x 24 hours= 524.88 kcal

3. Estimate physical activities (Ador DIonisio’s) =

Estimate physical activities (Tannhauser’s) = 524.88 kcal x 0.50= 262.44 kcal

4. Total Energy Allowance (Ador Dionisio’s) =

Total Energy Allowance (Tannhauser’s) = 524.88 kcal + 262.44 kcal= 787.32 kcal

5. Distribute the total energy allowance among carbohydrates, proteins, and fats as
follows:

Carbohydrates: 50%-70%
Proteins: 10%-15%
Fats: 20%-30%
 LABORATORY MANUAL NUTRITION AND DIET THERAPY – MMSU CHS 9

Ador Dionisio’s:

Carbohydrates=

Proteins =
Fats =

Tannhauser’s:
Carbohydrates= 787.32 kcal x 0.65= 511.76 kcal

Proteins = 787.32 kcal x 0.15= 118.10 kcal

Fats = 787.32 kcal x 0.20= 157.46 kcal

6. Calculate the number of grams of carbohydrates, proteins, and fats.

Ador Dionisio’s:
Carbohydrates=
Proteins =
Fats =

Tannhauser’s:
Carbohydrates= 511.76 kcal/4= 127.94 grams
Proteins = 118.10 kcal/4= 29.53 grams
Fats = 157.46 kcal/9= 17.50 grams

7. Ador Dionisio’s Diet Rx: Click or tap here to enter text.

Tannhauser’s Diet Rx: 800 130-30-20
 LABORATORY MANUAL NUTRITION AND DIET THERAPY – MMSU CHS 10

II. Using the Food Exchange List, design your meal plan taking into consideration your food
habits, food behavior, preferences, and the like. Follow the steps in meal planning.

Food No. of CHO CHON Fat Energy Meal Distributions

Exchange Exchanges (g) (g) (g) Kcal B L D Sn
s
I. Veg A 2 3 1 0 16 1 1
Veg B 1 3 1 0 16 1
II. Fruits 2 20 0 0 80 1 1
III. Milk 2 24 16 10 250 1 1
IV. Rice 3 69 6 0 300 1 1 1
V. Meat 1 0 8 1 41 1
VI. Sugar 2 2 0 0 8 1 1
VII. Fat 2 0 0 10 90 1 1
Total 15 131 32 21 801
Tannhauser’s Diet Rx: 800 130-30-20
Sample Menu for a Normal Diet

Breakfast Lunch Dinner Snack

½ cup cooked ½ cup cooked ½ cup cooked sitaw 1 apple
eggplant malunggay leaves 4 level tbsp. 4 kropeck
1 lakatan ½ cup cooked rice powdered milk
4 level tbsp. 2 tilapya 1 tsp sugar
powdered milk ½ cup cooked rice
1 tsp sugar
½ cup cooked rice
5 pili nuts
 LABORATORY MANUAL NUTRITION AND DIET THERAPY – MMSU CHS 11

REFERENCES:

Caudal, M.C. (2008). Basic Nutrition and Diet Therapy: Textbook for Nursing Students
Revised ed. C&E Publishing, Inc.

Escott-Stump, Sylvia. (2008) Nutrition and diagnosis-related care /Philadelphia : Wolters

Kluwer Health/Lippincott Williams & Wilkins,

Williams, S. R. (2001). Basic nutrition and diet therapy. St. Louis: Mosby.