Introduction DPG Clinical/Dietary Assessment and Nutritional - - PowerPoint PPT Presentation
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:
Rosan Meyer (RD, PhD) And Luise Marino, Hinke Kruizenga, Nicolette Wierdsma 2020
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
■ 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).
d REE Thermic Effect of Food Growth Activity REE
Health
Growth Activity
Disease: PICU
REE Growth Activity Thermic Effect of Food
Disease: Unwell child on ward and poor growth
In acute disease conditions TEE is not increased because of the reduction in PAL – SACN 2011
Pediatr Allergy Immunol. 2018;29:689–704.
d REE Thermic Effect of Food Growth Activity REE
Health
Growth Activity
Disease: PICU
REE Growth Activity Thermic Effect of Food
Disease: Unwell child + poor height growth
In acute disease conditions TEE is not increased because of the reduction in PAL – SACN 2011
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
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.”
2011; ISBN: 9780108511370. Scientific Opinion on Dietary Reference Values for energy. EFSA Journal 2013;11(1):3005. [112 pp.] doi:10.2903/j.efsa.2013.3005. Available online
Type I Nutrients: Biochemical functions Deficiencies- less healthy and Susceptible to stress and Infections
Trace Elements Not malnourished with Just type 1 nutrient deficiency
Type II Nutrients: Growth nutrients Deficiencies of these nutrients
Will lead to malnutrition: Wasting and stunting
Golden MH. Food and Nutrition Bulletin, vol. 30, no. 3 2009