Menu Planning in clinical nutrition with exchange list

Menu Planning in clinical nutrition with exchange list

1. MENU PLANNING Dr. Mansi Patil, PHD Fellow in Applied Nutrition

2. SOME TERMS HEALTH NUTRIENT REQUIREMENT RDA ADEQUATE INTKAE BALANCED DIET 4/29/2022 Dr.Mansi Patil, Clinical Nutritionist

3. FOOD GROUP SYSTEM 5 MAJOR FOOD GROUPS 4/29/2022 Dr.Mansi Patil, Clinical Nutritionist

4. PRINCIPLES OF PLANNING DIETS C:P:F ENERGY RATIO MEAL PATTERN ECONOMICS FOOD HABITS/ AGGRAVATIONS / INTOLERANCES VARIETY SATIETY AVAILABILITY 4/29/2022 Dr.Mansi Patil, Clinical Nutritionist

5. THE NUTRIENT DISTRIBUTION 4/29/2022 Dr.Mansi Patil, Clinical Nutritionist Protein-based e.g. Milk, Egg, Dal and Meat. Carbohydrates e.g. Rice, Chapati Salads, Vegetables Fruits

6. Grains Vegetables Fruits Meat and beans Oils Milk 4/29/2022 Dr.Mansi Patil, Clinical Nutritionist

7. FOOD GUIDE PYRAMID 4/29/2022 Dr.Mansi Patil, Clinical Nutritionist CEREAL EXCHANGES- 12 FRUITS & VEGETABLES- 4 PULSES EXCHANGES- 3 MILK & MEAT- 3 SUGAR & OIL- 2

8. CONCEPT OF EXCHANGE LIST 4/29/2022 Dr.Mansi Patil, Clinical Nutritionist

9. STANDARDIZATION OF EXCHANGES 4/29/2022 Dr.Mansi Patil, Clinical Nutritionist

10. STEPS IN PLANNING A DIET IBW CALCULATIONS EXCHANGE LIST DISTRIBUTION OF EXCHANGES MENU PLAN DETAILED MENU PLAN 4/29/2022 Dr.Mansi Patil, Clinical Nutritionist

11. STEPS IN PLANNING A DIET STEP 1 CALCULATIONS IBW 4/29/2022 Dr.Mansi Patil, Clinical Nutritionist

12. HAMWI’S EQUATION Men: 106 lb for the first 5 ft; 6 lb for each inch over 5 ft Women: 100 lb for the first 5 ft; 5 lb for each inch over 5 ft 4/29/2022 Dr.Mansi Patil, Clinical Nutritionist

13. IDEAL BODY WEIGHT HAMWI’S EQUATION :- FEMALES- 100+ (5* INCHES) / 2.2 MALES- 106 + (6* INCHES) / 2.2 OR 110 + (5*INCHES) / 2.2 4/29/2022 Dr.Mansi Patil, Clinical Nutritionist

14. IBW CALCULATIONS MALES- 57 KGS 160CMS FEMALES- 54 KGS 5’4” 1CM Inc OR Dec IN HT MALES – 0.7KGS CHANGE FEMALES- 0.6 KGS CHANGE 4/29/2022 Dr.Mansi Patil, Clinical Nutritionist

15. IDEAL BODY WEIGHT FEMALES- 45.4+ [0.9* ( Hcm - 154)] MALES- 48.2+ [1.06* ( Hcm - 154)] FROM BMI- 23* (Ht in mts ) 2 4/29/2022 Dr.Mansi Patil, Clinical Nutritionist

16. SOME CONVERSIONS 5 Ft = 152.4 cms 1 inch = 2.54 cms 1 ft = 30 cms 4/29/2022 Dr.Mansi Patil, Clinical Nutritionist

17. ENERGY CALCULATION by Hamwi’s Equation 25/30/35 KCAL/KG BW 4/29/2022 Dr.Mansi Patil, Clinical Nutritionist

18. Nutrient calculations Energy Carbohydrates Protiens @ gm/kg BW OR % Fats 4/29/2022 Dr.Mansi Patil, Clinical Nutritionist

