L_8 Vulnerable Groups Flashcards

1
Q

Energy and nutrients’ needs of the school-age child
((7-9 Yrs))

Calories ??

A

1,600

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2
Q

Energy and nutrients’ needs of the school-age child
((10-12 Yrs))

Calories ??

A

2,140

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3
Q

Energy and nutrients’ needs of the school-age child
((10-12 Yrs))

Protein (gm) ??

A

54

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4
Q

Energy and nutrients’ needs of the school-age child
((7-9 Yrs))

Protein (gm) ??

A

43

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5
Q

Energy and nutrients’ needs of the school-age child
((7-9 Yrs))

Vitamin A (mcg) ??

A

400

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6
Q

Energy and nutrients’ needs of the school-age child
((7-9 Yrs))

Vitamin C (mg) ??

A

35

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7
Q

Energy and nutrients’ needs of the school-age child
((10-12 Yrs))

Vitamin C (mg) ??

A

45

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8
Q

Energy and nutrients’ needs of the school-age child
((7-9 Yrs))

Iron (mg) ??

A

11

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9
Q

Energy and nutrients’ needs of the school-age child
((7-9 Yrs))

Iodine (mcg) ??

A

120

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10
Q

Energy and nutrients’ needs of the school-age child
((10-12 Yrs))

Vitamin A (mcg) ??

A

400

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11
Q

Energy and nutrients’ needs of the school-age child
((10-12 Yrs))

Vitamin C (mg) ??

A

45

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12
Q

Energy and nutrients’ needs of the school-age child
((10-12 Yrs))

Calcium (mg) ??

A

1,000

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13
Q

Energy and nutrients’ needs of the school-age child
((10-12 Yrs))

Iron (mg) ??

A

13

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14
Q

Energy and nutrients’ needs of the school-age child
((10-12 Yrs))

Iodine (mg) ??

A

120

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15
Q

How we use our energy?
 Digesting Food=
 Physical Activity=
 Basal Metabolic Rate (BMR)=

A

 Digesting Food= 5-10%
 Physical Activity=25-35%
 Basal Metabolic Rate (BMR)= 55-65%

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16
Q

a condition due to lack of food, or excess food, or wrong type of food, or inability to use nutrients properly to maintain health

A

Malnutrition “bad nourishment”

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17
Q

the cellular imbalance between supply of nutrients & energy and the body’s demand for them to ensure growth, maintenance and specific functions.

A

WHO defines malnutrition

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18
Q

The WHO cites malnutrition as the greatest single threat to the world’s public health with:??

A

↑ risk of disease & early death.

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19
Q

lack of one or more nutrients

A

undernutrition

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20
Q

(excess of one or more nutrients)

A

overnutrition

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21
Q

Classification of malnutrition

كم عددهم ومين هم

A

1-Type of deficient nutrients
2-Degree
3-Cause
4-Rapidity of onset and duration
5-Timing of onset / age group affected

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22
Q

**Classification of malnutrition

Type of deficient nutrients

A

–Macronutrient (‘Protein-Energy’) vs Micronutrient

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23
Q

**Classification of malnutrition

Degree

A

–Mild/Moderate/Severe
How far anthropometric measures deviate from normal

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24
Q

**Classification of malnutrition

Cause

A

–Primary (no underlying disease /inadequate food intake)
–Secondary (due to underlying disease)

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25
Q

**Classification of malnutrition

Rapidity of onset and duration
سرعة البدء والمدة

A

– Acute (wasting +/– oedema)
– Chronic (stunting)

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26
Q

**Classification of malnutrition

Timing of onset / age group affected

A

– In-utero
– Childhood
– Adult (life-long)

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27
Q

**Recognizing Malnutrition in Mothers and Babies

Mothers: ??

A

• Low BMI < 18.5 kg/m2
•Mid-Upper Arm Circumference (MUAC) < 20 cm
• Short height < 145 cm
• Chronic undernutrition

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28
Q

**Recognizing Malnutrition in Mothers and Babies

Babies ??

