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08.11.2013
Quick method factorView this tableOnce the energy requirement has been determined, the macronutrient requirement will be calculated (the energy is distributed into 3 macronutrients, see Table 7). These meal plans combine the advantage of a low-carb approach with a low calorie meal plan. A 2011 study showed that eating a low-carb diet can help reduce hunger, which is essential if you are following a very low calorie plan of 1200 calories per day. To follow this plan, divide your allotted 1200 calories into three meals of 300 calories each and three snacks of 100 calories each. The diet relies on lean protein, berries, and vegetables as well as the use of cooking spray. If you decide to make other substitutes, bear in mind you will need to reduce the portion size of some items because of differences in calorie counts. As we adjust to the new server, we expect that there will be technical issues in various sections of the site. While several of such systems already exist, their focus is mainly to assist healthy individuals calculate their calorie intake and to help monitor the selection of menus based upon a prespecified calorie value. This study was similar to an information-engineering activity, in which the task was to extract the knowledge and the workflow of generating a menu for patients. In this case, the dietitian will provide the percentage of carbohydrate, protein, and fat (C-P-F) and DietPal will automatically calculate the kilocalories and grams of carbohydrate, protein, and fat according to the energy requirement of the particular patient. Set at 1,200 calories and under 25 grams of carbs per meal, this plan is considered very low-calorie and moderately low-carbohydrate.
These two strategies together can accelerate weight loss, helping you achieve quick results. If you can see results for your efforts while experiencing minimal hunger, you are more likely to stick to the plan and less likely to stray down paths with foods higher in calories.
In many cases, the meals listed below have lower effective carbohydrate counts because fiber is counted as a carbohydrate as far as nutritional information goes, but it does not affect blood sugar the way other carbohydrates do. Feel free to mix and match for a meal plan that will maintain you at around 1,200 calories per day with low carbohydrate counts. A tablespoon of oil or butter contains up to 120 calories, calories you cannot afford to add, if you are sticking to the 1200 calorie plan.
An online calorie counter and reading food labels can help you make good choices while staying within the calorie limit using low carb foods.
Combining low calorie options with foods low in carbs can help you achieve your weight goals that much quicker. Although these prove to be helpful in some ways, they are not suitable for monitoring, planning, and managing patients' dietary needs and requirements.
In this case, 14 dietitians were interviewed and observed while conducting their daily activities.


Values in Table 7 are the default values provided by the system; they are derived from the Malaysian Dietary Guidelines [18]. It's important you eat at least 1,200 calories per day in order to support your body's basic metabolic needs.
The best way to ensure you are adhering to calorie and carb counts is by weighing your food on a kitchen scale or measuring it carefully.
Variety helps ensure you do not become bored with your diet, and eating a variety of foods across the spectrum of color will ensure you get all of the vitamins and minerals you need. Because vegetables, particularly leafy greens, are low in both carbohydrates and calories, they figure strongly into these meal plans.
The survey was also aimed at validating the results of the first survey and determining at which stage of the menu-suggestion process the "frequently sought after" information items are being used. Dietitians, however, are allowed to alter these values based on patients' requirement as illustrated in Figure 3.
If the total percentage of all nutrients exceeds 100% or is below 100% an error message is provided to the user.
In order to maximize nutritional intake, the 1200 calorie low carb meal plan leaves no room for empty calories. The first survey of 93 dietitians (with 52 responding) was an assessment of information needed for dietary management and evaluation of compliance towards a dietary regime. The second study consisted of ethnographic observation and semi-structured interviews with 14 dietitians in order to identify the workflow of a menu-suggestion process. We subsequently designed and developed a Web-based dietary menu generation and management system called DietPal. DietPal has the capability of automatically calculating the nutrient and calorie intake of each patient based on the dietary recall as well as generating suitable diet and menu plans according to the calorie and nutrient requirement of the patient, calculated from anthropometric measurements.
Although a number of menu-planning systems have been developed in recent years, these systems are mainly used to assist healthy individuals calculate their calorie intake and to help monitor the selection of menus based upon a prespecified calorie value. Also, some of these systems do not address the standard practice and procedure employed by dietitians during consultations with patients. Planning nutritious menus for patients, however, is not the same as planning menus for healthy individuals.
Dietitians on the other hand, during the course of consultation with a patient, may want to refer, for example, to the patient's medical and dietary history, dietary recall, biochemical data, and anthropometric data. For example, a suitable menu for a diabetic patient is constructed based on the patient's calorie requirement determined using anthropometric data such as weight and height. Finally, obtaining the dietary history of a particular patient is necessary in order to consider factors such as food habit and preferences. In normal circumstances, the dietitian will record the patient dietary recall of up to 7 days of food intake.


