Procedure: Case Analysis
Group 4: Childhood
A 7-year-old boy weighing 32kg is fond of eating French Fries and hotdogs during
snack time.
Evaluation
I. Compute for the Desirable Body Weight and Total Energy Requirement
For children aged 2-12 years old, this is the formula for the DBW:
DBW (kg) = (number of years x 2) + 8
= (7 x 2) + 8
= 14 + 8
DBW = 22 kg
22kg x 2.2lbs = 48.4lbs
Thus, the DBW of the 7 year-old boy is 22kg ≡ 48.4 lbs
For children aged 2-12 years old, this is the formula for the TEA:
TEA = 1000 + (100 x age in years)
= 1000 + (100 x 7)
= 1000 + 700
TEA = 1700 calories
Thus, the TEA of the 7 year-old boy is 1700 calories.
II. Calculate and plan the diet providing 3 meals and 2 snacks. Indicate your
answers in the table below.
Percentage Distribution:
CHO = 1600 cal x 0.55 = 880 cal
PRO = 1600 cal x 0.15 = 240 cal
FAT = 1600 cal x 0.30 = 480 cal
Gram Distribution:
CHO = 880 cal ÷ 4 kcal/g = 220 g
PRO = 240 cal ÷ 4 kcal/g = 60 g
FAT = 480 cal ÷ 9 kcal/g = 53.33 g
Diet Rx: 1600 calories - 220g CHO - 60g PRO - 53.33g FAT
No. Of CHO PRO FAT Energy kcal
Food Group
Exchanges g
Veg A 2 6 2 - 32
Veg B 1 3 1 - 16
Fruits 4 40 - - 160
Milk (LF) 1 12 8 5 125
Rice (B) 6 138 12 - 600
Meat (MF) 5 - 40 30 430
Sugar 5 25 - - 100
Fat 4 - - 20 180
Total 28 224 63 55 1643
Rice Exchange:
6g + 3g + 40g + 12g + 25g = 86g
220g - 86g = 134g
134g / 23g = 5.8 = 6 rice exchange
Meat Exchange:
2g + 1g + 8g + 12g = 23g
60g - 23g = 37g
37g / 8g = 4.6 = 5 meat exchange
Fat Exchange:
5g + 30g = 35g
53.33g - 35g = 18.33g
18.33g / 5g = 3.6 = 4 fat exchange
Bfast - 8 ; Lunch - 7 ; Dinner - 7 ; Snacks - 6
No. Of B L D S
Food Group
Exchanges
30 % 25% 25% 20%
Veg A 2 1 1
Veg B 1 1
Fruits 4 1 1 1 1
Milk (LF) 1 1
Rice (B) 6 2 1 1 2
Meat (MF) 5 2 1 1 1
Sugar 5 1 2 1 1
Fat 4 1 1 2
Total 28 8 7 7 6
III. Prepare the assigned sample menu plan for class presentation:
Group 4: PM Snack
PM Snack Sample Menu
Menu Household Measure
Mango Ripe 1 (11 x 6 cm) slice
Powdered Milk 1⁄4 cup or 4 level tablespoons
Bread Rolls (Hotdog/Hamburger)\ 1 (11 x 4 x 3 cm) piece
Sweet Potato 1/2 cup or 1/2 pc. 11 cm long x 4 1/2
Ham Sausage diameter
Caramel 3 pcs. of 9 cm dia x 0.3cm thick each
1 (2 x 2 cm) pc.
IV. Discuss the case assessment and tray presentation in class emphasizing
rationale of the diet given, nutrient modification, and intervention.
Meal Prepared Nutrient Modification Rationale Nutrition Intervention
1 (11 x 6 cm) Low-Calorie Diet The body needs Aim to limit your
calories to produce child's calories
slice of mango
energy. However, from added sugar
ripe eating too many & sodium
calories and not (Nutrition for Kids:
1⁄4 cup or 4
burning them off Guidelines for a
level through activity can Healthy Diet, n.d.)
lead to weight gain - Naturally occurring
tablespoons (Gavin, M., n.d.). sugars, such as those in
powdered milk According to Low fruit and milk, are not
Calorie Diets (2019), a added sugars. Examples
1 (11 x 4 x 3 low calorie diet refers of added sugars include
cm) piece of to calorie restriction in brown sugar, corn
a diet to achieve sweetener, corn syrup,
bread rolls weight loss. honey and others.
(hotdog / Check nutrition labels.
Choose cereals with
hamburger) minimal added sugars.
Sweet potato Avoid drinks with
added sugars such as
(1/2 cup or 1/2
soda and sports and
pc. 11 cm long x energy drinks.
Moreover, Most
4 1/2 diameter)
children in the U.S.
Ham sausages have too much sodium
in their daily diets.
(3 pcs. of 9 cm
Encourage snacking on
dia x 0.3cm fruits and vegetables
instead of chips and
thick each)
cookies. Check
1 (2 x 2 cm) nutrition labels and
look for products low in
piece of caramel
sodium.
Encourage a wide
variety of
nutritious foods.
No particular food
should be forced or
overly restricted
(Involve Kids in
Planning and
Preparing Meals,
n.d.).
- Eating a wide variety
of nutritious foods will
help to keep that body
in good health and to
protect against diseases.
Just make sure to eat a
variety of foods from
each of the food groups
daily, in recommended
amounts.
Offer a variety of
foods which are
colorful (such as
fruits and
vegetables) and
palatable.
- The colors of fruits
and vegetables are
sources of powerful
antioxidants, vitamins,
and phytonutrients (a
name to describe
thousands of different
chemicals that studies
have shown to reduce
the risk of many
chronic diseases)
(Serbinski, 2017). Also,
allowing the child to
choose what and how
much to eat from a
variety of healthy food
options results in a
more enjoyable eating
experience for children
(Dudek, 2017).
Include your
child’s food
choices in the
family menu
sometimes.
- Including the child's
food choices in the
family will help the
child nurture healthy
eating habits. Also, it
will help the child to
know the importance of
healthy food choices.
