2. Food contains a number of
nutrients. When sufficient
quantity of right type of foods
are not eaten, many essential
nutrients are not available in
adequate quantities to the body
.The deficiency of these
nutrients may lead to various
nutritional disorders
What are nutritional
disorders???
3. Why malnutrition
occurs???
• Poverty
• Eating habits
• Lack of availaibility of nutritious
food
• Increasing urbanization
• Overpopulation
• Ignorance of relation of food to
health
4. Overview
• PEM
Kwashiorkar
Marasmus
• Mineral deficiency
Anaemia
IDD( Goiter and cretinism)
• Vitamin deficiency
Night blindness
Rickets
Scurvy
• B complex deficiency
Beriberi
Photophobia
Pellagra
5. PROTEIN ENERGY
MALNUTRITION
• PEM/PCM refers to various degrees
of disorders caused by inadequate
quantity of protein and energy in
diet
• Symptoms: Loss of weight
Development of
oedema
• Groups affected: children below 5
yrs of age when they are weaned
and diet supplements do not supply
8. MARASMUS
• Often occurs in young children
and babies which leads to
dehydration and weight loss.
Starvation is a form of this
disorder
• Symptoms: Weight loss
Dehydration
Chronic diarrhoea
Stomach
shrinkage
• Complicated due to other
9. Prevention through dietary
management
• Primary focus is on eradicating poverty.
• Prolonged breast feeding as much as possible
but at right stage start feeding supplementary
foods.
• Make use of locally available vegetable and
animal protein foods for feeding the child.
• Educate mother and other members of family
regarding the correct diet.
10.
11. Groups affected : Pregnant woman
Infants
pre school children from low income group
Causes: Inadequate intake of iron and its poor absorption
High phytate content of diet which render part of iron
Unavailable to the body
Losses of iron through sweat ,accidents, child birth
Preventive measures: Improvement of dietary habits
Supplementation
Parasites associated with blood loss should be
controlled
Fortification
14. Night blindness
Inability to see well at night or in poor
light.it is impairement of vision ultimately
leading to blindness.
Groups affected: Children
Pregnant women
School children
Causes: Vitamin A is available only from
animal origin
Lack of absorption of vitamin A and
carotene
Attempts: Fortification
Oral doses(60000 mcg)
15. Rickets
• Disorder caused by lack of vitamin D,calcium or
phosphate leading to softening and weakening of
bones.
• Vitamin D helps to control calcium and phosphate
levels.
• When vitamin D level becomes low in blood they
produce hormones that cause the calcium and
phosphate to leave the bones
17. • Scurvy is prevented easily by eating
plenty of foods high in vitamin C like
citrus fruits,spinach and tomatoes.
• A course of treatment is to eat lots of
vitamin C.
• Scurvy can be of negative outcome
to the patients if left untreated.
Preventive measures
19. BERIBERI
• Caused by deficiency of thiamine.Mainly in
coastal regions of Andhra where rice polished in
mills were used
• Groups: Baby,Adults who does not secrete
enough milk and has little thiamine.
Adults:
Dry beriberi: Arms and legs wasting away,loosing
their sensation
Wet beriberi: Swelling of limbs and impaired
function of heart.
20.
21. Photophobia
As a medical symptom, photophobia is not a
morbid fear or phobia, but an experience of
discomfort or pain to the eyes due to light
exposure or by presence of actual physical
sensitivity of the eyes.It is caused by
deficiency of riboflavin.
22. PELLAGRA
Caused by the deficiency of
niacin.It is a disease which
affects skin,gastrointestinal
tract and nervous system and at
times whole body.
Symptoms:
(4Ds)
• Dermatitis
• Diarrhoea
• Dementia
• Death
23. Preventive measures to avoid B complex deficiency
• Avoid use of polished cereals
• Encourage the use of paraboiled rice
in the diet
• Eating habits
• Switch to eating healthy and
nutritious food.
• Use of fortified foods.
• Avoid ignorance towards health