Professional Documents
Culture Documents
I.General Information : 1. 2. 3. 4. 5. 6. Name Age Sex Location Family size Types of Family a) Nuclear b) Joint Occupational Status a) Father b) Mother c) Respondent Educational Status a) Father b) Mother c) Respondent Monthly income: i) Father ii) Mother iii) Respondent Total monthly income: a) <3000 II.Sports Details :10. a) Participation of family members b) Level of participation c) Event Status of the respondent : a) Event b) level : : : b) 3001-5000 c) >5000 : : : : : :
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Do you take / taken any supplement a) Yes b) No Personal Hygiene :a) Bath b) clean cloth c) clean nails Personal habits:a)smoking b)alcohol c)both d)none
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IV.Anthopometric measurements:20. 21. 22. 23. 24. 25. 26. Height (cm) Weight (Kg) Waist Circumference Hip Circumference Waist & hip ratio Ideal body weight Body mass index : : : : : : :
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Frequency of Meals a) 3 times b) 4 times Do you skip meals at home a) Yes b) No If Yes Reason ...... Fluid intake / day :-
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Do you Avoid Food during Competition :a) Yes b) No If Yes Reason ..... Wat it is. Do you take any special foods during competition :a) Yes b) No If Yes Reason ..... Wat it is. 24 hrs Recall record :Frequency Early Morning Break fast Mid Morning Lunch Tea Time Dinner Bed Time Meal time Food items Quantity
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Food Frequency Record:Food Items Cereals Pulses Green Leafy Vegetable Roots and Tubers Other Vegetables Fruits Fats and oils Deep fried Foods Non-veg items Egg Sugar and Jaggery Nuts Chocolates / cool drinks / ice cream Tinned Foods / Junk Foods Tea/coffee Daily Weekly Monthly Occasionally
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Knowledge about Nutrients :1.CHO rich Foods 2. Protein rich Foods 3.Fat rich Foods 4.Calcium rich Foods 5. Iron rich Foods a) Rice a) Egg a) Rice a) Milk a) Rice flakes b) Drumstick b) Rice b) groundnut oil b) Rice Flakes b) Dates c) Orange c) Jaggery c) Jaggery c) Egg c) a & b
Excellent Very Good Good 2. Flavour Fine Flavour Lack of Flavour Raw Flavour 3. Taste Excellent Very Good Good
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Nutrients Calories (Kcal) Protein (g) Fat (g) Calcium Iron (mg) Vitamin A (Micro g) Thiamine (mg) Riboflavin (mg) Nicotinic acid (mg) Ascorbic acid (mg) Folic acid (Micro g) Vitamin B12 (Micro g) Vitamin D (I,V)
Daily Requirements 3000-5000 60-90 80-150 0.06-0.8 20-30 750-1000 2.0 3.0 2.0 3.2 26 - 36 50 - 80 50 100 24 400