L2 community medicine Flashcards
what is definition of nutriotional status
current body status that related to nourishment
what are external factor that affects nutritional status
food safety
economic circumstances
social
culture
internal factor (constitutional) of nutritional status
age
sex
nutrient behavior
disease
physical activity
what is nutritional assessment according to American dietetic association
evaluation of nutritional needs of individual based on appropriate biochemical, anthropometric, physical and dietary data to determine nutrient needs and recommended appropriate nutrition intake include enteral and parenteral nutrition
what are the purpose of nutritional assessment
-to identify a group at risk to be malnourished
-to achieve healthcare programs that meet community needs
-to measure effectiveness of the nutritional program
mention 2 methods of nutritional assessment
direct-to individual ABCD
indirect-to community health
mention anthropometric measurements
-height/weight BMI
-mid-arm circumference
-skin fold thickness
-hip/waist ratio
how to measure height
must be bare footed
must standing in erect position
use rectangular wood for measure
hoe to measure weight
use electronic or balanced beam scale
wear light close and no shoes
read nearest to 1/4 of kg
normal BMI range is
18.5-24.9
describe and classify BMI in obese group
pre obese : 25-29.9
class 1 obese : 30-34.9
class 2 obese : 35-39.9
very obese : more than 40
skin fold thickness indicates
the amount of subcutaneous fat in mm
what are the common site of skin fold measurement
triceps
subscapular
supra iliac region
describe technical error in skin fold thickness
dermatitis, edema and exercise will increase skin thickness
dehydration reduce skin thickness
greater risk of CVS disease if waist circumference is
more 102cm in male
more 88cm in female