Therefore, an ideal menu-planning system should not only contain information about foods and menus but should also incorporate other related information for the purpose of decision making by dietitians (as discussed earlier).Realizing the limited capabilities of existing systems, this paper, therefore, describes the development of an automated Web-based menu-generating system, according to a standard procedure and practice adhered to by dietitians in managing patients, and based upon a user-needs study conducted prior to the development of the system. In this case, the dietitian will interview the patient and will select the available food stored in the food-composition database. For cases in which the food is not available in the database, the dietitian will choose other similar types of food based on calorie content. CAMP uses past menus that were compiled from reputable sources and modified as needed to ensure that they satisfy the RDIs (Reference Daily Intakes) and the Dietary Guidelines of Americans and Aesthetic standards [10].
DietPal will automatically calculate the level of macronutrients and micronutrients for an average of 1 day. The menu generated by CAMP is based upon nutrient composition, type of servings, and the number of snacks.PRISM uses rules to generate menus. Apart from that, DietPal also allows the user to compare the level of macronutrients with the individual calorie requirement based on Basal Metabolic Rate (BMR), physical activity, and stress factor, while the micronutrient intake is compared with the Malaysian Recommended Dietary Allowance (RDA) [15] for nutrients determined according to the patient's sex and age group.
The rules are mainly concerned with menus and meal patterns.CAMPER is an integration of the techniques employed by CAMP and PRISM. The task of dietary recall is important for assessing the patient's compliance to the dietary regime, but, because this process is time consuming, it can be passed over by the dietitian, who can go directly to the menu-generating function.The menu generation starts with DietPal automatically calculating the Body Mass Index (BMI) and providing a suggestion as to whether the patient is, for example, normal, obese, or underweight.
Therefore, apart from using the case-based reasoning technique, CAMPER uses rules or "what if" analysis module to enhance the menu suggestion activity.The main interesting and distinguishing feature exhibited by our system as compared to the other reviewed systems is its use of the complete dietary-management system currently adhered to by dietitians in Malaysia, particularly at the National University Hospital of Malaysia. In addition, our system exploits current advanced Internet technology, by considering the system's implementation as a Web-based application. Anthropometric information is also displayed by DietPal in order to assist dietitians in making decisions.
This, to a certain extent, increases the outreach of the system for use by dietitians and health professionals within the same hospital or at other locations. Two methods can be used to automatically generate the energy requirements of each individual patient:Predictive equation to estimate energy requirement based on Basal Metabolic Rate (BMR) (Table 3), stress factor (Table 4), and activity factor (Table 5). The system is also capable of storing and organizing patients' dietary records and other health-diet related information. The first survey of dietitians was on computer literacy and utilization, information seeking activities, and assessment of information required for dietary management and evaluation of compliance towards a dietary regime.
The questionnaire contained the question "Which information items do you seek to support decision making and evaluation of a dietary regime", with the 10 items listed in Table 1 and participants asked to assign a rating score of 1 to 5 (1 = least likely seek, 5 = most likely seek) was used to identify the information needed to. In a similar way, participants were asked which information items they needed in order to monitor the compliance of a patient (Table 2).Table 1 and Table 2 present part of the results obtained from this user-needs study.



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