Chapter 2 Flashcards
Laboratory Findings and Assessment Tools
Anthropometric measurements
Biochemical Markers
Functional Tests
Nutritional Screening Tools
Neurological and Cognitive Changes
Cognitive Impairment
Peripheral Neuropathy
Mood Changes
Gastrointestinal Manifestations
Abdominal Distension
Malabsorption
Hepatomegaly
Pancreatic Insufficiency
Muscuskeletal Changes
Muscle Wasting
Bone Deformities
Joint Issues
Postural Changes
Cardio and Respi Signs
Tachycardia
Hypotension
Edema
Dyspnea
Decreased chest expansion
Increased susceptibility to infection
Tachycardia
Anemia
Electrolyte imbalance
Hypotension
Dehydration
Reduced cardiac mass
Edema
Protein Deficiency
Heart Failure
Dyspnea
Anemia
Muscle weakness
Decreased chest expansion
Muscle Wasting
Ribcage deformities
Increased susceptibility to infections
Weakened immune system
Ocular manifestations
Early signs
Night blindness
Conjunctival xerosis (dry conjunctiva)
Ocular manifestations
Progressive changes
Bitot spots
Corneal xerosis
Ocular manifestations
Advanced manifestations
Keratomalacia (softening and ulceration of the cornea)
Oral and Dental Signs
Lip and Tongue Changes
Gum Health
Dental Enamel
Salivary Gland Changes
Skin and Hair Changes
Skin Texture and Color
Hair Abnormalities
Nail Changes
ridges or spoon-shaped deformities in nails
Koilonychia
General Appearance and Body Composition
Healthy Appearance
Malnourished Appearance
Body Composition Changes
Overview of Diateray Assessment Methods
- 24 hour dietary recall
- Food Frequency Questionnaire
- Food Records
- Diet History
Technological Advancements in Dietary Assessment
Mobile Apps
Image-based Assessment
Wearable Devices
Big Data Analytics
Challenges in Dietary Assessment
- Underreporting or Misreporting
- Recall Bias
- Variability in Dietary Intake
- Cultural and Linguistic Barriers
Future Directions in Dietary Assessment
AI-Powered Analysis
Advanced Biosensors
Virtual Reality Integration
Diet History: Comprehensive Dietary Profile
- Initial Interview
- 24-Hour Recall
- Food Frequency Assessment
- Dietary Habits Exploration
Serum Proteins as Nutritional Indicators
- Albumin
- Transferrin
- Pre-Albumin
- Retinol-Binding Protein
Hematological Indicators
Hemoglobin and Hematocrit
Mean Corpuscular Volume (MCV)
White Blood Cell Count
Lipid Profile Assessment
Total Cholesterol
<200 mg/dL
Overall cardiovascular risk
LDL Cholesterol
<100 mg/dL
Risk of Atherosclerosis
LDL Cholesterol
<100 mg/dL
Risk of Atherosclerosis
HDL
> 60 mg/dL
Cardioprotective Effect
Triglycerides
<150 mg/dL
Dietary fat metabolism
Vitamin Status Indicators
Vitamin A
Serum Retinol Levels and Retinol Binding Protein are key indicators.
Levels below 20 ug/dL suggests deficiency
Below 3 ng/dL indicates deficiency in
FOLATE
Serum ferritin is the most common indicator of __ stores.
Iron
Levels below 15 ng/dL indicates deficiency
Indicators of Electrolyte Balance
Sodium
135 - 145 mEq/L
Potassium
3.5 - 5.0 mEq/L
Chloride
96 - 106 mEq/L
Bicarbonate
22-28 mEq/L
Markers of Oxidative Stress and Inflammation
- C Reactive Protein
- Interleukin 6
- Malondialdehyde
- Glutathione Peroxidase
Markers of Oxidative Stress and Inflammation
- C Reactive Protein
- Interleukin 6
- Malondialdehyde
- Glutathione Peroxidase
Functional Tests and Metabolic Indicators
- Glucose Tolerance Test
- Nitrogen Balance Studies
- Resting Metabolic Rate
Emerging Biomarkers in Nutritional Assessment
MicroRNA Profiles
Gut Microbiome Analysis
Metabolomics
Height Measurement
Position
Alignment
Reading
Weight Assessment
Calibrated Scale
Clothing
Time (measure at same time of the day)
Record (note weight to nearest 0.1 kg)
Waist Circumference
- Locate (top of hip bone)
- Position (t.m. horizontally)
- Measure (at the end of normal exhalation)
Skinfold Measurements
- Sites
-triceps
-subscapular
-suprailliac
-thighs - Techniques
Pinch skin, apply caliper, read after 2-3 secs - Interpretation
Mid-Upper AC
- Locate (between shoulder and elbow)
- Measure (relaxed arm)
- Record (note circ to nearest 0.1 cm)
Bioelectrical Impedance Analysis (BIA)
Electric Current
Body Water
Lean Mass
Body Fat
Anthropometric Indices
Weight/Height - acute maln
Height/Age - chronic maln
Weight/Age - overall nutri status