DIETARY MANAGEMENT

Presented to you by:
BINAN, Katherine GOMEZ, Ana PIDO, Wendy LICYAYO, Jarvis

5237L 7.30-10.30 Friday H511

TOPICS
Management for OBESITY Management for UNDERWEGHT Management for KIDNEY DISEASE

OBESITY .

DEFINITION .

.

 Poor diet and inactivity.FACTORS RELATED TO OBESITY  Fat-cell development:: Result of hyperplasia and hypertrophy.  Genetic factors: • • • • • Leptin Uncoupling CHON Amount of brown and white fat Fat-cell theory Set-point thoery .

body frame profile.OTHER FACTORS  Presence of central obesity  Association with smoking. gender  High correlation with fat intake . alcohol.

DIETARY MANAGEMENT  Dietary Plan: • OBJECTIVE: change eating habits • Reduce portion size and caloric intake • Reduce daily intake by 500-1.000 cal/day Use in moderation: high calorie and high fat gram measures .

grilling. baking. poaching. roasting. or boiling • Use fat-free seasonings Exercise Behavioral Modification • Change in habits • Differentiate hunger from appetite . Cooking methods: • Broiling.

Weigh regularly (weekly. Use small plate 5. Include daily exercise . Treat yourself with something other than food 6.OTHER MODIFICATIONS 1. Don’t wait too long between meals if you feel hungry 3. not daily) 2. Eat slowly 4.

UNDERWEIGHT .

CAUSES  Inadequate consumption of nutritious foods due to: • • • • • Depression Disease Poverty Genetic Influences Excessive activity  Metabolism .

CHO.DIETARY MANAGEMENT  Dietary Plan: • • • • Establish regular meal pattern Gradually increase daily calorie value Eat foods rich in Fats. and CHON If there are vitamin-mineral deficiencies. supplements are prescribed .

FOOD SELECTION  Fatty foods used in discretion  Bulky foods must be used sparingly  Others: • Incorporate activity • Be creative with the food preparation and presentation • Encourage snacks in between meals .

KIDNEY DISEASES .

GENERAL CAUSES  Inflammatory and Degenerative disease  Damage from other diseases  Infection and Obstruction  Damage from other agents  Genetic defect .

Glomerulonephritis • Inflammatory process effecting glumruli • Symptoms: hematuria. edema.g. Degree of impaired renal function. mild hypertension may also occur.NUTRITION THERAPY  Based on: Length of disease. signs of oliguria or anuria . Clinical symptoms e.

provide sufficient energy • Na restricted to 500-1000mg/day if low urine output • Potassium is monitored carefully • Water is restricted according to urine output .• If complicated.75-1g/kg body weight • CHO. focuses mainly on bed rest and antibiotic therapy • Dietary protein is restricted if BUN is elevated • Normal BUN.CHON intake=0.

THANK YOU!! .

Zeny Shia Submitted to: Engr.REFERENCES  Notes provided by Ms. Roland Villanueva .

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