MULNUTYRITION

Wichaikull, S. RN, MSN, Ph.D.


Malnutrition ()


Kwasshiokor 1
1. (Edema)


2. dermatitis
flaky paint Cracy Pavement Dermatitis

3.
4.
5.
6. .


Marasmus 1


Protien-energy malnutrition Protein
calorie malnutrition PCM

 (Vitamin A deficiency)

1.

Xerophthalmia
(Night Blindness)
Conjunctival
xerosis

Bilot Spot

2.

Source of Vitamin A

Vitamin B1 deficiency
Buri-Beri

Dry Wet beir-beri
Reflex

Source of Vitamin B1

Vitamin B2 deficiency

Source of Vitamin B2

Vitamin B6 deficiency
Vitamin B6 also called Pyridoxine. Its
role as a co enzyme involved in the
metabolism of carbohydrates, fats, and
proteins.
6

Source of Vitamin B6

Vitamin B12 deficiency

Vitamin B12 is a co enzyme and also
support the action of vitamin C. It is
necessary for the proper digestion and
absorption of foods, for protein synthesis,
and for the normal metabolism of
carbohydrates and fats.

Source of Vitamin B12

Vitamin C deficiency (Scurvy)

(frog position)

Source of Vitamin C

 D (Vitamin A deficiency)
Ricket

(Bowing of leg)
Pigeon Brest)

Source of Vitamin D

Vitamin E deficiency (Niacin)

(Pellagra)

(Hemolytic Anemia)

Source of Vitamin E

 Obesity


2

(simple obesity)

exogenous type
of obesity
(endogenous type of obesity)


1.

(Striate)
(knocked
knee)

(MAC) (OFC)
(Skinfold)

4
1
2
5
10

2
3
4
6
10

+ 9
2

1-6

X 2 +8

7-12

X7 5
2



% /
= X 100

>90%
75-90%
60-75%
<60%
(Gomez s Classification )

1
2-12

(Nelson,1996)

75
X 6 +77



% /
= X 100

>95%
90-95%
85-89%
<85%

BMI (Body Mass Index)

BMI

Age
2 years
4 years
9 years
13 years

BMI

19.3
17.8
21.0
25.1

Percentile
95th
95th
95th
95th

Underweight BMI-for-age < 5th percentile

Overweight BMI-for-age > 95th percentile

0-10 Kgs
10-20 Kgs
>20 Kgs

100 cal/kg/day
1000+50cal/kg/day
1500+20 cal/kg/day

Holiday and Segar

Well Child

100 ml/100 cal (1:1)

Sick Child

10-20 ml/100 cal (1:1.2)

1.

2.

3.
4.

5.

THANKS