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Physical Activity and Nutrition Assessment Name: Date: / / Please complete the Current column based on the previous 7 days. The Goal and Followup columns will be completed by the clinician. If you're
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01
To fill out physical activity, you need to track the type of activity you engage in, the duration of each activity session, and the intensity of the activity. Make sure to include activities such as walking, jogging, swimming, cycling, strength training, and any other physical exercise you perform. You can also include details about the number of sets, reps, or miles covered during each session.
02
For nutrition, you need to keep a record of the food and beverages you consume throughout the day. Include details about the portion sizes, ingredients, and any specific dietary restrictions or preferences. It is also important to track your daily calorie intake, macronutrient distribution (carbohydrates, protein, and fat), and any supplements or vitamins you take.
03
Remember to update your physical activity and nutrition log regularly and be as specific as possible. This will help you track your progress, identify areas for improvement, and make necessary adjustments to your lifestyle.

Who needs physical activity and nutrition?

01
Physical activity and nutrition are essential for everyone, regardless of age or fitness level. Maintaining a balanced diet and engaging in regular physical activity can improve overall health, prevent chronic diseases such as obesity, diabetes, and heart disease, and enhance mental well-being. Individuals looking to manage their weight, increase muscle strength, improve cardiovascular fitness, boost energy levels, or simply lead a healthy lifestyle can benefit from incorporating physical activity and nutrition into their daily routine.
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Physical activity refers to any movement that uses energy and nutrition refers to the process of providing or obtaining the food necessary for health and growth.
Individuals or organizations who are participating in a program or study that focuses on physical activity and nutrition may be required to file reports.
The forms for reporting physical activity and nutrition will typically require information on activities performed, food consumed, and any relevant measurements or outcomes.
The purpose of monitoring physical activity and nutrition is to track progress, identify areas for improvement, and promote overall health and well-being.
Information such as types of physical activities, duration, intensity, types of food consumed, portion sizes, and any relevant health outcomes may need to be reported.
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