文档介绍：NUTRITIONAL DISORDERS
MAO Meng, MD
Professor of Pediatrics
School of Medicine, Sichuan University
MARASMUS
(Infantile Atrophy)
MALNUTRITION
OBESITY
PROTEIN MALNUTRITION
[PCM, Protein-Calorie (Energy) Malnutrition, Kwashiorkor]
NUTRITIONAL DISORDERS
MALNUTRITION
Malnutrition, from a worldwide perspective, is one of the leading causes of morbidity and mortality in childhood
MALNUTRITION
improper and / or inadequate
food intake
inadequate absorption
of food
Deficient supply of food
poor dietary habits
food faddism
emotional factors
metabolic abnormalities
diseases
Diseases
Diarrhea or digestive system diseases
Upper Respiratory Infection and Pneumonia
Malformations
Mortality rate of diarrhea patients with malnutrition is fourfold of the diarrhea patients without malnutrition.
an accurate dietary history
evaluation of present deviations from average height, weight, head circumference, and past rates of growth
comparative measurements of midarm circumference and skinfold thickness
chemical and other tests
INDICATORS
FOR EVALUATION OF MALNUTRITION
CLINICAL INDICATORS
FOR EVALUATION OF MALNUTRITION
weight-for-age (underweight): weight is lower than -2SD of mean value of the reference population of the same age and sex
height-for-age (stunting): height is lower than
-2SD of mean value of the reference population of the same age and sex
weight-for-height (wasting): weight is lower than -2SD of mean value of the reference population of the same height and sex
About the Reference Population in different countries
The reference population from your own country
NCHS-CDC-WHO Reference Population (1976 and 2006)
Reference: De Onis M, Habicht JP. Anthropometric reference data for international use: mendations from a World anization mittee [J]. The American Journal of Clinical Nutrition. 1996, 64(4):650-658