introduction dpg
play

Introduction DPG Clinical/Dietary Assessment and Nutritional - PowerPoint PPT Presentation

Mar 10, 2024 •193 likes •427 views

Introduction DPG Clinical/Dietary Assessment and Nutritional Requirements for health and disease Rosan Meyer (RD, PhD) And Luise Marino, Hinke Kruizenga, Nicolette Wierdsma 2020 Conflict of In Interest Academic lectures for:

  1. Introduction DPG Clinical/Dietary Assessment and Nutritional Requirements for health and disease Rosan Meyer (RD, PhD) And Luise Marino, Hinke Kruizenga, Nicolette Wierdsma 2020

  2. Conflict of In Interest • Academic lectures for: • Danone/Nutricia • Mead Johnson • Nestle • Research grant holder: Danone/Nutricia • Board member: CoMISS Nestle

  3. Who are we?

  4. Who are we?

  5. How does the Pocket Guide work? • Guides nutritional management using the following principles: A – Anthropometry : when and how to perform measurements and how to interpret these. Covers also advanced anthropometrical measurements including DEXA, BodPod. B – Biochemistry: nutritional blood markers with normative values C – Clinical assessment: how to assess a child clinically D – Dietary intake assessment: different techniques are covered D – Dietary requirements: Macro and micronutrients are covered in general and one chapter focuses on requirements for specific diseases E – Evaluation: GI digestion, absorption and losses are described including drug nutrient interactions. Nutritional outcome markers are also provided

  6. Interpretation of Growth Parameters

  8. Biochemical Assessment • Low albumin • Low phosphate • Low potassium • Normal magnesium • Protocol followed for tight glucose control • ? Risk of refeeding syndrome ■ Weight-for-height < 3 SD, MUAC < 11.5 cm (6-59 months) with/without any sign of bilateral oedema and/or visibly wasting. ■ Very low weight or increased rates of weight loss (recent loss of weight of 1 kg or more/wk for 2 consecutive weeks or loss of weight of 500-999 g/wk for 2 consecutive weeks. ■ Minimal or no feeding prior to admission, or before commencing re- feeding,defined as acute food refusal or estimated energy intake 400-600 kcal/d or severe restriction (less than 50 % of required intake).

  9. Clinical Assessment – Essential part of Nutritional Assessment

  10. Diet History also Important in Critically Ill Children

  11. Differences in Requirements in Children Disease: Unwell child on ward and poor growth Health Activity Disease: PICU Thermic Effect of Food Activity Growth Thermic Effect of Food Activity Growth Growth d REE REE REE In acute disease conditions TEE is not increased because of the reduction in PAL – SACN 2011

  12. Calculations • Website: http://www.dieteticpocketguide.com/

  14. Interpretation of Growth Parameters

  16. Assessing Feeding Difficulties

  17. Pediatr Allergy Immunol. 2018;29:689 – 704.

  18. Differences in Requirements in Children Disease: Unwell child + poor height growth Health Activity Disease: PICU Thermic Effect of Food Activity Growth Thermic Effect of Food Activity Growth Growth d REE REE REE In acute disease conditions TEE is not increased because of the reduction in PAL – SACN 2011

  19. Requirements for Health and Disease • EAR/DRV developed for groups and not individuals • “It is important to note that DRVs should be used to assess the energy requirements for large groups of people and populations, but should not be applied to individuals due to the large variation in physical activity and energy expenditure observed between people. “ • EAR/DRV does not account for impact of disease: • “Standard reference tables or equations for estimating BMR (from weight, height and age) were established for use in healthy subjects without malnutrition and disease, and without dehydration and oedema, all of which can have substantial effects on body weight .” • EAR/DRV does not account weight loss • Important to use requirements that are evidence based SACN. Dietary Reference Values for Energy Scientific Opinion on Dietary Reference Values for energy. EFSA Journal 2011; ISBN: 9780108511370. 2013;11(1):3005. [112 pp.] doi:10.2903/j.efsa.2013.3005. Available online

