Complementary Feeding Flashcards

(42 cards)

1
Q

Complementary feeding
u The transition covers ______ to ______
u A critical period of growth and transition
u Highest rate of growth occurs in the ______ year
u Affects growth and development
u Importance of variety of healthful foods at the proper time
u Delay beyond this age may lead to malnutrition

A

6 to 24 months

first year

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2
Q

Complementary feeding
Infants are _______ally and ________ally ready for new foods
Begin with ______ amount of new ______ foods
Set infant’s _________ for sweet and salty taste
_______ place for feeding to avoid distractions

A

physiologically ; developmentally

small ; solid

threshold ; Quiet

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3
Q

Appropriate complementary feeding - PASTA

A

properly fed: Frequency
Appropriate texture
Safety
Timeliness
Adequacy: balanced

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4
Q

Timing of Complementary Feeding
__________ : not before nor after

breastfeeding should continue for ____________
uFollow the _________ to feed and stop
uGive only ______ new, single ingredient food at a time
Wait ________ before introducing another

A

6 months

18- 24 months

child’s cue ; one

3-4 days

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5
Q

Adequacy
Supply adequate ________ , ________ and ________ to meet the needs

Parallel at least that of ________ in ________
Staple foods fortified with ________ foods. E.g. meat, milk

A

energy ; proteins

micronutrients ; breast milk

quality ; highly proteinous

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6
Q

_______ is vital for neuro-cognitive development

A

Iron

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7
Q

Adequacy

Energy and nutrients needed for growth and development (Protein ____g/day)
Given in sufficient quantity
Quantity of the ___________ should be Increased gradually.

A

20g/day

Semi-solids

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8
Q

Daily protein requirement for adults?

A

0.8g/kg

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9
Q

Adequate complementary feeding
Adequate protein (____ -____g/kg/day)
____g/day between 6 months & 3 years.

Supplementary proteins should be identical to that of _________.

A

1.2 -1.5g/kg/day)

20g/day

breast milk.

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10
Q

800ml of breast milk provides just ____g of protein a day.
_____g of protein to be supplied by complementary feeds

A

8

12

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11
Q

Some animal proteins have an amino acid composition very close to that of breast milk. E.g. ________ milk, _____ and _________.
Necessary for proper brain and blood formation

_______-rich foods included. E.g. meat, fish, beans & fortified ________

A

animal milk, meat and eggs.

Iron

cereals

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12
Q

Safety
Foods are __________ stored and prepared
fed with _____ hands using _______ utensils
no _________ or _______

A

hygienically

clean ; clean

bottles ; teats

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13
Q

Properly fed (__________)
Foods are given consistent with ____________ of appetite and satiety

A

Frequency

a child’s signals

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14
Q

Frequency of complementary feeding
u The feeds are in addition to breastfeeding
u________ remains the most important food
Increase the frequency gradually
WHO recommends _____ times/day at 6-8 months
u ______ times daily between 9-11 months &
u 12—24 months, Additional nutritious snacks offered _____ times/day
u Listen to baby’s cues and respond to his needs

A

Breast-milk

2-3 ; 3-4 times

1-2

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15
Q

Texture of complementary feeds
________ and nutrient dense e.g. mashed rice & fish
________ to ________ to normal textures over the period
Texture should be suitable to stage of development, ________ and ________ to be used not ________

A

Semi-solid ; Pureed

lumpy

Plate and spoon

bottless

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16
Q

Special complementary foods/milks for toddlers are not required for healthy children.

T/F

A

T

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17
Q

Whole grains products preferable as processed foods

_____-fortified type of cereal products

18
Q

Inadequate complementary feeds
_______ and similar hard foods
_______ milk , _______ cow’s milk,
_______-fat and _______-fat milks, Nutritionally incomplete milks
Honey, juice, carbonated soft drinks, tea, herbal teas etc.
Use _______ milk-based infant formulas (fortified with _______)

A

Whole nuts ;Unpasteurised

unmodified ; Low-fat

reduced-fat

cow’s ; iron

19
Q

Special formulas may be used under medical supervision for infants who cannot take _______-based products
Cooled boiled tap water as additional fluids
Education on correctly preparing infant formula
Breast-milk substitutes tailored to need

20
Q

Factors associated with successful complementary feeding
u _________
u _________
u _________ of caregivers
u _________ of caregivers/mother
_________: _________ available food can be given
_________

A

Availability ; Knowledge

Feeding practices ; Attitude

Accessibility ; Locally available

Acceptability

21
Q

Consequences of inadequate complementary feeds

Micronutrients deficiencies: ________ , ________, ________, ________ and ________ are common (IIAZ)
Good quality nutrition is necessary for proper ________ formation
Vitamins, minerals and antioxidants necessary for adequate _______ & ______