A

LBW < 2.5 kg
Preterm + SGA
IUGR + others

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29
Q

is defined as babies born alive before 37 weeks of pregnancy are completed

A

Preterm

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30
Q

…………….may be proportionately small (equally small all over) or they may be of normal length and size but have lower weight and body mass.a

A

SGA babies

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31
Q

…….stands for intrauterine growth retardation. This means that your baby is growing slowly and doesn’t weigh as much as your doctor expected for this stage of pregnancy.

A

IUGR

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32
Q

is a severe form of acute malnutrition. It is characterized by clinical signs including oedema (swelling due to water retention) beginning in the lower legs and feet and which can spread to other parts of the body. Other signs include cracked and peeling skin, changes in hair colour (lightening) and texture, lethargy and misery.

A

Kwashiorkor

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33
Q

is a severe form of acute malnutrition. individuals have the clinical signs of extreme thinness, often with flaccid skin, hanging in loose folds to give an ‘old man’s appearance’. individuals may be alert but irritable.

A

Marasmus

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34
Q

‏ is a form of acute malnutrition. Wasted individuals are too light for their height (very thin)

A

Wasting

35
Q

is a form of chronic malnutrition that arises when an individual is too short for their age and occurs in the first 2 to 3 years of life.

A

Stunting

36
Q

Levels of stunting are likely to increase in chronic emergencies.
صح ولا خطا

A

صح

37
Q

Underweight individuals are too light for their age (maybe short or thin or both

A

Underweight

38
Q

Acute malnutrition:

Chronic malnutrition:

A

Acute malnutrition: Kwashiorkor, Marasmus, Wasting

Chronic malnutrition: stunting, underweight

39
Q

PEM

A

Protein Energy Malnutrition

40
Q

In children, ……………………. measurements that fall below 2 SD under the normal weight for age (underweight), height for age (stunting) and weight for height (wasting)

A

Protein Energy Malnutrition (PEM)

41
Q

In children, PEM is defined by “measurements that fall below 2 SD under the normal weight for age (underweight), height for age (stunting) and weight for height (wasting)”.

below 2 SD ايش المقصود بيها ؟؟؟

A

below 2 standard deviations

أي أن القياسات التي تكون أدنى من هذه القيم القياسية بمقدار انحرافين معياريين تحت المتوسط المتوقع تشير إلى وجود حالة تقزم النمو ونقص الوزن لدى الطفل

42
Q

PEM may occur early in children (6 mo – 2 yrs) & associated with early weaning, delayed introduction of complementary foods, a low-protein diet and repeated or severe infections.

ترجم المكتوب

A

قد يحدث PEM في وقت مبكر عند الأطفال (6 أشهر - 2 سنة) ويرتبط بالفطام المبكر، وتأخر إدخال الأطعمة التكميلية، واتباع نظام غذائي منخفض البروتين والالتهابات المتكررة أو الشديدة.

43
Q

inadequate intake of energy or protein or both

A

Protein Energy Malnutrition (PEM)

44
Q

PEM has 3 forms:

A

Underweight (thin for age),
Stunting (short for age),
Wasting (thin for height)

45
Q

PEM may result in poor mental & physical development, high risk to infections, poor school performance, low productivity in adulthood.

A

صح

46
Q

Calorie deficiency

Marasmus:

Kwashiorkor:

A

Calorie deficiency

Marasmus: Severe

Kwashiorkor: Normal, Mild

47
Q

Protein deficiency

Marasmus:

Kwashiorkor:

A

Protein deficiency

Marasmus: Severe

Kwashiorkor: Severe

48
Q

Weight loss

Marasmus:

Kwashiorkor:

A

Weight loss

Marasmus: Severe

Kwashiorkor: Normal, Mild

49
Q

Under-stature

Marasmus:

Kwashiorkor:

A

Under-stature

Marasmus: Mild, Moderate

Kwashiorkor: Normal, Mild

50
Q

Apathy

Marasmus:

Kwashiorkor:

A

Apathy

Marasmus: Mild

Kwashiorkor: Severe

51
Q

Anorexia

Marasmus:

Kwashiorkor:

