Nutritional Deficiency Quiz
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Questions and Answers

What is the source of energy needed for all human processes?

Nutrient

What are the four main components of food that contain nutrients?

  • Carbohydrates, fats, proteins, water
  • Fats, sugars, water, fiber
  • Vitamins, minerals, protein, carbohydrates
  • Vitamins, minerals, protein, carbohydrates & fats (correct)
  • What are the two categories of nutrients?

  • Complex and simple
  • Macro and micro (correct)
  • Essential and non-essential
  • Organic and inorganic
  • A balanced diet is important for good health.

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

    What is nutritional inadequacy?

    <p>An intake of nutrients lower than the estimated average requirements</p> Signup and view all the answers

    What is nutritional deficiency?

    <p>Several reduced levels of one or more nutrients, making the body unable to perform its functions normally</p> Signup and view all the answers

    What are some examples of diseases that nutritional deficiency can lead to?

    <p>Cancer, diabetes, and heart disease</p> Signup and view all the answers

    Which of the following are environmental factors that can contribute to malnutrition?

    <p>Food scarcity, impaired digestion, and swallowing inability</p> Signup and view all the answers

    What are some examples of nutritional biomarkers?

    <p>Serum or plasma levels of Folate, Vitamin C, Vitamin B, Vitamin D, Selenium, copper, and zinc</p> Signup and view all the answers

    What are some examples of conditions that can be caused by macronutrient deficiency?

    <p>Kwashiorkor, Marasmus, and ketosis</p> Signup and view all the answers

    Preventing micronutrient deficiency is crucial and can be achieved through food-based approaches and supplementation.

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

    What is the focus of UNICEF's nutrition strategies 2020-2030?

    <p>Improving maternal and child nutrition</p> Signup and view all the answers

    The 2020 conceptual framework for maternal and child nutrition builds on UNICEF's 1990 conceptual work.

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

    What are the three burdens of malnutrition that UNICEF's framework addresses?

    <p>Undernutrition, micronutrient deficiency, and overweight</p> Signup and view all the answers

    UNICEF Nepal reported that 32% of children under 5 years of age are stunted.

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

    12% of children under 5 years of age in Nepal are wasted.

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

    Only 40% of children aged 6 to 23 months in Nepal receive diversified diets.

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

    53% of children under 5 years of age and 69% of children aged 6 to 23 months in Nepal suffer from anemia.

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

    44% of adolescent girls, 46% of pregnant women, and 41% of women of reproductive age in Nepal suffer from anemia.

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

    A typical diet in Nepal is high in protein and other micronutrients.

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

    Which of the following are commonly found in foods with carbohydrates?

    <p>Cereals, grains, legumes, fruits, vegetables</p> Signup and view all the answers

    Carbohydrate deficiency occurs when the body does not receive enough carbohydrates to meet its requirements.

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

    What is the name of the condition that occurs when the carbohydrates are insufficient to meet the body's requirements?

    <p>Carbohydrate deficiency diseases</p> Signup and view all the answers

    What is hypoglycemia?

    <p>Low blood sugar level</p> Signup and view all the answers

    Carbohydrates are essential for brain function.

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

    Which of the following is NOT a common symptom of carbohydrate deficiency?

    <p>Increased appetite</p> Signup and view all the answers

    Fiber is essential for digestive health.

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

    Excessive carbohydrate restriction can lead to unhealthy and unintended weight loss.

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

    What is the recommended daily calorie intake from carbohydrates?

    <p>55% to 65%</p> Signup and view all the answers

    The body converts all carbohydrates into glucose.

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

    What is the name of the condition when the body does not have enough carbohydrates to produce energy?

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

    Mild ketosis can cause nausea, headache, and smelly breath.

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

    The recommended daily intake of carbohydrates is 130 grams.

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

    Simple carbohydrates are quickly utilized by the body for energy.

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

    Complex carbohydrates are digested more slowly than simple carbohydrates.

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

    Foods with a high glycemic index cause a rapid rise in blood sugar.

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

    Foods with a low glycemic index are digested more slowly, causing a gradual rise in blood sugar.

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

    Eating too much hypoglycemic food can increase the risk of type 2 diabetes.

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

    A low glycemic index diet may help control type 2 diabetes and improve weight loss.

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

    Refined grains have a higher glycemic index than whole grains.

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

    Finely ground grains are digested more slowly than coarsely ground grains.

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

    Ripe fruits and vegetables have a lower glycemic index than unripe fruits.

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

    Foods with higher fat or acid content are converted more slowly into sugar.

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

    A glycemic load of 20 or more is considered low, 11 to 19 is medium, and 10 or under is high.

