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Name: Marisa Blanco Date: 11/9/15

Part 3 Sections A-D: Analysis of Energy Expenditure and Diet Analysis Cover Sheet
55 points

Use this page as the cover sheet for your project. Bind the document with a clip or staple.

Note: You can use either Choose Myplate Supertracker, or comparable software to complete the Dietary
Analysis portion of this project. Please attach 1) the Food Groups Report and 2) Food Details report as
an excel spreadsheet from Supertracker to your project. (In other programs it may be called the 24 hr
spreadsheet and the intake vs goals sheet).

Part 3 of the activity will be graded according to the guidelines below:


+ = excellent, all answers are correct, and all work is shown and completed correctly
= adequate, some answers are incorrect, some work is missing or done incorrectly
- = poor, majority of the answers are wrong, the majority of the work is done incorrectly or
not completed.

Score Criteria for Evaluation + -


Part 3 Section A: Energy expenditure calculation collection form
Correct formulas are used, calculations are done correctly, all 6 5-3 2-0
questions are answered.
Part 3- Section B.1: 24-hour recall worksheet completed during in class
activity
1 0 0
Part 3 Section B.2: Exchange list & Diet Software Analysis of
Macronutrients form
Exchange list is used properly, correct portion sizes are identified, 8 7-5 4-0
correct exchange is identified, calculations are done correctly

Part 3 Reports: 1) Food Groups Report and 2) Food Details report as an
excel spreadsheet from Supertracker are provided ( hint only print food 2 1 0
groups and nutrients needed for this project)
Part 3 Section B.3: Comparing Diet software analysis relative to the
MyPlate
Information is recorded from Diet Software correctly 4 3 2-0
% of DRI calculated correctly
Part 3 Section C: Calcium FFQ
2 1 0
Part 3 Section D: Energy Expenditure and Analysis
Available data is recorded and present in the analysis, answers are
well thought out, student uses critical thinking to draw conclusions 30 28-13 12-0
about their data using information from the book, lecture notes, and
other valid sources
Neatness, readability, correct grammar, sentence structure,
analysis section typed 2 1 0

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Total out of 55 point

Energy Expenditure Assessment

Write legibly. Show your work. Complete the following chart:

Male or Female (circle) Weight in pounds: 155 lbs Height in inches: 70 in


Age: 19
Calculate TEE using DRI Formula Final
Answers
Use the appropriate formula for your gender. Write out the formula, and then solve the
formula. Show every step of your work. Place your answer in the column to the right.

TEE for women = 354 - 6.91 x age (y) + PA x (9.36 x weight (kg) + 726 x height (m))
= 394 (6.91 x 19) + 1.12 x ((9.36 x 70.45) + (726 x 1.78)) 2447
= 394 131.29 + 1.12 x (659 + 1292) kcal/day for
= 394 131.29 + 1.12 x (1951) DRI formula
= 394 131.29 + 2185
= 2447 kcal/day

(PA value available in PowerPoint notes.) Conversions: meters = cm 100; kg = lbs 2.2
Calculate your TEE using Factorial Estimation Method Answers
Step 1. Calculate Resting Energy Expenditure (REE) using average of the four formulas AVERAGE:
discussed in class: 1. Easy to Use, 2. Harris-Benedict equation, 3. Mifflin-St Jeor equation, 1548 kcal
and, 4. WHO equation.
1. Write out the appropriate formula for your gender. Solve the calculation showing
every step of your work. Place the answer for each equation in the designated box.
2. Finally, average the results and enter it into the answer column to the right.

a) Easy to use formula Answer: 1521 kcal

Easy to use formula= (weight (kg) x 0.9)) x 24


= (70.45 x 0.9) x 24
= 63 x 24
= 1521

b) Harris-Benedict Equation
Answer: 1580 kcal
Harris- Benedict Equation= 655.1 + 9.6 W (kg) + 1.9 H (cm) 4.7 A
(y)
= 655.1 + 9.6 (70.45) + 1.9 (177.8) 4.7 (19)
= 655 + 676 + 338 89
2
= 1580

c) Mifflin-St Jeor Equation Answer: 1560 kcal

Mifflin- St Jeor Equation= 10W + 6.25H 5A 161


= 10 (70.45) + 6.25 (177.8) 5 (19) 161
= 704.5 + 1111 95 161
= 1560

d) WHO Equation Answer: 1530 kcal

WHO Equation= 14.7 W (kg) + 496


= 14.7 (70.45) + 496
= 1036 + 496
= 1530

Step 2. Determine the energy expended for your estimated Physical Activity Levels
(PAL)
Indicate your PAL in the box to the right. Below, explain why you selected
that value.

