Various terms are used to describe foods which are highly processed and rich in energy, fat, salt and/or sugar. These include “discretionary foods”, “foods to enjoy sometimes” and “occasional foods”. For the purposes of this text, we describe these foods as “occasional foods”. Mr Robertson’s diet history shows that occasional food choices are a regular part of his diet and contribute significantly to his total energy intake. Some occasional foods such as cookies (biscuits) are eaten daily: these are managed as mixed foods in the Case Study Activities. Nuts will also be managed as a mixed food. In preparation for completing the activities in this Case Study re-read the Ready Reckoners and Exchange System sections of your text book's Introduction - Understanding the Nutrition Care Process. This will to refresh your knowledge of mixed-food analysis.
Mr Robertson has other occasional food items less often, for example he eats fruit cake and chocolate-coated ice cream once a week. These items are to be recorded in the Occasional Foods column of the nutrition analysis table. Mr Robertson drinks alcohol five days a week. His alcohol intake will also be recorded in the occasional foods column of the nutrition analysis table for later consideration.
Examples of the Mixed Food Items in the Adult Weight Management Case Study
The following list will help you to complete the nutrition analysis activities in this case study quickly.
» 2 shortbread cookies (biscuits) = 1 grain, 2 fat, 2 sugars
» 2 cream-filled cookies (biscuits) = 1 grain, 2 fat, 4 sugars
» 3 teaspoons jelly (jam) = 3 teaspoons sugar
» 1 cup (~2 scoops) of ice cream can be counted as 1 dairy in the Adult Weight Management Case.
If accurate calcium and carbohydrate is required for example in the case of diabetes, count as 1/2 dairy, 1 fat and 2 sugar
» 1 sausage patty (2 small links) = 1 meat, 1 fat
» 1 handful of nuts, 1 oz (30 g) = 4 fat
Examples of the Occasional Food Items in the Adult Weight Management Case Study
» 1 small donut = 150 kcal (600 kJ)
» 1 large slice of fruit cake = 360 kcal (1 500 kJ)
» 1 fun-size chocolate = 100 kcal (400 kJ)
» 1 packet potato chips (crisps), 3 ½ oz (100 g) = 500 kcal (2 200 kJ)
» 1 chocolate-coated ice cream = 330 kcal (1 400 kJ)
» 1 can of beer, 12 fl oz (375 mL) = 150 kcal (600 kJ)
Updated April 25, 2017