Purpose
1. To identify individuals or population group. Risk of becoming malnourished
2. Identify individuals who are malnourished
3. To develop health care program
4. To measure the effectiveness of the nutritional assessment
Method:
1. Direct method deals w/ individual and measure objective criteria
A. Anthropometrics methods- measurement of ht, wt & proportion. Accurate measurement of ht and wt is essential.
Measurement for children/infants -mid-arm circumference -skin fold thickeness -head circumference -head-chest ratio -hip-waist ratio
Measurement for Adults -ht -wt -BMI -waist circumference Level1 is the maximum acceptable waist LEVEL2 DENOTES OBESITY AND REQUIRES MANAGEMENT -HIP CIRCUMFERENCE -WAIST/HIP RATIO
b. Biochemical, laboratory methods C. Clinical method D. Dietary evaluation methods dIETARY Assessment: assessed in 5 methods -24 hrs dietary recall -food frequency questionnaire -dietary hx since early life -food diary technique -observed food consumption Part of Assessment: Screening for warning signs of poor nutritional health d-diseases, illness, chronic condition e-eating poorly t-tootloss/ mouth pain e-economic hardship r-reduced social contact m-multiple medicines i-involuntary wt loss/gain n-needs assistance in self care e-elderly years above 80
2. Indirect- use community health indices that reflect nutritional influences. 3 Categories:
-Ecological Variables including crop production
-Economic Factors e.g. per capita income, population density & social habits.
-Vital health statistics particularly infant & under 5 mortality &fertility index
Clinical assessment
-Is an essential of all nutritional service.
-It is the simplest & most practical method of ascertaining the nutritional status of a group of individual
-Good nutritional history should be obtained
-Gen. clinical exam w/ special