PAL = 1.6
PAL= TEE/REE
= 2447 / 1548
= 1.6

Step 3. Calculate your TEE using the Mifflin St Jeor Equation

TEE= PAL x REE 2496


= 1.6 x 1560 kcal/day
= 2496

Estimated 24 hour energy intake Diet Analysis/ Supertracker

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1445
Indicate your kCalorie intake from your typical one-day intake analysis from Section B.
kcal/day
(Use computer SuperTracker/diet analysis value.)

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Part 3 Section B.2 - Analyze your 24 hour recall from the class activity using the Exchange
System & Computer Dietary Analysis software
This section will be completed individually. However, feel free to ask a TA or the instructor if you have
questions.
Using the information from the 24 hour recall, the resources available on ANGEL and your notes on the
Exchange method for dietary assessment, indicate the expected grams C/P/F in each food, based on the
Exchange List in the chart below .
Once the Exchange List information is completed, look up the actual grams of C/P/F using Super Tracker
for each food and record the information in the chart below. You can find this in the Food Details
Report.

Indicate the expected grams NOTE: Indicate actual grams of


C/P/F in food, based on C/P/F in food. (use dietary
Exchange List. analysis software)
Food Amoun Exchang Total CHO Pro Fat Calorie CHO Pro Fat Calories
t e group Exchange (g) (g) (g) s (g) (g) (g)
s
1c Starch 3 45g 9g 3g 243 35g 7g 9g 251 kcal
Fried Rice
kcal
1c Meat 4 0g 28g 20g 292 9g 23g 15g 273 kcal
Meat Balls (mediu kcal
m fat)
2c Vegetab 1 5g 2g 0g 28 kcal 3g 1g 0g 15 kcal
Romaine lettuce
le
2c Vegetab 7 35g 14g 0g 196 34g 9g 1g 178 kcal
Mixed vegetables
le kcal
1c Starch 3 45g 9g 0g 216 44g 5g 2g 215 kcal
Brown rice
kcal
1c Starch 2 30g 6g 3g 171 18g 2g 7g 141 kcal
Tortilla chips
kcal
Blackberries 1c Fruit 1 15g 0g 0g 60 kcal 14g 2g 1g 62 kcal

Fat free milk 1c Milk 1 12g 8g 0g 80 kcal 12g 8g 0g 83 kcal

2c Starch 3 45g 9g 3g 243 50g 4g 2g 227 kcal


Multigrain cheerios
kcal
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Indicate the expected grams Indicate actual grams of C/P/F in
C/P/F in food, based on food. (use dietary analysis
Exchange List. software)
Total: 25 232g 85g 29g 1529 219 61g 37g 1445 kcal
kcal g

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Part 3 Section B.3 Comparing computer software analysis of key nutrients to MyPlate

1. Compare your food intake to MyPlate: Use MyPlate Food Groups report.

Recommended # Actual % Goal Nutrients rich in each food group


Food Groups
Servings Servings
Riboflavin, niacin, thiamin, folate, iron, protein; whole
Grains Group 8oz 6.5oz 81%
grains are rich in fiber.
Colorful vegetables are rich in vit A, vit C, folate,
Vegetable Group 3c 3.5 c 117% potassium, fiber; some deep green vegetables are rich in
iron.
Fruit Group 2c 1c 50% Vit A, vit C, potassium, fiber
Milk, Yogurt, Cheese Calcium, protein, vit B12, vit D, vit A, riboflavin.
3c 1c 33%
Group*
Meat & fish have protein, vit B12, vit B6, zinc, iron, niacin,
Meat and Beans Group 6.5oz 3.5oz 54% & thiamin; legumes have protein, fiber, vit E, potassium,
iron, & zinc
*double check your dairy consumption as MyPlate is sometimes inaccurate for this group.

2. Assess vitamin and mineral adequacy: Use the Food Details report. Round values to one decimal place for vitamins B1 (thiamin) and
iron, (eg .17 = .2). For all others, round to whole numbers. (i.e. 62.54 = 63).
Vit A-
Protein Vit B1 Folate Vit C Vit B12 Calcium Potassium Iron
RAE Zinc
g mg mcg mg mcg mg mg mg
mcg mg
2862 1796
24-hr recall 62g 5.4mg 98mg 16 mcg 870mg 2729mg 49mg 43mg
mcg mcg
700 400
Recommended b 46g 1.3mg 75mg 2.4 mcg 1000mg 4700mg 18mg 8mg
mcg mcg
% of DRI a 135% 415% 408% 4490% 131% 667% 87% 58% 272% 538%
9999 1000 2000
Tolerable Upper Limit c N/A 2500mg 45mg 40mg
IU mcg mg
If you routinely take a
supplement, indicate
amounts consumed / day.
a
The % of DRI are found on your Intake vs. Goals report. b
Found on your Profile DRI Goals report. Note: mcg = g.

