EXERCISE NO.

BASIC NUTRITIONAL ASSESSMENT WITH ESTIMATION OF THE IDEAL

(DESIRABLE) BODY WEIGHT
CARYL JOYCE L. SALAR, RND

Computation and Interpretation of the BMI

Formula:
𝑊𝑒𝑖𝑔ℎ𝑡 (𝑘𝑔)
𝐵𝑀𝐼 =
( 2)
𝐻𝑒𝑖𝑔ℎ𝑡 𝑚

There are two standard classifications used to interpret the BMI value. These are the WHO and
Asia-Pacific.

BMI Interpretation

<18.5 Underweight

18.5-24.99 Normal

25.00-29.99 Overweight

≥30 Obese

Table 1. BMI values and interpretation (WHO)

BMI Interpretation

<16.00 Severe thinness/underweight

16.00-16.99 Moderate thinness/underweight

17.00-18.49 Mild thinness/underweight

18.5-22.99 Normal

23.0 – 24.99 Overweight

25.00-29.99 Pre-obese

30-34.99 Class I obese

35.0-39.99 Class II obese

≥40 Class III obese

Table 2. BMI values and interpretation (Asia Pacific)

Determination of the IBW Using Different Formulas for Adults

 ● TANHAUSSER’S FORMULA

IBW (kg) = (height in cm – 100)

*for international patients

IBW (kg) = (height in cm – 100) – 10%*

* adjusted for Filipino stature

● NDAP FORMULA

For females: allow 106 pounds for 5 feet height. For each additional inch, add 4 pounds.
For males: allow 112 pounds for 5 ft height and add 4 pounds for each additional inch
taller.

For every inch below 5 ft, deduct 4 pounds.

To convert pounds (lbs.) to kilograms (kg), divide the lbs. value by 2.2.

Determination of the TER Using Different Formulas for Adults

● Long Method I

Formula: TER (kcal) = BMR x PA x Illness Factor

**where BMR stands for Basal Metabolic Rate and PA for Physical Activity

BMR computation using the Harris-Benedict formula:

For males:
BMR (kcal) = 66.5 + [13.75 x wt (kg)] + [5 x ht (cm)] – [6.75 x age (yr)]
**the actual body weight must be used in the Harris-Benedict formula

For females:
BMR (kcal) = 655.1 + [9.56 x wt (kg)] + [1.85 x ht (cm)] – [4.68 x age (yr)]
**the actual body weight must be used in the Harris-Benedict formula

Activity Factors (PA) for Different Levels of Activity

Activity Level Activity Factor
Male Female
Resting 1.0 1.0
Sedentary 1.3 1.3
Light 1.6 1.5
Moderate 1.7 1.6
Very Active 2.1 1.9
Extremely Active 2.4 2.2
 Stress or Injury Factor
No illness/nonstress 1.0 Cancer with chemo/radiation, 1.5 – 1.6
cardiac cachexia
Convalescence, mild malnutrition, 1.1 COPD 1.4 – 1.6
postoperative
Mild illness, noncatabolic (confined to bed) 1.2 Fracture, long bone 1.2 – 1.3
Mild illness, noncatabolic (ambulatory/out 1.3 Respiratory/renal failure 1.4 – 1.5
bed)
Infections and stress, catabolic (mild) 1.1 – 1.2 Protein-Energy Malnutrition 1.2 – 1.7
Infections and stress, catabolic (moderate) 1.3 – 1.4 Surgery, minor/elective 1.1 -1.2
Infections and stress, catabolic 1.5 – 1.7 Surgery, major 1.2 – 1.3
(severe, hyper)
Infections and stress, catabolic (sepsis) 1.8 – 2.0 Transplantation, solid organ 1.5 – 1.7
Burns (<20% body surface) 1.2 – 1.4 Trauma, skeletal/blunt 1.3 – 1.4
Burns (20-40% body surface) 1.5 – 1.7 Trauma, major, multiple, head 1.5 – 1.6
injury
Burns (>40% body surface) 1.8 – 2.0 Wound, clean 1.1 – 1.2
Burns, severe 2.1 – 2.3 Wound, infected 1.3 – 1.4

● Short Method (NDAP)