A

Iron, Iodine, Vit A, Zinc and folate

blood ; RBC ; WBC

22
Q

Consequences of inadequate complementary feeds

Vitamin B6, 12, B9 (Folate) and iron

Amount of ________ in breastmilk is no longer sufficient for infants
The _____ gap is the widest in the nutrition gap
Negative effect on Red blood cell formation

23
Q

Consequences of inadequate complementary feeds contd…
uDecrease in white blood cell production leading to Low _______— diarrhoea, RTI , as well as Increased susceptibility to Infections

24
Q

50−70% of the burden of diarrhoeal diseases, measles, malaria and lower respiratory tract infections can be attributable to __________.

25
Consequences of inadequate complementary feeds contd... Inadequate growth and development _________ : Weight for age __________ : Low weight for height - ACUTE __________ : Low height for age (Difficult to reverse after __________) - CHRONIC
Underweight Wasting Stunting ; 2 years.
26
Poor nutrition affects bone development T/F
T
27
Consequences of inadequate complementary feeds contd... Lose ____cm in adult life for each decrement ______ score at the age _____years.
3.2 HAZ; 2
28
Consequences of inadequate complementary feeds contd.... u Poor cognition (brain development) Childhood is a period of rapid brain development Brain volume increases rapidly. 2-4 weeks: ______ of adult size 1 year: ______ of adult size 3 years: ______ of adult size 9 years: ______ of adult size
72% 80% 90-92%
29
Brain volume achieved at the end of ________ is an important indicator of later intelligence
1 year
30
Consequences of inadequate complementary feeding Increased _________ Adult susceptibility to diet-related ________ diseases
Mortality chronic
31
Higher calorie -> Higher BMI T/F
T
32
High protein intake may lead to higher growth rate and increased risk of _________ and _________ in later life
overweight and obesity
33
Consequences of inadequate complementary feeding on academics u Stunting at 2 years decrease schooling years by _____ years u 16% increased risk of failing one grade in school u Decreased lifetime income by nearly _____% u Undermines investments in education
0.9 years 10%
34
Economic consequences of inadequate complementary feeding Due to negative effect of stunting on stature and cognitive development Reduced adult ________ Significant ________ impact especially on the ________ countries Higher risk of lower ________ attainment throughout life
income ; economic developing socio-economic
35
Malnutrition accounts for _____% of reduction in productivity in Nigeria _______ loss to malnutrition is between 2 & 3% Obesity is linked with ______———-__________
20% GDP lower labour productivity
36
Societal consequences of malnutrition More dangerous for (boys or girls?) Negative effect of undernutrition are _____________ _____________ is trapped in the cycle Perpetuates cycles of _____________ Negative on the entire society High morbidity, disability and mortality rate Social cost of malnutrition is measured by ‘_______________________’
girls ; Intergenerational Human potential ; poverty disability- adjusted life years’
37
DALYs is the health gap between _____________ and _____________ Quality adjusted life years: Years _________
current health status the ideal situation lived healthy
38
Way forward: Role of Healthcare Practitioners Support and encouragement from health workers Health ————— Families and communities Nutrition education Improved feeding practices Offering factual information, demonstrating practical skills Family Planning Continuous implementation of the WHO Code for ________________ Improved Health care Control of childhood diseases and maternal nutrition. Disease prevention and control interventions should be packaged with nutrition interventions Advocacy to Government : Issues to get to policy agenda
education BMS
39
Way forward contd...Role of Government u Implementation of interventions Food ___________ Food ___________ Crop ____________ Food ___________: micro-nutrient
Food diversification Food fortification Crop Bio-fortification Food supplementation
40
Way forward contd...Role of Government Policies (Existing National policy on infant and young child feeding) •Flexible work schedules (________ __________ _______) •Suitable environments for breastfeeding. •_____ crops rather than only _______ crops •Empowerment of low income earners especially _______ (_______ facilities)
Lactation break entitlements Food crops ; cash crops women ;Credit
41
Way forward contd...Role of Government u Increased allocation of resources u Adopt appropriate measures to implement the _________________________ u Increase _______ for complementary feeding and incorporate actions into relevant programmes, including agriculture, education, nutrition, health and poverty alleviation u Adequate ________ and ________ of programmes
International Code of Marketing of Breastmilk Substitutes advocacy monitoring ; evaluation
42
Role of Industry & Private sectors uSupport from industry uEducation uNovel products uProtein and micronutrient deficient gaps(esp. iron) uFacilities for working women to sustain breastfeeding. ________ is a good example of both
Nestle