NUTRITIONAL HEALTH STUDY Assignment N&D 240 PART II (of III) Read this
NUTRITIONAL HEALTH STUDY Assignment
N&D 240
PART II (of III) Read this document in its entirety.
The overall purpose of this assignment is to enable you to critically evaluate your current eating behaviors, identify areas of strength and opportunity, and to develop an effective strategy to improve overall nutritional health. This assignment will be used to evaluate your understanding of some major nutrition concepts studied in the course. Finally, the activities required to successfully complete the Nutritional Health Study are also important to strengthen your critical inquiry and analysis skills demonstrated through well-written responses to open-ended questions in the Part II worksheet. Evaluation of your assignment will consider all these purposes.
COMPARISON WITH MyPlate RECOMMENDATIONS AND THE DRIs.
There is increasing evidence that what we eat influences our health and the overall quality of our lives. Unfortunately, people do not instinctively select a nutritious diet. You will complete an examination of your eating habits through the Nutritional Health Study project. The findings may suggest some desirable behavior modifications that could lead to improved nutritional health based on concepts from nutrition science gained throughout the course. In the PART I, you were asked to keep a two-day food log/record. You were asked to choose two days that were “typical” (usual meal/snack pattern and foods) and not modify your eating behaviors to ensure you gain the most insight from this assignment. You will now complete a self-evaluation of these records to identify strengths and opportunities for your typical food pattern using the recommendations of MyPlate, the Dietary Reference Intakes (DRIs) and other guidelines discussed in N&D 240 in an attempt to improve your food choices and contribute to a healthy lifestyle.
PART II- Evaluation of dietary intake against recommendations
STEP 3. (Steps 1 & 2 are completed in Part I)
The materials from PART I are needed for PART II & PART III. You will NOT need to collect another two days of food and beverage intake.
Utilize the Diet & Wellness Plus (D&W+) software reports to measure current energy intake and consider the adequacy of food group intake for each day, calculating an average number of servings over the two-day record. Utilize your MyPlate Analysis report from the Diet & Wellness software to report your recommended intake by food group based on your estimated energy needs.
Utilize the D&W+ software reports to describe nutrient intake for days 1 & 2, calculate averages and compare these values to DRIs. Review the data provided by D&W+ software in the Intake Spreadsheet” reports. Record your nutrient intake for each day on Table 2 (worksheet, Part II). Use your text to determine your DRI for each nutrient (DRI tables are available in the back cover of the text and available in the Assignment Resources folder). Calculate a two-day average for each nutrient. Calculate % of DRI for each nutrient using your two-day average intake and the RDA or AI for each nutrient. Identify nutrients consumed in inadequate levels and nutrients consumed in excess of recommendations. Show all work for calculating energy needs, energy balance, BMI, and protein needs.
Type your answers in the worksheet.
References
Must be in APA Style (https://owl.english.purdue.edu/owl/resource/560/01/)
List all evidence-based references used for the report and utilized in-text citations for quotes and when presenting the work of other authors.
Students are expected to utilize, at minimum, the text and Diet and Wellness Plus (D&W+) software.
At the end of your worksheet, cite all resources utilized to complete this PART II assignment, including the text and Diet and Wellness Plus (D&W+) software.
Reference list citation for nutrient analysis software:
Diet and Wellness Plus [computer software]. (2015). Cengage Learning.
Submission of assignment
Essential step to achieve any credit for the work completed on this project.
1. Submit the following documents – only pdf format is acceptable:
☒Typed worksheet (fillable file is attached with the assignment link titled: Nutritional Health Study Part II Worksheet). You will need to convert the completed worksheet to a pdf file prior to submission in Blackboard.
☒ Diet and Wellness Plus (D&W+) software reports:
one DRI Report,
(individual files OR a two combined reports, one for each date):
(2) two (one for each day) Daily Food Log reports,
(3) two (one for each day) Intake Spreadsheet reports,
(4) two (one for each day) Macronutrient Ranges reports,
(5) two (one for each day) MyPlate Analysis reports, and
(6) two (one for each day) Energy Balance reports.