  20. Establishing Requirements

  21. Requirements for Vitamins and Minerals for Catch-up Growth Type I Nutrients: Type II Nutrients: Growth nutrients Biochemical functions Deficiencies of these nutrients Deficiencies- less healthy and - Energy (fat/carbohydrates) Susceptible to stress and - AA Infections - Water -Vitamins and mineral - Sodium Trace Elements - Chloride Not malnourished with - Zinc Just type 1 nutrient Will lead to malnutrition: deficiency Wasting and stunting Golden MH. Food and Nutrition Bulletin, vol. 30, no. 3 2009

  22. Conclusion • Nutritional assessment includes • Anthropometrics • Biochemistry • Clinical assessment • Dietary assessment • A complete nutritional assessment informs nutritional requirements • Important to understand differences in requirements between health and disease • Use evidence based requirements

Download Presentation
Download Policy: The content available on the website is offered to you 'AS IS' for your personal information and use only. It cannot be commercialized, licensed, or distributed on other websites without prior consent from the author. To download a presentation, simply click this link. If you encounter any difficulties during the download process, it's possible that the publisher has removed the file from their server.

Recommend

INTRODUCTION INTRODUCTION INTRODUCTION INTRODUCTION INTRODUCTION INTRODUCTION INTRODUCTION

INTRODUCTION INTRODUCTION INTRODUCTION INTRODUCTION INTRODUCTION INTRODUCTION INTRODUCTION

TRAINING COURSE ON SOCIAL PROTECTION &amp; FORMALIZATION TRINIDAD AND TOBAGO MARCH 15, 2017 INTRODUCTION INTRODUCTION INTRODUCTION INTRODUCTION INTRODUCTION INTRODUCTION INTRODUCTION INTRODUCTION Design of the NIS Assistance from the

547 views • 23 slides
INTRODUCTION Introduction 2/42 INTRODUCTION Alternations I am giving bread to the

INTRODUCTION Introduction 2/42 INTRODUCTION Alternations I am giving bread to the

Patterns of variation in the expression of case and agreement Andrs Brny Leiden University Centre for Linguistics 9 November 2019, BaSIS Workshop a.barany@hum.leidenuniv.nl INTRODUCTION Introduction 2/42 INTRODUCTION

1.37k views • 42 slides
Introduction Introduction Introduction Introduction Outline Motivation Failures

Introduction Introduction Introduction Introduction Outline Motivation Failures

Introduction Introduction Introduction Introduction Outline Motivation Failures Definition and concepts Process and product properties Principles SE Approaches Motivation Software and the economy The economies of

1.03k views • 49 slides
Introduction Introduction Introduction Nationwide Cause for Concern 1

Introduction Introduction Introduction Nationwide Cause for Concern 1

Introduction Introduction Introduction Nationwide Cause for Concern 1 https://www.cdc.gov/std/stats17/infographic.htm Introduction Epidemiology in Western Colorado CPHE Surveillance Data Report, May 2018 Chlamydia Epidemiology in Western

977 views • 39 slides
DAQ introduction Purpose of this talk : (1) Introduction for those who have not been in every

DAQ introduction Purpose of this talk : (1) Introduction for those who have not been in every

DAQ introduction Purpose of this talk : (1) Introduction for those who have not been in every meeting (2) Some ideas of diagrams for section 7.1 (Introduction) of TP. Giles Barr 25 Jan 2018, Pembroke College On DUNE, the reality is there is a

474 views • 10 slides
INTRODUCTION cf. Schneider, Chapter 1 INTRODUCTION THEY ARE OUT TO GET YOU INTRODUCTION WHAT

INTRODUCTION cf. Schneider, Chapter 1 INTRODUCTION THEY ARE OUT TO GET YOU INTRODUCTION WHAT

