Global Nutrition

Question 1

WHO Global targets for nutrition (6)

Answer 1

Stunting
Anemia in women
Low Birthweight
Overweight
Exclusive BF
Waisting

Question 2

Who is at risk for malnutrition?

Answer 2

Women of Repro Age
Infants
Children under 5

Question 3

Good nutrition biggest impact?

Answer 3

First 1000 days

Question 4

Conceptual framework

Answer 4

Basic causes
Underlying causes
Immediate causes
LT and ST consequences

Question 5

Poor roads, isolation, lack of electricity

these are examples of ?

Answer 5

Basic causes of malnutrition

Question 6

Income poverty
dwelling w/o electricity 
running water
food insecurity 
These are examples of?

Answer 6

Underlying causes of malnutrition

Question 7

Inadequate health care is what level of cause

Answer 7

underlying

Question 8

Examples of immediate causes of malnutrition

Answer 8

inadequate intake
monotonous diet
food insecurity
disease / illness

Question 9

Short term consequences of under-nutrition =

Answer 9

morbidity / mortality / disability - 45% disease burden in <5
underlying cause 3.1M death/year <5

Question 10

Long term consequences of under-nutrition =

Answer 10

limited adult size 
limited IQ
economic productivity 
reproductive performance 
chronic disease

Question 11

maternal undernutrition

Answer 11

BMI <18.5

Question 12

Do stunted women have stunted babies

Answer 12

yes correlation

Question 13

What is a major predictor of LAZ at 3 mos?

(length for age z score) - stunting

Answer 13

Newborn LAZ

Question 14

what is the largest percentage of any risk factor for mortality

Answer 14

malnutrition

Question 15

scope stunting and wasting

Answer 15

stunting 26%

wasting 8%

Question 16

what fraction of children who die from malnutrition have no outward signs of illness?

Answer 16

3/4

Question 17

what does poor growth reflect?

Answer 17

stunting
chronic malnutrition is not equal to energy deficit

can have micronutrient deficiencies

Question 18

The impoverished gut - a triple burden?

Answer 18

Diarrhea / EE
Stunting
Chronic disease

VICIOUS cycle of diseases and poverty

Question 19

If we scaled up interventions to 90% coverage what percent drop in deaths under 5 would we see

Answer 19

15%

Question 20

Maternal interventions

Answer 20

Peri-conception folate
iodine fortification 
protein supplement 
calcium supplement 
MN supplement

Question 21

Infant interventions

Answer 21

promote BF
Appropriate complementary feeding 
VitA supp
Zn supp
SAM and MAM manage

Question 22

Single most important factor in prevention of deaths <5 yrs? (>800,000 death)

Answer 22

EXCLUSIVE BREAST FEEDING

23X less likely to die of diarrhea if EBF 0-2mo

Question 23

Complementary feeding

Answer 23

2nd MOST POTENT strategy to prevent child deaths

Zn
Vit A
Fe

Question 24

Food based interventions

Answer 24

Plant breeding and biofortication
Small animal husbandry
Home gardening

Question 25

Education interventions

Answer 25

Behavior change communication

Positive deviance

Question 26

How many hungry?

Answer 26

925 M

Question 27

PEM is stunting or wasting more significiant?

Answer 27

Stunting&raquo_space; wasting

Question 28

Hidden hunger?

Answer 28

MN deficiencies

Question 29

Key interventions?

Answer 29

BF promotion 
MN supplementation 
fortification 
technology 
education

Question 30

NOT FEED THE WORLD BUT

Answer 30

END POVERTY!