第 3 章 膳食指导和评估

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第 3 章 膳食指导和评估. 主讲人 李协荣 [email protected]. 主要内容. 第 1 节 营养需要和食物种类确定 第 2 节 食谱编制 第 3 节 食谱营养评价和调整. 第一节 营养需要和食物种类确定. 单元一 确定成人的营养需要 单元二 食物类别识别 单元三 成年人食物选择和用量的计算. 第二节 食谱编制. 单元一 确定成人主食需要量 单元二 确定成人副食用量 单元三 成人一餐食谱编制 单元四 成人一日食谱编制. 第三节 食谱调整和评价. 单元一 食谱能量调整 单元二 能量价格调整 - PowerPoint PPT Presentation

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  • 3 [email protected]

  • 1 2 3

  • 12345

  • 1(heat energy or thermal energy) 2(nutriment)

  • (JouleJ) KJMJ calorie Cal (kilocaloriesKcal 1 J =0.239cal 1 cal =4.184J

  • (protein) (fat) (carbohydrate)

  • 1g 167kJg 4 kcal/g1g 376kJ g 9 kcal/g1g 167kJg 4 kcal/g

  • 10.0 17.5MJ/d 9.214.2MJ/d

  • 1234

  • DRIs

  • DRIs(Dietary Reference Intakes)

  • RDAs RDAs198910RDAs

  • DRIsRDAsDRIs

  • DRIs19371998chinese DRIs

  • . 1:

  • 2RDA , RDA RDA2SD

  • 3. (dietary reference intakes, DRIs DRIsRDA 4 (EAR) (RNI) (AI) (UL)

  • AIRNI?AIRNIAIRNI: 1RNIEARRNI 2AIEARRNI(AI)RNI AIRNIRNIAIRNI

  • , ,

  • DRI90%~ 110%

  • DRI90%80%55%~65%20%~30%10%~15%1/3

  • -3-6 BE

  • 1

  • (Dietary Reference IntakesDRIs)

  • (Balanced Diet)

  • :1234

  • :

    ?P137

  • :

    *

    *

  • (P143) --

  • P121

  • P121

  • 11800Kcal

  • *

    * 90%90%5%90%

  • 2,2145 Kcal

  • P122

    P1403-10

    P1253-123

  • 1.

  • RNI=EAR=BMIPALPAL 1.55 1.78 2.10 1.56 1.64 1.82

  • 75%25%40%60%25%75%

  • 12002

  • kcal/kg

    35404545552530354040452025303540152020253035

  • 21 2 3 4 kcal=kgkcal/kg*

  • 1=kcal55%-60%4kcal/g2=kcal20%~30%9kcal/g3=kcal12%~15%4kcal/g

  • 5

    = 55%65%4 = 10%15%4 = 20%30%9 = + + = 100%

  • P142123 P145

  • 35%40%25%==

  • IBWP127()

  • p14032175cm80kg

    12 3 4 5 6 7 8

  • P150

  • 2 =cm-- 105 = 70(kg)==801.75*1.75=26 30kcal/kgkcal=kgkcal/kg=70*30=2100kcal

  • P1265

    CHO60% PR 15% FAT25% 100%

  • 3 =15%4=210015%4=79g=25%9=210025%9=58g=60%4=210015%4=315g

  • P14145

  • =100 g

    4 20%80%=31520%76.8%=82g=31580%74.3%=340g

  • 1A232/31/34

  • P14612346

  • 5 3/460g250ml1/4=79g=827.7100+34010.4100= 42g=79-42=37g=37*75%=28g=37*25%=9g=28-60g-250ml20.2/100=63g=912.2/100=74g

  • 400g-550g

  • =(2.4g/400g)(8g/100g)=58-2.4-?-?=30g6g10g

  • 100 g=g100 g100%

  • P1603-21

  • P150

  • P160

  • ()1.780

  • 1) =-105=65 () 2) (80-65)65100%=23%()

  • 3) *// 65*30=1950/ 1950*15%/4=73 1950*25%/9=54 1950*60%/4=292 4) 1/52/52/5 1950*1/5=390 1950*2/5=780 1950*2/5=780

