dietary prescription
TRANSCRIPT
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Dietary
PrescriptionDarwin
AnD
Dhaine
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The Diet Prescription The Diet Prescription defines the calorie
needs that an individual needs and how
those calories will be distributed amongthe macronutrients.
Diet Plan gives the total number of
exchanges to be eaten in a day for a
specific diet prescription.
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List I - Group A vegetables Malabar night shade Bittermelon leaves and
fruit Garlic leaves Squash flowers and
leaves Tomatoes Sweet potato leaves
Cauliflower Bamboo shoot Swamp cabbage
Papaya, green Sponge gourd Cucumber
Chinese cabbageCabbage Eggplant Bottle gourd Mushroom, fresh
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List I - Group B Vegetables Jackfruit
Yam bean
Stringbeans, pod Okra
Carrot
Squash fruit
Mung bean sprout
Onion
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List II Fruit Exchanges Papaya, ripe
Pineapple
Durian
Guava
Jackfruit, ripe
Mangosteen
Marang
Lansones
Pear Santol
Star apple
Strawberry
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List III Milk Exchange Whole milk
Evaporated
Fresh carabaos milk
Fresh cows milk
Powdered
Low Fat Powdered
Lite fat fresh milk
Skimmed/ very Lowfat Buttermilk
Yoghurt
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List IV Rice Exchange Rice cooked
Rice gruel
Rice Products Ampaw
Bibingka
Biko
Puto Palitaw
Suman
Rice Equivalents Bread
CAKES
Cookies
Noodles
Bihon
Pasta
Root crops
Corn and corn products
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List V Meat Exchange Beef
Pork
Chicken Carabao
Goat
Cat
Fish
Other seafoods
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List VI Fat Exchange Saturated fats
Bacon
Butter
Cream cheese
Margarine
Mayonnaise
Whipping cream
Unsaturated fats Corn oil
Sesame oil
Peanut butter
Shortening
Avocado
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List VII- Sugar Exchanges
Honey
Jam and jellies
Syrups Yema
Caramel
Chewing gum
Bukayo
Halo2x Ice candy
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Composition of FoodExchanges
Energy
(Kj)
Energy
(Kcal)
FAT
(grams)
CHON
(grams)
CHO
(grams)
MeasureFoodList
16740--10VariesFruitII
6716-13 cup, cooked
cup raw
Veg. BI-B
-
67
-
16
--
1
-
3
1 cup, raw
cup cooked
2 cups raw
1 cup cooked
Veg. AI-A
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Composition of Food Exchanges
Energy
(Kj)
Energy
(Kcal)
FAT
(grams
)
CHON
(grams
)
CHO
(grams
)
MeasureFoodList
418100-223variesRiceIV
-
711
711
523
335
-
170
170
125
80
-
10
10
5
-
-
8
8
8
8
-
12
12
12
12
Varies
4 tbsp
4 tbsp
varies
Milk
Whole
Powdered
Low fat
skim
III
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Composition of FoodExchanges
188455--1tspFatVI
8420--51 tspSugarVII
V
List
Meat
Low fat
Med fat
High fat
Food
Varies
Varies
Varies
Measure
-
-
-
CHO
(grams
)
8
8
8
CHON
(grams)
1
6
10
FAT
(grams)
41
86
122
Energy
(Kcal)
172
360
510
Energy
(KJ)
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Illustrative breakdown of EnergyExpenditure for 24 hours
19202580Mean Energy Expenditure
4045Mean kcal/kg.
1745-20952240-2920Usage of Energy Expenditure
505-855600-1280Non-occupational activities (8 hours)
8701210At work (8 hours)
370430In bed (8 hours)
Kcal/KgKcal/Kg
Reference Woman
(48 Kg)
Reference Man
(56 Kg)
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CALCULATION OF
EXCHANGE
Steps in Planning the Dietary
Patterns
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Solving for the value of C/P/F:
Example:
for 1800 Caloric requirement.
CHO (60%) 1800 x .60 =1080 4 = 270 cal
CHON (15%) 1800 x .15 = 270 4 = 68 cal
FATS (25%) 1800 x .25 = 450 9 = 50 cal
Note: 1g of CHO = 4kcal
1g of CHON = 4kcal 1g of FAT = 9 kcal
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Steps in Planning The dietaryPattern
Compute for the amount of milk, vegetablesand fruits included in the diet.
Sub-total the carbohydrates coming from milk,B vegetables and fruits. Take the difference
from total prescribed carbohydrate. Dividethe remaining carbohydrate by 23 to get thenumber of rice exchanges to give.
Sub-total the protein coming from milk,vegetables B and rice exchanges. Take thedifference from the total prescribed protein
and divide the remainder by 8 to get thenumber of meat exchanges.
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Sub-total the fat coming from milk and meats. Subtract fromthe total prescribed fat and divide the remainder by 5 togive the number of exchanges of fat.
Sum up all carbohydrate, protein, fat and calories to checkwhether the prescribed levels are met.
Allow sugar to compensate for carbohydrate deficiency. 1teaspoon refined sugar is equivalent to 5gms carbohydrateand 20 calories.
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Sample calculation
DIET PRESCRIPTION
69FATS 25%
94CHON 15%
375CHO 60%
Gram equivalentC/P/F % Distribution
Dietary Prescription = 2500 Cal
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DIET PLAN MEAL PATTERN
25036793377Total
12
1
135
20
1553
1tsp
Fat
Sugar
2326024256-7Meats
(med. fat)
23451400-2832214Rice
1170108121Milk (whole)
1111160--404Fruits
116-131Vegetables B
SnackSupperLunchBreak
F
A
S
T
Kilo
Calories
Fat
(g)
Protein
(g)
CHO
(g)
Total
Ex
cH
an
ge
s
Exchange
Group