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Questions and Answers
What is the primary dietary factor contributing to simple obesity?
What is the primary dietary factor contributing to simple obesity?
What is a non-dietary factor that can contribute to obesity?
What is a non-dietary factor that can contribute to obesity?
Which of the following is a complication of obesity?
Which of the following is a complication of obesity?
What is the first step in the 4-step approach to evaluating patients with obesity?
What is the first step in the 4-step approach to evaluating patients with obesity?
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What is a metabolic disease that can be complicated by obesity?
What is a metabolic disease that can be complicated by obesity?
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Which of the following is a mental health complication of obesity?
Which of the following is a mental health complication of obesity?
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What is a cancer type that is related to obesity?
What is a cancer type that is related to obesity?
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What is a consequence of obesity on quality of life?
What is a consequence of obesity on quality of life?
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What is a physical health complication of obesity?
What is a physical health complication of obesity?
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What is another term for non-alcoholic fatty liver disease?
What is another term for non-alcoholic fatty liver disease?
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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.