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Part 3 Section C - Food Frequency Questionnaire to calculate Calcium
Intake.
1. Estimate the number of servings you consume of the foods listed below in a TYPICAL
WEEK.
2. For each section, add up the number of servings and multiply by the respective mg of
calcium indicated. Add the total amount calcium from each section.
3. Divide by 7 to get the average amount of calcium you consume each day.
4. Turn this in with the completed Personal Assessment Activity Part 3.

No of Ca (mg) Ca (mg)
Servin
Foods Serving per per
g Size
s serving section
Yogurt, plain 1c 0 x 400 0mg
Yogurt, fruit flavored 1c 0
Cows Milk, all (in soup, coffee, cereal) 1c 7
Ca fortified orange juice/soy milk 1c 1
Swiss cheese 1 oz 0
Total servings in section 8 x 300 2400 mg
Cheese (Cheddar, Mozzarella, American
1 oz 3
and count cheese in mixed dishes)
Canned salmon with bones 3 oz 0
Canned sardines with bones 2 oz 0
Total servings in section 3 x 200 600 mg
Frozen dairy dessert (ice cream or yogurt) c 6
Custard c 0
Tofu processed with calcium c 0
Spinach, cooked c 2
Turnip greens, cooked 1/2 c 0
Total servings in section 8 x 100 800 mg
Cottage cheese 1/2 c 0
Almonds 1 oz 0
Total servings in section 0 x 75 0 mg
Dried beans, cooked 1/2 c
Mustard greens, cooked 1/2 c 0
Broccoli, cooked 1/2 c 2
Orange 1 med 0
Figs, dried 2 0
Corn tortilla or corn chips 1 oz 4
Pancakes (4" diameter) 3 0
Total servings in section 6 x 50 300 mg
Egg 1 large 0
Carrot, cooked 1 c 0
Dates 10
0
dried
Raisins 1/3 c 0
Orange juice 1c 0

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Bread made with milk 1 slice 6
Total servings in section 6 x 25 150 mg
Total calcium intake for 7 days 4250 mg
Average intake for one day 1,000 mg

Your intake of calcium from your Diet Analysis using Super Tracker and your 24-hr recall:
870 mg
Part 3 Section D: Energy Expenditure and Diet Analysis (30 pts)

Instructions: Type your answers after each question below. Please keep the current line spacing format
(1.5 lines) when typing the answers for all of the questions.

Energy Needs and Diet Analysis: Use the data collected from Part 3 Sections A, B.1-B.3 and C to
answer the questions below.

1. Using the MSJ as a reference standard, calculate the actual difference and % of the MSJ in your
REE using the different equations and compare to the measured value obtained with the Body
Gem. Answer the questions after you complete the chart. (2 pts)

MSJ Easy to Use HBE WHO Body Gem

REE value from


1560 1521 1580 1560 1570
Part A

Actual difference ------ 27 32 12 22

% of MSJ ------ 97% 99% 100% 99%

In 3-4 paragraphs, discuss whether the formula based methods of determining resting energy
expenditure used above provide similar (within 10%) estimates to each other. When would it be
appropriate to use each of the formulas to get an accurate REE? Provide evidence to support
your answer. Note: consider the strengths and limitations of each equation in terms of
variables used in each equation, how they were developed and populations they are most
appropriate for.
(10 pts)

Answer:
The formula based methods of determining resting energy expenditure used above

provides similar estimates to each other. They are within 10% of each other because the

REE for each formula end up all being in proximity to each other. They are all pretty

accurate formulas to determine someones REE, but the most accurate formula is the

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Mifflin St. Jeor Equation. The times it would be appropriate to use each equation is when

you do not have the variables needed (such as age, weight, or height) for a certain

equation. Therefore, you would use a different equation if you couldnt use one due to not

having enough information. This is why the Mifflin St. Jeor Equation would be the best

one to use to find out someones REE; it incorporates age, weight, and height in the

equation.

