Nutrition for the Elderly: A Case Study of Mr. John

Running Header; THE ELDERLY NUTRITION. 1
The special population nutrition
Institutional affiliation
Course name
Students name

ELDERLY POPULATION 2
Introduction
This is an essay that requires formulation of a case study of a client who fits in a special
population. The nutritional requirements will be outlined and a dietary plan will be formulated
taking into consideration the physical activities. The essay will critically analyze the
determinants and the concepts of the nutrition of the given client in relation to their health. This
will be done by evaluating the Ministry of Health guidelines and the peer-reviewed literatures on
the nutrition of the given special population. Lastly, a conclusion will be given to summarize the
essay.
The case study.
A case scenario of Mr. John, a male client who lives in a nursing home. He is 72 years
old, has a height of 155cm, weighs 65kgs, has a Basal Mass Index (BMI) of 27.0kg/m2, his arm
circumference is 27cm, his calf circumference is 34cm, his fat free mass is 34kgs, his body fat
mass is 25kgs, his mini-mental score is 28, his mini-nutritional assessment is 26.5 while his
timed up and go is 9.9 seconds. His physical activities were as followed; the vigorous activities
are 8.0 Metabolic Equivalent of Task (MET), for the moderate activities is 4 METs while
walking is 3.3METs. Her resting energy expenditure is 1250Kcal/day, his activity energy
expenditure is 200Kcal/day, his dietary induced thermogenesis is Kcal/day, his total energy
expenditure is 1700Kcals and lastly his physical activity level is 1.3. Lastly, his energy intake
requirement is 32.395MJ or 7737.54Kcals.

ELDERLY POPULATION 3
Calculations
BMR= weight/height (M2)
= 65/ (1.55*1.55)
= 27
The caloric requirement = 0.038 * weight in kg + 2.755
= 0.038 * 63 + 2.755
=7737.54Kcals.
The energy sources; 45% -65% carbohydrates 3868Kcal
20%-25% fat 2254 Kcals
15%-25% proteins 1747Kcals
4 Kcalories = 1 gram of carbohydrate therefore = 967grams
4 Kcalories = 1 gram of protein therefore = 436.75grams
9 Kcalories = 1 gram of fats therefore = 250.44grams

ELDERLY POPULATION 4
John’s diet plan
Time of
the day
Meal Contents Food
in
grams
Kcals
of
the
meal
Nutrient value.
0600hrs Breakfast ½ cup of
porridge
1 ½ bread
roll
½ cup
cooked
vegetables
1 banana
130g
75g
80g
130g
520
300
------
483
Carbohydrates
Dietary fiber
Vitamins
Vitamin A (green and yellow
vegetables)
Vitamin C (from the dark-green
vegetables)
Minerals; magnesium and
potassium
1000hrs Snack Tea, herbal,
infusion
2 muffins
1 apple
200g
160g
130g
800
640
-----
Carbohydrates
Dietary fiber
Vitamin B complexes except B12.
Minerals; magnesium, calcium,
iron and zinc
1300hrs Lunch 1 medium
fillet of
cooked fish.
100g 400 Proteins
Carbohydrates
Higher proportions of saturated