Global Nutrition Flashcards
(30 cards)
WHO Global targets for nutrition (6)
Stunting Anemia in women Low Birthweight Overweight Exclusive BF Waisting
Who is at risk for malnutrition?
Women of Repro Age
Infants
Children under 5
Good nutrition biggest impact?
First 1000 days
Conceptual framework
Basic causes
Underlying causes
Immediate causes
LT and ST consequences
Poor roads, isolation, lack of electricity
these are examples of ?
Basic causes of malnutrition
Income poverty dwelling w/o electricity running water food insecurity These are examples of?
Underlying causes of malnutrition
Inadequate health care is what level of cause
underlying
Examples of immediate causes of malnutrition
inadequate intake
monotonous diet
food insecurity
disease / illness
Short term consequences of under-nutrition =
morbidity / mortality / disability - 45% disease burden in <5
underlying cause 3.1M death/year <5
Long term consequences of under-nutrition =
limited adult size limited IQ economic productivity reproductive performance chronic disease
maternal undernutrition
BMI <18.5
Do stunted women have stunted babies
yes correlation
What is a major predictor of LAZ at 3 mos?
(length for age z score) - stunting
Newborn LAZ
what is the largest percentage of any risk factor for mortality
malnutrition
scope stunting and wasting
stunting 26%
wasting 8%
what fraction of children who die from malnutrition have no outward signs of illness?
3/4
what does poor growth reflect?
stunting
chronic malnutrition is not equal to energy deficit
can have micronutrient deficiencies
The impoverished gut - a triple burden?
Diarrhea / EE
Stunting
Chronic disease
VICIOUS cycle of diseases and poverty
If we scaled up interventions to 90% coverage what percent drop in deaths under 5 would we see
15%
Maternal interventions
Peri-conception folate iodine fortification protein supplement calcium supplement MN supplement
Infant interventions
promote BF Appropriate complementary feeding VitA supp Zn supp SAM and MAM manage
Single most important factor in prevention of deaths <5 yrs? (>800,000 death)
EXCLUSIVE BREAST FEEDING
23X less likely to die of diarrhea if EBF 0-2mo
Complementary feeding
2nd MOST POTENT strategy to prevent child deaths
Zn
Vit A
Fe
Food based interventions
Plant breeding and biofortication
Small animal husbandry
Home gardening
