Calculate energy and protein requirements for Mr. Gupta. How would this recommendation be modified to support a gradual weight loss?
What will be an ideal response?
• Mifflin-St. Jeor = 10W + 6.25H – 5A + 5
10(97.73) + 6.25(175.26) - 5(48) + 5 = 977.3 + 1095.375 - 240 + 5 = 1837.7 or 1,800 kcal
1837.7 x 1.3 (AF) x 1.1 (SF) = 2628 or 2,600 kcal
• EPR = 0.8 x 97.73 = 78-80 g protein.
• Gradual weight loss could be addressed in a couple of different ways:
- 500 kcal could be subtracted from 2,600 kcal to promote a 1#/wk weight loss (2,100 kcal).
- A 500-kcal deficit could be provided by subtracting 250 kcal from his kcal needs and increasing his activity level by 250 kcal.
- Mr. Gupta's activity level could be increased by 500 kcal/day to provide the 1#/wk weight loss, although this is probably unlikely due to possible limitations from past knee surgery.
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