Global Nutrition

Question 1

Which countries are predominant in hunger?

Answer 1

1. Asia + pacific

2. Sub-saharan Africa

Question 2

2 types of malnutrition

Answer 2

1. Hunger
2. Micronutrient def (can be obese but still have)
   - Hidden hunger

Question 3

Who is at risk for malnutrition?

Answer 3

Women of reproductive age (WRA)

Infants

Children under 5

Question 4

Worldwide timing & Character of Growth faltering in 54 Non-US countries that breastfed infants, with access to care

• Height for age
• WEight for age
• Weight for length

Answer 4

First 1000 days are in the Critical Window for growth
*Stunting&raquo_space; wasting

1. Height for age
   - Starts in (-) Z score
   - Decline early in life
   - Stunting seen
2. Lower weight for age
   - Bc they are shorter
3. Weight for length
   - at 50th percentile
   - Bc stunting

Question 5

Silent killer in developing countries

- Short term and long term consequences

Answer 5

Under-nutrition

Short term
- Morbidity, mortality, disability
in Children U5

Long term:

• Limited adult size
• Limited intellectual capacity
• Economic productivity
• Reproductive performance
• Chronic diseases

Question 6

Independent risk factors for poor reproductive outcomes

Answer 6

Underweight & Short stature

due to maternal undernutrition

Question 7

Is stunting due to E deficit?

Answer 7

No it is due to chronic malnutrition

NOT E deficit

It can also be due to:

• micronutrient deficiency (Zn, I, Fe)
• Inflammation, recurrent Infxn
• Intergenerational effects
• Rural> Urban
• M > F

Question 8

Triple burden of Impoverished Gut

Answer 8

1. Diarrhea
2. Stunting
3. Chronic disease

Question 9

Single most important factor in prevention of death in infants

Answer 9

Breastfeeding

Improved complementary feeding is the 2nd

Question 10

What is better, omega 6 or omega 3?

Answer 10

Omega 3

Question 11

“hidden hunger”

Answer 11

Malnutrition

Can be obese but still need micronutrients