• Shuffle
    Toggle On
    Toggle Off
  • Alphabetize
    Toggle On
    Toggle Off
  • Front First
    Toggle On
    Toggle Off
  • Both Sides
    Toggle On
    Toggle Off
  • Read
    Toggle On
    Toggle Off
Reading...
Front

Card Range To Study

through

image

Play button

image

Play button

image

Progress

1/117

Click to flip

Use LEFT and RIGHT arrow keys to navigate between flashcards;

Use UP and DOWN arrow keys to flip the card;

H to show hint;

A reads text to speech;

117 Cards in this Set

  • Front
  • Back

What has a profound relationship with health?

Nutritional status


What is the leading risk factor for death of under-5 children globally?

Childhood underweight

What percent of all deaths in children under 5 are attributable to nutrition-related causes?


45%

What is available to improve nutrition status?

Low-cost, highly effective interventions

What has happened to the nutritional picture of the world in the last few decades?

It has changed dramatically

What percent of the world's population is overweight or obese? Where do most of these come from?

30%

Low- and middle-income countries

What is closely linked with many communicable disease? What's the problem with prevention?

Many non-communicable disease

It is complex

What is nutrition central to?


Achievement of MDGs

Malnutrition

Improper nutrition - too much, too little, or the wrong kind

What are the three most commonly used indexes for child undernutrition?

  • height-for-age
  • weight-for-age
  • weight-for-height

Underweight

Low weight-for-age

2 Z-scores below int'l reference

Stunting

Failure to reach linear growth potential because of inadequate nutrition or poor health


Measured as height-for-age

2 Z-scores below int'l reference

Wasting

Weight, measured in kilograms, divided by height in meters squared that is

2 Z-scores below int'l reference

Overweight


Excess weight in relative to height

How is overweight measured among adults? What is the reference guide?


BMI


Grade 1 (overweight) - 25.00 - 29.99


Grade 2 (obese) - 30.00-39.99


Grade 3 - > 40

How is overweight measured in children?

Weight-for-height

2 Z-scores about int'l reference



What are the immediate causes of undernutrition and what is their relationship?

Inadequate dietary intake b/c weakens the body and opens it up to infection

Illness makes it harder for people to eat, absorb the nutrients they take in, and raises the need for some nutrients


Relationship creates cycle of illness & infection

What is the most immediate cause cause of overweight/obesity? What are other important factors?

Increase in total energy intake WITH a decrease in energy expenditure


Genetic and Cultural factors

What is the global rate of obesity being driven by?

  • Global financial and trade liberalization
  • Increased income and socioeconomic status
  • Urbanization

How is nutritional status of infants and children gauged? How does this help?

Measuring and weighing them

Plotting weight & height on a growth chart, which indicates whether growth is normal

What are a large share of nutritional deficients? Is this important?

Mild, but still have negative consequences on development

What is a low birth weight?

2,500 grams <

What are the ranges of adult BMI?

  • Underweight - BMI < 18.5
  • Normal - BMI 18.5 < 25
  • Overweight - BMI 25 < 30
  • Obese - BMI > 30

What does undernourishment raise the risk of in young children and pregnant women?

Risk of Illness


Decreased Intellectual capacity

What are malnourished children who rapidly gain weight at high risk of?

Nutrition-related chronic diseases as adults

What risk is increased for undernourished pregnant women?

Dying of pregnancy-related causes

Where is Vitamin A found?

What is associated with its deficiency?

Leafy green vegetables

Non-citrus yellow and orange fruits

Carrots


Xeropthalmia - can lead to permanent blindness

Why is vitamin A important?


  • Important to growth
  • Important to proper function of immune system
  • Can impact severity of illness
  • Can impact chance of survival of pneumonia, diarrhea, and measles

Where is iodine found?

What is associated with its deficiency?

Some types of seafood

Plants that are grown in soil that naturally contain iodine


Goiter - growth on the thyroid

Failure to develop to full intellectual potential

Where is iodine deficiency mostly found? Why?

People who live in mountainous region


Less seafood is consumed

Soil is deficient in iodine

Where is iron found?

What is associated with its deficiency?

