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Title: REQUERIMIENTO 3: HUMANOS


1
REQUERIMIENTO 3 HUMANOS
RE MB ETA PAL
2
REQUERIMIENTO de HUMANOSComponentes del
requerimiento energético
  • METABOLISMO BASAL (TMB TMR)
  • Basal metabolism. This comprises a series of
    functions that are essential for life, such as
    cell function and replacement the synthesis,
    secretion and metabolism of enzymes and hormones
    to transport proteins and other substances and
    molecules the maintenance of body temperature
    uninterrupted work of cardiac and respiratory
    muscles and brain function. The amount of energy
    used for basal metabolism in a period of time is
    called the basal metabolic rate (BMRTMB), and is
    measured under standard conditions that include
    being awake in the supine position after ten to
    12 hours of fasting and eight hours of physical
    rest, and being in a state of mental relaxation
    in an ambient environmental temperature that does
    not elicit heat-generating or heat-dissipating
    processes. Depending on age and lifestyle, BMR
    represents 45 to 70 percent of daily total energy
    expenditure, and it is determined mainly by the
    individuals age, gender, body size and body
    composition.

3
REQUERIMIENTO de HUMANOSComponentes del
requerimiento
  • EFECTO TERMICO DEL ALIMENTO (ETA)
  • Metabolic response to food. Eating requires
    energy for the ingestion and digestion of food,
    and for the absorption, transport,
    interconversion, oxidation and deposition of
    nutrients. These metabolic processes increase
    heat production and oxygen consumption, and are
    known by terms such as dietary-induced
    thermogenesis, specific dynamic action of food
    and thermic effect of feeding. The metabolic
    response to food increases total energy
    expenditure by about 10 percent of the BMR over a
    24-hour period in individuals eating a mixed diet
  • Termorregulación

TERMOGENESIS ADAPTATIVA
4
REQUERIMIENTO de HUMANOSComponentes del
requerimiento energético
  • ACTIVIDAD FISICA
  • Physical activity. This is the most variable and,
    after BMR, the second largest component of daily
    energy expenditure. Humans perform obligatory and
    discretionary physical activities. Obligatory
    activities can seldom be avoided within a given
    setting, and they are imposed on the individual
    by economic, cultural or societal demands. The
    term obligatory is more comprehensive than the
    term occupational that was used in the 1985
    report (WHO, 1985)because, in addition to
    occupational work, obligatory activities include
    daily activities such as going to school, tending
    to the home and family and other demands made on
    children and adults by their economic, social and
    cultural environment.
  • Discretionary activities, although not socially
    or economically essential, are important for
    health, well-being and a good quality of life in
    general. They include the regular practice of
    physical activity for fitness and health the
    performance of optional household tasks that may
    contribute to family comfort and well-being and
    the engagement in individually and socially
    desirable activities for personal enjoyment,
    social interaction and community development

5
REQUERIMIENTO de HUMANOSComponentes del
requerimiento energético
  • Resting Energy
  • Caloric intake equations are based on determining
    a persons resting energy expenditure. This is
    the energy necessary to sustain life and to keep
    the heart, lungs, brain, liver and kidneys
    functioning properly.
  • According to the book Nutrition Therapy and
    Pathophysiology, the average North Americans
    resting energy expenditure accounts for about 60
    to 75 percent of total daily energy expenditure.
    The remaining energy expenditure is through
    physical activity, about 25 percent, and through
    the metabolic process of digesting food, about 10
    percent.

6
REQUERIMIENTO de HUMANOSComponentes del
requerimiento energetico
  • CRECIMIENTO
  • Growth. The energy cost of growth has two
    components 1) the energy needed to synthesize
    growing tissues and 2) the energy deposited in
    those tissues. The energy cost of growth is about
    35 percent of total energy requirement during the
    first three months of age, falls rapidly to about
    5 percent at 12 months and about 3 percent in the
    second year, remains at 1 to 2 percent until
    mid-adolescence, and is negligible in the late
    teens.
  • GESTACION
  • Pregnancy. During pregnancy, extra energy is
    needed for the growth of the foetus, placenta and
    various maternal tissues, such as in the uterus,
    breasts and fat stores, as well as for changes in
    maternal metabolism and the increase in maternal
    effort at rest and during physical activity.
  • LACTACION
  • Lactation. The energy cost of lactation has two
    components 1) the energy content of the milk
    secreted and 2) the energy required to produce
    that milk. Well-nourished lactating women can
    derive part of this additional requirement from
    body fat stores accumulated during pregnancy.

