3 Assessment - Nutrition Assessment Kevin E Carpio MS RND...

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Nutrition Assessment Kevin E. Carpio, MS, RND
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What is nutrition assessment? The evaluation of an individual’s nutritional status through anthropometric, biochemical, clinical, and dietary methods. An in-depth analysis of a person’s nutritional status.
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Nutritional Status The condition of the body that results from the utilization of nutrients made available from his/her diet. Determined through nutrition assessment.
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Malnutrition Condition of the body resulting from a deficiency or excessive nutrient supply. Overweight, Obese, Underweight “Mal” - bad
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Purpose of Nutrition Assessment To provide baseline information about body composition, health status, dietary practices, and activity habits To help devise realistic goals for change and develop an individualized treatment program based on those goals To document changes that occur as a result of treatment/behavior change
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ABCDs of Assessment Anthropometry Biochemical Clinical Dietary
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Anthropometry Concerned with the measurement of body size and proportions. “Anthropos” - human; “metric” - measure Ex. Height, weight, skinfold, circumferences From these measures, we can calculate the BMI, percent body fat, fat distribution.
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What are common measures of body size? Common body parts measured What the measure indicates Weight Body Mass Height Skeletal growth Skinfold thickness Body fat Waist circumference Android obesity Mid upper arm circumference Fat and fat free mass
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Height Growth or degree of skeletal development Assesses linear dimension composed of the following: legs, pelvis, spine, and skull. “Stature” - standing height “Length” - lying on one’s back (for children less than 2 years old)
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Equipment: Stadiometer Microtoise Height board Tape affixed to a vertical surface Length - lengthboard or infantometer
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Stadiometer Microtoise Lengthboard
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Technique
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1.Remove shoes and socks. 2.The subject should stand tall, feet flat, heels together, shoulders relaxed, legs straight, and knees together with shoulder blade, buttocks, and heels touching the wall or the stadiometer. 3. The client’s arm should be at the sides with the palm facing the thigh
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4. The client should look straight ahead, holding the head in the Frankfort horizontal plane . Most people assume this position naturally.
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5. Lower the headpiece to the crown of the client’s head as he or she straightens the spine as much as possible while taking a deep breath. 6.Record the measurement to the nearest millimeter or quarter-inch.
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Take the measurement with the examiner’s eye level with the headboard to avoid parallax errors Make sure the subjects’ knees are not flexed and the heels not lifted.
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Weight Assesses body mass Weight may be influenced by a person's fluid status Provides only a crude evaluation of overall fat and muscle mass levels
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Equipment
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