2B : NUTRITIONAL DISORDERS Flashcards

1
Q

Process by which food or food components are taken in, processed and utilized by the body for growth, proper functioning and overall well-being

A

nutrition

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2
Q

classified depending on the amount that is needed by the human body into macro and micronutrients. water is also considered a nutrient

A

nutrition

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3
Q

nutritional disorders results from

A

deficiency, excess and imbalance of nutrients or alteration at the gene levels

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4
Q

conditions are classified as:

A
  1. undernutrition
  2. overnutrition or obesity
  3. specific deficiency states
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5
Q

nutritional deficiencies can lead to undernutrition which results in 3 consequences

A
  1. growth failure
  2. physical signs and specific micronutrients deficiencies
  3. both
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6
Q

when is the greatest risk of undernutrition occurs

A

first 1,000 days from conception to 24 months of age

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7
Q

adverse effect of malnutrition

A
  • damage to growth and development
  • effect on intellectual ability, school achievement, work productivity
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8
Q

measurement of undernutrition

A
  1. z score
  2. height for age (or length-for-age for children <2 yo)
  3. weight for height
  4. weight for age
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9
Q

child’s height (weight) minus the median height (weight) for the child’s age and sex divided by teh relevant SD

A

z score

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10
Q

measure of linear growth and a deficit represents the cumulative impact of adverse event usually in the first 100 days from conception, resulting to stunting or chronic malnutrition

A

height for age or length for age for children <2 yo

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11
Q

results to wasting usually indicates acute malnutrition

A

weight for height

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12
Q

high wieght for height indicates

A

overweight

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13
Q

most commonly used index of nutritional status although a low value has limited clinical significance because it does not differentiate between wasting and stunting

A

weight for age

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14
Q

advantage of being somewhat easier to measure than indices that require height measurements

A

weight for age

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15
Q

used for screening wasted children

A

mid upper arm circumference

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16
Q

age and gender specific

A

BMI

17
Q

calculated by dividing weight in kilogram by the square of heighht in meters

A

BMI

18
Q

Can be used from birth to 20 years and is a screening tool for
thinness
overweight
obesity

A

BMI for age

19
Q

BMI FOR AGE

THINNESS

A

Less than /2 SD

20
Q

BMI FOR AGE

OVERWEIGHT

A

between +1 SD and +2 SD

21
Q

BMI FOR AGE

obesity

A

greater than +2 SD

22
Q

to diagnose obesity

A

additional measures of adiposity are desirable because a high BMI can result from high muscularity and not only from excess subcutaneous fat

23
Q

weight for age (%) = weight of the child divide by weight of a normal child of same age x 100

A

gomez classification (underweight)

24
Q

gomez classification

90-75% of median weight for age

A

grade 1
mild

25
Q

gomez classification

75-60% of median weight for age

A

grade 2 moderate

26
Q

gomez classification

<60% of median weight for age

A

grade 3 severe

27
Q

weight for height (%) = weight of patient divide by weight of a normal child of the same height x 100

A

waterlow classification

WASTING

28
Q

height for age (%) = height of patient divide by height of a normal child of the same age x 100

A

waterlow classification

STUNTING

29
Q

WEIGHT FOR HEIGHT

90-80% of median weight for height

A

mild

WASTING

30
Q

WEIGHT FOR HEIGHT

80-70% of median weight for height

A

MODERATE

WASTING

31
Q

WEIGHT FOR HEIGHT

<70% of median weight for height

A

SEVERE

WASTING

32
Q

HEIGHT FOR AGE

95-90% of median height for age

A

mild

stunting

33
Q

HEIGHT FOR AGE

90-85% of median height for age

A

moderate

stunting

34
Q

HEIGHT FOR AGE

<85% of median height for age

A

severe stunting

35
Q

WHO WASTING INDEX

  1. LESS THAN -2 TO MORE THAN -3 SD WEIGHT FOR HEIGHT
    2.** LESS THAN -3 SD** WEIGHT FOR HEIGHT
A
  1. MODERATE
  2. SEVERE
36
Q

LESS THAN -2 TO MORE THAN -3 SD HEIGHT FOR AGE

A

MODERATE

STUNTING

37
Q

MORE THAN -3 SD HEIGHT FOR AGE

A

SEVERE STUNTING

38
Q

WHO WASTING FOR AGE GROUP 6-59 MONTHS

  • LESS THAN 115 MM MID ARM CIRCUMFERENCE
A

SEVERE

39
Q

WHO WASTING FOR AGE GROUP 6-59 MONTHS

115-125 MM MID UPPER ARM CIRCUMFERENCE

A

MODERATE