7
REQUERIMIENTO de HUMANOSCalculo de la TMR con
uso de fórmulas
Formula (N. U. - CEPAL, 2004) , para edad de 18 a
30 años (15.4(p) 27(t) 717) ó
15.057(kg) 692.2 .Hombres
Formula ( O.M.S. - 1985) para el cálculo de la
Tasa Metabólica en Reposo (TMR) en Kcal/día
15.3 (P) 679 . Hombres (18 29 años) 14.7
(P) 496 . Mujeres (18 29 años)
Fórmula de Harris-Benedict para calcular la TMR
Hombres (GEB) TMR 66 13,7 x P (kg)
5 x T (cm) 6,8 x edad (años) Mujeres (GEB)
TMR 655 9,6 x P (kg) 1,8 x T(cm) 4,7
x edad (años) RCT GEB (Sexo) ADE (10 GEB)
Actividad Deporte P Peso vivo del estudiante
en kg. T Talla del estudiante en cm.
8
  • Mifflin-St. Jeor Equation
  • According to Nutrition Therapy and
    Pathophysiology, the Mifflin-St. Jeor equation
    was developed in 1990 and has been validated by
    more than 10 studies. The Mifflin-St. Jeor
    equation is gaining popularity among the
    nutrition professionals for accurately estimating
    caloric needs. The equation is as follows for
    females 10 x (Weight in kg) 6.25 x (Height in
    cm) - 5 x age - 161 for males 10 x (Weight in
    kg) 6.25 x (Height in cm) - 5 x age 5. These
    equations are also multiplied by the same
    physical activity factors to estimate daily
    caloric needs
  • According to the American Dietetic Association,
    the Mifflin-St. Jeor equation has been found to
    be the most reliable in predicting actual resting
    energy expenditure within 10 percent. The
    equation is recommended by nutrition
    professionals. For further understanding daily
    caloric intake needs, a Registered Dietitian
    should be consulted.
  • Ya considera el 10 por efecto termico del
    alimento

9
REQUERIMIENTO de HUMANOSCalculo del nivel de
actividad física (PAL)
10
REQUERIMIENTO de HUMANOSGasto energético por
actividad (PAR)
11
REQUERIMIENTO de HUMANOSCalculo del nivel de la
BMR (TMB - TMR)
12
REQUERIMIENTO de HUMANOSTrabajo Determine su
requerimiento
ESTIMACION DE LOS REQUERIMIENTOS ENERGETICOS Y
NUTRICIONALES PARA ESTUDIANTES EJERCICIO 1.
Registre sus propias actividades a lo largo de 3
días en un diario de actividades. Incluir 1 día
durante el fin de semana, y sacar el promedio de
esos tres días (solo trabaje con el promedio) 2.
Calcule el número total de minutos empleados en
cada tipo de actividad y utilice la tabla del
costo energético por actividad y luego
transferirlo al formulario de registro de
actividades. (Baje el libro ftp//ftp.fao.org/doc
rep/fao/007/y5686e/y5686e00.pdf) En el anexo
de este libro encontrará las actividades y su
costo energético 3. Calcule su gasto energético
promedio obtenido en 1 mediante el método
factorial 5. Calcule la cantidad de grasa,
proteínas y carbohidratos que debe consumir por
día en base a sus requerimientos de energía
estimada en 3. 6. Calcule su IMC 7. Calcule su
ratio C/C 8. Seguir las siguientes
recomendaciones del siguiente ejemplo
13
REQUERIMIENTO de HUMANOSRegistro de actividades
(Promedio de tres días)
ACTIVIDAD COSTO ENERGETICO TIEMPO
  TMR (minutos)
     
