What type of protein accelerates the thousands of different…
Questions
Whаt type оf prоtein аccelerаtes the thоusands of different chemical reactions that take place in an organism?
Cаse Study (8 pоints) Instructiоns: Pleаse plоt the following child on the аppropriate growth grid and assess accordingly. Provide recommended calorie, protein and fluid needs amounts for the child and any other recommendations. You must show ALL work for calculations to receive full credit. Make sure to use the correct equation. Male, 8 years old, 60 pounds, 49 inches. He is low active, doesn’t eat meat, but will eat dairy products. (1 point) Percentile for Stature = (1 points) Percentile for Weight = (1 point) Percentile for BMI = (1 point) calculated kcals = (1 point) calculated protein = (1 point) calculated fluid needs = (2 points) Asses data and make two nutrition recommendations = ***Scroll down to use the formula sheets and CDC growth grids listed below to answer the case study questions*** Energy and protein needs in pediatric patients based on the most recent DRI’s AGE KCAL/ KG PROTEIN REQUIREMENTS* Birth to 3 months 4 months to 6 months Use EER for ages 0-3 months Use EER for ages 4-6 months 2.2 g/kg/d (Read as 2 point 2 grams per kilogram per day) 7 months – 12 months Use EER for ages 7-12 months 1.6 g/kg/d 1 year – 3 years Use EER for ages 13-36 months 1.1 g/kg/d 4 years – 8 years 9 years – 13 years Use gender specific EER for ages 3-8 ***(Use weight maintenance TEE for ages 3-18 years if appropriate) Use gender specific EER for ages 9-18 ***(Use weight maintenance TEE for ages 3-18 years if appropriate) 0.95 g/kg/d 14 years – 18 years Use gender specific EER for ages 9-18 (Use weight maintenance TEE for ages 3-18 years if appropriate) ** Use EER for pregnancy ages 14-18 ** Use EER for lactation ages 14-18 Males & Females 0.85 g/kg/d Pregnancy 1.1 g/kg/d Lactation 1.3 g/kg/d *In most cases we will use the actual body weight (kg) to calculate protein needs in children Maintenance Fluid Requirements for Infants and Children Body Weight (kg) Fluid Requirement (mL) First 10 kg 100 mL/kg 11 – 20 kg 1,000 mL + 50 mL/kg for each kg above 10 kg >20 kg 1,500mL + 20 mL/kg for each kg above 20 kg __________________________________________________________________ 2.2 pounds = 1 kilogram 2.54 centimeters = 1 inch BMI = weight (kg)/height (m2); (BMI is always to 1 decimal place) __________________________________________________________________ ESTIMATED ENERGY EQUATIONS (EER) - MALE From Institute of Medicine, Food and Nutrition Board: Dietary reference intakes for energy, carbohydrate, fiber, fat, fatty acids, cholesterol, protein, and amino acids, Washington, DC, 2002, The National Academies Press, www.nap.edu ESTIMATED ENERGY EQUATIONS (EER); TOTAL ENERGY EXPENDITURE (TEE) EER for Ages 0 through 36 Months EER = TEE + energy deposition 0-3 months (89 x weight kilograms - 100) + 175 kcal 4-6 months (89 x weight kilograms - 100) + 56 kcal 7-12 months (89 x weight kilograms - 100) + 22 kcal 13-36 months (89 x weight kilograms - 100) + 20 kcal EER for Boys 3 through 8 years EER = TEE +energy deposition EER = 88.5 - (61.9 x age in years) + [PA x {(26.7 x weight in kilograms) + (903 x height in meters)}] + 20 kcal Where PA is the physical activity coefficient: PA = 1.00 if PAL is estimated to be 1.0 < 1.4 (sedentary) PA = 1.13 if PAL is estimated to be 1.4 < 1.6 (low active) PA = 1.26 if PAL is estimated to be 1.6 < 1.9 (active) PA = 1.42 if PAL is estimated to be 1.9 < 2 .5 (very active) EER for Boys 9 through 18 years EER = TEE + energy deposition EER = 88.5 - (61.9 x age in years) + [PA x {(26.7 x weight in kilograms) + (903 x height in meters)}] + 25 kcal Where PA is the physical activity coefficient: PA = 1.00 if PAL is estimated to be 1.0 < 1.4 (sedentary) PA = 1.13 if PAL is estimated to be 1.4 < 1.6 (low active) PA = 1.26 if PAL is estimated to be 1.6 < 1.9 (active) PA = 1.42 if PAL is estimated to be 1.9 < 2 .5 (very active) Weight Maintenance TEE in Overweight Boys (85th percentile or greater) Ages 3 through 18 years TEE = 114 - (50.9 x age in years) + [PA x {(19.5 x weight in kg) + (1161.4 x height in meters)}] Where PA is the physical activity coefficient: PA = 1.00 if PAL is estimated to be 1.0 < 1.4 (sedentary) PA = 1.12 if PAL is estimated to be 1.4 < 1.6 (low active) PA = 1.24 if PAL is estimated to be 1.6 < 1.9 (active) PA = 1.45 if PAL is estimated to be 1.9 < 2 .5 (very active) _______________________________________________________________________________________