-You are able to attach multiple files through the Blackboard (Bb) assignment link. Please check that you have submitted all required documents.
– Only.pdf formats are acceptable for Blackboard assignment submission. For example, .pages and .docx will not be accepted. Submitting file formats that are not viewable/readable in Blackboard will result in a “0” score for the assessment. These files are needed to grade the assignment. You are responsible for following assignment instructions for submission. You can confirm files are viewable after submission through the My Grades area.
-Contact UND Tech Support if you need help reformatting documents or with Blackboard assignment submission: https://und.edu/uit/tech-support-user.html.
-Allow yourself sufficient time for submission, in case you encounter technical difficulty.
NOTE: Other reports (e.g. Source Analysis or Fat Breakdown report) may be useful for Parts II & III but are not required to be submitted.
If for some reason, you are unable to complete the assignment or completion causes you distress, please contact the instructor for an alternate assignment.
Total Possible Points: 50
Nutritional Health Study Part II Worksheet
Name:
Dates of recorded dietary intake:
Calorie allowance (from Diet & Wellness software):
Age: Sex: Height (ft, inches): Weight (lbs):
Activity Level (from Diet and Wellness Plus software):
Note: If for some reason, you are unable to complete the assignment or completion causes you distress, please contact the instructor for an alternate assignment.
PART II – Data for Nutritional Health Analysis
Table 1. MyPlate Table
Food Group Assessment Data (refer to your Diet and Wellness Plus MyPlate Analysis reports, Days 1 & 2)
What is your Estimated Energy Requirement/Calorie Allowance that determines the recommended servings by food group for you? 2249 kcal/day (Textbook Appendix E: Table E-1 or E-5)
Food Groups
Day 1
Day 2
2-Day Average Intake
Recommended Intake
Recommendation Met
Grains
(1 oz. equiv.)
6.104 oz.
5.605 oz.
5.8545 oz.
7.0 oz.
☐Yes
☒No
Vegetables
(cups equiv.)
0.0 cup
0.688 cup
0.344 cup
3.0 oz.
☐Yes
☒No
Fruits
(cups equiv.)
0.0 cup
1.25 cup
0.625 cup
2.0 oz.
☐Yes
☒No
Dairy
(cups equiv.)
0.538 cup
1.448 cup
0.993
3.0 oz.
☐Yes
☒No
Protein
(1-oz. equiv.)
1.2 oz.
6.0 oz.
3.6
6.0 oz.
☐Yes
☒No
Describe the dietary diversity and balance of your diet with consideration for MyPlate food group recommendations and current intake. Include in your discussion the variety of your diet within food groups. (i.e. different sources of grains, vegetables, fruits, dairy and protein as applicable to each food group). Utilize the data from the MyPlate Analysis reports for Days 1 & 2 and Table 1 in your discussion. According to my MyPlate analysis, my diet needs more variation in my vegetables. I was recommended 2 cups of dark green vegetables, 6 cups of orange vegetables, 2 cups of dry beans and peas, and 5 cups of other vegetables all on a weekly basis. My current diet did not show much if this variety. MyPlate alos recommended to aim for 6 tablespoons of oil a day. My protein goals include 9 oz of seafood, 29 oz of meat, poultry, and eggs, and 4 oz of nuts, sees, and soy products weekly. The areas I need the most work would be in the vegetables, fruits, and dairy categories.
Table 2. Nutrient Assessment Data (refer to your Intake Spreadsheet Reports, Days 1 & 2)
Nutrient
Day 1
Day 2
Average intake
RDA or AI
(DRIs tables in text or Bb Resources)
% of RDA or AI
Total protein (g)
49.54
Total fat (g)
104.605
———
Saturated fat (g)
36.848
———
Total carbohydrate (g)
118.37
Dietary fiber (g)
8.444
Water (g)
3,577.829
Alcohol (g)
0.0
——–
———
Vitamin A (mcg)
Vitamin B12 (mcg)
2.028
Vitamin C (mg)
Vitamin D (mcg)
Vitamin E/alpha-tocopherol (mg)
Folate (mcg)
Calcium (mg)
Potassium (mg)
Sodium (mg)
Iron (mg)
Zinc (mg)
List nutrients less than 75% of DRI (RDA or AI). (You may have more or less than 8 – adjust accordingly.)
