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University of Santo Tomas

College of Education
Nutrition and Dietetics Department

Panganiban, Rebecca Angelie C.


2N1
Course Facilitator:
Eva O. Olarte, R.N.D

Case Study
Protein
1. Explain why Maria's assumptions about her protein needs are unrealistic
based on her current weight.
5'8''
1
60+8=68

2.54 cm

172.72c m

173 cm

BMI =

AW
ht m2

54 kg
1.73 m2

54 kg
2.9929

18.04 kg /m2
18 kg/m 2
18.5underweight

Using the IOTF Asia Pacific Region Classification,


Maria's nutritional status is underweight.
2. Assuming a healthy weight for Maria is 54 kg, calculate her recommended
daily protein requirement. Show your calculations.
DBW =ht cm100
173100

73 kg
737.3

65.7 kg
66 kg

Maria's desired body weight is 66 kg.


Protein requirement=1.14 g /kg DBW
1.1 4 g/kg DBW 66 kg

75 g CHON
Maria's recommended daily protein requirement is 75 g CHON.

3. What percentage of Maria's energy comes from protein? Is this adequate?


Why or why not?
40 g CHON 4 kcal/g

160 kcal
1200 kcal a day

0.1333333333
13.3

Marias energy that comes from protein is 13.3%. Her intake falls within the 10 to
35 percent Acceptable Macronutrient Distribution Range (AMDR) for protein, but
it still is inadequate. She gets the idea that her daily intake of 40 grams of protein
from milk, eggs, legumes and nuts is adequate to meet her dietary needs.
4. Maria's energy needs for a healthy weight are closer to 1600 calories a day.
What are some consequences of her low calorie intake on her body's need
for protein?
All types of vegetarian diets including lacto-ovo vegetarian diets are
nutritionally adequate when properly planned, according to the American Dietetic
Association. However, if Marias lacto-ovo vegetarian diet is not carefully planned
to ensure all nutrient requirements are met, she may be at risk for nutrient
deficiencies.
Low calorie intake can lead to malnutrition over time. According to
MedlinePlus, malnutrition occurs when the diet does not allow the intake of a
sufficient amount of nutrients. A diet with extremely low calories does not allow
for adequate consumption of the vitamins, minerals and antioxidants the body
needs to perform its daily life processes. Vitamin deficiencies can lead to various
problems, including fatigue, impaired wound healing and extreme weight loss.
As for Marias case, she has been sick more than usual and has
experienced two stress fractures in her leg over the past three years while
exercising.
5. How does Maria's low intake of calories and protein contribute to her risk
for osteoporosis?
A lack of protein plays a major role in the development of osteoporosis.
Calcium loss from bone occurs at protein intake below requirement when she is
in negative protein balance, suggesting that too little protein is dangerous for
bone health. When calories are restricted, protein is used for energy needs and it
would be less sufficient in functioning such as synthesis of collagen, the primary
protein in bone. Marias low calorie and protein intake may contribute to
diminished bone density, early bone loss and an increased risk of fractures.
6. Assuming Maria consumes 20 grams of protein from whole grains,
vegetables, and legumes each day, calculate how she can meet the
remainder of her protein needs with dairy foods and egg whites.
5 cups of milk 9 gCHON =45 g

2 eggs 5 g CHON =10 g

20 g of protein whole grains , vegetableslegumes

45 g+10 g+20 g=75 g CHON


If Maria consumes 5 cups of milk, 2 egg whites and 20 grams of vegetables, she
will acquire 75 grams of protein each day.