1、对老年人一周的营养食谱设计女70岁轻体力活动)老年人的生理特点:(1)代谢功能降低基础代谢降低,与中年人相比,老年人的基础代谢下降15%~20%。合成代谢降低,分解代谢增高,合成与分解代谢失去平衡引起细胞功能下降。(2)身体成分改变,细胞数量下降突出表现为肌肉组织重量减少,出现肌肉萎缩;体内水分减少,主要为细胞内液明显减少;骨骼组织矿物质减少,尤其是钙减少,因而出现骨密度降低,骨密度可降低10%~15%.因此,老年人易发生
2、不同程度的骨质疏松症及骨折。(3)器官功能改变消化功能降低,消化液、消化酶及胃酸分泌量减少,致使食物消化和吸收受影响;胃肠功能扩张和蠕动能力减弱,易发生便秘;多数老人因牙齿脱落,影响食物的咀嚼和消化;心脏功能降低,心率减慢,血管逐渐硬化,脑、肾功能及肝代谢较年轻时大为减少,肾单位再生能力下降,肾小球过滤率降低,糖耐量下降。根据中国居民膳食营养素参考摄入量(DRIs)表可知:一个70岁的女老年人(轻体力活动)一日摄入的总能量应是1700kcal,蛋白质的量65g,脂肪能量占总能量20%30%。热量老年人能量摄入量与消耗量以能保持平衡,并可维持体重为宜,最好
3、是经常测体重,根据体重,调整能量摄入,保持在理想范围。蛋白质蛋白质摄入应质优量足,有蛋白质提供的能量占总能量的12%14%较合适。而大豆及其制品是老年人的最佳选择大豆及其制品品种多、易消化、品质好、价格低,此外,大豆中脂肪、卵磷脂、植物固醇以及大豆异黄酮对人体(尤其是女性)更有利。脂肪老年人应限制摄入含胆固醇高、含饱和脂肪酸高的食物。老年人膳食中脂肪含量以不超过总膳食热量的25%为宜,植物油与动物油的热量比应为2:1。碳水化合物在蛋白质、脂肪膳食结构合理条件下,碳水化合物宜占膳食总能量50%60%.要减少那些仅能产生热量而无其他营养价值或粗纤维过少的
5、(g)糖类物质能量的量kcal(g)脂肪物能量质kcal(g)蛋白质物能量质kcal的量(g)早餐、中餐、晚餐中能量的摄入kcal早中晚三餐摄入的能量分别占一日总能量的比例%豆浆一杯豆浆200001.412.63.614.4474.129上白砂糖10g10400000小笼包7个(素)粉皮130g62.8251.21910.140.4花生油
6、10g00109000白菜100g2.49.60.10.91.56当餐总计(g或kcal)75.2300.812.5112.515.260.8屮午M饭粳M饭(蒸)200g522080.65.45.220.8660.840.4番茄炒蛋鸡蛋100g2.811.28.879.213.353.2番茄200g7280.43.61.87.2
7、鸭肉煮马鸭肉30g0.10.46544.718.8铃薯马铃薯150g24.899.20.32.7312苹果150g18.5740.32.70.31.2当餐总计(g或kcal)105.2420.816.4147.623.192.4上M饭粳M饭(蒸)200g522080.65.45.220.8502.330.6花生蒸猪花生25g4.116
8、.411.199.96.224.8肉猪肉(瘦)20g0.31.21.210.84.116.4甘薯(红心)100g23.192.40.21.81.14.4当餐总计(g或kcal)79.531813.1117.916.666.4一天中三大能源物质分别产生的能量kcal1039.3378219.6三大能源物质产生能量在一天中所占的比例%63.523.113.4当天摄入总能量
10、518494.929.4小M粥l00g8.433.60.76.31.45.6白砂糖I0g10400000绿豆糕50g36.1144.40.54.56.425.6甘薯白心甘薯80g19.477.60.21.81.14.4当餐总计(g或kcal)78.6314.414.1126.913.453.6屮午M饭粳M饭(蒸)150g391560
12、5.6当餐总计(g或kcal)99.9399.617.1153.927.5110晚芝麻花生粥黑M100g68.3273.22.522.59.437.652431.2上花生仁15g2.49.46.558.53.714.8清蒸海鲫鱼30g1.14.44.136.95.120.4鲫鱼姜丝10g2.811.20.65.40.72.8香瓜100g5.823.
