Vitamins and Minerals Part 1 - 3rd Grade
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Questions and Answers

What does the term 'hidden hunger' refer to?

  • A lack of macronutrients in the diet
  • Micronutrient deficiencies with non-obvious health impacts (correct)
  • Visible physical symptoms of malnutrition
  • An excessive intake of vitamins and minerals
  • Which of the following is a primary source of pre-formed vitamin A?

  • Butter
  • Eggs (correct)
  • Carrots
  • Spinach
  • What is the absorption efficiency of pre-formed vitamin A?

  • 90% (correct)
  • 100%
  • 50%
  • 70%
  • Which of the following indicates a symptom of vitamin A deficiency?

    <p>Night blindness</p> Signup and view all the answers

    What method can effectively prevent vitamin D deficiency?

    <p>Increasing dairy product intake</p> Signup and view all the answers

    Which micronutrient is NOT associated with hidden hunger?

    <p>Vitamin B12</p> Signup and view all the answers

    Which food source is rich in carotenoids?

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

    What health impact has hidden hunger been associated with?

    <p>Reduced immune function</p> Signup and view all the answers

    What is one of the essential functions of retinol and retinoic acid?

    <p>Function as steroid hormones.</p> Signup and view all the answers

    Which of the following is a risk factor for vitamin A deficiency?

    <p>Low vitamin A diet.</p> Signup and view all the answers

    What is the recommended dietary allowance (RDA) of vitamin A for adult men?

    <p>900 micrograms per day.</p> Signup and view all the answers

    What percentage of preschool children are estimated to be vitamin A deficient, according to WHO statistics?

    <p>250 million.</p> Signup and view all the answers

    Which condition is considered a leading cause of preventable blindness in children?

    <p>Vitamin A deficiency.</p> Signup and view all the answers

    What is a common effect of carotenoids in the diet?

    <p>Act as antioxidants.</p> Signup and view all the answers

    For lactating women aged 14-18 years, what is the RDA of vitamin A?

    <p>1200 micrograms per day.</p> Signup and view all the answers

    What is defined as vitamin A deficiency (VAD) according to WHO?

    <p>Tissue concentration of vitamin A low enough to have adverse health consequences.</p> Signup and view all the answers

    What is the first symptom of vitamin A deficiency in infants?

    <p>Night blindness</p> Signup and view all the answers

    Which of the following is a serious consequence of untreated vitamin A deficiency?

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

    Which condition is characterized by dry and thickened corneal tissue due to vitamin A deficiency?

    <p>Conjunctival xerosis</p> Signup and view all the answers

    What dietary factors increase the risk of vitamin A deficiency in infants?

    <p>Insufficient vitamin A intake</p> Signup and view all the answers

    What is a diagnostic feature of Bitot’s spots in vitamin A deficiency?

    <p>Foamy yellowish spots on conjunctiva</p> Signup and view all the answers

    What health issue significantly increases the risk of vitamin A deficiency?

    <p>Chronic alcohol consumption</p> Signup and view all the answers

    Which of the following is NOT considered an ocular manifestation of vitamin A deficiency?

    <p>Follicular hyperkeratosis</p> Signup and view all the answers

    What is the significant risk posed by keratomalacia?

    <p>Permanent vision loss</p> Signup and view all the answers

    What is a leading cause of preventable blindness in children?

    <p>Vitamin A deficiency</p> Signup and view all the answers

    What serum retinol level indicates severe vitamin A deficiency in preschool children?

    <p>≥ 20%</p> Signup and view all the answers

    How often should serum 25-OH vitamin D levels be checked during supplementation therapy?

    <p>After two to three months</p> Signup and view all the answers

    Which group requires special consideration regarding vitamin D supplementation?

    <p>Obese children and adults</p> Signup and view all the answers

    What is one indicator of moderate vitamin A deficiency severity in pregnant women according to the criteria?

    <p>≥ 2% to &gt;10% serum retinol</p> Signup and view all the answers

    What outcome is associated with low immunity due to vitamin A deficiency?

    <p>Increased vulnerability to infections</p> Signup and view all the answers

    What is the function of vitamin D within the body?

    <p>Functions like a hormone</p> Signup and view all the answers

    What is the recommended breast milk retinol level indicating deficiency?

    <p>30ng/ml</p> Signup and view all the answers

    Study Notes

    Vitamins and Minerals Part 1

    • Topic: Vitamins and minerals, specifically focusing on Vitamin A and Vitamin D deficiencies.
    • Grade Level: Third Grade
    • Module: Nutrition, Water & Electrolytes Imbalance Module (NT)
    • Speaker: Ola Hussein Jasim
    • Date: 30-9-2024
    • Learning Objectives:
      • Define hidden hunger.
      • Identify signs and symptoms of Vitamin A deficiency.
      • Outline methods for preventing and controlling Vitamin A deficiency.
      • Identify causes of Vitamin D deficiency.
      • Outline methods for preventing and controlling Vitamin D deficiency.

