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    24-hr Dietary Recall Assignment Form-1

    Uploaded by

    Ashley Chen
    This document provides instructions for completing a 24-hour dietary recall record. It explains that a registered dietitian or trained interviewer asks an individual to recall all foods consumed in the past 24 hours. Example questions are provided to prompt the individual for details on foods, portion sizes, ingredients, and times of consumption. Helpful tips are given for accurately filling out the recall form, including being specific about food descriptions, using standard portion size references, and asking about additions like condiments. The goal is to collect detailed information on everything eaten to analyze calories and nutrients consumed.

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    24-hr Dietary Recall Assignment Form-1

    Uploaded by

    Ashley Chen
    41 views2 pages
    This document provides instructions for completing a 24-hour dietary recall record. It explains that a registered dietitian or trained interviewer asks an individual to recall all foods consumed in the past 24 hours. Example questions are provided to prompt the individual for details on foods, portion sizes, ingredients, and times of consumption. Helpful tips are given for accurately filling out the recall form, including being specific about food descriptions, using standard portion size references, and asking about additions like condiments. The goal is to collect detailed information on everything eaten to analyze calories and nutrients consumed.

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    This document provides instructions for completing a 24-hour dietary recall record. It explains that a registered dietitian or trained interviewer asks an individual to recall all foods consumed in the past 24 hours. Example questions are provided to prompt the individual for details on foods, portion sizes, ingredients, and times of consumption. Helpful tips are given for accurately filling out the recall form, including being specific about food descriptions, using standard portion size references, and asking about additions like condiments. The goal is to collect detailed information on everything eaten to analyze calories and nutrients consumed.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    41 views2 pages

    24-hr Dietary Recall Assignment Form-1

    Uploaded by

    Ashley Chen
    This document provides instructions for completing a 24-hour dietary recall record. It explains that a registered dietitian or trained interviewer asks an individual to recall all foods consumed in the past 24 hours. Example questions are provided to prompt the individual for details on foods, portion sizes, ingredients, and times of consumption. Helpful tips are given for accurately filling out the recall form, including being specific about food descriptions, using standard portion size references, and asking about additions like condiments. The goal is to collect detailed information on everything eaten to analyze calories and nutrients consumed.

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    What is the 24 Hour Dietary Recall Record?

    This is one type of tool for dietary assessment of an individual. For this method a Registered Dietitian or
    a trained interviewer asks an individual to recall all foods consumed in the past 24 hours. The interviewer
    should be non-judgmental while conducting the interview and try to prompt the patient for information on
    brand names, portion sizes, recipe ingredients, cooking methods, condiments and beverages. Example of
    questions: 1. What time did you get up yesterday? 2. What was the first thing you ate yesterday? How much?
    3. When was the next time you ate? What did you eat? How much? 4. When did you eat next? What did you
    eat? How much? 5. Did you eat or drink anything else between mealtimes? 6. Did you add any condiments –
    butter, salad dressing, sugar? 7. Was this day’s intake different from usual? 8. Was this a weekday or a
    weekend day?

    How to Calculate the BMI?


    *BMI calculator web sites:
    https://www.nhlbi.nih.gov/health/educational/lose_wt/BMI/bmicalc.htm
    https://www.cdc.gov/healthyweight/assessing/bmi/adult_bmi/english_bmi_calculator/bmi_calculator.html
    *Or calculate by hand
    BMI formula: = wt (kg)/ht2(m)
    Pounds -> kg: Weight (pounds) divide by 2.2 = weight (kg)
    Inches -> meters: height (inches) * 2.53 cm/inch = height (cm) divide by 100 cm/meter = height (meter)

    How to fill out the 24-Hour Dietary Recall Record Form


    The diet record form is designed to assist you in recording the foods that were eaten over a
    given period of time. There is space to specify how much of each food has been eaten. Remember
    to include all the information about each food so that the form can be of assistance to you when
    educating the patient on diet and caries risk. Below is a list of tips for filling out the Form to make
    it easier and more accurate.

    HELPFUL TIPS ON FILLING OUT THE FORM:

    A. DURATION:
    • It is important to describe the following:
    • The specific type of food you have eaten
    • The time of day of the meal or snack was eaten
    • The minutes you spent consuming the entire meal or snack.

    B. DESCRIPTION: Was the milk skim, 1% fat, or whole milk?


    (be specific) Was the food fried, broiled, baked?
    Was the bread white or whole wheat or multi-grain?

    C. PORTION SIZE: (IMPORTANT: "Accurate Portion Size" IS THE KEY TO


    (be specific) CALCULATING CALORIES AND NUTRIENTS). Remember, if you
    do not ask how much is eaten, you will not have any basis or
    adequate information to determine calories or nutrients.
    • This is the appropriate time to use “closed ended” questions – e.g.,
    What size was the soda? Was it 2 or 3 packets of sugar?
    • Indicate how much was eaten of each food using standard
    Measures
    • Use hand symbols if unable to assess how much was consumed
    o One cup = 1 fist
    o Half of a cup = cupped hand
    o 3 oz = size of your palm
    o 1 Tablespoon = thumb

    D. CANNED FOODS: If you had a canned product, was it packed in water, its own juice, or
    was syrup added to it?

    E. CONDIMENTS: Ask if mayonnaise, mustard, catsup, steak sauce etc. was added to
    appropriate foods. 2020
    24 HOUR DIETARY RECALL RECORD
    NYU COLLEGE OF DENTISTRY

    Homework Assignment
    Chen
    Ashley 08/11/2023
    NAME _____________ Date___________
    1,6.3 M
    52.16k9
    AGE_____
    22 SEX _____
    F 5'4"
    Height_____ Weight______
    Ib
    15 19.74
    BMI________
    Healthy weight
    BMI Classification_________
    Type of foods/beverage Duration Quantity eaten Preparation method
    How many minutes (cup, oz, tbsp, tsp, etc.) (fried, roasted, broiled,
    did it take to boiled, baked, etc.)
    consume each MEAL
    or SNACK?

    BREAKFAST What time? 9:30 AM


    Rice/Starch I CUP steamed
    spinach 1/4 cup bonied
    Matcha wI creamer almond milk
    -

    ICUP heated
    Total min __
    15

    SNACK What time? 12:00

    coffee wl sugar half


    -
    a half 1
    cup
    Total min___
    60
    LUNCH What time? 2:00 PM
    Rice (starch) ,cuP steamed
    Broccoli 1/2 cup boiled
    chicken thighs 3/4 cup pan fried

    Total min __
    20

    SNACK What time?______


    4:00PM

    M&MS Buncha crunch


    +

    Y cup
    Total min ___
    28

    DINNER What time? 7:00 PM

    Kimchisausage tofu siew 2 WIPS boiled


    soju 2
    cups fermented
    Total min ___
    120

    SNACK What time?______

    Total min___

    List 2 behaviors your participant learned about their diet that they might want to change or
    continue doing to be healthy:

    1. consume drinks faster.

    2. watch for
    out more variety fruits
    of and proteins

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