ASSIGNMENT 2: DIET RECORD ANALYSIS

ASSIGNMENT 2: DIET RECORD ANALYSIS
Due: December 4th at 11:59 pm (EST) via CourseLink Dropbox • Section 1: Interpreting a growth chart.
• Section 2: Analyzing a food record and comparing the nutrient intakes to the DRIs. • Section 3: Analyzing the feeding schedule of this family.
• Section 4: Reflecting on the difference between feeding and eating. • Section 5: Fostering a non-judgmental and inclusive health care space.
MAKE SURETO READ THE ASSIGNMENT, CASE STUDY & RUBRIC CAREFULLY!
SECTION 1: INTERPRETING A GROWTH
CHART
• Review of terms…
• Gestational age =
• Chronological age
• At birth =
• After birth =
⮚Co
ected age =
⮚ Your infant was born at 31wk, they were 9 wk preterm. If your baby is now 4months old (16 wk), what is their co
ected age?
SECTION 1: INTERPRETING A GROWTH
CHART
• Plot anthropometric measurements on a growth chart & complete Table 2
• Using the WHO growth charts for Canada, Birth to 24 months: Girls (Set 1 with 3rd to 97th percentile) (httzzzzzzzzzzzzzzzzzzzps:
www.dietitians.ca/Dietitians-Views/Prenatal and-Infant/WHO-Growth-Charts/WHO-Growth-Charts-Set-1.aspx
• Include your completed growth charts in your assignment appendix
CASE STUDY
Baby boy Matt was born at 39wk2d =
considered term birth, would
Age Weight (kg)
Length (cm)
HC (cm)
▪ Birth weight: 3178g = 3.2kg = ▪ Birth length: 52cm =
▪ Head circumference (HC): 33cm =
You see this family in your office when Matt is 7months old because caregivers have concerns about his growth. They provide the following measurements
2weeks XXXXXXXXXXweeks XXXXXXXXXXmo XXXXXXXXXX6mo XXXXXXXXXXToday (7 mo XXXXXXXXXX
BB Matt BB Matt
SECTION 2: ANALYZING DIETARY
RECORD
• Using Cronometer (https:
cronometer.com/)
analyse this food record.
• Under the tab Diary, you will enter every single food
item listed by the caregivers using the function Add
Food and the appropriate portion size.
• To add recipes, under the tab Food, you can create
a recipe with the ingredients listed by the caregivers.
You can then add this recipe to the food diary.
• Some details are missing from the food record
where caregivers have omitted important details.
You will have to make assumptions.
• Include a screenshot of each day of the food record
as entered in Cronometer (in the Appendices)
SECTION 2: ANALYZING DIETARY RECORD
SECTION 2: ANALYZING DIETARY RECORD
• Use this information on
macro & micronutrients to
complete Table 3
• Use DRI Tables to interpret
• Comment
• Macronutrients- compare to
AMDR
SECTION 2: ANALYZING DIETARY RECORD
• Question 2: Name 3 examples of food items that you would want clarifications on from the caregivers. Because details were missing, what assumptions have you made for these 3 examples? Be very specific. 3 bullet points, max ½ page double spaced.
• Question 3: What is missing from this food record? Max 2 sentences double spaced.
• Question 4: Take a closer look at the nutrient values for the PC Purée pouch, and Annie’s mac’n’cheese. What do you observe? Why is this? (hint: are all the nutrients available? What is the database used?) 1 paragraph, max ½ page double spaced.
• Question 5: Suggest 2 nutrition topics you would discuss with the caregivers. Be specific and explain your rationale in making these recommendations. 2 paragraphs. Max 1 page double spaced.
SECTION 3: ANALYZING FEEDING SCHEDULE
• Question 6:
• a) List 2 open-ended, non-judgemental questions you would ask Huang’s caregivers to better understand their reality and struggles feeding Huang. Comment on the feeding schedule you observe from the 3-day food record.
• b) Identify one strength and one area of improvement that you would discuss with the caregivers.
• Max 1.5 pages double spaced.
SECTION 4: REFLECTING ON FEEDING & EATING
• Question 7: Reflect on the difference between feeding and eating, and who plays which role in the feeding dynamic between Huang and her caregivers. How would you explain this concept to the caregivers? 1 paragraph, max ½ page double spaced.
• Question 8: Discuss 3 potential reasons that caregivers might be concerned about their toddler eating habits. To justify your answer, select 2 peer-reviewed articles (primary or secondary research article) and reference those articles in your text and at the end of your report in your reference list following APA style. Max 1 page double spaced.
o These two articles can relate to any aspect of this case study but MUST relate to the case (e.g. toddler growth, nutrient intake, feeding dynamic, parental concerns with children’s food relationship, cultural safety, etc).