    Hidden Hunger

    • Definition: Hidden hunger describes vitamin and mineral deficiencies. Impacts on health may not be immediately obvious.
    • Associated Conditions: Micronutrient malnutrition can lead to metabolic disorders, reduced immune, endocrine, and cognitive function, delayed or inadequate physical development, and possibly be an underlying cause of chronic diseases.
    • WHO's Role: The term "hidden hunger" was coined by the WHO in 1986. It pertains to issues related to deficiencies in three essential micronutrients: iron, vitamin A, iodine, and vitamin D.

    Vitamin A

    • Forms: Vitamin A exists in two forms:

      • Retinoids (pre-formed): Found in animal products like eggs, fatty fish, dairy, and organ meats (e.g., liver). High retinol content is found in fish liver oil. These are readily absorbed by the body.
      • Carotenoids (pro-vitamin A): Found in plant-based foods like carrots, mangoes, apricots, and leafy greens. The body converts these into vitamin A, but the efficiency of absorption varies with the food source and the accompanying meal.
    • Functions:

      • Essential for vision, particularly crucial for adapting to dark environments.
      • Maintains integrity and function of glandular and epithelial tissues (e.g., intestinal, respiratory, urinary tracts, skin, eyes).
      • Required for growth (skeletal) and reproduction.
      • Retinol and retinoic acid function like steroid hormones.
      • Supporting a proper immune system.
      • Carotenoids work as antioxidants and can potentially lower cancer risk.
    • Deficiency (VAD):

      • Definition: WHO defines Vitamin A deficiency (VAD) as a tissue concentration of vitamin A that can lead to adverse health consequences, even when no clinical symptoms of xerophthalmia are apparent.
      • Epidemiology: VAD is a significant public health problem. Globally, approximately 250 million preschool children are vitamin A deficient. About 250,000-500,000 children lose their sight due to VAD annually, with half dying within 12 months.
      • Ocular Signs/Symptoms: Ocular symptoms (xerophthalmia) are common and lead to preventable blindness. These can include night blindness, conjunctival xerosis (dry conjunctiva), bitot spots (whitish/foamy spots on the conjunctiva), and corneal xerosis/keratomalacia (dry/softening of cornea).
      • Other Signs/Symptoms: Follicular hyperkeratosis, loss of appetite and weight loss, increased risk of anemia, and fatigue can also be associated with Vitamin A deficiency.
    • Recommended Dietary Allowances (RDAs): Specific amounts vary based on the individual's age and gender and the nutritional status of the individual.

    Vitamin D

    • Forms: Vitamin D exists in two forms, primarily D2 and D3. The natural form in animals and humans is vitamin D3, produced in the skin when exposed to sunlight, which converts a precursor to a usable form. Vitamin D2 is a plant-based source, with lower efficiency.

    • Sources:

      • Synthesis: Primarily from sunlight exposure (UVB radiation). There is minimal dietary sources of Vitamin D3. These include fatty fish, cod liver oil, and foods fortified with vitamin D (e.g., milk, cereals)
    • Functions:

      • Supports bone health by enabling calcium absorption.
      • Promotes muscle health.
      • Impacts the immune system.
      • Aids cell growth.
      • Reduces inflammation, and supports cardiovascular health.
    • Deficiency:

      • Risk Factors: Lack of sunlight exposure, air pollution, latitude (northern latitudes lack sufficient sunlight in winter), dark skin (melanin can block UV light), use of sunscreens, certain medical conditions, certain medications
      • Symptoms: In children, severe vitamin D deficiency can lead to rickets (bowed bones, muscle weakness, bone pain, deformities), and in adults, fatigue, musculoskeletal pain, and increased risk of osteoporosis and osteomalacia may arise.
    • Recommended Dietary Allowances (RDAs): The recommended daily amounts of Vitamin D vary with age group.

    • Prevention and Control (Vitamins A and D):

      • Short-term: Large doses of vitamins administered in a national supplementation program.
      • Medium-term: Fortifying foods like butter and milk.
      • Long-term: Improving dietary habits to have a richer intake of vitamin A and D.
      • Infectious disease control: Prevention or early treatment of conditions that decrease vitamin absorption.

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    Description

    This quiz explores the essential vitamins and minerals, focusing on Vitamin A and D deficiencies specifically for third-grade students. Learn about hidden hunger, its health impacts, and the methods to prevent and control deficiencies. Test your knowledge on the signs, symptoms, and associated conditions of micronutrient malnutrition.

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