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Our secretary is a female, aged 25, and weighs 75kg, the Schofield Equation tells us Females between the Ages of 15 30 use the following formula to calculate BMR:(0.062 x wt) + 2.036 = BMR
Note: Food KJ and Nutritional Information referenced to Food Standards Australia and NZ
Non-Training Day Kj requirements (range of 1.3 1.6 Activity Factor) Light Activity 6686 x 1.3 = 8692 kj/ day 6686 x 1.6 = 10698 kj / day
On Non Training Days, our secretaries kj requirements are 8692 10698 kj per day
Training Day KJ requirements (range of 1.6 1.8 Activity Factor) - Moderate Activity 6686 x 1.6 = 10698 kj/ day 6686 x 1.8 = 12035 kj / day Note: Food KJ and Nutritional Information referenced to Food Standards Australia and NZ Tuesday, 29 September 2009 2|Page
The following pages show our secretarys food diary for the week, laid out by day to calculate her current eating plan and kjs currently consumed. The following summary shows kj consumption per day.
Day of Week Monday Tuesday Wednesday Thursday Friday Saturday Sunday Weekly TOTALS AVERAGES Training 60 Minute Cardio @ Gym in Morning @ 6.30am 7.30am Netball Practice 60 minutes 60 Minute Cardio @ Gym in Morning @ 6.30am 7.30am Netball Practice 60 minutes 45 Minute Weight session @ Gym in Morning @ 6.30am 7.30am Netball Game 20 min warm-up plus 4 x 15 minute quarters = 80 mins 60 Minute Weight session @ Gym in Morning @ 10am-11am KJ Consumption 13360 16762 21979 11983 14478 10276 15803 104,641 14,948.71 Activity Factor kj range 10698 - 12035 10698 - 12035 10698 - 12035 10698 - 12035 10698 - 12035 10698 - 12035 10698 - 12035 74886 - 84245 10698 - 12035 Range to reduce/ increase kj by/ day 1325 - 2662 4727-6064 9944-11281 Reduce/ Increase kj or IN RANGE REDUCE REDUCE REDUCE*** IN RANGE REDUCE INCREASE REDUCE
REDUCE
From the calculations above, we can see that on average, our secretary needs to decrease her kj intake by an average of between 3233-4379 kj per
day, by looking closely at her food diary and the summary above, we can see there is only 1 day she is in the recommended range, and another where she
is slightly under the recommended range and a further day where she is consuming nearly double the kj required for her activity factor. Note: Food KJ and Nutritional Information referenced to Food Standards Australia and NZ Tuesday, 29 September 2009 3|Page
Daily Food Diary- Case Study Day of Week: Factors influencing food choices: Meal Monday
Staying at boyfriends & Eating in for Dinner ITEM Weight of Item or measure 25g Jam, 25g Cream Cheese 300mls KJ 1876 CHO 73.45 PRO 14.72 FAT 9.9
Breakfast
318
4.5
3.9
Red Apple (unpeeled) Slice of Pizza V Drink Nut Muesli Bar Diet Coke Chicken Grilled w skin
Note: Food KJ and Nutritional Information referenced to Food Standards Australia and NZ
Daily Food Diary- Case Study Day of Week: Factors influencing food choices: Meal Tuesday
Morning Tea shout at work, Staying at boyfriends & Eating in for Dinner ITEM Weight of Item or measure 25g Jam, 25g Cream Cheese 300mls KJ 1876 CHO 73.45 PRO 14.72 FAT 9.9
Breakfast
318
4.5
3.9
Carrot Cake (Iced) Fried Rice (no meat) Water Nut Muesli Bar
6 15.3 0 5.3
Note: Food KJ and Nutritional Information referenced to Food Standards Australia and NZ
Daily Food Diary- Case Study Day of Week: Factors influencing food choices: Meal Wednesday
Morning Tea shout at work, Staying at boyfriends & Eating Out for Dinner ITEM Weight of Item or measure 25g Jam, 25g Cream Cheese 300mls KJ 1876 CHO 73.45 PRO 14.72 FAT 9.9
Breakfast
318
4.5
3.9
Morning Tea
2826 1661
43.6 41.3
17.8 6
47.2 22.8
Note: Food KJ and Nutritional Information referenced to Food Standards Australia and NZ
Daily Food Diary- Case Study Day of Week: Factors influencing food choices: Meal Thursday
Morning Tea shout at work, stayed at home ITEM Weight of Item or measure 25g Jam, 25g Cream Cheese 300mls KJ 1876 CHO 73.45 PRO 14.72 FAT 9.9
Breakfast
318
4.5
3.9
Note: Food KJ and Nutritional Information referenced to Food Standards Australia and NZ
Daily Food Diary- Case Study Day of Week: Factors influencing food choices: Meal Friday
Stayed at home ITEM Weight of Item or measure 25g Jam, 25g Cream Cheese KJ 1876 CHO 73.45 PRO 14.72 FAT 9.9
Breakfast
Note: Food KJ and Nutritional Information referenced to Food Standards Australia and NZ
Daily Food Diary- Case Study Day of Week: Factors influencing food choices: Saturday
Stayed at home
Note: Food KJ and Nutritional Information referenced to Food Standards Australia and NZ
Carrot Cake (Iced) Slice of Pizza V Drink Nut Muesli Bar Diet Coke Pasta in Tomato Sauce Chocolate Chip Biscuits
Daily Food Diary- Case Study Day of Week: Factors influencing food choices: Sunday
Note: Food KJ and Nutritional Information referenced to Food Standards Australia and NZ
Red Apple (unpeeled) Fried Rice (no meat) Water Nut Muesli Bar Diet Coke Pizza Hut Pan Pepperoni Pizza Kelloggs Frosites Cereal with Milk
Question 2. a) Calculate the amount of fat, carbohydrate and protein she would need at the reduced intake you have calculated.
