Nutritional assessment of the family

Presented by:
syed raif Hamid
Roll no : 09

MENTor:
Dr Iqra mam
Introduction of nutritional assessment

DEFINITION: IT IS THE INTERPRETATION OF

ANTHROPOMETRIC, BIOCHEMICAL(LABORATORY),
CLINICAL AND DIETARY DATA TO DETERMINE
WHETHER A PERSON OR GROUP OF PEOPLE ARE
WELL NOURISHED OR MALNOURISHED(INCLUDES
BOTH UNDERNUTRITION AND OVERNUTRITION )
OBJECTIVES:

The main objective of a comprehensive nutritional survey

is to obtain precise information on the prevalence and
geographic distribution of nutritional problems of a given
community and identification of individuals or population
groups “at risk” or in greatest need of assistance.
DIFFERENT METHODS TO ASSESS
NUTRITIONAL STATUS
 Anthropometry.
 Biochemical and Lab assessments.
 Clinical Examination.
 Dietary intake assessment.
 Functional assessment.
 Vital and Health statistics.
 Ecological studies.
( Source : PARK’s PSM textbook )
ANTHROPOMETRY

Height
Weight
MUAC
FAMILY MEMBERS WEIGHT (KG) HEIGHT(CM) BMI(kg/m2)

1.Zeba 73 157 29.6

2.Bashir Ahmad 77 182.5 23.4

3. Kulsuma 94 157 38.1

4. Zainab 15 95 16.6
MUAC of Zainab:16.5(Green) and tricep skinfold
thickness 16mm (normal for age )
DIETARY ASSESSMENT.
METHODS:
1. 24 hours recall method
2. 3 day recall method
3. 7 day recall method
4. Food frequency questionnaire
5. Weightage of Raw foods
6. Weightage of cooked food
 BREAKFAST
2 4 H O U R R E C A L L ME T H O D

ELEVENSE
S
DINNER

AFTERNOON LUNCH
 BREAKFAST
FOOD QUANTITY TOTAL PROTIENS FATS CALCIUM IRON (mg)
CALORIES (g) (g) (mg)
(Kcal)

TEA 500ml 335 kcal 16 gm 20.5 gm 600mg 1 mg

(Nun chai)

ROTI 100.32gm 320.5kcal 10.55gm 1.5 gm 2.01mg 8mg

(25.08g) ×4

SALT 8gm _ _ _ _ _
 ELEVENSES
FOOD QUANTIT TOTAL PROTIENS FATS (g) CALCIUM IRON (mg)
Y CALORIES (g) (mg)
(Kcal)

TEA 500 ml 335 kcal 16 gm 20.5 gm 600 mg 1 mg

(lipton chai)

ROTI 15×4=60gm 294 kcal 4.08 gm 3.7gm 0 0

(₹5 Krackjack
x4 packets)

SUGAR 10 gm 38.7 kcal _ _ _ _

 LUNCH
FOOD QUANTITY TOTAL PROTIENS FATS CALCIUM IRON (mg)
CALORIES (g) (g) (mg)
(Kcal)
RICE 1½ ×305gm= 1576kcal 31gm 2.28 gm 45.7 mg 13.71mg
(1½ Bowls) 457gm

Saag 250 gm 58kcal 6.25gm 0.75gm 153.7mg 5.8mg

OIL 25gm 201 kcal _ 10gm _ _

SALT 5 gm _ _ _ _ _
 Afternoon tea
FOOD QUANTITY TOTAL PROTIENS FATS CALCIUM IRON (mg)
CALORIES (g) (g) (mg)
(Kcal)

TEA 500ml 335 kcal 16 gm 20.5 gm 600mg 1 mg

(Nun chai)

ROTI 100.32gm 320.5kcal 10.55gm 1.5 gm 2.01mg 8mg

(25.08g) ×4

SALT 8gm _ _ _ _ _
 Dinner
FOOD QUANTITY TOTAL PROTIENS FATS CALCIUM IRON (mg)
CALORIES (g) (g) (mg)
(Kcal)
RICE 1½ ×305gm= 1576kcal 31gm 2.28 gm 45.7 mg 13.71mg
(1½ Bowls) 457gm

Saag 250 gm 58kcal 6.25gm 0.75gm 153.7mg 5.8mg

OIL 25gm 201 kcal _ 10gm _ _

SALT 5 gm _ _ _ _ _
Others:

Oranges(2×4) Kashmiri Apples (1×4)

Energy =1622.3kcal  Energy=1443kcal
Fats =2.2g  Fat=2.4g
Protien =20.1g  protien=10.4g
calcium=563mg  Calcium=180mg
Iron =4.2mg  Iron =0.8mg
MEASUREMENT OF DIFFERENT
FOODS
TOTAL CONSUMPTIONS:
TOTAL TOTAL TOTAL TOTAL TOTAL
CALORIES PROTIENS FATS CALCIUM IRON
(Kcal) (gm) (gm) (mg) (mg)
TOTAL DAILY 7713.7 kcal 178.71 gm 99.77gm 3043.14 mg 63.2mg
INTAKE
RECOMMENDED DIETARY ALLOWANCE
S.NO FAMILY TOTAL PROTIENS FATS CALCIUM IRON CONSUMPTION
MEMBERS CALORIE (gm/day) (gm/day) (mg/day) (mg/day) UNIT
S
(Kcal/day)
1. Zeba 1660 45.7 20 1000 29 0.8

2. Bashir Ahmad 2710 54.0 25 1000 19 1.2

3. Kulsuma 1660 45.7 20 1000 29 0.8

4. Zainab 1010 54 25 500 08 0.4

RDA FOR THE FAMILY
TOTAL DAILY
REQUIREMENT
TOTAL CALORIES (Kcal) 7040 kcal

PROTIENS (gm) 199.4 gm

FATS (gm) 90 gm

CALCIUM (mg) 3500 mg

IRON (mg) 77mg

CONSUMPTION VS RDA OF THE FAMILY
TOTAL DAILY TOTAL DAILY EXCESS DEFICIENCY
REQUIREMEN CONSUMPTIO
T N
(Kcal) (Kcal)
TOTAL CALORIES 7040 kcal 7713.4kcal 673.7 kcal
(Kcal)
PROTIENS 199.4 gm 178.71gm 20.69gm
(gm)
FATS 90 gm 99.77gm 9.77gm
(gm)
CALCIUM 3000 mg 3043.14 mg 43.14mg
(mg)
IRON 85 mg 63.2 mg 21.8 mg
(mg)
Ratio of food consumption by Zeba :Bashir
Ah:Kulsuma:Zainab is 1:1.4:1:0.6
 NUTRITIONAL ASSESSMENT OF ZAINAB.
 Energy consumed 7713.7/4×0.6=1157.6kcal .Required 1010kcal , therefore excess is 147.6kcql.
 Calcium consumed 3043.14/4×0.6=456.45mg , Required 500 kcal, defeciency is 43.55mg.
 Iron consumed 63.2/0.4×0.6= 9.18mg ,Required 8mg ,excess is 1.18mg
ADVICE

 Introduce foods rich in protein in their diet eg Egg ,Meat

etc
 Members with BMI>25 were advised to do regular
exercises and go for routine check up
 Increaseduse of iron rich diets eg fruits and acknowledged
about IFA tablets
THANK YOU