A

Anorexia

Marasmus: Mild, Moderate

Kwashiorkor: Severe

52
Q

Edema

Marasmus:

Kwashiorkor:

A

Edema

Marasmus:—————————————

Kwashiorkor: Severe

53
Q

Hypo-proteinemia

Marasmus:

Kwashiorkor:

A

Hypo-proteinemia

Marasmus:—————————————

Kwashiorkor: Moderate

54
Q

Muscle wasting

Marasmus:

Kwashiorkor:

A

Muscle wasting

Marasmus: Severe

Kwashiorkor: Severe

55
Q

Subcutaneous fat

Marasmus:

Kwashiorkor:

A

Subcutaneous fat

Marasmus: Decreased

Kwashiorkor: Normal

56
Q

Face

Marasmus:

Kwashiorkor:

A

Face

Marasmus: Old Man Face

Kwashiorkor: Moon Face

57
Q

Skin changes

Marasmus:

Kwashiorkor:

A

Skin changes

Marasmus: Normal, Mild

Kwashiorkor: Severe

58
Q

Hair changes

Marasmus:

Kwashiorkor:

A

Hair changes

Marasmus: Normal, Mild

Kwashiorkor: Severe

59
Q

It is pathological state resulting from consumption of excessive amount of food over an extended period of time”.

A

Overnutrition

60
Q

are very common conditions in developed society and are becoming more common in developing societies and those in transition.

A

Overweight and obesity

61
Q

It is characterized by excess weight and body fat

A

Overnutrition

62
Q

Overnutrition results in:

A

 serious heart problems & diabetes at young age.
 health, economic & social implications in adulthood.
 low self-esteem.

السؤال ذا الدكتور قال جي في الاختبار

63
Q

Consequences of Malnutrition

(Individual)

A

Death, infections → +/- death / disability, growth failure, adult health outcomes and disabilities.

64
Q

Consequences of Malnutrition

Families / generations

A

Poor reproductive health, maternal complications and death, small size at birth, disability outcomes, ↓ opportunities in educational & economic development.

65
Q

Consequences of Malnutrition

Societal

A

Economic burden of treatment, loss of productivity.

العبء الاقتصادي للعلاج، وفقدان الإنتاجية.

66
Q

Consequences of Malnutrition

Disability adjusted life years (DALYs)

A

1 DALY = loss of 1 year of healthy life due to health problem

67
Q

1 DALY = ?

(((1 Disability adjusted life year = 1 DALY)))

A

1 DALY = loss of 1 year of healthy life due to health problem

68
Q

Prevention requires a coordinated approach of many disciplines at various levels:

صح ولا خطا

A

صح

69
Q

Prevention of Malnutrition

Prevention requires a coordinated approach of many disciplines at various levels:

A

 Proper antenatal care
 Promotion of breastfeeding & proper weaning
 Supplementary nutrition (age-appropriate)
 Immunization
 Regular health check-up
 Referral services
 Programs for micronutrient supplementation
 Nutrition and health education
 Improve hygiene and sanitation to reduce infections.

رعاية ما قبل الولادة المناسبة

الترويج للرضاعة الطبيعية والفطام المناسب

التغذية التكميلية (مناسبة للعمر)

التحصين الخاص بالطها

فحص صحي منتظم للفحص الصحي

خدمات الإحالة.

برامج مكملات المغذيات الدقيقة.

التغذية والتثقيف الصحي للتغذية

تحسين النظافة والصرف الصحي للحد من العدوى.

70
Q

Fighting Malnutrition At Family Level

Nutrition education for the family on :

A

 Selection of right kind of local foods.
 Planning of nutritionally adequate diets withinlimits of their purchasing power.
 Identification and correction “of harmful food taboos & dietary prejudice.
 Promote breastfeeding and adequate infant & child feeding
 Consider nutritional needs of expectant & nursing mothers and children in the family.
 Planning a kitchen garden or keeping poultry.

اختيار النوع المناسب من الأطعمة المحلية.

التخطيط للأنظمة الغذائية الكافية من الناحية التغذوية ضمن حدود قوتها الشرائية.