     
Dormir 1.0 450
Asear y vestir 2.9 15
Desayunar 2.1 30
Caminar a la UNA 3.5 20
Sentarse en clase 1.4 180
Caminar de y hacia clase 3.5 40
Almorzar 2.1 30
Estudiar en Biblioteca 1.2 180
Deambulacion 3.5 30
Partido de tenis 6.2 40
Caminar a casa 3.5 20
Cenar 2.1 40
Planchar camisa 3.5 15
Manejar y regresar de cita 2.5 20
Bailar activamente 8.5 40
Comer bocaditos 2.1 20
Sentarse y charlar con pareja 1.2 120
Estudiar en Biblioteca 1.2 120
Desvestir y bañar 2.9 30
14
REQUERIMIENTO de HUMANOSSumatoria
SUMATORIA SUMATORIA SUMATORIA SUMATORIA
       
NIVEL DE COSTO MIN HORAS NIVEL x HORAS
ENERGETICO      
       
1.0 450 7.50 7.50
1.2 420 7.00 8.40
1.4 180 3.00 4.20
2.1 120 2.00 4.20
2.3 20 0.33 0.76
2.9 45 0.75 2.18
3.5 125 2.08 7.28
6.2 40 0.67 4.15
8.5 40 0.67 5.70
       
    24.00 44.40
NIVEL DE ACTIVIDAD FISICA (PAL) 44.4 / 24
1.85
15
REQUERIMIENTO de HUMANOSEstimación del
requerimiento energético (RE)
DATOS DEL ESTUDIANTE Peso del estudiante 78 kg
Edad 22 años Talla 1.7 m
NIVEL DE ACTIVIDAD FISICA (PAL) 44.4 / 24
1.85
Reemplazando los datos en la formula de la O.M.S.
(1985) para varones, se tiene TMR 15.4 (78)
27 (1.7) 717
TMR 1,872.3 Kcal/día (Recuerde que esta
fórmula (TMR) ya considera el gasto del efecto
térmico del alimento de los alimentos 10 ).
Luego considerando el Nivel de Actividad Física
(PAL) , el requerimiento de energía por día (RED)
es RED
TMR x PAL
RED 1872.3 x 1.85
RED 3463.75 Kcal/día
16
REQUERIMIENTO de HUMANOSRecomendación del
consumo de nutrientes (OMS)
  • -Grasa total 15 30 ( del total de
    energía)
  • Ácidos grasos saturados lt 10
  • Ácidos grasos insaturados (PUFAS) 6 10
  • PUFAS W-6 5 8
  • PUFAS W-3 1- 2
  • Ácidos grasos trans lt 1
  • Ácidos grasos mono insaturados (MUFAS)
    por diferencia
  • -Carbohidratos totales 55 75 (
    del total de energía)
  • Azucares libres lt 10
  • -Proteína total 10 15 ( del
    total de energía)
  • Colesterol lt 300 mg/día
  • Cloruro de sodio 5 g /día
    (lt 2 g/día)
  • Frutas y vegetales gt 400 g / día
  • Fibra dietaría total? ..

17
REQUERIMIENTO de HUMANOSRecomendación de
Actividad Fisica
18
REQUERIMIENTO de HUMANOSDistribución calórica y
cantidad de nutrientes/día
  • TOMANDO COMO BASE EL RE 3,463.75 Kcal/día
  • 1) Grasa total 15 30 ( del total de
    energía)
  • 2) Carbohidratos totales 55 75
    ( del total de energía)
  • 3) Proteína total 10 15 ( del
    total de energía)
  • 3,463.75 x 0.15 519.56 kcal/ 9 kcal g-1 57.73
    g de grasa/día
  • 3,463.75 x 0.75 2,597.81/4 kcal g-1 649.45 g
    de carbohidratos/día
  • 3,463.75 x 0.10 346.375/4 kcal g-1 86.59 g
    de proteínas/día

19
REQUERIMIENTO de HUMANOSUtilización de software
20
REQUERIMIENTO de HUMANOSIndicadores saludables
Fórmula para el calculo del Índice de Masa
Corporal (IMC) IMC Peso (kg) / Talla x Talla
(en metros) Fórmula para el cálculo de la ratio
C/C C/C cintura (cm) / cadera (cm)
21
PRACTICA 08 c
  • Determine su requerimiento energético.
  • Determine la cantidad de Proteínas, Grasa y
    carbohidratos que debe consumir diariamente.
  • Elabore su dieta diaria
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