Table: DRIs for Energy for Children (Available at: http://books.nap.edu/openbook
ID: 121952 • Letter: T
Question
Table: DRIs for Energy for Children (Available at: http://books.nap.edu/openbook.php?record_id=10490&page=107)
EER for Girls 9 through 18 Years
EER = 135.3 – (30.8 age [y]) + PA (10.0 weight [kg] + 934 height [m]) + 25 kcal
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)
1. Calculate the estimated nutritional requirements for a 10-year-old female with cystic fibrosis who weighs 62 pounds and is 51 inches tall and is considered low active.
2. The estimated calorie requirement for an individual with cystic fibrosis is two to four times the usual recommendation. How would one know the appropriate calorie level to recommend initially?
3. Research nutrition recommendations for cystic fibrosis that can assist an individual with meeting her high calorie and protein requirements (i.e., use the text and reputable websites). What advice could you provide to a patient?
Explanation / Answer
EER for Girls 9 through 18 Years
EER = 135.3 – (30.8 age [y]) + PA (10.0 weight [kg] + 934 height [m]) + 25 kcal
1. Weight = 62 pounds = 28.2 kg (1 pound = 0.45 kg)
Height = 51 inches = 129.54 cm (1 inch = 2.54 cm)
Age = 10 years
Gender = Female
PA = 1.13 as she is low active with PAL estimated to be 1.4 < 1.6
Thus, EER = 135.3-(30.8*10) + 1.13{(10*28.2)+(934*1.2954)} + 25 =1582.9 Kcal/day
2. Through EER and BMI(Body mass index), appropriate calorie level can be recommended initially.
BMI = Body mass/(Body height)2 = 28.2 kg/(1.2954)2 m2 =16.8 , so the girl is underweight as it falls below 18.5- 24.9 range.
3. Intake or proper nutrition is a must for CF patients. The CF care team should monitor the growth and other signs and plan proper strategies when patients are at risk for undernutrition or are diagnosed with nutritional failure. Pancreatic insufficency (PI) leads to be addressed which often leads to poor absorption of f dietary fat, protein, and other nutrients. Pancreatic enzyme replacement therapy can be initiated once PI is diagnosed. Fat and energy intake should be increased along with an increase in fat souble vitamins (Borowitz, Baker, & Stallings, 2002).
Reference
Borowitz, D., Baker, R, D., & Stallings, V. (2002). Consensus Report on Nutrition for Pediatric Patients With Cystic Fibrosis. Journal of Pediatric Gastroenterology and Nutrition, 35, 246-259.
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