Professional Documents
Culture Documents
Dr Paul T Francis, MD Prof. Com Med 7th April University, Zawia, Libya
Contents
Need for nutritional assessment Types of surveys Elements of nutritional assessment
Clinical examination Anthropometry Lab and Biochemical tests Dietary survey Study of vital statistics Assessment of ecological factors
Types of surveys
Longitudinal Cross-sectional
In longitudinal surveys some families are observed ( , )for one year or longer In cross-sectional survey a sample is examined for prevalence of malnutrition
Clinical examination
Person is examined for signs of malnutrition e.g.. Anemia, rickets.
Anthropometry
Weight (for age)
Is the most important measure for assessing malnutrition
Height (Length in children <2years Head circumference in 0-4 years Mid-upper arm circumference Skin fold thickness
Dietary surveys
Dietary survey provide a real picture of the food consumption of the community It can be done in three ways:
Weighing of raw foods for about 7 days and a average daily consumption is calculated Weighing cooked food. Even though this is better, most people do not like it. Oral questionnaire method quantity of food eaten over the last 24 hours is calculated.
Summary
It is important to assess the nutritional status of the community to promote health, prevent malnutrition and control malnutrition. Nutritional surveys will give us the information Methods of nutritional assessment are:
Clinical examination
Summary contd
Anthropometry Lab and biochemical test Dietary survey Study of vital statistics Assessment of ecological factors