Normality

Question 1

How to measure growth

Answer 1

• Weight
• Length / height
• Body mass index
• Proper equipment and techniques essential

Question 2

why are growth charts needed

Answer 2

Growth is an index of health and wellbeing in individuals and populations
Abnormalities of growth and weight gain associated with illness, syndromes, under- and over-nutrition

Question 3

How do we tell whether measurement is normal

Answer 3

Compare to other children of:
– Same age
– Same gender

Question 4

how is a growth chart constructed

Answer 4

Made from a series of cross-sectional samples of measurements from children at different ages.
Constructed by mathematically ‘joining the dots’ between the mean key points at each age.

Question 5

What does measurement outside the normal growth tell us

Answer 5

reflects underlying pathology
But, Extreme individuals aren’t always unhealthy
and The normal range isn’t always healthy

Question 6

define malnutrition

Answer 6

a condition that is not just about calories, it occurs in a specific ecology define by the broader environment, infection and food availability use

Question 7

define obesity

Answer 7

a condition that occurs in an obsogenic environment

Question 8

what is the hierarchy of systems that causes both diseases

Answer 8

Genetics, Physiology, Biochemistry, etc.
 Individual
 Family, Community
 National 
 International

Question 9

what are the main determinants of health

Answer 9

health behaviour- alcohol, smoking
social environment- income, gender
physical environemnt hosuing environment
health services- access to healthcare/ quality health