Data:-
Weight:- 63 kg
Age:- 35 year
Gender: Female
Height:- 5’6inches
Physical activity:- office worker
Diagnosis:- anemia
Energy expenditure estimation
Body mass index:-
BMI = wt in kg ÷ ht in m2
Height= 5 feet 6 inches
= 5 × 12 + 6 *1 feet = 12 inches
= 60 + 6
= 66 inches
Inches to cm
= 66 × 2.54 *1 inch = 2.54 cm
= 167cm
Cm to m2
= 167÷100 = 1.67m
=(1.67m)2
= 2.81 m2
BMI = wt in kg ÷ht in m2
= 63÷ 2.81
= 22 .4 kg/m2. ( normal)
BMR calculation:-
= ( 10 × wt in kg)+ (6.25× ht in cm)- ( 5 × age in year) – 161.
= ( 10 × 63) + ( 6.25×167) – ( 5 × 35 ) – 161
= 630 + 1043.75-175-161
=1337.75 kcal
TEE = BMR × physical activity
= 1337.75 × 1.2
= 1605.3 calories/day.
Macronutrient calculation:-
Protein :-
= 0.8×63 = 50g
=50×4 = 201 kcal
=201 ÷1605 × 100= 12%
Fats:-
=25÷100 × 1605 = 401 kcal
=401÷9 = 44 g
Carbohydrate:-
= 1605-(401+201)
= 1605 – 602 = 1003 kcal
= 1003 ÷ 4 = 250g
Diet plan
Pre breakfast:-
1 glass of fennel seed water
Breakfast:-
Whole wheat roti vegetable omelete
Snack:-
ABC juice
Lunch :-
Boiled brown rice daal
Cucumber salad
Snack:-
apple
dinner:-
whole wheat roti grilled fish
mint raita
bed time:-
glass of milk almonds
recommendations:-
Increase intake of fruits and vegetables
Include a variety of whole grains such as brown rice and oats .
Choose lean sources of protein such as poultry, fish, beans.
Incorporate healthy fats from sources like nuts, seeds, avocados, and olive oil.
Limit processed foods, sugary snacks, and sugary beverages to reduce added sugars and
unhealthy fats and Drink plenty of water
Limit sodium intake by reducing the use of salt and choosing low-sodium options when
possible
Nutritional evaluation:-
Food item Quantity Calories(kcal) Carbohydrates (g) Fats(g) Proteins(g)
Glass of fennel 1 glass 20 3.03 0.83 0.92
seed water
Whole wheat roti 1 190 37 6 9
(with less oil)
Vegetable omelet 1 egg 180 11.2 12.0 18.2
ABC juice 1 glass 145 41 0 3
Boiled brown ½ cup 216 28 1.9 6.2
rice
Daal 1 cup 198 26 6 10
Cucumber salad ½ cucumber 15 5.6 0.2 1.4
Apple (medium) 1 95 25 0.3 0.5
Whole wheat roti 1 190 37 6 9
(without oil)
Grilled fish with 1 fillet 210 1.8 3.2 21
less spices
Mint raita 5 tbsp 45 3.7 1.5 1.9
Glass of milk 1 90 12 0.2 8.3
Almonds 3 25 1.9 4.8 1.9
Total calories=1619kcal/day
Data:-
Weight:- 77 kg
Age:- 45 years old
Gender: male
Height:- 5 feet 7 inches
Physical activity:- accountant
Diagnosis:- cirrhosis
Energy expenditure estimation
Body mass index:-
BMI = wt in kg ÷ ht in m2
Height= 5feet 7inches
= 5 × 12 + 7 *1 feet = 12 inches
= 60 + 7
= 67inches
Inches to cm
= 67× 2.54 *1 inch = 2.54 cm
= 170.18cm
Cm to m2
= 170.18÷100 = 1.7018 m
=(1.7018)2
= 2.896m2
BMI = wt in kg ÷ht in m2
= 77÷ 2.896
= 26.5kg/m2. ( overweight)
Ideal body weight:-
=height in cm – 100
=170-100
=70 kg
BMR calculation:-
= (10×weight in kg)+(6.25×height in cm)−(5×age in years)+5
= (10×70)+(6.25×170)−(5×45)+5
=700+1062.5-225+5
=1542.5kcal
TEE = BMR × physical activity
= 1542.5 × 1.2
= 1851 calories/day.
Calorie adjustment:-
= 1851-200=1651
Macronutrient calculation:-
Protein :-
= 0.8×77 = 61g
=61×4 = 246 kcal
=246 ÷1851 × 100= 13%
Fats:-
=25÷100 × 1851 = 462 kcal
=462÷9 = 51 g
Carbohydrate:-
= 1851-(462+246)
= 1851– 708 = 1143 kcal
= 1143 ÷ 4 = 285g
Diet plan
Pre breakfast:-
Almonds normal water
Breakfast
Cooked oatmeal boiled egg
Snack:-
Apple peach
Lunch :-
Boiled rice daal
Mix vegetable salad
Snack:-
Low fat milk tea 2 whole wheat digestive biscuit
dinner:-
whole wheat roti chicken curry
mix vegetable salad zeera yogurt
bed time:-
glass of milk
recommendations:-
Limit sodium intake to manage fluid retention and swelling (edema) commonly
associated with cirrhosis.
Stay hydrated by drinking plenty of water throughout the day.
Avoid processed foods, excessive fats, and sugary snacks to maintain liver health.
Portion sizes and frequency of meals/snacks can be adjusted based on individual
preferences and nutritional needs.
Nutritional evaluation
Food item Quantity Calories(kcal) Carbs(g) Fats(g) Proteins(g)
almonds 3-4 50 1.9 4.8 1.9
Cooked oatmeal 1cup 175 28.1 0.9 8.9
Boiled egg 1 egg 78 1.12 5.5 6.2
Apple 1 30 6.9 0.3 0.4
peach 1 44 6.3 0.2 4.2
Boiled rice 1 cup 216 28 1.9 6.2
daal ½ cup 198 26 6 10
Mix veg salad ½ cucumber 15 5.6 0.2 1.4
salad
Low fat milk tea 1 cup 170 11.7 3.2 3.1
Whole wheat 2 84 25.5 0.75 4.5
digestive biscuit
Roti(whole 1 190 37 6 9
wheat)
Chicken curry ½ cup 124 4.7 6.67 11.4
Veg salad(onion 1 cup 76 17.2 0.5 3.6
tomato, carrot)
Zeera yogurt 3-4 tbsp 45 3.7 1.5 1.9
Milk 1 glass 90 12 0.2 8.3
Total calories:- 1626kcal/day
