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NUTRITIONAL
ASSESSMENT

2/9/16

Nutritional Assessment:
General

Nutritional Status
Interview
Dietary habits

Average intake of food & fluids

Types and quantities consumed

Where & when the food is eaten

Conditions or diseases that affect

intake and absorption

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Anthropometric
measurement
Height
Weight
BMI
Waist circumference
Mid-arm circumference
Triceps Skin fold
Mid-arm muscle

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Collecting Subjective
Data
History

of Present Health Concern

Questions:
Height

and Usual Weight

Weight gain? How much? Period of time?

Diet
On a special diet recently?
Amount of fluid consumed/day?

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Water, sugary, caffeinated or alcoholic/day?

Collecting Objective
Data:
Physical

Assessment

1. Body Build
Observe body build, muscle mass and

fat distribution (note body type)

Normal : Proportional, bilateral muscles are

firm & well-developed, equal distribution of
fat & subcutaneous fat, body parts are intact
& without any deformities

Abn: Lack of subcutaneous fats, prominent

bones, abdominal ascites, abundant fatty

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2. MEASUREMENTS
Height

Normal : within range for age,

ethnic and genetic heritage

Abn : Extreme shortness and

tallness

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Weight
Normal : Desirable body weight for men

and women basing on BMI

Abnormal : Weight does not fall within

DBW

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BMI (Body Mass Index)

Formula :
BMI
Kilograms

Weight in

Height in meters2
or
BMI
703

Weight in Pounds

Height in inches 2
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Normal

Abn

: BMI between 18.5 and 24.9

: BMI < 18.5 = Underweight

BMI between 25.0 & 29.9 =

Overweight
BMI 30 0r greater = Obese

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IBW (Ideal Body Weight)

Formula

for IBW :

Female : 100lb for 5 ft + 5lb for

each inch over 5ft 10% for
small or large frame

Male : 106lb for 5 ft + 6lb for each

inch over 5ft 10% for small or
large frame

Normal
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: BW is within 10% of

 Abnormal

: Weight that is :

80% - 90% of IBW mild malnutrition

70% - 80% of IBW moderate
malnutrition
less than 70% - severe malnutrition
Weight exceeding 10% of IBW range
overweight
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Weight exceeding 20% of IBW range

Formula

for calculating for the

Percentage of IBW :
% IBW = Actual Weight
100
IBW

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Waist

Circumference

Normal

Females : Equal to less or than 35 inches

(88cm)

Males
(102cm)

: Equal to less than 40 inches

Abn :

Females : >35 inches

Males

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: >40 inches

Mid-arm

circumference (MAC)

Standard Reference : Men

= 29.3cm

Women = 28.5cm
Abn : <90% of the SR = moderately

malnourished

Men

= 26.3 cm

Women

= 25.7cm

<60% of the SR = severely

malnourished
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Men

= 17.6

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Triceps

Skin-fold Thickness (TSF)

Standard Reference : Men

= 12.5cm

Women = 16.5cm
Abn : <90% of the SR = moderately

malnourished

Men

= 11.3 cm

Women

= 14.9cm

<60% of the SR = severely

malnourished
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Men

= 7.5

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Mid-arm

Muscle Circumference

(MAMC)
Formula :

MAMC = (MAC in cm.) [0.314 TSF

in mm.]
Standard Reference : Men

= 25.3

Women = 23.2
Abn : <90% of the SR = moderately

malnourished

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Waist-to-Hip Ratio
(WHR)
estimates obesity by evaluating
the amount of abdominal fat.

Formula

WHR =

:
Waist circumference

Hip circumference
WHR

>1.o in men indicates upper body

obesity

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3. HYDRATION
Inpatient

Setting :

Measure INTAKE & OUTPUT

Normal : Intake & output are closely balanced

over 72hrs

Abn : Imbalance

All

Settings

Daily weight measurements

Skin turgor
Pitting
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edema

Venous
Neck

filling

veins

Tongues

condition

Eye

position and surrounding

coloration

Lung
BP
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sounds

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