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'

" -
, ,

, ,

Nutrition
Nutrients
Nutritional care
Intake
Expenditure
B l
Balance

::


= .


15-16(
)15 16
' = "
.
4.184'
= 4 184



.1

.2
2

........"

= 1
= 1 .........."
.........."
= 1

........."

= 1


?
?

70 80%
70-80%

15-25%

15-25%

15% -

1%


0.6%-


=

:


:
.
:
:

:

, :
.
CO2 + H2O + ATP +

+ O2

- ATP . : ,
,

.

: =
): (-
): (+

- '
)(37C0.4

E
Energy
E
Expenditure
dit
C
Components
t
.1 :
,
BMR/BEE = Basal
B l Metabolic
M b li Rate
R
/ Basal
B l Energy
E
Expenditure
E
di
.2 :
. =
, .
DIT/TEF = Thermic Effect of Food / Diet Induced Thermogenesis

.3 :
.

AEE = Activity Energy Expenditure

E
Energy
Expenditure
E
dit
(EE) C
Components
t
1. BMR= Basal Metabolic Rate
BEE=Basal Energy Expenditure
2. DIT= Diet Induced Thermogenesis
TEF= Thermic Effect of Food
TEF
3 AEE=
3.
AEE Activity
A ti it Energy
E
Expenditure
E
dit
TEE=
TEE
= Total EE=BMR+DIT+AEE

, ,

:
:
)-(Fat-Mass
(LBM
LBM=Lean-Body-Mass
)Lean Body Mass

-
-
-
-

:


% -:

1 2 x BMI + 0.23
1.2
0 23 X age 5.4
54
% -:

1.2 x BMI + 0.23 X age 16.4


)(BMR
)(Harris Benedict

BMR (kcal/day) = 655 + 9.6


9 6w + 1.7
1 7h 4.7
47a

BMR (kcal/day) = 66 + 13.7w + 5h 6.8 a

=W )"(

=h )"(

= a )(

Activity Factor

1.0

1.0

1.5

1.6

1.6
1.9

1.7
2.1

22
2.2

24
2.4

TEE (kcal/day) = BMR X Activity Factor

/
Injury/Stress
j y
Factor

1 2-1 4
1.2-1.4

,,
20%

1.5-1.9

,
20-40%

1.9-2.3


40%


Activity Factor

1.2

1.3

TEE (kcal/day) = BMR X AF X Injury Factor

65
83
105
220
240
126
258
280
360
450

54
70
82
180
204
102
210
260
300
360

Nutrients -
:Macronutrients
.
:Micronutrients
.

,

::

::

)=(


..

,

-


/

)
(

),
(

)(

"


,,

)(


)Nitrogen Balance = Intake (U+F+S+O

=(intake) I
.
=((urine) U
=(feces) F .
= (skin) S :
.
:

=((other
th ) O
, , ,.

-

" 100-' :

390-" , ,550 , 2300 -


560 -"
,250 -" ,120 25 -5%"
5 -1%" .
70-180
70
180 -

-100-
(60 90 -
60-90
)
65 -


-

Low Density Lipoproteins LDL .1
Hi h D
High
Density
it Li
Lipoproteins
t i HDL .2
2

Fatty Acids

SFA
- MUFA
- PUFA

Fatty Acids -


SFA=Saturated Fatty Acid

-
MUFA=Mono-Unsaturated Fatty Acid



PUFA=Poly
=Poly-Unsaturated
Unsaturated Fatty Acid

SFA -

- MUFA -

PUFA

:6- , )(AA
:3- ,
) ,(EPA )(DHA

)' 100- (
)

100-'

--

--

5%

62

29

80

62

29

15

34

40

100

12

23

58

100

13

25

58

100

14

72

100

86

5-20

42

50

~10

30

45

21

18

15

66

11

54

68

19

51

15

40

40

24

60

33




SFA
- MUFA
- PUFA
6


=

,

,
,,
,
,
,
-

:3
: , ,,
,

,

) (
:6
6
,-,
,
-

3
3
,

:3-


.


:3-
3-

2.5

100

1.6

100

1.5

100

1.4

100

1.0
10

100

2.8

1.3
13

2.3

0.5

0.4

0.3


: , ,



3-

:

- .1
..

Very Low Density Lipoproteins VLDL .2
Low Density Lipoproteins LDL .3
Hi h D
High
Density
i Li
Lipoproteins
i HDL .4
4



=
:

: /

LDL : /
: /
HDL - : /

:

-LDL
-

, ,,
,
,,

:
, ,,
," ,,
,-,
) ,(

::


: ,




Glycemic Index

/ :(GI)=Glycemic Index -



70

56 69
56-69

100 ..........
87 .............
95 ...............
72 .........
72..............

59 ........

55

69 ... 50.........
66 ....... 49.....
66 .............46 .............
59..... '46...
58 ... 26 .............



70


56-69


55

72 .......... , 65 ...../ 46 ..
, 63... / 40...
//39...
/25...
" 75.... 59.... 54 .........
51 ..............
" 70...
49...............
36 ................
,29....
15 ...........

= X


:
"
.
.
:
..

,
,
,,

:-

=LES

IF ,HCL

)(

-
'-

= : ,
,
, .
: ,

.
: ,


: ,
,.
,

:Gums
G

.
:.

100-

0.3

2.4

2.7

1.7

6.8

8.5

23

66

89

3.6

42.4

46

15.1

15.3

30.4

1.3

2.5

3.8

1.2

1.3

2.5

2.1

2.6

4.7

0.7

7.2

7.8

1.0

0.5

1.5

1.1

8.5

9.6

06
0.6

20
2.0

26
2.6

, ,

1.3

2.0

3.3

.................

............................
, ....................
...........................

)" (

)" (

2600

"

2600

"


ADH

.
13
:
) , (
, :
:A,-.
.

,D
D-2
2 ,D
D-3
3 :D

- , .
4 :

- , .
.

:
D .....
.

:
= ),(
' ,D.
= .


' .D:
, , ,.

A - .
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D
- E


- K

,,
-B
,

B1 ,E ,' )- (.

, ,E

B2


.
B6
' B5 , ,' , ) .E-
B3

, ,E.

B7 ) . -(



:
' ,' .
.
: /
..

) B-12
B12 "
. .
:
, ,'
.
)=Intrinsic Factor (IF :


C .

,B 1, 2, 3, 5, 6'

: ,.
: .
?? B12





:
)(5-40%
-B1
-B2 )(5-25%
(5
5-25%
)25%


C 20-50%- ,
50-85% ,
.
".

::

100

1-100

1-

,
,

,,

,,

,,,
,

,,

, ,

30% .
D
,


: , ,
.
: , , ,.
: , ,
: , ,

- ,
, ) , , , ,(.

"
, , , , 100 100-
- ,

200 100-

)(30%

110 ) 30(

)(9%

200 ) 30(

9%

80 100-

380 100-

220

, -

50 100-

30 ) 180(

35

75

90 100-

250 100-

80


75% :
.

20%
/0% ,
20% .
:
: ) ,(heme ' .C
: ,,
.((Mg,
M Zn,
Z Ca
, , - ) C

=
,,

,


-

100-

)"(
5.5
4.8
1.1
9.0
12 5
12.5
8.8
1.6
1.2
1.0
1.3
1.0
14
1.4
4.0
20
2.0
1.6

)"(

33
3.3
,
2.2

9.4

1.7

2.4

22
2.2

2.7

4.7

2.3

4.5

25
2.5


3.8

3.0

/ 2.4
4.4

52
5.2



3.6

9.0

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