1.
2.
3.
4.
5.
6.
7.
8.
List nutrients greater than 150% of DRI (RDA or AI). (You may have more or less than 8 – adjust accordingly.)
1.
2.
3.
4.
5.
6.
7.
8.
Do any nutrients consumed in excess exceed the Tolerable Upper Intake Level (UL) or Chronic Disease Risk Reduction (CDRR)? (see Tolerable Upper Intake Levels tables in the back of your text or posted under the Blackboard Resources link)
☐Yes
If yes, list them:
☐No
Summarize foods to be encouraged to address each nutrient shortfall in your diet and foods to be restricted to address nutrients consumed in excess or beyond the UL. Utilize the data from the Intake Spreadsheet reports for Day 1 & 2 and Table 2 in your discussion.
Table 3. Acceptable Macronutrient Distribution Ranges or AMDR (see Macronutrient Ranges Reports, Days 1 & 2):
Nutrient Intake as % of Energy Day 1
Nutrient Intake as % of Energy Day 2
Average Nutrient Intake as % of Energy
AMDR
Within AMDR?
Carbohydrates
%
%
%
– %
☐Yes
☐No
Protein
%
%
%
– %
☐Yes
☐No
Fat/Lipids
%
%
%
– %
☐Yes
☐No
Describe the purpose of the AMDR recommendations and your intake relative to the macronutrient AMDRs.
Calculate your daily protein needs:
Estimate your daily protein needs based on RDA for gm/kg/day (show all the steps of your calculation; Table 6-4):
Consider your actual average protein intake for the MyPlate intake, two-day record (Table 2) with this calculated RDA value and the Acceptable Macronutrient Distribution Range (AMDR) for protein.
Is intake inadequate, adequate, or excessive based on the calculated RDA and AMDR?
Provide a rationale for your conclusion about the status of your protein intake related to recommendations. Utilize the data from MyPlate, Table 2, Table 3 and the daily protein calculation in your discussion. Consider the five characteristics of a nutritious dietary pattern (chapter 1) in your response.
Calculate and evaluate your energy adequacy and energy balance:
You can calculate your own, personal estimated energy expenditure and associated estimated energy requirement (EER). First, you’ll need to establish a physical activity factor that is appropriate for you.
Choose the activity level that best describes you (place an “X” next to the correct Activity Level).
Activity Level
Sedentary (e.g., no exercise)
Low activity (e.g., walks the equivalent of 2 miles per day at 3-4 mph)
Active (e.g., walks the equivalent of 7 miles per day at 3-4 mph)
Very active (e.g., walks the equivalent of 17 miles per day at 3-4 mph)
Provide justification for the PA factor selected:
Estimate your estimated energy requirements (EER). See the Appendix tables for EER equations at the end of the worksheet and select the correct equation based on your age, sex, and activity level. Data needed includes the following: age (years), weight (kilograms), height (centimeters). Use these data to calculate an EER value. Show all steps of your calculation below:
Estimated energy requirement/allowance from Diet and Wellness Plus DRI Report kcal/d
Compare and contrast your calculated value with the Diet and Wellness Plus (D&W+) software estimated energy requirement/allowance listed above.
Energy intake day 1: kcal/d (D&W+ Energy Balance report for Day 1, see kcal Consumed column)
Energy intake day 2: kcal/d (D&W+ Energy Balance report for Day 1, see kcal Consumed column)
Calculate the average energy intake for the two days of food records. You need to show your work below:
calculation: (Day 1 energy intake + Day 2 energy intake)/2 (kcal/d)
Did you meet your daily energy (kcals) need based on the average energy intake above and your calculated estimated energy requirement (EER)/allowance? Include the EER and energy intake values in your explanation.