14、量(g)脂肪物能量质kcal(g)蛋白质物质能量的量kcal(g)早餐、中餐、晚餐中能量的摄入kcal早中晚三餐摄入的能量分别占一日总能量的比例%早上山药大枣粥山药100g11.646.40.21.81.97.6489.630.3大枣50g35.8143.20.21.814小M粥100g8.433.60.76.31.45.6鹌鹑蛋I00g2.18.411.199.912.851.2山芋80g
16、50g1.87.20.10.90.52瘦肉20g0.31.21.210.84.120.4橙子100g10.5420.21.80.83.2当餐总计(g或kcal)98.3393.212.5112.525.5106上面条富强粉100g24.296.80.21.82.710.8516.831.9胡萝卜50g1.97.60.10.90.52鸡肉50g0.72.84.742.39.6538.6糕点混糖60g41.21
18、名牛乳凤尾酥燕麦片食物名称(g)强化钙200g30g70g当餐总计(g或kcal)M饭(蒸)海带炖豆腐核桃瘦肉炒韭菜甘薯黑加仑均值200g海带50g豆腐80g核桃(干)25g猪肉10g韭菜100g红心100gI00g当餐总计(g或kcal)小豆粥糖醋鱼草鱼70g番茄酱25g白砂糖10g陈醋25g糖类物质的量(g)能量kcal10.240.819.377.243.1172.4726__290.4
19、51.2204.814「3112.44718.80.20.83.212.8'23.192.415.461.6101.9407.6脂肪能量kcal2187.668.44.742.314.3128.70.65.40.10.93tT12__113640.65.40.43.6"01TF17.9~161.126.2104.80.87.2003.733弓T714801091040004.5180.10.9蛋白质
20、物质的量(g)能量kcal5.421.62810.54217.9__71.65.220.80.5265__2T-45T8-282.49.64T23^94.42.49.611.646.41.24.82.510德庆酥草莓50g100g当餐总计(g或kcal)天中三大能源物质分别产生的能量kcal33.1132.49.437.66240.21.883533414.3817312~4~21.7__86.810
21、32371.5252.8早餐、中餐、晚餐中能量的摄入kcal490.7663.1502.5早中晚三餐摄入的能量分别占一日总能量的比例%29.74030.3三大能源物质产生能量在一天中所占的比例%62.322.415.3当天摄入总能量kcal1656.3当
23、粥M粥80g7.831.20.21.80.93.6咸面包I00g50.5200.83.935.19.236.8土鸡蛋40g2.28.82.623.45.823.2甘蔗汁I00g15.461.60.10.90.41.6当餐总计(g或kcal)76.1303.213.9125.117.670.4中午籼M饭(蒸)150g38.4153.60.32.73.8
24、15.2676.440.4油菜香油菜100g2.710.80.54.51.87.2菇香菇50g141.19.90.20.8豆腐榛豆腐80g3123276.526子栗子榛子30g4.417.613.4120.6624汤栗子100g40.51620.76.34.216.8猕猴桃100g11.947.60.65.40.82.4当
25、餐总计(g或kcal)101.9407.619.6176.423.392.4晚M饭200g51.2204.80.65.45.220.8498.529.8上花生红枣鸡花生仁25g4.116.411.199.96.224.8大红枣10g7280.10.90.20.8鸡20g0.31.21.917.13.915.6蜂蜜番番茄100g3.5140.21.80
26、.93.6茄蜂蜜5g3.815.20.10.900木瓜番木瓜100g6.224.80.10.90.41.6当餐总计(g或kcal)76.1304.414.1126.916.867.2天中三大能源物质分别产生的能量
28、kcal早中晚三餐摄入的能量分别占一日总能量的比例%早上芝麻糊40g261045.246.83.614.4506.529.6鸡蛋均值50g1.45.64.439.66.726.8麻香糕30g24.5981.19.91.24.8面包均值50g29.1116.42.623.44.216.8当餐总计(g或kcal)8132413.3119.715.762.8屮午M饭200g51.2204.80.65.45.22
29、0.8684.440洋葱焖鱼草鱼70g003.733.311.646.4洋葱100g8.132.40.21.81.14.4花生桂圆红枣汤花生30g4.919.613.3119.77.4429.8桂圆30g21.5860.32.71.45.6小红枣10g7280.10.90.10.4蜜桔100g8.935.60.43.60.83.2当餐总计(g或kcal)101.6406.418.6167.427.64110
30、.6上山药小山药100g11.646.40.21.81.97.6518.830.4M粥小M粥100g8.433.60.76.31.45.6拌面面条80g48.9195.60.65.46.626.4芝麻酱25g4.216.813.2118.84.819.2荔枝50g8.132.40.10.90.52当餐总计(g或kcal)81.2324.814.8133.215.260.8天中三大能源物质分别产生的能量kcal1055.2
32、kcal早中晚三餐摄入的能量分别占一日总能量的比例%早上酸豆奶200g23.694.42.421.64.417.6521.930.5玉M150g29.9119.61.816.2624曲奇饼30g17.770.89.585.528桑葚(干)30g7.5301.816.24.518当餐总计(g或kcal)78.7314.815.5139.516.967.6屮午M饭(蒸)150g38.4153.60.54.53
33、.915.6669.339葱油萝卜丝红萝卜80g6.224.80.21.80.83.2大葱20g140.10.90.41.6色拉油5g0054500椰子银耳鱼头汤椰子100g26.6106.412.1108.9416银耳80g29.51181.19.9832罗非鱼30g0.31.20.32.74.819.2当餐总计(g或kcal)10240819.3173.721.987.6上猪肝核猪肝30
34、g1.561.19.95.823.254531.5桃粥山核桃干20g3.815.210.190.93.614.4小M粥100g8.433.60.76.31.45.6薏M面90g61.8247.22.219.810.240.8西瓜黑皮100g6.425.60.54.50.52当餐总计(g或kcal)80.4327.613.5131.415.786天中三大能源物质分别产生的能量kcal1050.4444.6241三大能源物质产生能量在天中所占的比例%60.525.613.9当天摄入总能量kcal1736.2当天饮食的评价本日配餐中的玉M对高血压、动脉硬化、冠心病、癌症等均有良好的防治作用,红萝卜则有助补充维生素A,猪肝能补铁和含有大量维生素A和薏M则能增强肾功能。