Fish, meat, poultry

Fruits, grains, vegetables, nuts, dried beans


Anemia - fatigue, weakness

What are iron-deficient pregnant women especially at risk for?

  • Giving birth to a premature baby
  • Giving birth to a low birthweight baby
  • Hemorrhaging and dying in child birth

Where is the best source of zinc?

What is associated with a severe deficiency?


Red & White Meat, Shellfish




Growth retardation, impaired immune function, skin disorders, hypogonadism, cognitive disfunction

What diseases are people deficient in zinc susceptible to suffer morbidity or mortality from?

Diarrhea

Pneumonia

Malaria

Where is folic acid found?

What is the deficiency of this associated with in pregnant women?

Leafy green vegetables

Enriched products (flour, etc.)


Neural tube defects in children (i.e., spina bifida)


Where is calcium found?


What can supplementation of this do?

Dairy products


Reduce risk of hyptertensive disorders of pregnancy

What is crucial for the prevention of obesity and noncommunicable diseases?

A balanced, healthy diet

What are the basic components to a healthy diet?


  • Vegetables
  • Fruits
  • Whole grains
  • Legumes
  • Nuts
  • Limited red/processed meat

What have saturated and trans fats been shown to be harmful to? How?

Cardiovascular health


Raising cholesterol levels

Where are saturated and trans fats largely found?

Red meat

Dairy Products

Processed foods made with partially hydrogenated oils

What is sodium found in high quantities?

Restaurant


Processed foods

What can high sodium intake lead to? What is this a major risk factor for?

Hypertension


Stroke

Fatal coronary heart disease

What is recommended to be the maximum amount of sodium intake per day?

5 grams >

What does overconsumption of added sugars do? What does it not do?

Provide large amounts of energy


Provide specific nutrietns

What have sugar-sweetened beverages (SSBs) been scientifically proven to promote?

  • Weight gain
  • Type 2 diabetes
  • Coronary heart disease

How much more likely are adults who drink one or more SSBs per day likely to be overweight or obese?

27%

What are sources of dietary fiber? What does it prevent?

Whole grains, legumes, fruits, vegetables


Obesity, diabetes, cardiovascular diseases, various cancers

What happens to whole grains when they are processed to produce refined carbohydrates?

Most of the fibers and other nutrients are removed

How many more calories per day should a pregnant women consume?

300

What nutrients are especially important to pregnant women and their babies?

  • Iron
  • Iodine
  • Folate
  • Zinc
  • Calcium

What can the birthweight of a baby determine?

The extent to which a child will thrive and become a healthy adult

What sort of problems can occur when there are nutritional gaps during the "window of opportunity" (conception - 2 years)?

Problems with stature and mental development


Frequent infection

What is it especially important that young children receive nutritionally?

Sufficient protein, energy, and fats


Iodine, iron, vitamin A, zinc


What is a benefit of exclusively breastfeeding for the first 6 months?

Children are likely to grow the best and stay the healthiest

What do adolescents need to grow?

  • Protein
  • Energy
  • Iron
  • Iodine
  • Folic Acid
  • Calcium

What is a long term negative consequence of poorly nourished adolescent girls?

They are more likely to give birth to an underweight child


They are more likely to experience complications during pregnancy


What kind of diet do adults need in order to stay productive?

A well-balanced one with protein, energy, and iron

What kind of foods can be harmful to adults?

Foods that contain too much fat, cholesterol, sugar, or salt

What is important to consider when determining whether an older person can live on their own?


Their nutritional status

What do older adults need? Why?


Calcium




Reduce risk of osteoporosis

What UNICIF region of the following has the highest prevalence of low birth weight?


East Asia & Pacific

CEE/CIS

Latin America & Caribbean

Sub-Saharan Africa

South Asia

South Asia - 28%

What UNICIF region of the following has the lowest prevalence of low birth weight?


East Asia & Pacific

CEE/CIS

Latin America & Caribbean

Sub-Saharan Africa

South Asia

East Asia & Pacific - 6%

What WHO Region(s) of the following has the highest prevalence of underweight under-5s in 2011?