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

    A low glycemic load diet is associated with a lower risk of type 2 diabetes.

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

    Which of the following is NOT a food source with a low glycemic load?

    <p>White rice</p> Signup and view all the answers

    Which of the following is NOT a food source with a medium glycemic load?

    <p>French fries</p> Signup and view all the answers

    Hypoproteinemia means someone is not getting enough protein to meet their body's needs or requirements.

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

    Protein deficiency is a serious concern in our country, especially in children.

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

    Protein deficiency can lead to malnutrition.

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

    What are two examples of malnutrition conditions caused by protein deficiency?

    <p>Kwashiorkor and Marasmus</p> Signup and view all the answers

    Protein-energy malnutrition (PEM) is a term used to describe clinical disorders resulting from varying degrees of protein and energy deficiency.

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

    Which of the following is NOT a condition that can contribute to protein deficiency?

    <p>Excessive protein intake</p> Signup and view all the answers

    Very low protein intake can lead to weak muscle tone, edema, thin brittle hair, skin lesions, and in adults loss of muscle mass.

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

    Which of the following is NOT a symptom of protein deficiency in children?

    <p>Increased appetite</p> Signup and view all the answers

    More than 90% of children affected by Kwashiorkor had diets deficient in protein when it was first described in 1935.

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

    The name Kwashiorkor comes from the language in Ghana and means "rejected one."

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

    Kwashiorkor is characterized by swelling in the feet and abdomen, poor skin health, growth retardation, low muscle mass, and liver malfunction.

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

    Protein is essential for fluid balance in the body.

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

    A diet extremely low in protein does not provide enough amino acids for albumin.

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

    The primary symptoms of Kwashiorkor include only swelling.

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

    Kwashiorkor is caused by severe dietary protein deficiency.

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

    Which of the following is NOT a cause of Kwashiorkor?

    <p>Excessive protein intake</p> Signup and view all the answers

    What is Marasmus?

    <p>A severe form of protein energy malnutrition that results when a person doesn't consume enough protein and calories.</p> Signup and view all the answers

    Marasmus causes visible wasting of fat and muscles under the skin.

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

    Marasmus primarily affects children, especially infants.

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

    Marasmus can affect adults who live alone and find it difficult to prepare food and care for themselves.

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

    Marasmus can affect older adults who have not eaten healthfully over some months or years.

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

    When the body is deprived of energy from food, it begins to feed on its tissue, first adipose tissues, body fat, and then muscles.

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

    Marasmus can lead to cardiac activities slowing down, causing low heart rate, low blood pressure, and low body temperature.

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

    Marasmus can lead to heart failure.

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

    Marasmus can compromise the immune system, making it more vulnerable to infection and illness.

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

    Children with chronic Marasmus will not have the physical resources to grow and develop as they should.

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

    Children with chronic Marasmus may be stunted in size and have developmental delays or intellectual disabilities.

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

    These effects can be lasting even in children who receive treatment.

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

    Parts of the digestive system also begin to weaken from the lack of use due to Marasmus.

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

    The main causes of malnutrition include poverty and food scarcity, wasting diseases such as AIDS, infections that cause chronic diarrhea, and anorexia.

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

    Which of the following is NOT a cause of malnutrition in children?

    <p>Exposure to sunlight</p> Signup and view all the answers

    Which of the following is NOT a cause of malnutrition in elders?

    <p>Lack of exercise</p> Signup and view all the answers

    A visible wasting of fat and muscle is a sign of Marasmus.

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

    Prominent skeleton is a sign of Marasmus.

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

    Dry loose skin is a sign of Marasmus.

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

    Dry brittle hair or hair loss is a sign of Marasmus.

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

    Lethargy and weakness are signs of Marasmus.

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

    A weight loss of more than 40% is a sign of Marasmus.

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

    A BMI (body mass index) below 16% is a sign of Marasmus.

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

    Which of the following is NOT a complication of Marasmus?

    <p>High blood pressure</p> Signup and view all the answers

    A slow heart rate is a complication of Marasmus.

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

    Low body temperature is a complication of Marasmus.

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

    Gastrointestinal malabsorption is a complication of Marasmus.

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

    Stunted growth is a complication of Marasmus.

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

    Developmental delays are a complication of Marasmus.

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

    Marasmic Kwashiorkor is the third form of protein energy malnutrition.

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

    A child suffering from Marasmic Kwashiorkor weighs less than 60% of the expected weight for his age and has edema.

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

    Features of both Marasmus and Kwashiorkor are present in different degrees of severity in Marasmic Kwashiorkor.

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

    Children weighing less than 60% despite having edema are in great danger of dying from various complications.

