MUSC Children's Hospital MUSC Children's Hospital
  We're all about children!

  Home
  About Us
  Divisions
  Ask a Med-U-Nurse
  Health Library
  Find a Doctor
  For Physicians
  Job Opportunities
  Make a Difference
  News & Events
   News Room
   Kids Connection Newsletter
   Support Groups
   Special Events
   Parenting Newsletter
   Parenting Classes
   Community Classes
   Grand Rounds Schedule

  Research
  Residents & Fellows
  Your Hospital Visit



171 Ashley Ave.
Charleston, SC 29425
843-792-1414
800-424-MUSC


printPrint Version

Kids Connection Newsletter
December 2008
The Lean Team

Calorie is King

Energy is just another name for calories. Balancing the energy or calories in food with your energy needs determines how much you weigh. The math is simple. If you eat more calories than you need, you gain weight. If you consume less or increase your needs through exercise, you will lose weight. So, where do you begin to shift the calories in your favor?

Become an expert on food composition. This doesn't mean you have to become a professional nutritionist or dietitian but do become an informed consumer. Food is a complex mixture of many nutrients which include the energy containing "food stuffs" (protein, carbohydrate, fat, and alcohol), water, minerals, and vitamins. Calorie is King when determining your energy balance.

Children need more energy than adults because they are growing and tend to be more active. For adults, energy needs go down with age and up with exercise. If you don't exercise, the basic energy requirement for women is about 1,200 calories and 1,500 calories for men. You can add about 100 calories for every mile (2,000 steps) you walk. A reasonable exercise goal is 10,000 steps per day and adds 500 calories to your basic needs.

Note that protein and carbohydrate contain 4 calories per gram, while the equal weight of fat contains more than twice the calories at 9 calories per gram. Not familiar with what a gram is? A nickel weighs exactly 5 grams. So, a pat of margarine weighing 5 grams contains 45 calories (5 x 9 =45). A package of sugar weighing 5 grams contains 20 calories (5 x 4 =20). Calories from fat can really sneak up on you. When you fry foods such as chicken and potatoes, you are driving out the water which contains no calories and replacing it with fat containing 9 calories per gram.

A balanced diet has a calorie distribution of 15 percent protein, 55 percent carbohydrate, and 30 percent fat. Use the following table as a guide. The typical American diet contains about 40 percent of calories from fat. To combat this, the food industry has created many low fat versions by replacing the fat with carbohydrates. Indeed low fat foods are lower in calories, but we tend to increase our portions which negate any of the benefits.

CaloriesProtein (4 Cals/gm)Carbohydrate (4 Cals/gm)Fat (9 Cals/gm)
100038 grams138 grams33 grams
120045 grams165 grams40 grams
150056 grams206 grams50 grams
180068 grams248 grams60 grams
200075 grams275 grams67 grams
240090 grams330 grams80 grams


The table will be helpful when you begin to study individual foods. One excellent reference for a wide variety of foods including the foods served in 200 fast food chains and restaurants is The Calorie King, Calorie, Fat Carbohydrate Counter. The book has been published annually for 20 years and can be a convenient pocket size guide for getting the facts. When you have the facts, you can make an informed decision.

FoodCalorieFatCarbohydrate
McDonald's Quarter Pounder4101937
McDonald's Large Fries and Soda88030156
Pizza Hut Supreme Personal Pan Pizza7103470
Taco Bell Chicken Quesadilla5403040


So what can you do? Begin with plenty of fruits and vegetables (5+ each day), don't drink calories (decrease sugar), and exercise for an hour every day. It helps to turn off the TV as well. Happy holidays!

To find out more about the Lean Team, visit our website at www.musc.edu/leanteam or give us a call at (843)579-4316.


MaryJoan Mary Joan
Lean Team


Terms and Conditions | Privacy Policy | Site Map | Contact Us