Malnutrition Flashcards
what is malnutrition?
deficiency, excessive, and imbalance (s) in the intake of energy and/or nutrients
what does malnutrition include? (5)
undernutrition (stunting, wasting, underweight) inadequate vitamins and minerals obesity overweight diet-related non-communicable diseases
what are the causes or factors or the people who are at risk of malnutrition?
- poor food availability and preparation
- lack of nutritional education
- recurrent infections
- people who live in a socio-economic deprived areas (lack of sanitation/education)
- poverty and natural disasters
what are the 4 sub-forms of undernutrition
underweight
stunting
wasting
vitamins and minerals deficiency
what is known as wasting?
low weight for height
what is known as stunting?
low height for age
children with __________ are known as underweight.
low weight for age
a child who is underweight may be ______, ______, or ______.
stunted, wasted, or both
what does PEM stand for?
protein-energy malnutrition
what happens to undernourished children with PEM
rapid growth and existence of illnesses or diseases that require a larger amount of protein and essential nutrients
difference of kwashiorkor and marasmus in terms of deficiency
kwashiorkor - deficient in proteins
marasmus - deficient in proteins and calories
difference of kwashiorkor and marasmus in terms of age (occurrence)
K - between 6 months and 3 years
M - under 1 year
difference of kwash. and marasmus in terms of subcutaneous fat
K - preserved subcutaneous fat
M - not preserved
difference of kwash. and maramus in terms of edema
K - edema is present
M - no edema
difference of kwash. and marasmus in terms of liver
K - enlarged fatty liver
M - no fatty liver
difference of kwash. and maramus in terms of ribs
K - not very prominent ribs
M - very prominent ribs
difference of kwash. and marasmus in terms of behavior
K - lethargic
M - alert and irritable
difference of kwash. and maramus in terms of muscle wasting
K - mild or absent
M - severe muscle wasting
difference of kwash. and maramus in terms of appetite
K - poor appetite
M - veracious eater
difference of kwash. and maramus in terms of adequacy of needed nutrients
K - adequacy in proteins
M - adequacy in proteins, fats, and carbs
what is marasmus
a chronic PEM caused by severe deprivation of food for a long period of time
other name for marasmus
drying away
at what age does marasmus occur?
6-18 months
or less than 1 year
2 signs of marasmus
thin and dry hair, easily pulled
spoon-shaped, brittle nails
what is kwashiorkor?
acute PEM caused by sudden or recent food deprivation
at what age does kwashiorkor occur?
18 months - 2 years
or 6 months - 3 years
signs of kwashiorkor
bulging belly with a fatty liver
kwashiorkor is commonly precipitated by what illnesses?
measles or dysentery
what is the distinctive feature of kwashiorkor?
moon face
what are the 2 classifications of nutrient deficiency? describe.
- primary - caused by inability or lack of absorption of vital nutrients but can be solved by eating foods and taking supplements
- secondary - caused by limited ability of absorption of nutrients due to medical conditions
obesity is generally defined as ______
excessive fat stored in the body
4 causes of obesity
- genetics
- sedentary lifestyle
- abnormal absorption of nutrients
- over-eating/ binge eating disorder
how many percent is the genetic component of human obesity
50-79%
upper body obesity is referred to as ______ (3)
central, abdominal, or male obesity
lower body obesity is known as ______ (4)
peripheral, gluteal, femoral, or female obesity
apple-shaped people
upper body obesity
pear-shaped people
lower body obesity
android obesity
upper body obesity
gynoid obesity
lower body obesity
prevention and interventions for obesity (3)
- lifestyle modification
- pharmacokinetics
- surgery
orlistat (generic name, function, mg, BMI)
xenical, inhibits absorption of fat soluble vitamins, 120 mg PO TID w/ meals, BMI 30
reductil (function)
suppresses appetite
what does gastroplasty reduce?
size of the opening of the stomach to the distal stomach
capacity of gastric bypass
20-30 ml
what is gastric bypass?
reduction of stomach by stapling procedure (attaching the small intestine to the small pouch made on the upper portion of stomach)
what is liposuction or lipo sculpture?
aspiration of fat deposits