Assessment Of Nutritional Status

Presented by: Dr. Soha Rashed Professor of Community Medicine Alexandria Faculty of Medicine Year 1, Semester 1 Module 2: Nutrition and Metabolism

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The complex interaction between internal or constitutional factors and external environmental factors

[object Object],Nutrient intake Requirements

[object Object],Food guide pyramid

Severe underweight (Under-nourished) Healthy baby (Optimal nutritional status) Morbid Obesity (Over-nourished) People can have an optimal nutritional status or they can be under-, over- and/or malnourished .

The nutritional status of an individual has consequences: ,[object Object],[object Object],[object Object],[object Object]

Purpose of nutritional assessment ,[object Object],[object Object],[object Object],[object Object]

Methods of Nutritional Assessment ,[object Object],[object Object]

Direct Methods of Nutritional Assessment ,[object Object],[object Object],[object Object],[object Object],[object Object]

Indirect Methods of Nutritional Assessment ,[object Object],[object Object],[object Object],[object Object]

Direct Methods of Nutritional Assessment ,[object Object],[object Object],[object Object]

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Other anthropometric Measurements ,[object Object],[object Object],[object Object],[object Object],[object Object]

Measurements for adults ,[object Object],[object Object],[object Object]

Measuring Recumbent length in infants & standing height in children

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Weighing infants and young children Spring Scale Electronic and Balance Beam Infant Scales

Nutritional Indices in Adults ,[object Object],[object Object],[object Object]

Example: ,[object Object],[object Object]

Interpretation of BMI for adults ,[object Object]

Waist circumference ,[object Object],[object Object],[object Object]

Waist circumference ,[object Object],Level 1 is the maximum acceptable waist circumference irrespective of the adult age, and there should be no further weight gain. Level 2 denotes obesity and requires weight management to reduce the risk of type 2 diabetes & CVS complications. MALES FEMALES LEVEL 1 > 94 cm > 80 cm LEVEL 2 > 102 cm > 88 cm

Hip Circumference ,[object Object],[object Object],[object Object]

Interpretation of Waist / Hip ratio (WHR) ,[object Object],[object Object],[object Object]

Body Mass Index for Children and Teens ,[object Object],[object Object],[object Object]

Body Mass Index for Children and Teens

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2. Clinical assessment ,[object Object],[object Object]

2. Clinical assessment ,[object Object],[object Object],[object Object]

Examples of illnesses caused by improper nutrient consumption

Vitamin-A deficiency ,[object Object],[object Object]

Beriberi Vitamin B1 (Thiamine) deficiency

Vitamin B2 Deficiency (Ariboflavinosis)

Pellagra Vitamin B3 ( Niacin) Deficiency Clinical-4 D’s: Dermatitis, Diarrhea, Dementia, Death

Rickets (Vitamin D deficiency)

Goitre (Iodine deficiency disorder)

Marasmus Kwashiorkor Protein energy malnutrition

Protein-energy malnutrition (PEM) Marasmus Kwashiorkor

2. Clinical assessment ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

3. Dietary assessment ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Healthy diet

a. 24 Hours Dietary Recall ,[object Object],[object Object]

b. Food Frequency Questionnaire ,[object Object],[object Object],[object Object],[object Object],[object Object]

c. Diet history ,[object Object],[object Object],[object Object]

c. Diet history ,[object Object],[object Object]

d. Food Diary ,[object Object],[object Object],[object Object]

e. Observed Food Consumption ,[object Object],[object Object],[object Object]

Interpretation of Dietary Data ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

4. Initial Laboratory Assessment ,[object Object],[object Object],[object Object]

Specific Lab Tests ,[object Object],[object Object],[object Object]

Biochemical Methods ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Assessment Of Nutritional Status

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