ADVANCED COMPUTER SECURITY INTRODUCTION cf. Schneider, Chapter 1 INTRODUCTION THEY ARE OUT TO GET YOU INTRODUCTION WHAT IS SECURITY? A systems security policies describe What the system is supposed to do Store and provide access

479 views • 16 slides
Overview Introduction to SMIL Introduction to W3C and XML Introduction to SMIL

Overview Introduction to SMIL Introduction to W3C and XML Introduction to SMIL

Overview Introduction to SMIL Introduction to W3C and XML Introduction to SMIL Writing a SMIL file Adding Media Objects Martin Halvey Clipping media files January 2008 Timing and Synchronising Layout World Wide

387 views • 14 slides
14 Introduction Introduction Bad guys can put malware into Example: hosts

14 Introduction Introduction Bad guys can put malware into Example: hosts

Introduction Introduction source Encapsulation ISO/OSI reference model message M application segment H t H t M transport network datagram H n H n H t M presentation: allow applications to frame link H l H n H t M interpret

582 views • 4 slides
Previous Lecture Introduction to SMIL 2 Introduction to W3C and XML Introduction to SMIL

Previous Lecture Introduction to SMIL 2 Introduction to W3C and XML Introduction to SMIL

Previous Lecture Introduction to SMIL 2 Introduction to W3C and XML Introduction to SMIL Writing a SMIL file Adding Media Objects Martin Halvey Clipping media files January 2008 Timing and Synchronising Layout

322 views • 8 slides
Lecture 1 Andreas Habegger Introduction Zynq Introduction Zynq Introduction Zynq PS vs. PL

Lecture 1 Andreas Habegger Introduction Zynq Introduction Zynq Introduction Zynq PS vs. PL

Introduction Zynq Lecture 1 Andreas Habegger Introduction Zynq Introduction Zynq Introduction Zynq PS vs. PL Processing System Processor Peripherals Data Buses AXI Bus Conclusion BTE5380 - Embedded Systems Octobre 2014 Andreas Habegger

1.81k views • 30 slides
2018.06 01 SMILE5 Introduction S E 5 02 Alpha Cloud M I L 03 Company Introduction 04

2018.06 01 SMILE5 Introduction S E 5 02 Alpha Cloud M I L 03 Company Introduction 04

2018.06 01 SMILE5 Introduction S E 5 02 Alpha Cloud M I L 03 Company Introduction 04 Project References S E 5 PART.1 SMILE5 Introduction M I L Introduction STORION-SMILE5 Residential Energy Storage System Inverter 5kW Output Input

1.06k views • 25 slides
Introduction to CICS Course introduction Course introduction What is CICS? What is an

Introduction to CICS Course introduction Course introduction What is CICS? What is an

Introduction to CICS Course introduction Course introduction What is CICS? What is an application server? Why use an application server? Course introduction Services provided by CICS How CICS applications are defined Scaling CICS to meet

1.84k views • 146 slides
Network Visualization Introduction Presented by Shahed Introduction Introduction Basic

Network Visualization Introduction Presented by Shahed Introduction Introduction Basic

Network Visualization Introduction Presented by Shahed Introduction Introduction Basic building blocks Node Links (relationship between nodes) Spatial information Network data

584 views • 9 slides
Introduction Introduction (1) Main argument of the paper: universities are not only

Introduction Introduction (1) Main argument of the paper: universities are not only

Le jugement des pairs comme outil de management des universits Peer-review as a management tool Christine Musselin (CSO, Sciences Po et CNRS) Avril 2013, Lirrsistible ascension du capitalisme acadmique Introduction Introduction (1)

590 views • 28 slides
Introduction Introduction to storage and to storage and filesystems filesystems Introduction

Introduction Introduction to storage and to storage and filesystems filesystems Introduction

Moreno Baricevic Gilberto Daz Axel Kohlmeyer Stefano Cozzini ULA ICTP CNR-IOM DEMOCRITOS Merida, VENEZUELA Trieste, ITALY Trieste, ITALY Introduction Introduction to storage and to storage and filesystems filesystems Introduction