If your average energy intake for the 2-day food record is extrapolated over 3 months, would your weight change (assume 30 days per month)? Do the math and assume 90 days at a + or – daily energy intake difference (intake – EER). Assume, approximately 3500 kcal per pound weight gain/loss over time (chapter 10).
☐Weight is stable
☐Weight loss
☐Weight gain
Describe your actual, average energy intake relative to your calculated EER in the context of energy balance and body weight if this 2-day caloric intake is extended over a three-month period.
Calculate your Body Mass Index. “Do the Math” in the Body Weight vs. Body Composition section of chapter 9); show how you set up your equation below:
kg/m2
Identify BMI Category
☐Underweight
☐Healthy
☐Overweight
☐Obese
Provide a rationale for whether this weight outcome would be favourable or unfavourable for nutritional health. Consider areas like macro- and micro- nutrient intakes; increased or decreased risk of chronic disease; not just BMI category. Include limitations of the BMI measure in your discussion.
References (APA 7th Edition Style)
Appendix. Estimated Energy Requirements (EER) Equations by Age/Sex and Life-Stage Group
Summary Table of EER Equations Based on TEE Prediction by Age, Sex, and Physical Activity: Adults
Age Group
Sex
PAL Category
EER Equation (kcal/d)
19+ years
M
Inactive
EER = 753.07 – (10.83 × age) + (6.50 × height) + (14.10 × weight)
Low active
EER = 581.47 – (10.83 × age) + (8.30 × height) + (14.94 × weight)
Active
EER = 1,004.82 – (10.83 × age) + (6.52 × height) + (15.91 × weight)
Very active
EER = –517.88 – (10.83 × age) + (15.61 × height) + (19.11 × weight)
F
Inactive
EER = 584.90 – (7.01 × age) + (5.72 × height) + (11.71 × weight)
Low active
EER = 575.77 – (7.01 × age) + (6.60 × height) + (12.14 × weight)
Active
EER = 710.25 – (7.01 × age) + (6.54 × height) + (12.34 × weight)
Very active
EER = 511.83 – (7.01 × age) + (9.07 × height) + (12.56 × weight)
NOTES: kcal/d = kilocalories per day; PAL = physical activity level; EER = Estimated Energy Requirement; TEE = total energy expenditure. For weight stable adults, EER (kcal/d) = TEE (kcal/d). Age is in years, weight is in kilograms, and height is in centimeters.
Summary Table of EER Equations by Age, Sex, Physical Activity, and Energy Cost of Growth: Children and Adolescents
Age Group
Sex
PAL Category
EER Equation (kcal/d)
14 to 18.99 years
M
Inactive
EER = –447.51 + (3.68 × age) + (13.01 × height) + (13.15 × weight) + 20
Low active
EER = 19.12 + (3.68 × age) + (8.62 × height) + (20.28 × weight) + 20
Active
EER = –388.19 + (3.68 × age) + (12.66 × height) + (20.46 × weight) + 20
Very active
EER = –671.75 + (3.68 × age) + (15.38 × height) + (23.25 × weight) + 20
F
Inactive
EER = 55.59 – (22.25 × age) + (8.43 × height) + (17.07 × weight) + 20
Low active
EER = –297.54 – (22.25 × age) + (12.77 × height) + (14.73 × weight) + 20
Active
EER = –189.55 – (22.25 × age) + (11.74 × height) + (18.34 × weight) + 20
Very active
EER = –709.59 – (22.25 × age) + (18.22 × height) + (14.25 × weight) + 20
NOTES: kcal/d = kilocalories per day; PAL = physical activity level; EER = Estimated Energy Requirement. Age is in years, weight is in kilograms, and height is in centimeters.
From: Summary
Dietary Reference Intakes for Energy.
National Academies of Sciences, Engineering, and Medicine; Health and Medicine Division; Food and Nutrition Board; Committee on the Dietary Reference Intakes for Energy.
Washington (DC): National Academies Press (US); 2023 Jan 17.
Copyright 2023 by the National Academy of Sciences. All rights reserved.
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