Formula: TER (kcal) = IBW x Factor

NDAP METHOD
Activity Level Male Female Activity Level Male Female
kcal/ kcal/ kcal/ kcal/
kgBW kgBW kgBW kgBW
In bed but mobile 35 30 Moderate 45 40
(e.g., secretary, clerk, (e.g., housewife without
typist, administrator, maids, vendor, mechanic,
cashier, bank teller) jeepney, and car driver)
Light 40 35 Heavy 50 -
(e.g., teacher, nurse, (e.g., farmer, laborer,
student, lab technician, cargador, coal miner,
housewife with maids) fishermen, heavy
equipment operators)
 EXERCISE NO.4 WORKSHEET
BASIC NUTRITIONAL ASSESSMENT WITH ESTIMATION OF THE IDEAL (DESIRABLE)
BODY WEIGHT AND TOTAL ENERGY REQUIREMENT

Name: QUIAPO, CINDY DIANNE C. Score: _____________________

Student Number: 2023301807 Date submitted: 03/18/24

INTRODUCTION

In the labyrinth of wellness, weight serves as both a guiding light and a formidable challenge in
our quest for a healthy lifestyle. Far beyond a mere number on a scale, our consciousness of weight
reflects a complex interplay of factors influencing our physical, mental, and emotional well-being.
Recognizing the importance of determining weight and understanding its role in health is pivotal, as it
sets the stage for navigating the metrics of Body Mass Index (BMI), Ideal Body Weight (IBW), and Total
Energy Requirements (TER), fostering a harmonious relationship between body and mind.

Recent insights from sources like the Rush University Medical Center underscore weight's
significance, revealing it as more than a superficial concern. Instead, weight is a profound reflection of
our lifestyle choices, nutritional habits, and overall health status. Moreover, weight intertwines with our
self-perception, emotional well-being, and social interactions, demonstrating its multifaceted
implications beyond societal standards. This understanding emphasizes the imperative for accurate
assessments of weight, enabling individuals to embark on informed journeys toward holistic well-being,
whether through weight management, fitness monitoring, or health condition management. BMI, IBW,
and TER metrics play pivotal roles in this journey, offering standardized frameworks and personalized
benchmarks to guide individuals in their pursuit of wellness. However, amidst these considerations, it's
crucial to acknowledge the practical conditions that shape our approach to weight, recognizing the
diverse socioeconomic, cultural, and psychological influences at play. Ultimately, embracing mindfulness
and navigating the complexities of weight consciousness pave the way for transformative experiences,
where each individual's unique path toward well-being is honored and celebrated, fostering unity
between body and mind.

OBJECTIVES: At the end of the exercise, the students were able to:
1. compute the BMI and interpret the result;
2. identify and use the different methods and formulas in the estimation of IBW;
3. compute the TER for each case using the long and short methods;
4. apply the concepts of BMI, IBW, and TER to practical conditions.
RESULTS AND OBSERVATIONS

Instructions: Compute for the needed data. Show your solutions. You may have your solutions
written on a paper, take a snap of it, and submit it together with this file, or directly input the
needed data on the space provided.

Case 1: Alexandra Mellie is a 26-year-old Filipino female who stands 5’5” tall and weighs 59 kg.
She works as a bank cashier in a known company in the town and is assessed to be healthy
with no complications or chronic disease manifestations.
Instructions:
1. Compute for the client’s BMI and interpret the value using the WHO classification.
2. Compute for the client’s IBW using the Tanhausser’s and NDAP formula.
3. Compute for the client’s TER using the NDAP method.

WORKSHEET 1:

Name: Alexandra Mellie Age: Sex: Wt.:59 kg.

26-year Filipin
Height: BMI: 21.6 -old o
5’5” tall femal
Interpretation: Normal e
IBW (Tanhausser’s): IBW (NDAP): TER (NDAP):
59 kg 57 kg 1710 kcal

SOLUTIONS/COMPUTATIONS:
Case 2: Pedro Penduko is a 17-year-old Filipino male who stands 6’3” tall and weighs 65 kg. He
is a very active basketball varsity player at his university and is known to be the team captain.
Recently, during an inter-university match, he accidentally injured his leg. He was immediately
rushed to the hospital and upon assessment, the doctor said that he obtained a long bone
fracture on his right leg. He was given immediate medical care and is currently recovering.
Instructions:
1. Compute for the client’s BMI and interpret the value using the Asia Pacific
classification.
2. Compute for the client’s IBW using the Tanhausser’s and NDAP formula.
3. Compute for the client’s TER using the Long Method I.