SECTION 5: FOSTERING A NON-JUDGMENTAL & INCLUSIVE HEALTH CARE SPACE
• Question 9: We want to hear your thoughts. How can we make health care settings more inclusive for groups who are systematically excluded such as racialized groups, Indigenous peoples, Black people, people of color, LGBTQ2S+, and more? Max 1-page double spaced.
REFERENCING
• In-text citations not required to answer q2-q7, BUT specific links to the case study need to be made
• Reference primary or secondary research in question 8
• Question 9 is based on your own opinion, but a strong reflection would reference research or policy statements to support reflection
QUESTIONS?
Pre-Class Readings:
https:
olderadultnutritionscreening.files.wordpress.com/2022/06/screen 14-tool_2022.pdf
https:
olderadultnutritionscreening.com
esources-for-older-adults/ https:
csepguidelines.ca/guidelines/adults-65
NEXT LECTURE: OLDER ADULTS

Nutr2050 Appendix to Course Outline
Assignment 2: Diet Record Analysis
Due: December 4th at 11:59pm (EST) via CourseLink Dropbox
Assessing a child’s growth and dietary intake provides valuable information about thei
overall health and eating habits. Assessing usual dietary intake is challenging since
what caregivers feed their child can vary from day to day based on food accessibility,
seasonal availability, cultural preferences, family values and food skills. Additionally,
what a child might eat from the food provided by their caregiver can also change from
meal to meal, based on the environment, the time of the day, and the presence of
others at the mealtime.
In this assignment, you will complete a growth chart with the measurements the
caregivers have provided you for their child. You will also analyze a 3-day food record
(also called diet record) that has been completed by the caregiver of a child. You will
analyze the average intake across these three days and compare them to the Dietary
Reference Intakes (DRIs).
You will reflect on the process, interpret the data caregivers have given you, and
provide some guidance for the caregivers on the feeding habits. The goal of the
assignment is to learn about the process of analyzing a diet record and completing a
growth chart, and the challenges that are inherent to these methods. You will also
propose ways to foster a non-judgmental and inclusive health care space.
The sections of this assignment include:
Section 1: Interpreting a growth chart.
Section 2: Analyzing a food record and comparing the nutrient intakes to the
DRIs. Section 3: Analyzing the feeding schedule of this family.
Section 4: Reflecting on the difference between feeding and eating.
Section 5: Fostering a non-judgmental and inclusive health care
space.
Case Study:
Baby Huang
You are a registered dietitian in a family health team. A family comes to visit you on
August 28th, 2023, for nutrition support. Their baby, Huang, is a young girl born on
March 28th, 2022 at 39wk 5day gestation.
The caregivers have
ought some anthropometric measurements they had noted
down, and they also completed a 3-day diet record. The caregivers voice that they are
wo
ied about Huang’s food intake and growth. They are not sure if they should be
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NUTR*2050: Nutrition Through the Lifecycle
concerned that she sometimes refuses to eat at meals, and if they should offer formula
in these cases. They are hoping you will guide them.
Anthropometric data as provided by the caregivers
Weight Length Head
circumference
Birth 2813g 48cm 32cm
May 9th, XXXXXXXXXX26lbs 57cm 35.2cm
July 28th XXXXXXXXXX8kg 63cm 39cm
Oct 9th XXXXXXXXXX5lbs 74cm
Dec 28th, XXXXXXXXXX3lbs 70cm 42.4cm
January 30th XXXXXXXXXX8kg 73cm
March 28th XXXXXXXXXXlbs 10 oz 44.0cm
August 28th XXXXXXXXXX4lbs 80.5cm 45cm
Food record as provided by the caregivers
Time Day 1 – Aug 24
Daycare (9am – 3:30pm)
Day 2 -Aug 25
Daycare (9am – 3:30pm)
Day 3 -Aug 26
Home
6 am 4oz formula 6 oz formula -
7 am Half a slice white
toast 1 spoon
peanut butte
2 cup cheerios
1 cup 3.25% milk
-
9 am ½ cup Oikos Greek
yogurt, vanilla
1 clementine
1 purée pouch
(https:
www.presidentsch
oic
e.ca/product/pc-organics
anana-sweet-potato-and
luebe
y-strained-baby
food/20666167004_EA) 3
ites bluebe
y muffin
3 bluebe
y
pancakes that we
made at home 1
tbsp maple syrup 4
slices of a peach
10:45a
m
1 cup 3.25% milk
1 cookie
Refused rest of lunch
1tbsp hummus
6 slices cucumbe
2 pork meatballs
Half bagel
8 oz formula
1 pkg. Toddle
Mum Mums,
strawbe
y
(https:
mummums.
