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Dietary Intake Assessment Template PDF

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Added on  2020-03-16

Dietary Intake Assessment Template PDF

   Added on 2020-03-16

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Dietary Intake Assessment TemplateHow to use this template:Write down in the columns the food and the amount you think you ate for each day at each meal or snack e.g. 1 banana muffin, 4 Smarties. Estimate amounts by using tools such as the size of a fist (around 1 cup) or a deck of cards (about 100g).Include brands and details where you can e.g. look for the serve size in grams or mLs from the label if that helps.Keep your diary with you during the day. Fill it out as you go dont rely on your memory at the end of the day. (You can open the document on your smart phone or jot down in notes or in hardcopy and type it up later to make sure you dont forget)Be honest and write down EVERYTHING you eat and drink, including small things like a cappuccino or a glass of beer/wine. Most people forgetsmall non-meal items especially nibbles and between-meal extras. Dont change your eating habits but be aware of these and record them. Don't forget what you drink - milk, juice, soft drink, tea or coffee with sugar, sports drink, wine and beer all count as "food". Once you have filled out the food diary, tally to number of serves of each food group you had throughout the day in the columns provided. Once youve calculated the number of serves for each food group for the two days, fill out the total serves tableand average the two days. You will then use the total serves table to answer the applicable questions in your report. You will have completed a sample of this process in the tutorial in weeks 2 and 4, but there will also be a sample assessment on Blackboard foryou to follow should you need.Please ensure you answer all of the questions asked in the report section of this template. This will be a large proportion of your marks as you will be applying the information you have discovered to your daily dietary habits. Adhere to the word limit as specified for each question. ASSESSMENT TEMPLATE DIET & NUTRITION FOR HEALTH & SPORT EDGU 1003 UNIVERSITY OF SYDNEY
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PERSONAL DETAILS – Table 1Before you begin, please enter your personal details in the table below. These will be used to calculate your recommended number of serves for each food group and Recommended Daily Intakes (RDIs) or Adequate Intakes (AIs) for your three chosen nutrients.Name CandiceAge19GenderFemaleASSESSMENT TEMPLATE DIET & NUTRITION FOR HEALTH & SPORT EDGU 1003 UNIVERSITY OF SYDNEY
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YOUR FOOD DIARY Name: CandiceDate: 30th SeptemberWeekday or weekend: SaturdayTimeWhat I ate and drankAmount (cups, mls or grams)VegetablesFruitGrain(cereal)foods Lean meatandalternatives Dairy andalternativesDiscretionary foods9:30 amBran flakes2/3 ApricotMilk1 Apple1Apple1:30 pmSandwich2Whole wheat grainMargarineAsparagus salad1 (75gm)Asparagus, bell pepperPecan nutsRoasted Beef 60gmBeef5:00 pmMuffin1 (35gm)CarrotOrange juiceAll purpose flourButterCarrot muffin10:00pmPasta½ (80gm)Onion, tomatoesEgg, red kidney beansSalad¼ (75gm)Lettuce, cucumberPeanutsCheddarTOTAL 42432 ½ ASSESSMENT TEMPLATE DIET & NUTRITION FOR HEALTH & SPORT EDGU 1003 UNIVERSITY OF SYDNEY
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SERVESYOUR FOOD DIARY Name: CandiceDate: 2nd OctoberWeekday or weekend: MondayTimeWhat I ate and drankAmount (cups, mls or grams)VegetablesFruitGrain(cereal)foods Lean meatandalternatives Dairy andalternativesDiscretionary foods8amSpring roll [with pork and cabbage inside]4 (40gm)cabbagePork2 eggs[made it into soup]2 (120gm)eggs12pmBeef stir-fried with tomato1 (65gm)tomatoBeef Rice1 (100gm)rice2 scoops vanilla ice cream75gmVanilla icecream7pmBouillon1 (75gm)Potato, carrot, celery, tomato2 slices whole wheat toast2 (40gm)Wheat grainASSESSMENT TEMPLATE DIET & NUTRITION FOR HEALTH & SPORT EDGU 1003 UNIVERSITY OF SYDNEY
Dietary Intake Assessment Template PDF_4

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