Professional Documents
Culture Documents
Part 2
Nurpudji A. Taslim
Nutrition Department
School of Medicine
Hasanuddin University
@ 2005
NUTRITION REQUIREMENT
BASED ON
NUTRITIONAL
HEALTH
STATUS
STATUS
NUTRITIONAL NEEDS
Energy
1600 kcal/day
Protein
Campbell,1996
- protein intake 1g /kg BB
- stress-full physical & psychological stimuli negative
nitrogen balance
-infection altered GI function & metabolic changes
reduce efficiency of dietary nitrogen and increased nitrogen
excretion
Biomarker
Albumin indicator of protein status
Pre-albumin and RBP evaluate response to therapy
Carbohydrate
Needed to protect protein from being used as energy
source
Approximately 45 -65% of total energy
Complex carbohydrate legumes, vegetables, whole
grains & fruits to provide phylochemical & essential
vitamins & mineral
Lipid
25-35% of total energy
Reduced SFA
Reduced fat weight control & cancer prevention
Consumption of fat < 10% affect quality of diet and
negatively affect taste, satiety & intake.
Mineral
Vitamins
Vitamin A
Vitamin C
Vitamin D
VITAMIN E
Epidemiologic studies
Vit E reduce the risk of CVD by
reducing the susceptibility of LDL to
oxidationvascular endothelial
cell expression of proinflammary
cytokine (Meydani, 2001)
Vit Ecancer prevention
Vitamin B6
Vitamin B12
Water
Exercise regularly
Consume large amount of protein
Use laxative or diuretics
Live in areas wit high temperatures
thirst sensation
Reduced fluid intake
Limited access to fluid
Disminished renal function
Urinary inconvenience
Symptoms of dehydration
Electrolyte disturbance
Altered drug affected
Headache
Constipation
Thirst, Loss of skin elasticity
Weight loss
Cognitive status deterioration
Dizziness
Dry mouth & nose mucous membranous
A swollen or dry tongue
Change blood pressure
Rosessed or sunken eyes
Change in urine color or output
Speech difficulties
Dietary Planning
4 or 5 smaller meals
Nutrition Issues
of education
financial constraints
Decreasing physical & psychological
abilities
Social isolation
Treatments for multiple
Concomitant disorder/diseases
Feeding impairment
Anorexia
Malabsorption(GIT dysfunction)
Increased nutrient needs injury or
disease
Drug nutrient interactions
Dysphagia
Pressure ulcers
Alzheimers
Parkinsons
Geriatric failure
DM type II
Hypertension & constipation
Dysphagia
Pressure ulcers
Most common
Location below the waist , but can
develop any where
Especially: DM, CV (peripheral), chronic
illness, cognitive impairment, mobility
problems, incontinence, neurologic
impairments.
Inadequate food; kilocalories, protein,
zinc and vitamin C.
Frequent monitoring of BW, skin integrity,
lab. value for nutritional status
Alzheimers
Parkinson diseases
FAILURE TO THRIVE
Malnutritioncompromises the
immune system--contribute to
development:
Infection/sepsis
Delayed
wound healing
MODF
disability
Weight loss
BMI < 21
Serum albumin <3,5g/dl
Cholesterol <160mg/dl
Anorexia
Early satiety
Oral health
Dysphagia
functional status
Early Alzheimers
disease
loss of ingested