FORM 24 HR RECALL

Metode recall 24 jam

Tanggal wawancara : 24 november 25 november 2020

Nama responden : jeni taruk

Nama wawancara :klaudia elisabeth pelo

( catatan : data untuk makanan yang di konsumsi dari jam 00.00 sampai jam 24 pada hari
sebelumnya )

Peace eaten Time Nama makanan Nama bahan Berat/G

makanan urt
Senin 1. air putih 1. air putih 1 gelas 290 ml
08.00 pagi 2. susu 1 gelas 185ml
3. roti manis 3bh 225g

12.00 1.nasi putih 1 porsi sedang

Siang 2. tumis sawi 200g
3. ikan mujair 2 sdm 30g
goreng 1 ekor kecil25g
4. air putih 2 gelas 370ml
5. pisang ambon 2bh 200g

16.00 1.tahu isi sayur 3bh 300g

Sore Teh manis 1 gelas 180ml

19.00 1.nasi putih 1porsi sedang

Malam 2. tumis sawi 200g
3. air putih 2 sdm 3og
2 gelas 370ml
Nama: Claudia Pello
Umur : 20 THN
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Analysis of the food record
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Food Amount energy carbohydr.
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BREAKFAST Jam 08:00

Mineral water still 290 g 0.0 kcal 0.0 g
minuman susu ultra / ultra milk 185 g 122.0 kcal 8.9 g
roti manis 225 g 641.0 kcal 127.6 g

Meal analysis: energy 763.0 kcal (35 %), carbohydrate 136.5 g (44 %)

LUNCH Jam 12:00

nasi putih kukus 200 g 260.0 kcal 57.2 g
ikan mujair goreng 25 g 21.0 kcal 0.0 g
Mineral water still 370 g 0.0 kcal 0.0 g
pisang ambon 200 g 184.0 kcal 46.8 g

Meal analysis: energy 465.0 kcal (21 %), carbohydrate 104.0 g (33 %)

Snack Sore Jam 16:00

tahu goreng isi sayur 300 g 618.1 kcal 5.1 g
teh manis 180 g 23.2 kcal 5.8 g

Meal analysis: energy 641.3 kcal (29 %), carbohydrate 10.9 g (3 %)

DINNER jam 19:00

nasi putih kukus 200 g 260.0 kcal 57.2 g
tumis sawi 200 g 55.9 kcal 3.2 g
Mineral water still 370 g 0.0 kcal 0.0 g

Meal analysis: energy 316.0 kcal (14 %), carbohydrate 60.4 g (19 %)
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Result
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Nutrient analysed recommended percentage
content value value/day fulfillment
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energy 2185.4 kcal 2036.3 kcal 107 %
water 1027.4 g 2700.0 g 38 %
protein 65.1 g(12%) 60.1 g(12 %) 108 %
fat 80.4 g(32%) 69.1 g(< 30 %) 116 %
carbohydr. 311.7 g(56%) 290.7 g(> 55 %) 107 %
dietary fiber 17.9 g 30.0 g 60 %
alcohol 0.0 g - -
PUFA 10.3 g 10.0 g 103 %
cholesterol 36.9 mg - -
Vit. A 568.5 µg 800.0 µg 71 %
carotene 0.0 mg - -
Vit. E (eq.) 4.3 mg 12.0 mg 35 %
Vit. B1 0.8 mg 1.0 mg 77 %
Vit. B2 1.0 mg 1.2 mg 83 %
Vit. B6 1.9 mg 1.2 mg 161 %
tot. fol.acid 272.6 µg 400.0 µg 68 %
Vit. C 58.1 mg 100.0 mg 58 %
sodium 1523.3 mg 2000.0 mg 76 %
potassium 2116.6 mg 3500.0 mg 60 %
calcium 1008.5 mg 1000.0 mg 101 %
magnesium 600.5 mg 310.0 mg 194 %
phosphorus 922.3 mg 700.0 mg 132 %
iron 19.1 mg 15.0 mg 128 %
zinc 7.0 mg 7.0 mg 100 %