1.19k views • 51 slides
JABLOTRON JA-100 introduction November 2011 Introduction Todays goals First introduction of

JABLOTRON JA-100 introduction November 2011 Introduction Todays goals First introduction of

JABLOTRON JA-100 introduction November 2011 Introduction Todays goals First introduction of the brand new JA-100 alarm system Visions Basic architecture System components Setting Help us with final validations You are the FIRST ones

1.69k views • 111 slides
Introduction 1 st Malaysian Adult Nutrition Survey (MANS) was carried out in 2003. It was

Introduction 1 st Malaysian Adult Nutrition Survey (MANS) was carried out in 2003. It was

Key Findings of the Recent Malaysian Adult Nutrition Survey (MANS) 2014 Presenter : Mohamad Hasnan Bin Ahmad Nutritionist Institute For Public Health Ministry of Health 50590 Jalan Bangsar, Kuala Lumpur 1 Introduction 1 st

815 views • 33 slides
6/8/2008

6/8/2008

6/8/2008

309 views • 7 slides
Is Wales Weaned onto a Winning Diet Judith John - Food for the Future Judith John 25 02 2016 Is

Is Wales Weaned onto a Winning Diet Judith John - Food for the Future Judith John 25 02 2016 Is

25 February 2016 Is Wales Weaned onto a Winning Diet Judith John - Food for the Future Judith John 25 02 2016 Is Wales weaned onto a winning diet ? Overview Links between diet and disease risk Healthy lifestyle behaviours Obesity

619 views • 22 slides
The effect of dietary and lifestyle advice for pregnant women who are overweight or obese on

The effect of dietary and lifestyle advice for pregnant women who are overweight or obese on

For non-commercial use only The effect of dietary and lifestyle advice for pregnant women who are overweight or obese on maternal diet and physical activity: The LIMIT randomised trial. Professor Jodie Dodd Obesity in Pregnancy 35% of

875 views • 49 slides
All About Reducing Salt Camie Kuo, RN, S-FNP Wesley Health Center Phoenix, AZ Introduction

All About Reducing Salt Camie Kuo, RN, S-FNP Wesley Health Center Phoenix, AZ Introduction

All About Reducing Salt Camie Kuo, RN, S-FNP Wesley Health Center Phoenix, AZ Introduction &amp; Background US Food &amp; Drug Administration 1 recommends: &lt;2300mg of daily sodium consumption (general population) &lt;1500mg (at

467 views • 10 slides
Combining nutritional data from two surveys to augment dietary intake estimates Authors M.Crowe,

Combining nutritional data from two surveys to augment dietary intake estimates Authors M.Crowe,

Combining nutritional data from two surveys to augment dietary intake estimates Authors M.Crowe, M.OSullivan,O.Cassetti , A.OSullivan Picture credits: Luka Funduk; Jacek Chabraszewski; William Perugini/Shutterstock Introduction 1.

556 views • 34 slides
Economic Evaluation of Multisectoral Actions for Health and Nutrition Carol Levin, PhD

Economic Evaluation of Multisectoral Actions for Health and Nutrition Carol Levin, PhD

A global research network in agriculture and food systems for improved nutrition and health www.ANH-Academy.org Economic Evaluation of Multisectoral Actions for Health and Nutrition Carol Levin, PhD University of Washington ICAE, July 30

425 views • 26 slides
AND RISK Doris Hicks, Seafood Technology Specialist, and John Ewart, Aquaculture and Fisheries

AND RISK Doris Hicks, Seafood Technology Specialist, and John Ewart, Aquaculture and Fisheries

SEAFOOD / AQUACULTURE PRODUCTS IN THE DIET: BENEFITS AND RISK Doris Hicks, Seafood Technology Specialist, and John Ewart, Aquaculture and Fisheries Specialist University of Delaware Sea Grant Marine Advisory Service 2016 North Central

623 views • 34 slides

More recommend