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Presented by: Dr. Soha Rashed Professor of Community Medicine Alexandria Faculty of Medicine Year 1, Semester 1 Module 2: Nutrition and Metabolism
[object Object],[object Object],[object Object],[object Object]
The  complex interaction between  internal or constitutional factors  and  external environmental factors
[object Object],Nutrient intake  Requirements
[object Object],Food guide pyramid
Severe underweight (Under-nourished) Healthy baby (Optimal nutritional status) Morbid Obesity (Over-nourished) People can have an  optimal nutritional status  or they can be  under-, over- and/or malnourished .
The nutritional status of an individual has consequences: ,[object Object],[object Object],[object Object],[object Object]
Purpose of nutritional assessment  ,[object Object],[object Object],[object Object],[object Object]
Methods of Nutritional Assessment ,[object Object],[object Object]
Direct Methods of Nutritional Assessment  ,[object Object],[object Object],[object Object],[object Object],[object Object]
Indirect Methods of Nutritional Assessment ,[object Object],[object Object],[object Object],[object Object]
Direct Methods of Nutritional Assessment  ,[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object]
Other anthropometric Measurements ,[object Object],[object Object],[object Object],[object Object],[object Object]
Measurements for adults ,[object Object],[object Object],[object Object]
Measuring Recumbent length in infants & standing height  in children
[object Object],[object Object]
Weighing infants and young children Spring Scale Electronic and Balance Beam Infant Scales
Nutritional Indices in Adults ,[object Object],[object Object],[object Object]
Example:   ,[object Object],[object Object]
Interpretation of BMI for adults ,[object Object]
Waist circumference ,[object Object],[object Object],[object Object]
Waist circumference ,[object Object],Level 1  is the maximum acceptable waist circumference irrespective of the adult age, and there should be no further weight gain.  Level 2  denotes obesity and requires weight management to reduce the risk of type 2 diabetes & CVS complications. MALES FEMALES LEVEL 1 > 94 cm  > 80 cm LEVEL 2 > 102 cm > 88 cm
Hip Circumference  ,[object Object],[object Object],[object Object]
Interpretation of Waist / Hip ratio (WHR) ,[object Object],[object Object],[object Object]
Body Mass Index for Children and Teens ,[object Object],[object Object],[object Object]
Body Mass Index for Children and Teens
 
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
2. Clinical assessment ,[object Object],[object Object]
2. Clinical assessment ,[object Object],[object Object],[object Object]
Examples of illnesses caused by improper nutrient   consumption
Vitamin-A deficiency ,[object Object],[object Object]
Vitamin A Deficiency
Beriberi  Vitamin B1 (Thiamine) deficiency
Vitamin B2 Deficiency (Ariboflavinosis)
Pellagra  Vitamin  B3 ( Niacin) Deficiency  Clinical-4 D’s: Dermatitis, Diarrhea, Dementia, Death
Scurvy (Vitamin C Deficiency)
Rickets (Vitamin D deficiency)
Goitre (Iodine deficiency disorder)
Marasmus Kwashiorkor Protein energy malnutrition
Protein-energy malnutrition (PEM) Marasmus Kwashiorkor
2. Clinical assessment ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
3. Dietary assessment ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Healthy diet
a. 24 Hours Dietary Recall ,[object Object],[object Object]
b. Food Frequency Questionnaire ,[object Object],[object Object],[object Object],[object Object],[object Object]
c. Diet history ,[object Object],[object Object],[object Object]
c. Diet history ,[object Object],[object Object]
c. Diet history ,[object Object],[object Object],[object Object]
d. Food Diary ,[object Object],[object Object],[object Object]
e. Observed Food Consumption ,[object Object],[object Object],[object Object]
Interpretation of Dietary Data ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
4. Initial Laboratory Assessment ,[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object]
Specific Lab Tests ,[object Object],[object Object],[object Object]
Biochemical Methods ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
 

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Assessment Of Nutritional Status