Medical Nutrition Therapy Protocol

In 2004, local Pitt County dietitians, under the leadership of Ms. Emilie Balkman, MPH, RD, LDN and Dr. Kathryn Kolasa, PhD, RD, LDN developed a medical nutrition therapy (MNT) protocol specifically for overweight children. The protocol provides guidance on topics to discuss with overweight children for a series of nutrition visits as well as patient education materials for each session.

The MNT protocol is updated yearly. Provided below is the 2009-2010 version. As an evidence-based document, the protocol incorporates the latest recommendations from organizations such as the American Dietetics Association and the American Academy of Pediatrics. The protocol is being implemented county-wide so that overweight children receive a consistent standard of care for nutrition counseling services.

Download the most recent Medical Nutrition Therapy protocol here or contact Natalie Taft, MS, RD, LDN at taftn@ecu.edu with any questions.

• Medical Nutrition Therapy Protocol - download entire document in one PDF file (9.8 k) or select a section:
  
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  0. Cover Page
  1. Introduction, Outcomes, Other Guidelines
  2. Editors, Contributors
  3. Contents
  4. Resources
  5. Pediatric Weight Management Medical Nutrition Therapy Protocol Goals
  6. Pediatric Medical Nutrition Therapy Protocol for Weight Management
  7. MNT Flowchart
  8. Calorie Requirements
  9. Lab Grid
  10. Assessment, Prevention & Treatment Guide for Clinicians
  11. Prescription for Health (5-3-2-1-Almost None)
  12. BMI Chart for Boys
  13. BMI Chart for Girls
  14. Blood Pressure Table for Girls
  15. Blood Pressure Table for Boys
  16. Waist Circumference
  17. Food Diary
  18. Hunger Scale
  19. MyFIT Pyramid
  20. Medical Nutrition Therapy Service Components Initial Evaluation and Counseling
  21. Eating Disorders
  22. Nutrition Diagnosis/ PES Statement
  23. Handouts and Worksheets
  24. 10 Tips to Help Your Child and Teen Achieve a Healthy Weight
  25. Stoplight Food Guide
  26. El Semáforo de los Alimentos (Stoplight Food Guide in Spanish)
  27. MyPyramid for Kids/ Tips for Families
  28. Phrases That Help and Hinder
  29. Serving Sizes
  30. The Plate Method
  31. Preschool Daily Servings and Portion Sizes
  32. Parents as Role Models
  33. Rethink Your Drink
  34. Rainbow of Fruits and Veggies
  35. Breakfast
  36. Eat Smart Lunches
  37. Choose Wisely When Eating Out
  38. Move More Activity Guide
  39. My Activity Pyramid
  40. Rainy Day Activities
  41. Snack Ideas
  42. Healthy Snacks
  43. Calcium
  44. Let's Try New Foods!
  45. Ideas for Helping Your Child Try New Foods
  46. Recipes
  47. Tasty Cooking for a Healthy Family
  48. Eating Healthy on a Budget
  49. How to Read a Nutrition Facts Label With Focus on Achieving a Healthy Weight
  50. Eating for Heart Health (Kid Friendly)
  51. Omega 3 Fatty Acids and Flaxseed
  52. DASH Diet for Kids
  53. Ways to Lower Your Blood Cholesterol
  54. Fiber
  55. Healthy Guidelines for Weight Management
  56. Food Diary
  57. Hunger Scale
  58. MyFIT Pyramid
  59. Lab Measures, Goals, and Handouts
  60. BMI Information
  61. Cholesterol Information
  62. Blood Glucose Information
  63. Blood Pressure Information
      
      
• Medical Nutrition Therapy Resources in Pitt County (Word document)