Glycemic Index

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A.

Calculation of energy content of different food items

Steps of prescription of a Diet

First step: Calorie Requirement

Second step: Proximate principles

Third step: General composition of food

Fourth step: Determine the items of food

Fifth step: Three meals per day

First step in prescription of Diet

Energy required + SDA 2000 Kcal


Protein 55g
Calcium 1000mg
Iron 20mg

Second step in prescription of Diet:

Proteins 55g
Fats 40g
Carbohydrates 355g
calcium 1000mg
Iron 20mg
calories 2000kcal

Energy requirement of a normal person:

While calculating the energy requirements we have to consider the energy required for

 Maintainance of Basal Metabolic Rate (BMR)


 Specific Dynamic Action on thermogenic effect of food.
 Extra energy expenditure for physical activities

Calculate the energy requirement for 55 kg adult doing moderate work.

For BMR 24 x 55kg 1320 kcal


+ For activity 40% of BMR 528kcal
Sub Total 1320+528 1848 kcal
+Need for SDA 1848+10% 185 kcal
Total 1848-185 2033 kcal
ROUNDED OFF Nearest 50 kcal 2000 kcal
General composition of food for a normal adult:

Vegeterian Non-vegeterian
Cereals 240g 350g
Pulses 90g 60g
vegetable oil 55ml 25ml
Milk 300ml 150ml
Leafy vegetable 350g 200g
Sugar 25g 25g
Fish/Meat 60g

B. Identification of food items with high & low Glycemic index

It is assessed by GTT. The reference meal is always taken as 50g of glucose

incremental areaunder glucose tolerance curve after 50 g meal


Index =
incremental area under glucose curve after 50 g reference meal

Glycemic index curve

Food item Glycemic index


Potato chips 80-90
White rice 70-79
Brown rice 60-69
bananas 60-69
Milk & ice cream 35-40

C. Significance of food items in diet

1) It should be a balanced, well planned diet containing all essential nutrients


2) The diet should be simple, locally available palatable and digestible

3) Adequate protein content with essential amino acids should be supplied. This is achieved by
cereal pulse mixture with additional animal proteins, if necessary

4) Calorie intake should be correct and should balance energy experience.

5) Special care should be taken to see that adequate quantity of calcium and iron are obtained
from diet

6) The absorption of these minerals is reduced by other factors in Indian diet.

7) Should have variety and should not differ very much from habitual diet of person.

8) Should provide adequate Roughage.

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