Nutrition: Malnutrition and its Prevention
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Questions and Answers

What is the primary dietary factor contributing to simple obesity?

  • Poor digestion
  • Excess food intake (correct)
  • Inadequate exercise
  • Reduced food intake
  • What is a non-dietary factor that can contribute to obesity?

  • Genetic disorder
  • Hypothyroidism
  • Diabetes
  • All of the above (correct)
  • Which of the following is a complication of obesity?

  • Enhanced mental well-being
  • Improved cardiovascular health
  • Osteoarthritis (correct)
  • Reduced risk of type 2 diabetes
  • What is the first step in the 4-step approach to evaluating patients with obesity?

    <p>Screening with BMI</p> Signup and view all the answers

    What is a metabolic disease that can be complicated by obesity?

    <p>Dislipidemia</p> Signup and view all the answers

    Which of the following is a mental health complication of obesity?

    <p>Clinical depression</p> Signup and view all the answers

    What is a cancer type that is related to obesity?

    <p>Many types of cancer</p> Signup and view all the answers

    What is a consequence of obesity on quality of life?

    <p>Low quality of life</p> Signup and view all the answers

    What is a physical health complication of obesity?

    <p>Body pain</p> Signup and view all the answers

    What is another term for non-alcoholic fatty liver disease?

    <p>Non-alcoholic atty liver</p> Signup and view all the answers

    Study Notes

    Definition and Classification of Malnutrition

    • Malnutrition: bad nourishment, not enough or too much food, wrong types of food, or inability to use nutrients properly
    • Classified into two types: undernutrition and overnutrition

    Undernutrition

    • Undernutrition: depletion of energy (calories) from insufficient food intake over time
    • Types:
      • Starvation: extreme undernutrition
      • Famine: severe food shortage in a community
      • Specific nutrient deficiency: e.g., vitamin A deficiency, iodine deficiency

    Nutritional Anemia

    • Definition: deficiency of hemoglobin concentration in blood below the healthy range according to sex and age
    • Prevalence:
      • Children: 11-12%
      • Adults: Men 14-18 gm/dl, Women 12-16 gm/dl, Pregnant women 11 gm/dl
    • Types:
      • Iron deficiency anemia
      • Vitamin B12 and folate deficiency anemia

    Iron Deficiency Anemia

    • Causes:
      • Dietary deficiency
      • Increased loss
      • Malabsorption
      • Increased expenditure
    • Factors influencing iron absorption:
      • Heme iron: efficiently absorbed from animal food sources (25%)
      • Nonheme iron: present in plant-based foods, absorbed with a mean of 17%
      • Enhancing factors: vitamin C, animal muscle tissue
      • Inhibiting factors: phytates, tannins, calcium, polyphenols, soybean proteins

    Calcium Deficiency

    • Risk factors:
      • Deficient dietary intake
      • Malabsorption, hypoparathyroidism, malabsorptive bowel disease
    • Manifestations:
      • Decreased bone mass and osteoporotic fracture in adults
      • Rickets in children
      • Increased risk of kidney stones and colon cancer

    Rickets

    • Definition: defective calcification of osteoid and epiphyseal cartilage of growing bones
    • Affects children between 6-24 months
    • Causes: deficiency of vitamin D and/or calcium
    • Manifestations:
      • Skeletal: enlarged metaphyseal ends of long bones, deformities, rachitic rosary, softening of skull bones
      • Non-skeletal: hypotonia, tetany, convulsions, chest infections

    Osteomalacia and Osteoporosis

    • Osteomalacia: bone disease of rarefaction and softening of bones due to calcium deficiency
    • Osteoporosis: bone mineral density of 2.5 standard deviation or more below the mean peak bone mass
    • Manifestations:
      • Osteomalacia: bone aches, tender bony prominences, uneven gait
      • Osteoporosis: fragility fractures, increased risk of osteopenia and osteoporosis

    Dietary Recommendations for Calcium

    • DRIs for calcium:
      • Children aged 1-3 years: 700 mg/d
      • Children aged 4-8 years: 1000 mg/d
      • Adolescents: 1300 mg/d
      • Younger adults: 1000 mg/d
      • Women over 51 years: 1200 mg/d
      • Men and women over 70 years: 1200 mg/d
    • Natural food sources: dairy foods, fortified foods (calcium-fortified soymilk, calcium-fortified orange juice)

    Prevention of Calcium Deficiency

    • Fortified foods: calcium-fortified soymilk, calcium-fortified orange juice
    • Plant-based milk alternative beverages: fortified soy milk, others not evaluated for calcium bioavailability

    Overnutrition

    • Definition: pathological state resulting from the consumption of excessive quantity of food over an extended period
    • Health hazards associated with overnutrition:
      • Excess energy intake: obesity
      • Excess sugar intake: dental caries, hypertriglyceridemia, diabetes
      • Excess fat and cholesterol intake: atherosclerosis, coronary heart diseases
      • Excess protein intake: gout, kidney diseases
      • Excess fat-soluble vitamins: toxicity, liver disease
      • Excess minerals (fluoride): dental fluorosis
      • Excess sodium intake: water retention, hypertension

    Obesity

    • Definition: disease with genetic, environmental, and behavioral determinants that confers increased morbidity and mortality
    • Aetiology:
      • Dietary factors: excess intake, reduced expenditure (sedentary life)
      • Non-dietary factors: genetic and hormonal defects, metabolic disorders, hypothalamus disorder
    • Complications:
      • Metabolic diseases (dislipidemia, prediabetes, type 2 diabetes, metabolic syndrome)
      • Osteoarthritis
      • Sleep apnea and breathing problems
      • Many types of cancer
      • Low quality of life
      • Mental illness (clinical depression, anxiety)
      • Body pain and difficulty with physical functioning

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    Description

    This quiz covers the definition and classification of malnutrition, its causes, and strategies for prevention and treatment. It's a crucial part of the nutrition course, focusing on the importance of proper nourishment for maintaining health.

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