  • 5) 345.5 6) 0.51() (//) 1520-25*3035 15-20303540 20-25354040-50 *20Kcal/Kg/Day

  • 12345 120015001800 2100 2400 3.54.05.06.0 7.0 0.5 0.5 0.50.5 0.5 ()1 11 ( 111()2 2 23 3()500g 500g 500g 500g 500g()0.25 1.5 1.5 12 ()4 2 3 43 () 2 2 3 33

  • CHO10%PRPR10-15% 90%CHOGI

  • P133-136 P137-144 P145-156P159-164

  • -

  • 1122

  • 100 g=g100 g100

  • 123

  • 30%30%~40%30%-40%

  • 32175cm78kg,250ml1 2 3 4 5 6 7

  • 1BABBCE

  • 2 (1)756kJ(180kcal)4g38g

  • (2)

  • (3)

  • (4)188kj(45kcal)5g1.5g3g

  • (5)4-4-6188kJ(45kcal)5g

  • 3(gd)

  • 200kcal

  • 4 400g450g150g75g40g50g50glOOg25g8(40050)12425

  • 250g20g150g25g 200g50g300g)25g200g 200g 150g2150g(25g)

  • 150g25g215g 200g50g250g 200g lOOg25g250glOOg(20g)

  • 2-1234

  • DRIsEARRNIAIUL55%-65%20%-30%10%-15%49430%40%30%BMI=KG M2

  • (dietary reference intakes, DRIs)(recommended dietaryallowance,RDA)DRIs2000

  • DRIs(estimated average requirement, EAR) (recommended nutrient intake, RNI) (adequate intake, AI) (tolerable upper intake level, UL)

  • (EAR)RNI=EAR+2SDEAR10%RNI=1.2EAR(RNI)RDA(97%98%) (AI) (UL)

  • DRIs1EARRNIEARRNI2ULUL

  • DRIs1EAREAREAR2AIAI3ULUL

  • 45RNI67

  • RNIAI

  • 12

  • 1 36

  • 36RNIs

  • . 36104kJ(44kcal)60%361300~1700kcal. : 30%~35%, 14%~15%. 50%~60%.

  • 1kg160g364560g/50%6.5, 3009100,17, .

  • 30353%0.5%

  • ) 5060.

  • 800mgd2000mgd300mld600mld

  • WHO8450gd800gd1

  • 1mg12mgd30mgdC

  • 2330g12mgd

  • .RNI500600gd1UL 2000gd

  • BB1B23BB1 B2B2B2B1B20.7mgd

  • CCCC2000360mgd4670mgd

  • 1.(300600ml)

  • 30%1040%(3)30%810001500ml/d

  • 2. 1)1:200~300(600) 1100~125,,150150~200.

  • 2).:8~8.30 30%:11.30~12.40%(3):18.030%(20)3).

  • ()

  • 3350mg46450mg

  • AAAUL2 000ugBB1B2CCC360mg4670 mg

  • 2002 51600 kcal

  • 1.(300600ml)30%1040%(3)30%810001500ml/d

  • 2. 1)1:200-300(600) 1100-125,,150150-200.2).:8-8.30 30%:11.30-12.40%(3):18.030%(20)3).

  • 36

  • 1 51600kcal

  • 2 555g14%30%35%30%=30%9=16030%9=53g=56%4=160015%4=224g

  • 3 34330%40%1=30%9=160030%=480kcal=30%=5530%=16.5g=30%=5330%=15.9g=30%=22430%=16.5g

  • 2=40%9=160040%=640kcal=40%=5540%=22.0g=40%=5340%=21.2g=30%=22440%=89.6g

  • 3=30%9=160030%=480kcal=30%=5530%=16.5g=30%=5330%=15.9g=30%=22430%=16.5g

  • 4 5 6 7 8

  • ggkcalRNI%

  • kcal (%)g(%)g(%)g(%)

  • 221120040 225%35%30%5-10% 312-14%30-35%50-60%

  • 3

  • 1034

  • 2008623-27

  • 163-54112323-51300-1600kcal/130016002=1450 kcal/

  • 14%30%56%=145014%4=51g=145030%9=48g=145056%4=203g

  • 30%40%30%1kcal=1450 kcal30%=435 kcalg=51 g 30%=15.3 gg=48 g 30%=14.4 gg=203 g 30%=60.9 g

