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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 :
.
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
% -:
)(BMR
)(Harris Benedict
=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
/
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
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-' :
-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
:
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.
.
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,,
:-
=LES
IF ,HCL
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= : ,
,
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: ,
.
: ,
: ,
,.
,
: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
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2600
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2600
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ADH
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13
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B2
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B3
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B7 ) . -(
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..
) B-12
B12 "
. .
:
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.
)=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-
,
,
,,
,,
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,,
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30% .
D
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, , , , 100 100-
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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