Sue's analysis of our MRP products

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Billy's Diet Meal Replacement Product Analysis

A comparison of Billys diet ( 3x MRPs shakes + 1 bar + 100 mls skimmed milk) and the current UK recommendations for vitamins and minerals

The analysis was mostly favourable, in that the diet plan was assessed as adequate and met many of the recommendations. This suggests that the plan can be safely used as a VLCD in the short term, that is up to 12 weeks.

The following table highlights the nutrients and, where there is either a shortfall or an excess, a note explains the potential health implications of this non compliance.

Advice code

! = High levels      * = low levels

 

Nutrient

Amount found in 3 x 35gms powder + 1 56gms bar + 100 mls skimmed milk

Current UK guidelines

Potential health impact

Energy

657 kcs

depends upon age, gender and activitt levels.  For women it is about 2000kcals daily

 Energy deficit can be beneficial in people who nned to lose weight, but it is not advised to reduce energy intake below 1000kcs in the long term

Fat

17.4 gm

70g

 

Carbohydrate

66.7 gm

260g

 It is not healthy to restrict carbs in the long term.

Fibre

10.2 gm

30gs

 Too little fibre can cause health problems

Protein

55.8 gm

50g

 Adequate protein when on a diet is important to maintain healthy muscles

Salt

526mg

6g maximum

*-Too little sodium in the diet can cause weakness, fatigue and muscle cramps. However the lower limit is 500mg per day , which the regime meets

Some salt, or sodium is important for health

Potassium

1223mg

3500 mg

*-A potassium supplement of should be advised. Low potassium in the diet can result in heart palpitations, and fluid balance problems.

Calcium

898 mg

700mg

 Calcium is important for strong bones

Phosphorus

1033 mg

550 mg

!-Taking too much phosphorus over time can reduce bone density as it affects calclium being absorbed, whilst short term excesses can cause stomach pains and diarrhoea

Magnesium

871 mg

270mg

!-Taking too much magnesium in the short term can give rise to diarrhoea. Maximum dose of this mineral is 400 mg daily

Vitamin A

938 ug

600ug

 It is not wise to take large doses of vitamin A in the long term

C

87 mg

40mg

 This is more than the advised amount but there is little harm in the short term

E

13.9 mg

3.0 mg

!-No evidence exists to show the effect of too much vitamin E. However the department advises no more than 540mg daily so the level in the diet is acceptable

B1

1,27mg

0.8 mg

 

B2

1.92mg

1.1 mg

 

B3

20 mg

12.0mg

!-17 mg per day is the maximum advised.  High doses taken regularly can cause skin flushes.

B5

6.88 mg

Below 200mg

 

B6

1.76 mg

1.2 mg

 

B8

61.umg

0.9 mg

 

B9

251.3 ug

200ug

 

B12

3.6 ug

1.5ug

 

K

69 ug

Below 1.5 mg

 

Iron

19.33mg

8.7 – 14.8 gm ( age and gender dependant)

!-The maximum dose per day across ages and gender is 20.0mg.

Zinc

13.0mg

7.0mg

!-High intake of zinc can affect copper absorption. The maximum daily is 25mg so the diet is currently within this range

Copper

1.42 mg

1.2 mg

 

Manganese

2.12 mg

Between 0.5 and 4.0 mg daily, the lower level being for older people

This level should be acceptable in the short term

Iodine

204.3 ug

140 ug

!-Too much iodine can affect the thyroid but the maximum dose advised is 0.5 mg or 500 ug so the diet is currently withn this range

Selenium

69.0ug

60ug

 

B3

20 mg

12.0mg

!-17 mg per day is maximum. High doses cam cause skin flushes. 

D

6.0ug

10ug

*-Too little vitamin D can affect bones, causing osteomalacia in adults. A supplement should be advised.

Chloride

89.0mg

2500mg

*-No data on chloride was available for the products so it is not known what the intake of chloride wll be,

Fluid

850mls

1500-2000mls

It is assumed that clients will be advised to drink water and other minimal calorie fluids to meet their requirements

 

 

 

 

 

Comparison between UK and EU nutrient reference values

The  table shows the comparison as described above. Highlighter will show where there are marked differences.

Overall impression : the values for both are generally similar.

Nutrient

UK

EU

Billy`s diet

Vitamin A 

600

800

938

Vitamin D

10

5

6

Vitamin E

3.0

12

13.9

Vitamin K

Below 1.5

0.075

0.69

Vitamin C

40

80

87* see note

Vitamin B1

0.8

1.1

1.27

Vitamin B2

1.1

1.4

1.92

Vitamin B3 niacin

12.0

16

19.9

Vitamin B6

1.2

1.4

1.76

Folic acid

200

200

242

Vitamin B12

1.5

2.5

3.6

Potassium

3500

2000

1223 **

Salt

6g max

No reference found for sodium

526

Calcium

700

800

898

Chloride

2500

800

89 from milk value from product not available ***

Phosphorus

550

700

1033

Magnesium

270

375

871

Iron

14.8

14

19.33

Copper

1.2

1.0

1.42

Zinc

7.0

10

13

Manganese

0.5

2

2.12

Selenium

60

55

69

Iodine

140

150

204.3

 

Note

*Vitamin C – there is little potential for harm taking the level of this vitamin in the diet. No adjustment is required

**Potassium is low for both guidelines. I suggest the clients are advised to seek the advice of their clinical practitioner.