تحديد وتصحيح “المحرمات الغذائية الضارة والتحيز الغذائي.

تشجيع الرضاعة الطبيعية والتغذية الكافية للرضع والأطفال

النظر في الاحتياجات الغذائية للأمهات الحوامل والمرضعات والأطفال في الأسرة.

التخطيط لحديقة المطبخ أو حفظ الدواجن.

71
Q

It is a syndrome affecting mothers due to repeated non- spaced pregnancies (> 5) & characterized by PEM, iron deficiency anemia, osteomalacia, goiter and dental caries.

A

Micronutrients Depletion

72
Q

Micronutrients Depletion

General factors:

A

poverty, large family size, low educational level, cultural nutritional beliefs and practices.

73
Q

Micronutrients Depletion

Specific factors:

A

a. PEM: due to lack of proteins of high biological values.
b. Iron deficiency anemia: due to ↓intake, ↓ absorption, increased demand of iron, or increased blood loss.
c. Osteomalacia: due to decrease intake of calcium.
d. Goiter: due to decrease intake of iodine.
e. Dental caries: due to decrease intake of fluorine.

74
Q

Dental caries

لماذا يحدث

A

due to decrease intake of fluorine.

75
Q

Goiter

لماذا يحدث

A

due to decrease intake of iodine.

76
Q

Osteomalacia

لماذا يحدث

A

due to decrease intake of calcium.

77
Q

It occurs when the body doesn’t have enough iron to produce hemoglobin which carries oxygen from the lungs to different tissues of the body.

A

Iron Deficiency Anemia

78
Q

People at risk for iron deficiency include:

A

• Heavy menstruating, pregnant and postpartum women.
• Babies with poor weaning.
• Adolescents (rapid growth rate, eating habit & body image concern).
• People with bleeding lesions, frequent don ation and absorption problems.
• Strict vegetarians.

• النساء اللائي يعانين من ثقل من الحيض والحوامل وبعد الولادة.

• الأطفال الذين يعانون من ضعف الفطام.

• المراهقون (معدل النمو السريع، عادة الأكل والقلق بشأن صورة الجسم).

• الأشخاص الذين يعانون من آفات نزيف ومشاكل متكررة في الامتصاص.

• نباتيون صارمون.

79
Q

Iron Deficiency Anemia
Clinical Picture, Symptoms :

A

General weakness & fatigue, easy fatigability
Headache, dizziness, irritability, lack of concentration
Pallor, shortness of breath, palpitation
Sore tongue, brittle nails, decreased appetite

80
Q

Iron Deficiency Anemia

Complications during pregnancy:

Mother:

Fetus:

Later: child

A

Mother: ↑ morbidity & mortality during pregnancy & labor as: morning sickness, postpartum depression,..ect

Fetus: premature, LBW, fetal anemia, neonatal death

Later: child with developmental delay, learning disabilities & increased susceptibility to anemia in childhood.

81
Q

Prevention of Anemia

A

1 Screening to early detect high risk groups.
2 Food supplementation: with iron, calcium & vitamin D.
*Eat well-balanced diet rich in iron such as:
•red meat, poultry, fish and eggs
•green leafy vegetables (as spinach, broccoli)
•iron-enriched cereals and grains
•beans, lentils, nuts and seeds

  • Eat foods rich in vitamin C to help your body absorb more iron such as: citrus fruits and juices, strawberries, kiwis, tomatoes and peppers.
    3- Health and nutrition education.
    4- Community & social support.
82
Q

Treatment for Anemia

A

• The cause of the deficiency must be identified
•Iron supplement, folic acid supplement, vitamins.
• Diet rich in iron and folic acid.

83
Q

To absorb more iron:

A

 Take iron pills on an empty stomach.
 With vitamin C as orange juice.
 Not with milk (Calcium interferes with iron absorption).
 Not with coffee and tea (interfere).

84
Q

Side effects from taking iron supplements

A

GIT upsets: constipation, nausea, vomiting, heartburn, abdominal discomfort & dark stools when start taking iron.