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Avaliação Nutricional 
Nome:______________________________________________________________________________ 
Idade:__________Sexo:__________Profissão:______________________________________________ 
Peso atual:____________Peso usual:___________Altura:_____________________________________ 
1. IMC 
P.A / h² = 
< 16 Baixo Peso grau III ( ) 16 - 16,9 BP grau II ( ) 17 – 17,9 BP grau I ( ) 18 – 24,9 Eutrófico ( ) 
> 25 Sobrepeso ( ) 25 – 29,9 Pré obesidade ( ) 30 – 34,9 Obesidade grau I ( ) 35 – 39,9 Obesidade grau II ( ) 
> 40 Obesidade grau III ( ) 
2. Peso Saudável 
IMC (22,5) x h² = 
3. % Gordura Corporal 
% g = A + B + C – K 
Sexo Idade 
K 
I. Não treinado I. Treinado 
Masculino 
17 - 26 19,6 22,6 
27 - 50 18,4 21,4 
Feminino 
17 - 26 10,2 14,2 
27 - 50 15,0 19,0 
Sexo Constante 
Idade (anos) 
17 - 26 27 - 50 
Feminino 
A Abdômen Abdômen 
B Coxa direita Coxa direita 
C Antebraço direito Panturrilha direita 
Masculino 
A Braço direito Nádegas 
B Abdômen Abdômen 
C Antebraço direito Antebraço direito 
4. Gordura Total 
GT = P.A x % g 
5. Peso Corporal Magro 
PCM = P.A – GT 
6. Peso Corporal Desejável 
PCD = PCM / 1 - % g desejável 
Homem: 15% - 25% 
Mulher: 25% - 30% 
7. VET = PT x Kcal 
Estado Nutricional 
Atividade física 
Leve Moderada Intensa 
Obeso 20 -25 30 35 
Normal 30 35 40 
Desnutrido 35 45 45 - 50 
Dalyla Abreu 
Nutricionista

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Avaliação nutriciona1

  • 1. Avaliação Nutricional Nome:______________________________________________________________________________ Idade:__________Sexo:__________Profissão:______________________________________________ Peso atual:____________Peso usual:___________Altura:_____________________________________ 1. IMC P.A / h² = < 16 Baixo Peso grau III ( ) 16 - 16,9 BP grau II ( ) 17 – 17,9 BP grau I ( ) 18 – 24,9 Eutrófico ( ) > 25 Sobrepeso ( ) 25 – 29,9 Pré obesidade ( ) 30 – 34,9 Obesidade grau I ( ) 35 – 39,9 Obesidade grau II ( ) > 40 Obesidade grau III ( ) 2. Peso Saudável IMC (22,5) x h² = 3. % Gordura Corporal % g = A + B + C – K Sexo Idade K I. Não treinado I. Treinado Masculino 17 - 26 19,6 22,6 27 - 50 18,4 21,4 Feminino 17 - 26 10,2 14,2 27 - 50 15,0 19,0 Sexo Constante Idade (anos) 17 - 26 27 - 50 Feminino A Abdômen Abdômen B Coxa direita Coxa direita C Antebraço direito Panturrilha direita Masculino A Braço direito Nádegas B Abdômen Abdômen C Antebraço direito Antebraço direito 4. Gordura Total GT = P.A x % g 5. Peso Corporal Magro PCM = P.A – GT 6. Peso Corporal Desejável PCD = PCM / 1 - % g desejável Homem: 15% - 25% Mulher: 25% - 30% 7. VET = PT x Kcal Estado Nutricional Atividade física Leve Moderada Intensa Obeso 20 -25 30 35 Normal 30 35 40 Desnutrido 35 45 45 - 50 Dalyla Abreu Nutricionista