malnutrition Flashcards
interpretations of %UBW
85-95 = mild malnutrition
75-84 = mod mal
< 74 = severe mal
what is something u need to remember when looking at weight change
time frame is relevant
considerations for %ubw
males and non preg women
immediate causes of undernutr
poor diet
or
disease
how to diagnose undernutr
need to have min 2
1. less energy intake
2. weight loss
3. muscle mass loss
4. subcut fat lass
5. fluid accum
6. low functional status
outcomes of undernutrition
- nutr def
- sarcopenia
- low immunity/ risk to diseases
- low productivity
- stunted growth
- maternal undernutrition
interpretation of % weight change
significant if
1 week = 1-2%
1 month = 5%
3 months = 7.5%
6 months = 10%
failure to thrive
when baby 1-2 years is not growing accroding to standrards
for failure to thrive, do we use CDC or WHO charts?
CDC
bc curve distance smaller = pick up on change faster
wh
when are u failing tp thrive?
below 3rd to 5th perventile
what is PEM
type of malnutrition where not meeting pro needs
2
2 types of PEM
marasmus = low pro and energy intake
kwashiorkor = low pro
marasmus symptoms
thin old
dry nails and hair
kwash
kwashiojkor synproms
edema
how to treat marasmus
slow increased intake of kcal and protein
4.8-5 kcal per g tissue needs to be gained
hpw
treating knwashiorkor
increased prot intake 20-50%
progressive
causes of ED
sociocultural
genetic
psychological
types of EDS
- anorexia nervosa
- builimia nervosa
- ARFID
- binge eating disorder
characteristics of anorexia
- starvation via restriction or binge/purging
- <85% IBW
- no period/ ammenorhea
characteristics of builima
- binge eating
- purging
- lack od control
- normal weight
characteristics of RFID
-restricting
- avoiding
- fear of vomit and choking
- avoiding colours and textures
characteristics of binge eating disorder
binge eating
no compensatory actions after
prf
prader willis syndrome
ed
insatitable apettite
2 types of rumination disorders
- devloped in childhood, pesrisst with no neg consequences
- with bulimia nervosa
concerns of ed = > screening?
weight concerns
not eating with fam
periods stopped
change in growth curv e
night time cravings
idea of clinical care of ED treatment?
- holistic approach
- ## psych, med, nutri interventions
types of appraoches of treatment cares for ED
- holistic
- bio-psychosocial
- CBT
bio psychosocial approach
med
nutri
psych
behav
assessments
goals of nutri ED rehab
restore weight
normal eating patterns
correct complications from malnutr
education
meal support therapy
supervised meals
=encouragment and emo support
kcal goal and macros for ED treatment
1000=1600 kcal goal
25-30% fat
15-20 pro
50-60 cho
concerns to keep in mind for ED treatment?
refeeding syndrome
refeeding syndrome
nor gradually introcucing food to malnourished
= cells fast glucose uptake
=electrolytes follow with h20
=deficiences in blood
criteria risk for refeeding syndrome that only need 1
bmi < 16
weight loss > 15% in last 3-6 months
little/no intake last 10 days
low K, po4, mg before feeedinf
criteria risk for refeeding syndrome that only need 2
bmi < 18.5
weight loss >10% 3-6 mo
no intake 5 days
substance abuse
reu
reducing risk of refeeding
-cho < 200g /day
< 1.5 kg protei
electrolyte balance
supplements
provide half e requirements, build up accordign to current weight
BN diet managament specifics
weight problem
= 120-130% abobe bee
macros
goal of leaving purging and binging
