Question

Worksheet 18-1: Estimate the Nutritional Requirements
for the Elderly

Directions: Use the information from Chapter 18 to complete this worksheet.

1.   Determine the estimated calorie, protein and fluid requirements for John, a 78-year-old male, who weighs 146#, is 5’11” and is considered sedentary. (3 pts)

2.   Calculate the ideal body weight and BMI. Does John need to gain or lose weight? How might this change his estimated calorie requirements? (2 pts)

3.   John has difficulty chewing due to missing many teeth, so he avoids eating many types of meats. What suggestions do you have to help him consume an adequate amount of protein? (2 pts)

4.   John’s usual food intake is listed below. What suggestions do you have to help him reduce his risk for chronic disease using dietary modifications? ( 2 pts)

Coffee, pastry, tuna salad on white bread, cola, potato chips, canned beans, hot dogs, coffee, and pie.

5. List the community resources that you can refer this senior to?

Answer 1

1.

146 lbs = 66.2245 Kg

5’11” = 180.34 cms

Estimated calorie= 1680 current calorie intake

Required calorie = 2,000 calories

Protein requirements: 1 g/kg/day of protein.

John needs around 67g of protein per day

Fluid requirements = ½ to 1ounce per each pound of body weight

i.e. 33 to 67 ounce of fluids

2.  

BMI = weigh(kg)/ height(m)²

         =66.2245/ (1.8034 x1.8034)

          = 20.36

Estimated ideal body weight in (kg) , Males: IBW = 50 kg + 2.3 kg for each inch over 5 feet.

i.e. 50 kg +(2.3 x 11) = 75.3 kg

Mr. John needs to gain (75.3 -66.2245) weight = 9.0755 kg

Mr. John needs to improve his calorie intake to 2000 per day to achieve ideal body weight.

3.   He can include protein shakes, pureed foods, soups etc. in his diet

4.   Minimize the intake of foods like coffee, fried foods like potato chips, pastry etc. Consider the intake of foods with unsaturated fatty acids, and less trans-fat. Include more green leafy vegetable, fruits or juices and dry fruits in diet.