That being said, it would be most appropriate to use the easy to use and the

WHO formula when you only have weight. You would use the Harris Benedict equation

and the Mifflin St. Joer equation when you have all age weight and height. However as

mentioned above, the Mifflin St. Joer equation is scientifically proven to be the most

accurate equation. This equation also uses cm for height measurements, which could be

more accurate than using meters as a unit of measurement. The strengths and limitations

of each equation are based on which variables are incorporated in the equation.

The Harris-Benedict equations have been found to slightly overestimate the actual

energy expenditure measurements done. Another factor that impacts the results is that

each person is different in comparing the results to their measured REE to the calculate

amount. These equations were developed in association with the measurements using

indirect calorimetry. The best equations developed were the ones that included gender,

height, weight, and age. The populations that these equations are most appropriate for are

for people that are overweight or obese. However, these equations are also used for people

with a normal BMI.

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2. Compare your recorded Calcium intake value from the Food Frequency Questionnaire to the
Calcium value reported from your Dietary Analysis Software or Mysupertracker. What are the
advantages and disadvantages of using a Food Frequency Questionnaire to evaluate
nutrient intakes? What scenarios are they best used for? (10 pts)

Answer:
My calcium intake from the Food Frequency Questionnaire came out to be about

4250 mg. However, my calcium value that was reported from my supertracker came out to

be 870 mg in one day. This means if I consumed 870mg every single day, then my total

calcium intake for one week would be 6090mg. This shows that I consume more calcium

than I think! The average calcium intake per day is 1,000 mg, which means that the

average calcium intake per week is 7,000 mg.

The advantages of using a Food Frequency Questionnaire is that it gives you a good

estimate of how much calcium a day you think you consume based on the foods that you

ate. However, it is not a precise approximation, considering when we fill out a

questionnaire, we are guessing what foods and the amount of food we are eating every 7

days. However, if we use data from information that is obtained day by day, we could

come up with a more accurate answer. We will get a more accurate result in our nutrient

intakes if we record the foods we eat every day for 7 days and then calculating each

individual nutrient intake. Food Frequency Questionnaires are best used for a large

population with a desire for the researcher to obtain quick results.

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3. In 3-4 paragraphs, compare the total energy (kcal) and macronutrient intake (in grams) (provide
the values) from the Exchange System and the Computer Dietary Analysis Software. Discuss
the strengths and weaknesses for each method for assessing macronutrient and total energy
(kcal) intake. Finally, give examples of the scenarios in which a dietitian would use each
method. (10 pts)

Answer:
The total macronutrient intake (g) from the Exchange System came out to be 232g

in carbohydrates, 85g in protein, and 29g in fat. The total energy intake using the

Exchange System was 1529 kcal. When using the Computer Dietary Analysis Software,

also called mysupertracker, the amount of macronutrients and energy consumed ended up

being quite similar. Even though the numbers were off by some, they did not vary too

drastically. When using mysupertracker, my total macronutrient intake was 219g in

carbohydrates, 61g in protein, and 37g in fat. My total energy intake when using

mysupertracker resulted in being 1445 kcal.

There are several strengths and weaknesses for each method for assessing

macronutrient and total energy intake. When using the Exchange System, you have to

make sure you are doing the correct number of exchanges in order to determine what your

macronutrient and energy intake is. Sometimes it is hard using this method when you are

not completely sure how many servings you consumed. Also, the Exchange System is

estimating your calories based on the number of exchanges you have. This is not always

the best method to get an accurate result, but it definitely gives you a good approximation.

Mysupertracker can also have strengths as well as weaknesses in its method.

Mysupertracker allows you to put in the exact food you ate as well as the amount you

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consumed in order to calculate total macronutrient and energy intake. This is good

because it gives you a more accurate answer. However, a computer dietary analysis

software does not have every food on their list and it is also very difficult for the software

to come up with the exact amount of calories you consume. Every food is made differently,

which means every food consists of a different amount of nutrients and kcals. Therefore, it

is hard for the software to give an accurate calculation, considering mysupertracker only

has a limited amount of food you can choose from anyways.

A scenario of when a dietician would use the Exchange System is if he/she was

dealing with a diabetic patient trying to select different foods to eat from each food group,

while aiming to maintain low blood-glucose levels. The dieticians job would be to plan out

their daily meals, which exchanges to include in each meal from each food group, and how

many. An example of a scenario where a dietician would use the Computer Dietary

Analysis Software is if the dietician keeps record of the patients nutrient and energy

consumption by tracking all of the food they ate. This is a more accurate way of

calculating the exact foods someone ate and a good way in developing menu plans for

patients. Overall, both methods work well and can be used in several different scenarios

by dieticians.

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