*** it would be useful to have the chloride value of the products.

 

Comparison between UK and EU nutrient reference values of Billy's Cottage Pie, Chicken Soup and Spicy Spag Bol.

Overall impression : the values for both are generally similar.

Nutrient UK recommendations EU recommendations Billys Chicken soup 140gms (4 sachets)made with water as TMR Potential health impact Billys spicy spag bol 152 g (4 sachets) made with water as TMR Potential health impact Billys cottage pie 156g (4 sachets)made with water as TMR Potential health impact

Energy 540 This level of energy intake should not be sustained over time, as it may exert a detrimental metabolic effect 560 This level of energy intake should not be sustained over time, as it may exert a detrimental metabolic effect 560 This level of energy intake should not be sustained over time, as it may exert a detrimental metabolic effect

Fat 16 7.2 12.8

Cho 52.4 50 50

Protein 43 52 52

Fibre 7.2 14 18.4

Salt 6 g 5g 5.2 5.52 5.5

Vitamin A 600mcg 800 mcg 876 844 952

Vitamin D 10 mcg 5 mcg 8.36 Too little vitamin D can affect bones, causing osteomalacia 5.12 Too little vitamin D can affect bones, causing osteomalacia 5.04 Too little vitamin D can affect bones, causing osteomalacia

in adults. A supplement should be advised for the UK in adults. A supplement should be advised for the UK in adults. A supplement should be advised for the UK

Vitamin E 3 mg 12mg 13.08 42.92 15.72

Vitamin K Below 1.5 mg 0.075 mg Value not provided Value not provided Value not provided

Vitamin C 40 mg 80 mg 90.0 92.8 121.2

Vitamin B1

thiamin 0.8 mg 1.1 mg 1.28 1.68 1.72

Vitamin B2

riboflavin 1.1 mg 1.4 mg 2.12 1.72 1.6

Vitamin B3

niacin 12.0 mg 16 mg 20.04 17 mg per day is maximum. High doses cam cause skin flushes. 22 17 mg per day is maximum. High doses cam cause skin flushes. 21.6 17 mg per day is maximum. High doses cam cause skin flushes.

Vitamin B6 1.2 mg 1.4 mg 1.72 1.64 2

Folic acid 200 mcg 200 mcg 228 304 224

Vitamin

B12 1.5 mcg 2.5 mcg 4.12 2.72 2.52

biotin Below 900mcg 50mcg 57.6 52 48

Pantothenic

acid Below 200mg 6mg 7.44 6.12 6.72

Potassium 3500 mg 2000 mg 2000 A potassium supplement should be considered for the UK Low potassium in the diet can 2120 A potassium supplement should be considered for the UK Low potassium in the diet can 2120 A potassium supplement should be considered for the UK Low potassium in the diet can

result in heart palpitations, and fluid balance problems. Advise they seek GP advice result in heart palpitations, and fluid balance problems Advise they seek GP advice result in heart palpitations, and fluid balance problems Advise they seek GP advice

Calcium 700 mg 800 mg 800 800 800

Chloride 2500 mg 800 mg Value not provided Value not provided Value not provided No data on chloride was available for the products,

Phosphorus 550 mg 700 mg 1084 Taking too much phosphorus over time can reduce bone density as it affects calcium being absorbed, whilst short term excesses can cause stomach pains and diarrhoea 1152 Taking too much phosphorus over time can reduce bone density as it affects calcium being absorbed, whilst short term excesses can cause stomach pains and diarrhoea 1176 Taking too much phosphorus over time can reduce bone density as it affects calcium being absorbed, whilst short term excesses can cause stomach pains and diarrhoea

Magnesium 270 mg 375 mg 383.6 Taking too much magnesium in the short term can give rise to diarrhoea. 396.8 Taking too much magnesium in the short term can give rise to diarrhoea. 380.4 Taking too much magnesium in the short term can give rise to diarrhoea.

Maximum dose of this mineral is 400 mg daily Maximum dose of this mineral is 400 mg daily Maximum dose of this mineral is 400 mg daily

Iron 8.7 – 14.8 gm ( age and gender dependant 14 gm 14.4 The maximum dose per day across ages and gender is 20.0mg 17.2 The maximum dose per day across ages and gender is 20.0mg 15.6 The maximum dose per day across ages and gender is 20.0mg

Copper 1.2 mg 1.0 mg 1.16 1.12 1.08

Zinc 7.0 mg 10 mg 10.0 High intake of zinc can affect copper absorption. The maximum daily is 25mg so the diet is currently within this range 12.4 High intake of zinc can affect copper absorption. The maximum daily is 25mg so the diet is currently within this range 12.4 High intake of zinc can affect copper absorption. The maximum daily is 25mg so the diet is currently within this range

Manganese 0.5 mg 2 mg 2.2 2.4 2.2

Selenium 60 mcg 55 mcg 60.8 Maximum daily dose is 350mcg so diet is ok 81.2 Maximum daily dose is 350mcg so diet is ok 61.6 Maximum daily dose is 350mcg so diet is ok

Iodine 140mcg 150mcg 164 152 152

 

Note

*Protein value of cottage pie mix 2 sachets appears to be incorrect on nutritional analysis

**Salt content of cottage pie mix 2 sachets appears to be incorrect on nutritional analysis