Our secretary needs to decrease her kj intake by an average of between 3233-4379 kj per day, to a range of 10698 12035 kj per day. Note: Food KJ and Nutritional Information referenced to Food Standards Australia and NZ Tuesday, 29 September 2009 11 | P a g e
Note: Food KJ and Nutritional Information referenced to Food Standards Australia and NZ
3/ Choose pre-prepared foods, drinks and snacks that are low in fat and salt Our client east a great deal of processed foods- every day for lunch she is purchasing lunch as a food hall and eating out while staying at her boy-friends 2 nights a week. This means on average of 14 lunches and dinners, 50% include take-out or commercially processed food.
Note: Food KJ and Nutritional Information referenced to Food Standards Australia and NZ
Key Advantages in following this guideline: Lose weight! By decreasing our fat intake, the key advantage to our client is weight loss and increased health! Key Disadvantages in following this guideline: In some cases, depending on food availability, Food needs to be organised in advance rather than just grabbed at the food hall! 4/ Maintain a healthy body weight by regular physical activity and by healthy eating Although our client is reasonably active, and she is exercising every day, her energy in (kj) exceeds her energy out, showing she will not be able to reduce her weigh to reach her goal if the same pattern is followed. Our client could potentially increase the duration of her sessions, or perhaps have some days with more training sessions (2) when she is consuming more kjs to off set this. Key Advantages in following this guideline: Perform better at Netball? Less weight to carry around means less stress on organs and other body part. A healthy body weight with regular exercise, in general also means a longer life. Key Disadvantages in following this guideline: For lazy people, this means moving! For those who are not fit, they may find it a chore to get started on physical activity, otherwise, what is the disadvantage??? 5/ Drink Plenty of Fluids each day Our client is most certainly not drinking her 8 glasses of water per day! Every day she has a flat white in the morning, which as a dietetic will dump of this fluid within the first hour or so. She is also drinking Diet Coke, which has little or no nutritional value, as well as the occasional energy drink. She is not drinking enough fluid prior to her exercise, during or after. She will be dehydrated a great deal of the time, which will also be impacting her sporting Note: Food KJ and Nutritional Information referenced to Food Standards Australia and NZ Tuesday, 29 September 2009 17 | P a g e
6/ If drinking alcohol, do so in moderation Either our client might have forgotten to tell us about any alcohol she is drinking, or she is a doing a great job! Any alcohol will have a negative impact on sporting performance and has little or no nutritional value. Our client should be advised of how many kj are in alcohol and that it does significantly contribute to the kj intake each day. Key Advantages in following this guideline: Better sports performance, no hang-overs, less kj intake! Key Disadvantages in following this guideline: You wont get drunk as often!
Question 4. Identify when and why you would refer this client on to another heath professional for additional support and advice (not necessarily nutritional) Our client presents with several factors after initial consultation which may require referral, they are:Injury this injury has initially been severe enough to cause her not to be training for 8 weeks, this may also cause her further issues and may mean we need her to see a physio, doctor or specialist to help her recover so she can train at 100% or near 100% and achieve her goals be being able to exercise.
Note: Food KJ and Nutritional Information referenced to Food Standards Australia and NZ Tuesday, 29 September 2009 18 | P a g e
Note: Food KJ and Nutritional Information referenced to Food Standards Australia and NZ
10.30am 11.00am GAME (4 x 15 min quarters with 12-20 min breaks and injury time- approx 80-90 mins 11.15am first break
Handful Jelly Beans or Snakes 10g (purchase small packets or count approx 10 jelly beans, just remember approx 1 bean for each minute you have been playing!
If you try to follow the 1 jelly bean per minute you have been playing, its a good way to remember how much you need! This should be the left over drink from the first break- make sure you finish the bottle!
bottle of sports drink 250ml 5 more jelly beans (purchase small packets or count approx 15 jelly beans, (or just remember 1 bean for each minute you have been playing!) 220g Tin of creamed rice (40G CHO) (Cause I know she loves rice!) 1 x Large Red Apple (20G CHO) cup almonds(15-20 G Protein) bottle of sports drink 250ml
500ml sports drink = 35g CHO so 17g CHO 5g CHO + 17 G CHO = 22G CHO
17G CHO. Consume within 30 mins of game finishing. Need 1-2g CHO/kg plus .3g PRO/ kg within 30 minutes 75-150g CHO plus 22.5 g Protein
Now you can have a treat! Please ensure you pack this in your bag in the morning and count the almonds into a small bag to take to netball with you. Bring a spoon for creamed rice to have court side. Most tins now have a tear tab so you wont need a can opener!
1.00pm
Note: Food KJ and Nutritional Information referenced to Food Standards Australia and NZ
Note: Food KJ and Nutritional Information referenced to Food Standards Australia and NZ