Theme 1 maternal and child undernutrition Flashcards

1
Q

What are the immediate causes of maternal and child malnutrition?

A

Inadequate dietary intake and disease

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2
Q

What are the underlying causes of maternal and child malnutrition?

A

Household food security
Inadequate care and feeding practices
Unhealthy household environment & inadequate health services

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3
Q

What are the basic causes of maternal and child malnutrition? From top to bottom

A

Household access to adequate quantity and quality of resources
Inadequate financial, human, physical and social capital
Sociocultural, economic and political context

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4
Q

What are the short term consequences of maternal and child malnutrition?

A

Mortality, morbidity and disability

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5
Q

What are the long term consequences of maternal and child malnutrition?

A

Adult height, cognitive ability, economic productivity etc

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6
Q

Which paradigm did they have before 1950?

A

Vitamin deficiency paradigm

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7
Q

Which paradigm did they have between 1950-1974

A

Protein deficiency paradigm

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8
Q

Which paradigm did they have between 1974- 1980

A

Multisectoral nutrition planning paradigm - too much models

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9
Q

Which paradigm did they have between 1980-1990

A

National nutrition policy paradigm - malnutrition is the result of economic, political and cultural processes. Solution: reduce poverty

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10
Q

Which paradigm did they have between 1985-1995

A

Community based nutrition paradigm - macro -> micro, Unicef frameork

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11
Q

Which paradigm did they have between 1995-2005

A

Micronutrient malnutrition paradigm - easier to give micros than to solve poverty

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12
Q

Which paradigm do we have now?

A

Paradigm crisis - investment in nutrition programmes and human rights approach to nutrition.

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13
Q

What is IUGR, and what increases its risk?

A

Intra-uterine growth restriction, anaemia, low BMI, smoking, drugs, malaria

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14
Q

What increases the risk of maternal mortality?

A

Maternal anaemia and short stature.

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15
Q

What happens with the need for iron during pregnancy and lactation?

A

Goes up during pregnancy and goes down during lactating (even lower than before pregnancy)

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16
Q

What happens with the need for energy, vit A, iodine and zinc during pregnancy and lactation?

A

Goes up, more and more (only energy decreases minimally when breastfeeding)

17
Q

How do you define stunting?

A

Height for age

18
Q

How do you define wasting?

A

Weight for height

19
Q

How do you define underweight?

A

Weight for age

20
Q

How do you define overweight?

A

BMI for age

21
Q

What are the recommendations for breastfeeding?

A

Within 1 hour
on demand
No bottles
6 months

22
Q

Why do you don’t give babies cows milk?

A

Because of high protein and sodium

23
Q

What are the benefits of colostrum?

A

High vit A, zinc and IgA

24
Q

What are problems with nutrition with toddlers?

A

Fat and nutrients (iron, vitA vitD and fibre)

25
Q

What is the malnutrition infection cycle?

A

Inadequate dietary intake -> weight loss -> disease -> malabsorption -> inadequate dietary intake

26
Q

What prevents diarrhoea and what is the treatment for it?

A

Prevention VitA and zinc

Treatment ORS and zinc

27
Q

Early menarche risks are….?

A

Obesity, glucose intolerance, insulin resistance, CVD, cancer.

28
Q

Late menarche risks are…?

A

Osteoporosis, depression and social anxiety

Girls grow taller in HIC and shorter in LMIC

29
Q

What are the social determinants of health?

A

Gender inequality
Economic inequality
Population displacement
Advertising

30
Q

What are the four pillars of food security?

A

Availability, accessibility, utilization and stability

31
Q

What is the difference between food security and food and nutrition security?

A

Food security is more about food production. Food and nutrition security adds
consumed
sanitation and hygiene
health services and care

32
Q

What is the agricultural value chain?

A

Supply chain from food to fork of one crop, adds value along the way

33
Q

What is a food system

A

Added value chains of multiple crops

34
Q

What are two ways of measuring food and nutrition security?

A

DES (dietary energy supply) uses food balance sheets

Household hunger score is experienced-based

35
Q

What is the positive deviance method?

A

Look at well-nourished children what they are doing right

36
Q

What is an example of permanent and temporary food avoidance?

A

No pork, chocoladeletters