12 - Nutrional Flashcards
Nutritional status
the degree of balance between nutrient intake and nutrient requirements
Optimal nutritional status
Consumption of nutrients in amounts that support daily growth and any increased metabolic demands
Undernutrition
Depletion of nutritional reserves or inadequate intake to meet daily requirements
Overnutrition
Consumption of nutrients in excess of requirements
Developmental Considerations: Infants
- Exclusive breastfeeding for first 6 months
- Daily vitamin D supplements
- Introduction of solid food (iron-fortified cereal) at 4 to 6 months
- Avoid whole cow’s milk until 1 year of age
Developmental Considerations: Adolescence
- hormone changes
- increased energy demand
- increases Ca2+/Iron demand
- disordered eating
Developmental Considerations: Pregnancy
• folic acid supplements (for prevention of spina bifida and other neural tube defects)
Developmental Considerations: Older Adults
- undernutrition and overnutrition
- Decrease of energy requirements by 5% per decade
- Impact of poor dentition, visual acuity, slowed GI function, and diminished taste/smell
- Vitamin D supplements
Challenges for new immigrants and refugees
- New and unfamiliar food
- Food storage and preparation difficulties
- Limited income
- Disruption of traditional food habits
- 24-hour food recall insufficient assessment tool
Subjective data Nutrition
- Eating patterns
- Usual weight/recent changes
- Changes in appetite, taste, smell, chewing, swallowing
- Recent surgery, trauma, burns, infection
- Chronic conditions
- Nausea, vomiting, diarrhea, constipation
- Food allergies or intolerances
- Medications and/or nutritional supplements
- Self-management behaviours/access to healthy foods
- Alcohol or illegal drug use
- Exercise and activity patterns
- Family history
- Psychological problems
- Physical impairments that limit ability to independently consume foods or liquids
Nutrition screening Tests
- Malnutrition Screening Tool
- Comprehensive nutritional assessment
- 24-hour food recall
- Food frequency questionnaire
- Food diaries
- Direct observation
- Canada’s Food Guide and Dietary Reference Intakes (DRIs)
Body mass index calculation
weight (kg) / height (m^2)
Waist–hip ratio
waste circumference / hip circumference