Exam 1 Flashcards
What is food insecurity?
when people have a lack of access to sufficient amounts of safe and nutritious foods and therefore are not consuming enough for an active and healthy life
What are the causes of food insecurity?
Unavailability of food, inadequate purchasing power, or inappropriate utilization at the household level
Types of malnutrition
- Over-nutrition
- Secondary Malnutrition
- Micronutrient Malnutrition
- Protein Energy Malnutrition
Overnutrition
excessive food intake in relation to energy requirements
Secondary malnutrition
malnutrition due to illness or an underlying health condition that is preventing bodily absorption or utilization
Secondary malnutrition causes
Not directly from diet, usually by disrupted body processes like worms
Micronutrient malnutrition
low intake or malabsorption of vitamins and minerals
Protein-energy malnutrition
condition that occurs when the body doesn’t get enough protein or energy
Environmental enteropathy
chronic disease of the small intestine characterized by gut inflammation and barrier disruption caused by constant ingestion of feces (contaminated water/open defecation)
Deficiencies
Iodine - thyroid issues, iron- anemia, Vitamin A- growth delay, skin and eye issues
Iodine Deficiency
goiter and hypothyroidism along with impaired mental functions
comes from salt (iodized salt)
target ages: pregnant women and children
Iron Deficiency
fatigue, dizziness, cold hands/feet, pica
lentils, spinach, beef
target ages: pregnant women and then menstruating women
Vitamin A Deficiency
eye issues, skin dryness, immune cell specialization
immune system function decreases before physical signs
beef liver, carrots, egg yolk, apricots
target ages: infants/children and pregnant
Use of nutrients during starvation
- Carbs (glycolysis and gluconeogenesis)
- Protein (short period because it is detrimental long term)
- Fat (body increases fat breakdown and fatty acids become primary energy- ketone bodies)
Metabolic response to malnutrition
weight loss (skeletal muscle breakdown and fat usage)
BMR decreases
ketone production
Nutritional assessments
Clinical: physical, labs, and dietary assessment
What defines good nutrition
physical health, disease prevention, energy and performance, mental wellbeing, and longevity of life
Arthopometric measures
Acute malnutrition- height and stunting and MUAC
Chronic- z-scores (2 away from SD)
How are demands effected during PEM
decreased demands - body adapts to amounts of nutrients available and lowers demands
What happens to the immune system during PEM
defects in T-cells, altered monokine metabolism (activate immune system), and decreased IL-1 activity (triggers T cell proliferation)
What happens to CV and respiratory system during PEM
decreased CO, HR, and BP due to muscle atrophy along with lung atrophy and energy conservation
What happens to muscular system during PEM
muscle atrophy, increased fatigue and weakness, Na-K-ATPase pump is not working effectively
What happens to GI system during PEM
diarrhea for real- impaired absorption of nutrients
low levels of protein= intestinal edema and decrease in luminal absorption
PEM effects during early life
decreased brain growth, nerve myelination issues, NT production decreased, and long-term CNS complications