Dietary analysis Part III: Correcting Menus and Reanalyzing
Next you will be correcting the menu so that it will meet the recommendations. You will need to make changes to foods. If the original menu did not have three distinct meals and two or three distinct snacks, please work on setting up the corrected menu to meet these criteria. You want the corrected menu to meet with current nutrition recommendations for frequency of food consumption. It is not necessary that the corrected menu include items enjoyed by your subject or be realistic in relation to the preferences and lifestyle of your subject. It is more IMPORTANT that you can demonstrate how to improve upon “problem” areas in a diet and identify foods that are higher or lower in nutrients that need to be fixed.
Once you have corrected the menu, you are ready to reanalyze. Make sure you are analyzing the intake for a new day and not averaging this with the original intake analyzed back in step two.
If any nutrient is still not meeting needs, you will need to work on making corrections so that your menu meets the criteria listed before. If changes are made, you will need to run this information again. Look and see which nutrients are too high or too low. Think about which foods on the menu are contributing these nutrients and start with changes there.
Just a reminder, if you do need to make changes, a new profile does not need to be created. Just edit the information for the same day you already entered. This will save you a lot of time and will eliminate getting an average of the two menus.
To be considered a corrected menu, the following should be true:
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Daily Food Groups Report: Should read OK, acceptable to go over, as long as total calories for the day are +/- 100 calories from the target provided.
Graph (Food Group bar graph): Should be at 100% (+/-10%) for all targets, acceptable to go over as long as total calories are +/- 100 calories for the day and there is balance between the overages (for example, 110% grains, 110% dairy, 120% vegetables versus 110% fruit, 350% protein, 200% dairy).
For grains, at least 50% should be whole grains. Fruit juice should not be in excess.
Daily Limit: Should be within +/- 100 calories of the target. Oil, fat, and sodium should not exceed these limits. They may be over or at the limit, just not in excess.
Nutrient Intake Report: Should show OK for all nutrients (although you may need to correct those to above or below for the sake of this project; see below). There are more nutrients than we are looking at listed on this report, so only focus on the nutrients we covered in class (calories, protein grams and percent, carbohydrate grams and percent, total fat and saturated fat, cholesterol, and all vitamin and minerals listed). At the end of these directions you will find a sample Nutrient Intake Report to show the highlighting for nutrients out of range. There are a few extras that we did not cover in class, so please do not worry about discussing those.
Cholesterol must be < 300 and do not forget that carbohydrates should be greater than the RDA. That number for carbohydrates is only a minimum for brain function (along with prevention of ketosis). It is likely protein will be higher as well, but still needs to be within the AMDR range as part of those MyPyramid Recommendations. IMPORTANTnote: Make sure to assess the macronutrients using the percentages that are provided and comparing to the target ranges. These are the AMDRs. For micronutrients, also check to make sure nothing is greater than 200 percent of the target. It may say OK, but we still want to be careful not to go too far over each day. This means for the indicated micronutrients (highlighted on the sample below), you should calculate out the percentage. To do this, divide the actual intake by the target and multiple by 100. Type this percentage in to the Word version of the report next to the status (for example: OK 105%). This will make it easier for you to make comments for the final presentation. Only highlight those that are greater than 200 percent or less than 80 percent. Please note: If the person you are creating a menu for has very high calorie needs, you will likely need to exceed 200 percent for many of the vitamins and minerals because you will need a higher amount of total food provided to meet the calorie needs. Just make sure that the macronutrients are still within range, even at the higher calorie level. If you have a menu where the calorie needs are 2800 or more you will be graded based on 300 percent instead of 200 percent for the high end of the range. SEE THE ATTACHMENTS TO REFER TO PART 1 AND PART 2