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    This document discusses different forms of malnutrition including protein-energy malnutrition and micronutrient deficiency disorders. It also describes several classifications of nutritional status used in assessments, including the Welcome Trust Classification based on weight-for-age and edema, the Gomez, Waterlow and WHO classifications based on z-scores below the median for weight-for-age, weight-for-height and height-for-age, and the Kanawati classification based on mid-upper arm circumference. Key indicators of malnutrition mentioned are stunting (low height-for-age), wasting (low weight-for-height), and underweight (low weight-for-age). Protein-energy malnutrition is categorized as mild, moderate or severe depending

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    Presented by

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    eshika
    17 views9 pages
    This document discusses different forms of malnutrition including protein-energy malnutrition and micronutrient deficiency disorders. It also describes several classifications of nutritional status used in assessments, including the Welcome Trust Classification based on weight-for-age and edema, the Gomez, Waterlow and WHO classifications based on z-scores below the median for weight-for-age, weight-for-height and height-for-age, and the Kanawati classification based on mid-upper arm circumference. Key indicators of malnutrition mentioned are stunting (low height-for-age), wasting (low weight-for-height), and underweight (low weight-for-age). Protein-energy malnutrition is categorized as mild, moderate or severe depending

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    Pem

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    This document discusses different forms of malnutrition including protein-energy malnutrition and micronutrient deficiency disorders. It also describes several classifications of nutritional status used in assessments, including the Welcome Trust Classification based on weight-for-age and edema, the Gomez, Waterlow and WHO classifications based on z-scores below the median for weight-for-age, weight-for-height and height-for-age, and the Kanawati classification based on mid-upper arm circumference. Key indicators of malnutrition mentioned are stunting (low height-for-age), wasting (low weight-for-height), and underweight (low weight-for-age). Protein-energy malnutrition is categorized as mild, moderate or severe depending

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    © All Rights Reserved
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    Download as pptx, pdf, or txt
    17 views9 pages

    Presented by

    Uploaded by

    eshika
    This document discusses different forms of malnutrition including protein-energy malnutrition and micronutrient deficiency disorders. It also describes several classifications of nutritional status used in assessments, including the Welcome Trust Classification based on weight-for-age and edema, the Gomez, Waterlow and WHO classifications based on z-scores below the median for weight-for-age, weight-for-height and height-for-age, and the Kanawati classification based on mid-upper arm circumference. Key indicators of malnutrition mentioned are stunting (low height-for-age), wasting (low weight-for-height), and underweight (low weight-for-age). Protein-energy malnutrition is categorized as mild, moderate or severe depending

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    PRESENTED BY:

    Sirmeela Jirel, Roll no:16


    Sarswati karki, Roll no:17
    Shreya Acharya, Roll no:18
    Suhana Chaudhary, Roll
    no:19
    Suman rokaya, Roll no: 20
    Common forms of malnutrition
    1. Protein-Energy Malnutrition(PEM)
    • WHO defines PEM as range of pathological conditions arising from
    coincidental lack in varying proportions of proteins and calories
    occuring most frequently in infants and young children.
    • It is one of the most serious health problems in developing countries
    like Nepal.
    • PEM is common among infants and young children and commonly
    associated with infections.
    2. Micronutrients Deficiency Disorders
    • It is a deficiency of any micro elements such as Iron, Iodine,calcium
    etc in the body.
    Assessment and classification of Nutritional status
    1. Welcome Trust Classification
    • This is based on weight for Age of the child and presence or absence
    of Edema.
    Range of weight for age Edema +/- Nutritional status

    >80% Absent Normal

    60-80% Absent Under nutrition

    60-80% Present Kwashiorkor

    <60% Absent Marasmus

    <60% Present Marasmic-Kwashiorkor


    Assessment and classification of Nutritional status
    Classification Definition Grading
    Mild (grade 1) 75%–90% WFA
    Gomez Weight below % Moderate (grade 2) 60%–74% WFA
    median WFA
    Severe (grade 3) <60% WFA

    Mild 80%–90% WFH


    z-scores (SD) below
    Waterlow median WFH Moderate 70%–80% WFH
    Severe <70% WFH

    z-scores (SD) below Moderate -3%</= z-score < -2


    WHO (wasting)
    median WFH Severe z-score < -3

    z-scores (SD) below Moderate -3%</= z-score < -2


    WHO (stunting)
    median HFA Severe z-score < -3

    MUAC divided by Mild <0.31


    Kanawati occipitofrontal head Moderate <0.28
    circumference Severe <0.25
    Indicator of Malnutrition
    1. Stunting: low height for age
    • Indicate chronic malnutrition, due to prolong food deprivation, or
    disease
    2. Wasting: low weight for height
    • Indicate acute malnutrition
    3. Underweight: low weight for age
    Categories

    According to deficiency of protein and energy in varying degree, PEM is


    categorized into:
    1. Mild PEM
    2. Moderate PEM
    3. Severe PEM
    1. Mild protein energy malnutrition
    • Common in children between 9 months to 3 years of age
    • Characterized by growth failure, repeated infection and lethargy.
    • Occurs when there is deficit dietary intake for short period.

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