Dietary Prescription for Enteral Patients

Enteral formulas vary in caloric content from 1.0-2.0 kcal/mL. Formulas are composed of
different sources of carbohydrates, protein, fats, and micronutrients.4

Carbohydrates

The majority of energy in enteral formulas generally comes from carbohydrates, with
standard/polymeric formulas providing 30-60% of energy from carbohydrates. Carbohydrates
can come in the form of sucrose, fructose, corn syrup solids, or sugar alcohols. Carbohydrates
in enteral formulas provide 4 kcal/gm.

Protein

Standard/Polymeric enteral formulas provide 10-25% of energy from protein sources,

including milk protein, whey protein, casein, caseinates, or soy protein. Protein in enteral
formulas provides 4 kcal/gm.

Fats

Standard/Polymeric enteral formulas provide 10-45% of energy from fat sources, including
canola oil, corn oil, soy lecithin, safflower oil, and/or medium-chained triglycerides. Fats in
enteral formulas provide 9 kcal/gm.

Micronutrients

Enteral formulas will meet 100% of the adult Dietary Reference Intakes (DRIs) in a volume
designated on the nutrition label, which is generally 1,000-1,500 mL of formula.
Dietary Prescription Translation
Subject: A 28 years old male with sedentary lifestyle, weighing 80kg and has a
height of 182cm.

Determining Personal Diet

Prescription
Body Mass Index

𝑾𝒆𝒊𝒈𝒉𝒕
Formula:
(𝑯𝒆𝒊𝒈𝒉𝒕 )2

Personal Weight: 80 kg
Personal Height: 182 cm

Solution: BMI: 80kg/ (1.82)2

BMI: = 24. 2

Desirable Body Weight

Formula: Taunnhauser’s Method

Measure height in cm and deduct 100. From the
difference take off 10%

Solution: (182- 100)= 82

82- 8.2=

DBW:= 73.8

Total Energy Allowance

 DBW x Type of Activities= /kcal

Solution: 73.8 x Sedentary Person

73.8 x 30= 2,214 kcal

Diet Prescription: 2,214 kcal

Recommended Dietary Allowance

(Estimation of CHO, CHON, and Fat
Allowances)

Formula:
A) Percentage Distribution:
 CHO: DIET Rx x 0.65 =Answer
 CHON: DIET Rx x 0.25 = Answer
 FATS: DIET Rx x 0.2 = Answer

B) Gram Calculation of CHO, CHON,

and Fat
 CHO: Answer / 4
 CHON: Answer / 4
 FATS: Answer / 9

Solution:

A. ) CHO 2214 x 0.65= 1439.1 kcal

PRO 2214 x 0.15= 332.1 kcal
Fat 2214 x 0.20= 442.8 kcal

B. ) Gram Calculation of CHO, CHON, and Fat

CHO 1439.1÷ 4= 359.78 grams
PRO 332.1÷4= 83.02 grams
Fat 442.8÷ 9= 49.2 grams s

Diet Rx: 2214 Kcal; CHO 359 grams; PRO 83 grams; Fat 49 grams

Computation of Total Fluid Volume

 Formula:
Volume = Cal Rx / Cal Density

Solution:
Volume = 2214 / 1cal per mL
Volume = 2,214 ml/day