17671 - PROTEINENERGYMALNUTRITION AbdelazizElamin...

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PROTEIN ENERGY MALNUTRITION Abdelaziz Elamin MD, PhD, FRCPCH Professor of Child Health College of Medicine Sultan Qaboos University Muscat, Oman azizmin@hotmail.com
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HUMAN NUTRITION Nutrients are substances that are  crucial for human life, growth & well- being. Macronutrients (carbohydrates, lipids,   vitamins, which are essential for  metabolic processes.
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HUMAN NUTRITION/2 ends of the spectrum of malnutrition. A healthy diet provides a balanced  nutrients that satisfy the metabolic  needs of the body without excess or  shortage. Dietary requirements of children vary  according to age, sex & development.
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Assessment of Nutr status Direct Clinical Anthropometric Dietary Laboratory Indirect Health statistics Ecological variables
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Clinical Assessment Useful in severe forms of PEM Based on thorough physical  vitamin deficiencies. bones. excluded
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Clinical Assessment/2 ADVANTAGES Inexpensive Non-invasive LIMITATIONS Did not detect early cases Trained staff needed
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ANTHROPOMETRY sensitivity Measuring Ht, Wt, MAC, HC, skin fold  standard growth charts Non-expensive & need minimal training
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ANTHROPOMETRY/2 LIMITATIONS Inter-observers’ errors in  measurement Limited nutritional diagnosis Problems with reference standards Arbitrary statistical cut-off levels for  abnormality
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LAB ASSESSMENT Biochemical Serum proteins,  creatinine/hydroxyproline Hematological CBC, iron, vitamin levels Microbiology Parasites/infection
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details 24 hr dietary recall Home visits of children foods. Feeding technique & food habits
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This note was uploaded on 12/24/2011 for the course STEP 1 taught by Professor Dr.aslam during the Fall '11 term at Montgomery College.

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17671 - PROTEINENERGYMALNUTRITION AbdelazizElamin...

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