19. MENU PLANNING STEP 2 PREPARING EXCHANGE LIST 4/29/2022 Dr.Mansi Patil, Clinical Nutritionist

20. SAMPLE EXCHANGE LIST Exchanges Amount Energy Carbs Proteins Fats Cereals 6 180 600 126 15 3 Pulses 2 60 200 34 14 1 Milk( cows) 2 300 200 12 10 12 Veg A 2 200 50 12 2 0.4 Veg B 1 100 50 10 2 Veg C 1 100 100 24 2 Egg w 2 60 30 8 Fish Fruits 2 200 100 20 SMP Fats 15 135 15 Sugar 10 40 10 Grand Total 1505 248 53 33.4 992 212 300.6 Percentage 65.9 14 19.9 4/29/2022 Dr.Mansi Patil, Clinical Nutritionist

21. STEP 3 DISTRIBUTION OF EXCHANGES 4/29/2022 Dr.Mansi Patil, Clinical Nutritionist

22. DISTRIBUTION OF EXCHANGES Early Morning Breakfast Mid-morning Lunch Evening Dinner Cereals Pulses Milk Veg A Veg B Veg C Chicken Fish Fruits Soyabean Fats Sugar 4/29/2022 Dr.Mansi Patil, Clinical Nutritionist

23. MENU PLANNING STEP 4 DETAILED MENU PLAN 4/29/2022 Dr.Mansi Patil, Clinical Nutritionist

24. SAMPLE DETAILED PLAN Content Ex. Energy Protein Carb Fats Early Morning Tea Milk ½ 50 2 2.5 3.25 Sugar 5gm 20 - 5 - Biscuit 4 no 1 100 2.5 23 0.5 Total 170 4.5 30.5 3.75 BF Daliya Wheat ½ 50 1.025 11.5 0.25 Milk ½ 50 2 2.5 3.25 Sugar 10gm 40 - 10 - S/w Bread 1 100 2.5 23 0.5 Butter 2.5gm 22.5 - - 2.5 Milk Milk 1 100 4 5 6.5 362.5 9.75 52 13 4/29/2022 Dr.Mansi Patil, Clinical Nutritionist

25. STEP 5 MENU PLANNING 4/29/2022 Dr.Mansi Patil, Clinical Nutritionist

26. ENERGY CALCULATIONS Normal Weight- IBW * 30 Underweight- IBW * 35 Co- Morbidities – IBW * 25 Overweight with Co-Morbidities – IBW * 20 4/29/2022 Dr.Mansi Patil, Clinical Nutritionist

27. SAMPLE MENU 4/29/2022 Dr.Mansi Patil, Clinical Nutritionist Time Meal Early morning 6 AM 1 glass warm water+ 3-4 drops lemon+ pinch of black salt. Almonds(5)+ Walnut(1)- overnight soaked Morning tea 7 AM 1 cup mild tea/coffee 1 tsp Methi Dana- over night soaked Breakfast 8 AM ___ glass Milk __ egg white + __ plain bread toast OR __ pohe / __ upeet / __Tomato omlette OR 2 idlies + sambhar /__ Sweet corn/Sprouts Bhel OR __ bowl wheatflakes /oats/ daliya / ragi Midmorning 11 AM 1 glass thin buttermilk/1 bowl thin veg soup/__ fruit

28. SAMPLE MENU CONTD 4/29/2022 Dr.Mansi Patil, Clinical Nutritionist Lunch 1 PM __ bowl salad + __k curds + __k dal/sprouts/chicken/fish(less oil) +__ k veg + phulkas + __ k rice Snacks 4 PM 1 cup mild tea/coffee + snacks Dinner 8:30 PM Bedtime 10:00 PM

29. SUMMARY TABLE ENERGY PROTEIN CARB FATS EM 170 4.5 30.5 3.75 BF 362.5 9.75 52 15.5 LUNCH 577.5 22.25 89.5 17.95 EVENING 70 2 7.5 13.25 DINNER 577.5 22.25 89.5 17.95 1870 60.75 269 68.4 4/29/2022 Dr.Mansi Patil, Clinical Nutritionist

30. THANK YOU 4/29/2022 Dr.Mansi Patil, Clinical Nutritionist