WORKSHEET 2:

Name: Pedro Penduko Age: Sex: Wt.:

17-year Male 65 kg
Height: BMI: 17.9 -old
6’3” tall
Interpretation:
Mild Underweight
IBW (Tanhausser’s): IBW (NDAP): TER (Long Method I):
81kg 78 kg 4450 kcal

SOLUTIONS/COMPUTATIONS:
Case 3: Elsa Marie is a 66-year-old retired Filipino elementary teacher who stands 4’9” tall and
weighs 47 kg. Three years ago, she was rushed to the hospital for difficulty breathing and was
immediately admitted with a COPD medical diagnosis. Currently, she is already bedridden
(resting/immobile) to support her lung capacity.
Instructions:
1. Compute for the client’s BMI and interpret the value using the Asia Pacific
classification.
2. Compute for the client’s IBW using the Tanhausser’s and NDAP formula.
3. Compute for the client’s TER using the Long Method I.

WORKSHEET 3:

Name: Elsa Marie Age: Sex: Wt.:

66-year Femal 47 kg
Height: BMI: 22.4 -old e
47 kg
Interpretation: Normal
IBW (Tanhausser’s): IBW (NDAP): TER (Long Method I):
39.59 kg 43 kg 1700 kcal

SOLUTIONS/COMPUTATIONS:
DISCUSSION (Explain the results. Elaborate the importance of BMI, IBW, and TER in
healthcare practice. Cite some literature to support your discussion)

The significance of Body Mass Index (BMI), Ideal Body Weight (IBW), and Total Energy
Requirement (TER) in healthcare is profound and widely recognized. BMI serves as a
fundamental metric for assessing weight status and evaluating associated health risks, aiding in
the identification of conditions such as cardiovascular diseases and diabetes. However, its
limitations, particularly its inability to distinguish between fat and muscle mass, must be
acknowledged to prevent misclassification of individuals. Meanwhile, IBW plays a crucial role in
healthcare settings, guiding feeding plans, managing weight, and even determining transplant
eligibility. Despite criticisms regarding oversimplification and failure to account for individual
variations, IBW remains instrumental in setting weight-related goals and addressing nutritional
needs effectively.
Moreover, TER serves as a cornerstone in determining caloric requirements and
planning diets tailored to individual needs. Its clinical use extends to guiding healthcare
professionals in ensuring adequate energy intake for optimal health, considering factors such as
age, gender, weight, and activity level. Highlighting the importance of accurate weight
assessments, studies such as those published in (Kohn, 2015) emphasize the relevance of
adjusted body weight in predicting resting metabolic rate. Similarly, commentaries on
(Chichester et al., 2021), underscore its multifaceted applications in healthcare and research,
shedding light on its pivotal role in creating feeding plans and managing weight effectively.
Together, BMI, IBW, and TER form essential components in nutritional evaluations and
healthcare interventions, contributing significantly to overall well-being and disease
management.

CONCLUSION (From the gathered data, draw your conclusions based on the objectives of the
exercise)
Understanding weight and its implications is essential for our overall well-being. Body
Mass Index (BMI), Ideal Body Weight (IBW), and Total Energy Requirements (TER) are valuable
tools in this regard. BMI provides a simple way to gauge body fat based on height and weight,
helping us identify potential health risks associated with weight. IBW offers a target weight for
assessing nutritional status and guiding weight management efforts, while TER assists in
planning diets and ensuring adequate energy intake. By applying these concepts, individuals
can make informed decisions about their health, promoting a balanced lifestyle and holistic
well-being. It's about recognizing the importance of weight in our lives and using these metrics
to foster a healthier relationship between body and mind.

REFERENCES (APA 7th ed format)

 Chichester, S., Holmes, T. M., & Hubbard, J. (2021). Ideal body weight: A

commentary. Clinical Nutrition ESPEN, 46, 246–250.

https://doi.org/10.1016/j.clnesp.2021.09.746

Https://www.rush.edu/how-much-should-i-weigh. (n.d.-b).

https://www.rush.edu/how-much-should-i-weigh

Kohn, J. B. (2015). Adjusted or ideal body weight for nutrition assessment? Journal

of the Academy of Nutrition and Dietetics, 115(4), 680.

https://doi.org/10.1016/j.jand.2015.02.007