PREPARING FOR THE
NUTRITIONIST-
DIETITIAN LICENSURE
EXAMINATION (NDLE)
Maria Raquel L. Pangan, RND, PhD
CHNI, 2017
ORGANIZE & SYNTHESIZE ALL
INFORMATION
PER SUBJECT AREA
● MAKE SUMMARY TABLES &
MATRICES
● MAKE OUTLINES TO SUMMARIZE
THE VITAMINS
Fat- soluble (ADEK)
Vitamins A & D versus Vitamins E & K
- need protein for - don’t need
utilization: vit. A protein for
derivatives bind with utilization
water-soluble proteins:
*retinol-binding protein
*cellular retinol binding
protein
*Vit. D-binding protein
THE VITAMINS
Water-soluble vitamins
B-complex Vitamin C
*Hematopoietic Antioxidant
Folate Enzyme Co-
Vitamin B12 substrate
Energy Production &
Nutrient Metabolism
Thiamin Pantothenic acid Gene expression
Riboflavin Vitamin B6 Biotin, Pantothenic acid
Niacin Vitamin B12 Folate, Vitamin B6
Folate
Biotin Gropper, Smith & Carr, 2018
NUTRITION & DIETETICS & FOODS & FSS
ӿ Per vitamin or mineral
♪nutrient-nutrient interactions (“Interactions with
other nutrients”) Vit. A, Fe, I
♫ should you memorize recommended amount
per nutrient, focus on identified nutrition
problems of the country: PEM, VAD, IDA, IDD
Appendix C & D
ӿ Clinical Dietetics
♪nutrient – drug interactions (pp. 334-338)
♫summary table on diet per disease condition
(pp. 222-230)
App. B
ӿ Appendices of FSS
BASIC TOOLS IN NUTRITION
1. Memorize FEL values
- Know food items per Exchange List
Ex.1. Which of the following is not included
in the high fat meat group?
a. balut b. Vienna sausage
c. corned beef d. pork chop
Ex. 2. Which of the following is equivalent to
1 tsp sugar?
a. 1T matamis na bao b. 2 tsp. jam
c. 2 tsp. condensed milk
d. 2 pcs. Hard candy
2. Compare RENI versus PDRI values
RENI VS. PDRI
Age Group Weight (kg) Energy (kcal) Protein (g)
M F M F M F
Infants, mo.
0–5 6.5 6.0 6 620 560 560 9 8 9
6 – 11 9.0 8.0 9 720 630 720 17 15 14
Children, yr
1–2 12.0 11.5 1000 920 18 17
1-3 13 1070 28
8TH NATIONAL NUTRITION SURVEY: PHILIPPINES, 2013
Table 1. Prevalence of underweight children: Philippines, 2008, 2011,
2013
Age Group 2008 2011 2013
0 – 5 years (0 – 60 20.7% 20.2% 19.9%
mos.)
5.08 – 10.0 years 32.4% 32.0% 29.1%*
(61 – 120 mos.)
*Significant (p-value < 0.05)
8TH NATIONAL NUTRITION SURVEY: PHILIPPINES, 2013
Normal hemoglobin levels, WHO cut-off, 1972
AGE/SEX/PHYSIOLOGIC STATE Normal
Hb level (g/dL)
Children: 6 mos. – 6 yrs. 11.0
6.1 mos. – 14 yrs. 12.0
Adult: Males 13.0
Females 12.0
(NP/NL)
Pregnant 11.0
Lactating women 12.0
8TH NATIONAL NUTRITION SURVEY: PHILIPPINES, 2013
Classification of public health significance of anemia in populations on
the basis of prevalence estimated from blood levels of Hb, WHO, 2001
Category of public health Prevalence of anemia
significance (%)
Severe 40.0
Moderate 20.0 – 39.9
Mild 5.0 – 19.9
Low ≤ 4.9
8TH NATIONAL NUTRITION SURVEY: PHILIPPINES, 2013
Table 1. Trends in the overall prevalence of anemia, Philippines:
2003, 2008, 2013
YEAR PREVALENCE
1998 30.6% (Moderate)
2003 -
2008 19.5% (Mild)
2013 11.1% (Mild)
SUMMARY TABLE FOR DIETARY METHOD
24-HOUR RECALL
FEATURES STRENGTHS WEAKNESSES
* individual asked * does not involve * not
to recount all appreciable representative
eaten or drunk in memory span of usual intake
the previous 24 * if taken at an * subject to
hrs. unannounced inaccuracies of
*individual time, it minimizes estimation and
estimates the likelihood that reporting
amounts in HH subject will Other weaknesses,
measures modify food see page 147
*may be obtained habits
by interview or Other strengths,
self-administered see pages 146-147
questionnaire
*food models used
to help clients
describe more
accurately amt.
eaten
ANTHROPOMETRY
2 TYPES OF ANTHROPOMETRIC MEASUREMENTS:
1. Assessment of body size
Weight; Recumbent Length & Stature Height;
Head Circumference; Growth Indices (W/A;
W/H; H/A; Head circumference for age); BMI
(in adults) BMI-for-age as indicator of child
overweight/obesity
ANTHROPOMETRY
2. Assessment of body composition
a. Assessment of body fat: biceps skinfold;
triceps skinfold; subscapular skinfold
Waist-to-Hip Ratio (WHR) & Waist Circumference
b. Assessment of Fat-Free Mass: MUAC; Mid-upper-
arm muscle circumference (MUAMC); Mid-upper-
arm muscle area
REFERENCE BOOKS
*Basic Foods for Filipinos by Claudio et al., 2014.
*Nutrition and Diet Therapy Reference Dictionary by
Ruiz, Lagua & Claudio, c2012.
*Nutritional Assessment by Lee and Nieman, c2007.
*Understanding Normal and Clinical Nutrition by
Rolfes, Pinna and Whitney, c2016.
*Nutritional Assessment by Fahmida and Dillon,
c 2007.
*Diet Manual
*Food & Beverage Reference Dictionary by Ruiz &
Ama, c2006
WEBSITES of NNC, FNRI, DOH, DSWD
