Running Head: DIET AND MENU PLANNING PART 1 1

Diet and Menu Planning Part 1

Christina Savoth

ND 213-02: Nutrition 2

February 20. 2018

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Client Assessment

I choose my mom to interview and her name is Beverly Savoth. She is 49 years old and

works as a Preschool / Kindergarten Enrichment teacher. Her daily routine includes waking up

around 6:40 on the weekdays to get ready for work. She prepares her lunch for the day as well as

a breakfast. Her breakfast usually consists of eggs and toast, or if she is in a rush, just toast. She

usually eats breakfast between 7:30 and 8 A.M. She then goes to work and when the kids have

their snack around 10, she sometimes does too. Then around 12:20 when the kids go for lunch,

she eats as well. After work, she comes home, changes and gets on the elliptical around 4. After

she exercises for about an hour, she starts to cook dinner. She enjoys to cook, therefore she

usually makes a larger meal and tries to get all food groups in. The time varies, but dinner is

usually around 6. After cooking and eating, she then relaxes and watches TV, until she goes to

bed around 9. She usually has a glass of wine or two a day during and after dinner. She tries not

to snack, but occasionally she will have a snack before bed. In addition, she water throughout the

day, about 104 ounces total. She tends to dine out only two to three times a week, but mostly on

the weekends, and then prepares her own meals almost everyday. She does bring a her own lunch

to work, except Friday because that is the day they order lunch out. She typically eats 3 meals,

with one or two snacks, a day. However for the weekends, she usually only has two larger sized

meals and tends snacks more. Because she is running around with kids all day, as well as

working out on the elliptical for 4-5 days a week, I decided she was considered to be moderately

active. I learned that she is 190 pounds and 66 inches tall. Therefore, her BMI is around 29.7,

and this puts her in the overweight category, borderline obese. She has been this weight for about

4-5 years and before then it gradually went up. There was no noticeable weight change because

she has always been like this and never tried for a change. Her ideal body weight is 130 pounds
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but strives to lose weight and be a around 170 pounds. Lastly, I took down the 6 supplements she

takes. These include her multivitamin, a calcium, magnesium and zinc combination supplement,

as well as collagen, estroven, a probiotic and Omega-3.

Calculations

𝑤𝑤𝑤𝑤ℎ𝑤 86.4
1. BMI:ℎ𝑤𝑤𝑤ℎ𝑤 2= 1.67 2 = 29.7

2. Mifflin-St. Jeor Energy Estimation:

a. REE = (10 x weight (kg)) + (6.25 x height (cm)) – (5 x age (yr)) - 161

(10 x 86.4) + (6.25 x 167.6) - (5 x 49) -161

= 1506 kcals

b. TER = REE x Activity +/- 500-1000

1506 x 1.550 = 2334 - 334 = 2000

3. Ranges:

a. CHO 45-65%

2000 x .45 & 2000 x .65 = 900 -1300 kcals

900 / 4 & 1300/4 = 225-325 g

b. Pro 10-35%

2000 x .1 & 2000 x .35 = 200 - 700 kcals

200/4 & 700/4 = 50 - 175 g

c. Fat 20-30%

2000 x .2 & 2000 x .3 = 400 - 600 kcals

400/9 & 600/9= 44 - 66 g

4. RDA for protein

a. 86.4 kg x .8 & 86.4 x 1.0= 69-86

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5. DFN in mL and ounces

a. 86.4 kg x 30 = 2580 mL

b. 2580/ 30= 86 oz

Adequacy Assessment

After taking down a 24 hour recall of her food intake, I came the conclusion that Beverly

eats about 2400-2500 calories a day. To her this day was fairly usual on what she eats day to day.

Her carbohydrate intake was 51% of her total kcals that day. That is a very good amount,

however it may be a little lower since she exercises during the week, she will need that energy.

Next, I found that her protein was 16% of her total kcals that day, which is also in the proper

AMDR ranges, although I would assess this as little low and would want her to raise it to about

20%. Last would be her fat intake, which was 27% of her total kcals that day. This is an adequate

amount because it is right in the middle of the proper ranges. Continuing with her fat intake, I

noticed she had a very low amount of trans fat in her day, therefore I do not see anything to

worry about. Although, her saturated fat intake is higher than her healthy monounsaturated fat,

but it does not exceed the recommendation and it should not be a concern. In addition, her

essential fatty acids were in good ranges. Her linoleic acid did not exceed but it also is not very

low. What I found interesting is her linolenic is over by .04 of the recommendation, which is not

too much over, but I did learn that she takes an Omega-3 supplement and therefore should not

take that any longer because she does not need any more. I also think her total sugar intake is

normal for what most people consume. Also, her fiber intake is extremely high over the

recommendation by 70%. However, I am not too worried because, even though I did not add this

to the food log, I calculated that she drinks 104 oz of water a day. Even though her

recommendation was 86 oz, but it does not exceed a gallon and this could help with her high
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fiber intake. Unfortunately, she does drink a few glasses of wine daily which adds a lot of extra

calories that she would want to lose.

My last observation is her vitamins and minerals. Her vitamin B’s and her vitamin C

were in good ranges and no vitamins exceed their upper limits. Her vitamin D, A and E were

very low. Her vitamin D was only at 6% and this could cause serious problems. However, she

does get a lot of sunlight during the spring, summer and fall when she is outside with the kids.

But since it is winter now, that 6% is all she is getting. Her vitamin A was also only at 18%,

which is surprising because she does eat a lot of greens and carrots, but maybe it was just this

one day. The last vitamin that was under 90% was her vitamin E, which was at 59%. Moving

onto minerals. All were in good ranges except for calcium and magnesium. First her calcium was

too low at 44%, but she does take a supplement for that. However, her magnesium exceeded the

upper limit of 350 mg/day by 94 mg. She also takes a magnesium supplement, with the calcium,

and should stop taking that if her diet includes already too much. Even though the toxicity is

rare, it can cause dehydration, even though she drinks plenty of water a day.

However, according to my calculations the total energy required in kilocalories was only

2000 kcals. This makes it 122% more calories that I recommend. I came up with 2000 kcals

because this will promote a weight loss over a long period of time. I did not want to go too low

because then her body will not adjust very well, due to her eating a lot daily. Based off of my

calculations for her carbohydrate, protein and fat intake I came to the following conclusions. Her

CHO intake was 313 grams, 1,253 kcals, and even though that is in the range of 225-325 grams

that i came too, it is still fairly high. Then her protein was 100 grams, 399 kcals, which was also

in my range of 50-175 grams. I see this as an adequate intake but high for only 2000 kcals.

Lastly would be the fat and she consumed 74 grams, 662 kcals, this however is far out of my
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range of 44-66 grams. For obvious reasons, she consumed more but therefore she would need to

consume a lot less of fat to fulfill only 2000 kcals a day. This could be challenging for her, but I

believe she has the motivation to do it.