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

    Children with Marasmic Kwashiorkor need urgent attention and treatment.

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

    People in treatment for Marasmus are at risk of refeeding syndrome, a life-threatening complication that can result when the undernourished body tries to reboot too fast.

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

    Study Notes

    Nutritional Deficiency

    • Nutrients are the source of energy for bodily processes. A balanced diet includes vitamins, minerals, proteins, carbohydrates, and fats.
    • Nutritional inadequacy is when nutrient intake is lower than the recommended amounts. Nutritional deficiency is when a person has reduced levels of one or more nutrients, affecting bodily function and increasing risk of various diseases like cancer, diabetes, and heart disease.
    • Malnutrition can be caused by environmental factors (food scarcity), diseases (impaired digestion, swallowing issues, chronic conditions), and persistent vomiting.
    • Biomarkers (serum/plasma levels of nutrients like folate, Vitamin C, B, D Selenium, copper, and zinc) can evaluate nutrient intake.
    • Macro-nutrient deficiencies can cause conditions like kwashiorkor, marasmus, and ketosis and affect growth, wound healing, and increase infection susceptibility. Micro-nutrient deficiencies (e.g., Iron, Folate, zinc, iodine, and vitamins) impact growth, prenatal and intellectual function, and contribute to increased morbidity and mortality.
    • Preventing malnutrition involves food-based approaches and supplementation.

    Preventing Macro and Micro Nutrient Deficiency

    • UNICEF nutrition strategies (2020-2030) emphasize the determinants of maternal and child nutrition, including adequate diet for both.
    • A 2019 UNICEF Nepal report highlighted that 32% of children under 5 are stunted, 12% wasted, and only 40% of children aged 6 to 23 months receive varied diets, with 30% getting a minimum acceptable diet, and 53% of children under 5 and 69% aged 6-23 with anemia.
    • 44% of adolescent girls, 46% of pregnant women, and 41% of reproductive-aged women in Nepal suffer from anemia.

    Carbohydrate Deficiency

    • Carbohydrates are a crucial macronutrient for energy and bodily function. They are found in cereals, grains, legumes, fruits, and vegetables.
    • Carbohydrate deficiency can lead to hypoglycemia, fatigue, weakness, headaches, brain fog, and possible seizures or paralysis, due to insufficient glucose supply to the brain.

    Fat Deficiency

    • Essential fatty acids (EFAs) are essential for bodily functions.
    • Fat deficiency can result in scaly/dry skin, hormonal imbalances, difficulty losing weight, constant cold, and increased hunger. It also negatively impacts mental health.

    Protein Deficiency

    • Protein deficiency (hypoproteinemia) negatively impacts the body's needs and requirements.
    • Conditions like anorexia nervosa, certain genetic conditions, digestive problems (IBS, gastric bypass), and cancer can cause protein deficiency.
    • Symptoms include weak muscle tone, edema, swallowing problems, thin/brittle hair, skin lesions, and loss of muscle mass in adults. Specific conditions like kwashiorkor, which was observed to be very common in children with diets lacking enough protein.

    Other Nutrient Deficiencies

    • Vitamin A deficiency can cause night blindness, skin problems (dry/rough skin), growth retardation, maternal and infant mortality, and impairments in reproductive health/bone development/cognitive functions.
    • Vitamin D deficiency can lead to rickets (bone deformation), osteomalacia (softening of bones), and potential tetany.
    • Iron deficiency often results in anemia, impacting oxygen transport, and can cause weakness, fatigue, and decreased mental/physical development, particularly in growing children.
    • Iodine deficiency results in goiter.
    • Zinc deficiency causes decreased appetite, loss of taste, mental lethargy, and delayed wound healing; it can affect growth and development as well.
    • Pellagra (3Ds: Dermatitis, diarrhea, and dementia) is caused by niacin deficiency.
    • Folate deficiency can manifest as megaloblastic anemia, tropical sprue-like symptoms, and neurological disorders.

    Preventing and Treating Nutritional Deficiencies

    • Implementing balanced diets, including portions of various healthy foods; avoiding trans fats; taking supplements (as directed); and consulting medical professionals to monitor health status are essential.
    • Education is crucial, including providing knowledge about balanced diets , hygiene, and proper food safety, especially to mothers and caregivers. Providing access to proper support, resources, and medical attention is critical for individuals who are undernourished.

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    Test your knowledge on nutritional deficiencies, their causes, and impacts on health. This quiz covers essential nutrients, the effects of malnutrition, and how biomarkers are used to assess nutrient intake. Learn about macro and micro-nutrient deficiencies and their consequences.

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