  • 2kcal=580 kcalg=20.4 gg=19.2 gg=81.2 g3

  • 11450 kcal/55%15%30%=1450 kcal55%4 kcal/g=200g80%20%

  • 200g 80%=160g200g 20%=40g10076.8 g10075.9 g=16076.8/100=208 g=4075.9/100=53 g

  • 2=1450 kcal15%4 kcal/g=54g1007.7 g10011.2 g2087.7/100+5311.2/100=22 g5422=32g70%30%

  • 13270%=22.5 g100 g12.1 g3 g20.2 g17.3g55g6.6g200g0.6g30 g6.1g=22.56.60.66.1= 9.2g= 9.217.3/100= 53.2g

  • 23230%=9.5 g100 g8.2 g7.8 g50g4.1g=9.54.1= 5.4g= 5.47.8/100=69g

  • 3475~500g425g1616

  • 3230%40%

  • =440.21433.6=30.7%=18.553.4=34.6%=53.441433.6=14.9%RNIs1230.7%39.9%29.4%

  • 543.6 g9.6 g

  • 2 612;13-18

  • ;

  • 55-6525-3015 15 25-30 55-65

  • 11-181000 mg7-10800 mgRNI7-1090ug11-13120ug14-18150ug

  • AAARNI7-3700ugRE14-18800ugRE700ugREUL2 000ugREB1B1B2B2RNI71.0 mg1 11.2 mg14-181.5 mg1.2 mgCC780 mg1190 mg14-18100 mg

  • :2002

  • 1 3-6

  • AB2

  • DHA36

  • A

  • 3 13-18

  • 20-30%200 mg

  • ;

  • 2

  • 35012-152600Kcal15%30%40%

  • 2600Kcal40%15%30%55%=260015%440%=39g=260030%940%=35g=260055%440%=143g70%30%

  • =14370%77.9/100=128g=14330%73.6/100=58g=1287.4/100+5811.2/100=16g=3916=23g2/31/3=232/3=16g=231/3=7g

  • 11 g=1117.1/100=65g=6565/100=100g5 g=518.3/100=27g=2786/100=31g7 g=78.1/100=86g=8690/100=96g250 g100 g130 g150 g180 g

  • 2001502700kcal2300kcal=100%=27002300100%=1.174=+=200+1501.174=411/=128g=128g411=52.608 kg

  • 36%40%25%

  • 123

  • 123456

  • 1WRF%=gg100%21AR%=100%2TR%=gg100%

  • 5

  • =307.31484.2=20.7%=671.51484.2=45.2%=505.41484.2=34.1%

  • 51600kcal20.7%45.2%34.1%30%30%

  • 555 g14(g)=(kcal)(30~35)9(kcalg)=309=160030 %9=53(g)=(kcal) (56%)4(kcalg)= 564=1 600564=224 g

  • 304030 =30=l 600 30=480kCal=30%=5530%=16.5g=30%=5330%=15.9g=30%=22430%=67.2g

  • =40==60040=640 kcal=40%=5540%=22.0g=40%=5340%=21.2g=30%=22440%=89.6g

  • =30=l 600 30=480kCal=30%=5530%=16.5g=30%=5330%=15.9g=30%=22430%=67.2g

  • A55 g

  • 2313

  • 100 g6.2g100g3.7g100 g3.1g100 g()0.6g=21.2-1150.6100-426.2100-523.7100=16g 3040%30

  • 100g =g100g100

  • 3 1.2.3.

  • 1BABBCE

  • 2 (1)756kJ(180kcal)4g38g

    g5050505050

    5075()40()250750

  • (2)336kj(80kcal)5g15g

  • g500750()500750500750()500750350250350350200350200250

  • (3)378kj(90kcal)10g5g2g

  • ()(g)505050(500g8)1502525255020025030

  • (4)188kj(45kcal)5g1.5g3g

  • ()(g)125()70()422025255141025

  • (5)4-4-6188kJ(45kcal)5g:

    (g)55()5

  • 3 (gd)

  • (gd)

    7.5MJ1800kcal10.0MJ2400kcal11.7MJ2800kcal3004005004004505001001502005075100254050505050505050100100100252525

  • *************************************