co
m/collections/toddl
er mum-mums
1/products/toddle
mum-mum-organ
ic strawbe
y-rice
iscuits)
11:30a
m
1:30pm
Nap time Nap time Nap time
2 pm 7 soda crackers
30g cheddar cheese
½ banana
Refused snack 1/2cup baby cereal
4 pm serving smoothie
Recipe (gives 10
servings)
- -
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NUTR*2050: Nutrition Through the Lifecycle
2 cups plain non-fat
Greek yogurt
2 tbsp maple syrup
3 cups frozen
mangos 2 cups
3.25% milk
5 pm 2 bites spaghetti
with beef and
tomato sauce 1 cup
milk
Didn’t eat much -
6:30 pm 2 oz formula Half a serving smoothie 2 oz Annie’s Mac
n Cheese
10 bluebe
ies
2tbsp Oikos
Greek yogurt,
vanilla
7 pm Bedtime
No milk during the night
10 Goldfish crackers,
aked cheese flavou
1 plum
8 pm - Bedtime
3 oz formula
Bedtime
8oz formula
Format of the report
• Maximum length 9 pages (title page and appendices do not count in the page limit);
Include page numbers.
o Specific guidance for each section and the maximum length for each
question’s answers is specified throughout the outline.
o Please use your judgment when respecting the length limit. These limits are
suggested to ensure you elaborate on your key points in a succinct and
organized manner.
o Please indicate the section and question you are answering using
subheadings. This will make grading easier.
• Use 12-point font, Arial, double space, 2.54cm margins all around • Submitted in a
Word format on your personal DropBox via CourseLink. Turnitin will be used. It is
expected that it will flag the food record analysis, but all your answers to the questions
should be in your own words.
Content of the report
Section 1: Interpreting a growth chart
• Complete Table 1 below.
• Complete Table 2 with Huang’s age, weight (kg), length (cm), and head
circumference (cm) for each of the dates provided by the caregivers. • Using the
WHO growth charts for Canada, Birth to 24 months: Girls (Set 1 with 3rd to 97th
percentile) (https:
www.dietitians.ca/Dietitians-Views/Prenatal-and
Infant/WHO-Growth-Charts/WHO-Growth-Charts-Set-1.aspx), plot the data on the
appropriate growth chart and identify the percentile for each time point. Note the
percentiles in Table 2. Include the completed growth charts (in the
appendices).
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NUTR*2050: Nutrition Through the Lifecycle
• Question 1: What is your overall interpretation of the growth for each marker in
Table 2, following what we have done in lectures (e.g., discuss the pattern of
growth over time, and any details we should be aware of when interpreting the
esults). What would you tell the caregivers? 1 paragraph, max ½ page double
space
Table 1: Demographic data of the child
Date of visit
Name
Sex
Date of birth
Gestational age
Chronological age
Co
ected age
Table 2: Anthropometric data of the child
Date Age Weig
ht
(kg)
Percentile Leng
th
(cm)
Percentile Head
circumferen
ce (cm)
Percentile Weight
to
Length
atio
(percentile)
Overall
Interpretation
Section 2: Analyzing a food record and comparing the nutrient intakes to the DRIs
Using Cronometer (https:
cronometer.com/) analyse this food record.
• Under the tab Diary, you will enter every single food item listed by the caregivers
using the function Add Food and the appropriate portion size.
• To add recipes, under the tab Food, you can create a recipe with the ingredients
listed by the caregivers. You can then add this recipe to the food diary.
• Some details are missing from the food record where caregivers have omitted
important details. You will have to make assumptions.
• Include a screenshot of each day of the food record as entered in Cronometer (in
the Appendices)
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Nutr*2050 Appendix Fall 2023
NUTR*2050: Nutrition Through the Lifecycle
Complete Table 3. Use 1 decimal point for the intakes.
• List the RDA/AI and UL values for this child for the selected nutrients, Refer to
the DRIs tables from Health Canada (https:
www.canada.ca/en/health
canada/services/food-nutrition/healthy-eating/dietary-reference
intakes/tables.html)
• Briefly compare these nutrients to the DRIs for this child.
Question 2: Name 3 examples of food items that you would want clarifications on from
the caregivers. Because details were missing, what assumptions have you made fo
these 3 examples? Be very