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24 Hours Recall Form: Senin, 8 Mei 2017 Pukul 10.00 WIB - Selasa, 9 Mei 2017 Pukul 10.00 WIB

1) The document is a 24-hour food recall form for Rara Ayuningtyas from May 8-13, 2017. It lists the foods consumed each day along with the quantities, calories, protein, fat, and carbohydrate content. 2) Over the 6 days, Rara consumed a total of 6,358 kcal, with protein intake of 268 grams, fat intake of 151 grams, and carbohydrate intake of 806 grams. 3) Her daily meals consisted mostly of rice, meat, vegetables, fruit, and drinks like tea and milk. Snacks included crackers, tempeh, and bread.

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Ronny Fardian Setiadarma
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66 views4 pages

24 Hours Recall Form: Senin, 8 Mei 2017 Pukul 10.00 WIB - Selasa, 9 Mei 2017 Pukul 10.00 WIB

1) The document is a 24-hour food recall form for Rara Ayuningtyas from May 8-13, 2017. It lists the foods consumed each day along with the quantities, calories, protein, fat, and carbohydrate content. 2) Over the 6 days, Rara consumed a total of 6,358 kcal, with protein intake of 268 grams, fat intake of 151 grams, and carbohydrate intake of 806 grams. 3) Her daily meals consisted mostly of rice, meat, vegetables, fruit, and drinks like tea and milk. Snacks included crackers, tempeh, and bread.

Uploaded by

Ronny Fardian Setiadarma
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as DOCX, PDF, TXT or read online on Scribd
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24 HOURS RECALL FORM

Tanggal : 8, 11, 13 Mei 2017 (pukul 10 siang)


Nama : Rara Ayuningtyas
NIM : 14/363154/KU/17062
BB : 48 kg
TB : 168. 5 cm
BEE : 1325.1 kkal
TEE : 1855.14 kkal (protein 69.57 gr | lemak 51.53 gr | karbohidrat 278.27 gr)
Enumerator : Ade Saputri

Senin, 8 Mei 2017 pukul 10.00 WIB – Selasa, 9 Mei 2017 pukul 10.00 WIB
Household Energy Protein Fat Carbohydrate
No. Timing Menu Gram
Measure (kcal) (gram) (gram) (gram)

Teh 1 gls 200 2 0 0 0.71


Gula 1 sdm 10 30 0 0 7.5
1. Breakfast
Susu milo mix
1 gls 35 150 4 4 25
dancow
Mid-
2. -
morning
1 porsi
Nasi 200 350 8 0 80
sedang
Daging ayam
3. Lunch dilapisi tepung 4 buah 190 9.98 12.04 10.44
roti dan digoreng
Wortel ¼ gelas 25 12.5 0.75 0 2.5
Mayonais 1 sdm 10 57 0.13 4.91 3.51
Telur
2 btr 75 95 10 6 0
ayam
Omelet Mie
4. Mid-day ½ gls 25 87.5 2 0 20
mie kering
Minyak
¼ sdm 2.5 22.5 0 2.5 0
goreng
1 porsi
5. Dinner Nasi 200 350 8 0 80
sedang
Bihun ½ gls 50 175 4 0 40
Daging
¼ ptg 12.5 23.75 2.5 1.5 0
ayam
Daging
Soto ¼ ptg 12.5 23.75 2.5 1.5 0
sapi
1
Rempela 25 31.6 3.3 2 0
bulatan
Tauge ¼ gls 25 0 0 0 0
Tempe 2 ptg sdg 50 80 6 3 8
Minyak
½ sdm 5 45 0 5 0
goreng
End of 1⁄
6 bh
6. Nanas 75 40 0 0 10
the day sdg
TOTAL 1675.6 64.18 44.41 261.22

Kamis, 11 Mei 2017 pukul 10.00 WIB – Jumat, 12 Mei 2017 pukul 10.00 WIB
Household Energy Protein Fat Carbohydrate
No. Timing Menu Gram
Measure (kcal) (gram) (gram) (gram)

Teh 1 gls 200 2 0 0 0.71


Gula 1 sdm 10 30 0 0 7.5
1. Breakfast
Susu milo mix
1 gls 35 150 4 4 25
dancow
Semangka ¼ pts bsr 37.5 10 0 0 2.5
Mangga ¼ bh bsr 25 20 0 0 5
Nanas 1⁄
6 bh sdg 75 40 0 0 10
Jelly 5 potong 25 39.7 0.4 0.2 9.9
Mid- Salad
2. Susu
morning buah
kental 1⁄ gls 12.5 1.6 0.8 0.8 1
8

manis
Keju
(taburan)
1 porsi
Nasi 200 350 8 0 80
sedang
1 ptg
Daging ayam 50 95 10 6 0
sedang
3. Lunch
Minyak goreng 1 sdm 10 90 0 10 0
Bayam 1 gls 100 50 3 0 10
Teh 1 gls 200 2 0 0 0.71
Gula 1 sdm 10 30 0 0 7.5
4. Mid-day -
1 porsi
Nasi 200 350 8 0 80
sedang
1 ptg
Daging ayam 50 95 10 6 0
5. Dinner sedang
Kacang panjang 1 gls 100 50 3 0 10
Tempe 2 ptg sdg 50 80 6 3 8
Minyak goreng 2 sdm 20 180 0 20 0
End of Durian 3 bj 50 40 0 0 10
6.
the day Roti bakar 4 bj 100 280 9 4 50
TOTAL 1535.6 55.8 42.8 241.92

Sabtu, 13 Mei 2017 pukul 10.00 WIB – Minggu, 14 Mei 2017 pukul 10.00 WIB
Household Energy Protein Fat Carbohydrate
No. Timing Menu Gram
Measure (kcal) (gram) (gram) (gram)
Teh 1 gls 200 2 0 0 0.71
Gula 1 sdm 10 30 0 0 7.5
Susu milo
1. Breakfast mix 1 gls 35 150 4 4 25
dancow
Roti
4 iris 80 175 4 0 40
tawar
Mid-
2. -
morning
1 porsi
3. Lunch Nasi 200 350 8 0 80
sedang
Daging 1 ptg
50 95 10 6 0
ayam sedang
Minyak
2 sdm 20 180 0 20 0
goreng
Bihun ¼ gls 25 175 4 0 40
Terong 1 gls 100 0 0 0 0
Tempe 1 ptg sdg 25 40 3 1.5 4
Tahu ½ ptg bsr 50 40 3 1.5 4
Kacang
4. Mid-day tanah 6 sdm 60 240 18 9 24
terkupas
Daging
2 ptg sdg 100 190 20 12 0
sapi
Kentang 2 bj sdg 200 175 4 0 40
5. Dinner
Wortel ¼ gls 25 12.5 0.75 0 2.5
Buncis ¼ gls 25 12.5 0.75 0 2.5
Susu sapi 1 gls 200 110 7 7 9
End of
6. Kraker 5 bh bsr 50 175 4 0 40
the day
TOTAL 2112 129.5 64 303.21

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