Dietary Intake forms

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School

York University *

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Course

100

Subject

Health Science

Date

Dec 6, 2023

Type

pdf

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8

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DAILY INTAKE FORM Complete a separate form for each day. Use >1 form per day if needed. Read your assignment instructions carefully before completing this form. See important footnotes below. Column A: Detailed Food Description 1 Column B: Amount consumed (Volume e.g. cup, tsp, etc) Column C: Added fats and oils (in ml) 2 Column D: Record volumes (mL) consumed for water 6 and other beverages that don’t fit in columns C or D Column E: Chronometer Substitution (if exact food is not found). Green tea: one bag of green tea from the brand Lipton Boiled water. 1 tbs of tea 1 cup of water N/A N/A 2 Avocado toast: B read from the brand D’italiano Toasted with butter Sliced avocado Cherry tomatoes (3 per toast) Pinch of salt, pepper, chill flakes. Accompanied by a cup of water. 245mL of bread ¼ cup of avocado ½ cup of cherry tomatoes 1/8 tsp of salt, pepper and chili flakes 15mL of butter 237mL of water IHOP avocado toast Spicy chicken ramen: made with one package of the brand Samyang buldak and one cup of water. Accompanied by a cup of water 1 cup of ramen 1 cup of water N/A 237mL of water Tap water drank during the day 2000mL of water N/A DAILY INTAKE FORM Complete a separate form for each day. Use >1 form per day if needed. Read your assignment instructions carefully before completing this form. See important footnotes below. DAY #1 Date: October 9, 2023 Was this a weekday? or a weekend day? NAME: Sofia Bedoya DAY # 2 Date: October 11, 2023 Was this a weekday? or a weekend day? NAME: Sofia Bedoya
Column A: Detailed Food Description 1 Column B: Amount consumed (Volume e.g. cup, tsp, etc) Column C: Added fats and oils (in ml) 2 Column D: Record volumes (mL) consumed for water 6 and other beverages that don’t fit in columns C or D Column E: Chronometer Substitution (if exact food is not found). Green tea: one bag of green tea from the brand Lipton Boiled water. 1tbsp of green tea 1 cup of water N/A N/A Lipton chicken noodle soup: one package of Lipton chicken noodle soup Boiled water. Accompanied by a glass of water 120mL of soup mix 1 cup of water N/A 237mL of water Green tea: one bag of green tea from the brand Lipton Boiled water. 1tbsp of green tea 1 cup of water N/A N/A pork chop with rice and corn: Porkchop: Seasoned with salt, pepper, and paprika and it was cooked with a little olive oil. Rice: Seasoned with salt and pepper and it was cooked with water and a little vegetable oil. The corn was boiled. 118 mL porkchop 1/8 tsp of salt, pepper and paprika 1 cup of rice 1/8 tsp of salt and pepper ½ cup of boiled corn 7mL of Olive oil 15mL of vegetable oil 355mL of sparkling water Pork chops loin Rice white long-grain Corn yellow canned
Accompanied by a glass of sparkling water 2 bottles of tap water each of 1L, drank in the day 2000mL of water N/A DAILY INTAKE FORM Complete a separate form for each day. Use >1 form per day if needed. Read your assignment instructions carefully before completing this form. See important footnotes below. Column A: Detailed Food Description 1 Column B: Amount consumed (Volume e.g. cup, tsp, etc) Column C: Added fats and oils (in ml) 2 Column D: Record volumes (mL) consumed for water 6 and other beverages that don’t fit in columns C or D Column E: Chronometer Substitution (if exact food is not found). Matcha milk tea Water, Green tea from the brand Lipton, Milk powder from the brand no name. 2 cups of water 2 tbsp of green tea 1 tbsp of milk powder. N/A N/A Matcha latte McCain egg, potato, and bacon breakfast bowl. Accompanied by a glass of orange juice 209mL of breakfast bowl. N/A 250mL of orange juice McCain 5 minutes breakfast bowl 10- piece McDonald’s chicken nuggets meal10 chicken nuggets with large-size fries and a medium iced coffee with milk and sugar-free syrup. No sauces. 177mL of chicken nuggets 157mL of fries N/A 485mL of sugar- free syrup iced coffee McDonald's chicken nuggets McDonald’s large fries Iced coffee with milk flavored sugar-free. EXTRA DAY #3 Date: October 14, 2023 Was this a weekday? or a weekend day? NAME: Sofia Bedoya
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