Americas Europe Western Pacific

Eastern Mediterranean Africa

South-East Asia


South-East Asia - 28%

What WHO Region(s) of the following has the lowest prevalence of underweight under-5s in 2011?


Americas Europe Western Pacific

Eastern Mediterranean Africa

South-East Asia

2%

Americas

&

Europe

What WHO Region(s) of the following has the highest prevalence of wasting in under-5s in 2011?


Americas Europe Western Pacific

Eastern Mediterranean Africa

South-East Asia

South-East Asia - 14%

What WHO Region(s) of the following has the lowest prevalence of wasting in under-5s in 2011?


Americas Europe Western Pacific

Eastern Mediterranean Africa

South-East Asia

1%

Europe

& Americas

What WHO Region(s) of the following has the highest prevalence of stunting in under-5s in 2011?


Americas Europe Western Pacific

Eastern Mediterranean Africa

South-East Asia


Africa - 41%

What WHO Region(s) of the following has the lowest prevalence of stunting in under-5s in 2011?


Americas Europe Western Pacific

Eastern Mediterranean Africa

South-East Asia

8%

Europe

&

Americas

In what region do children under 5 have the most vitamin A deficiencies?

Africa - 41.6%

In what region do children under 5 have the least vitamin A deficiencies?


Oceania - 12.6%

In what region do the most people have a zinc deficiency?


Africa - 23.9%

In what region do the least people have a zinc deficiency?

Oceania - 5.7%

In what region do the most people have an iodine deficiency?

Europe - 44.2%

In what region do the least people have an iodine deficiency?

Americas & the Caribbean - 13.7%

In what region do the highest percentage of pregnant women have a vitamin A deficiency?

Asia - 18.4%

In what region do the lowest percentage of pregnant women have a vitamin A deficiency?

Oceania - 1.4%

In what region do the highest percentage of children under 5 have an iron deficiency?

Africa - 20.2%

In what region do the lowest percentage of children under 5 have an iron deficiency?

Europe - 12.1%

In what region do the highest percentage of pregnant women have an iron deficiency?

Africa - 20.3%

In what region do the lowest percentage of pregnant women have an iron deficiency?

Americas & Caribbean - 15.2%

How many under-5 child deaths a year can be attributed to nutrition-related deaths?

3 million

What percent of the world's population is overweight or obese?

~30% = 2.1 billion people!

What has changed about obesity since 1980?

It has nearly doubled

What has emerged as one of the most serious public health challenges of the 21st century?


Childhood obesity

What country has the highest proportion of the world's obese people?

The U.S. - 13%

In 2010, what region had the highest prevalence of obesity in adults? How about 2014?

2010 - Americas


2014 - Americas

In 2010, what region had the lowest prevalence of obesity in adults? How about 2014?

2010 - South-East Asia


2014 - South-East Asia

By what percentage have all regions had increase in obese population?

1-2%

In what region are the most obese women as of 2014?

America - 30%

In what region are the fewest obese women as of 2014?


South-East Asia - 7%

In what region are the most obese men as of 2014?

Americas - 24%

In what region are the fewest obese men as of 2014?


South-East Asia - 3%

In what region were there the most overweight or obese under-5s in 1990?


Americas - 6.4%

In what region where there the least overweight or obese under-5s in 1990?

South-East Asia - 1.5%

In what region were the most overweight or obese under-5s in 2011?

Europe - 12.5%

In what region were the least overweight or obese under-5s in 2011?

South-East Asia - 3.3%

What region has seen the greatest increase in under-5 overweight or obese between 1990 - 2011?

Europe - 7.4%

What region has seen the least increase in under-5 overweight or obese between 1990-2011?


Western Pacific - 0.8%

How does maternal health affect the "bigger picture" of the family?


  • It effects household income
  • It effects survival
  • It effects the health status of children

How does maternal health affect the "bigger picture" of children?

  • Ability to grow
  • Ability to achieve full intellectual capacity
  • Impacts future prospects
  • Impacts life expectancy

What nutritional issues can effect worker productivity?

Both poor nutrition and overweight/obesity

What can trap poor households in cycles of debt and illness?

Comorbidities of being overweight/obese have high medical costs

What can overweight/obesity cause issues with, specifically in children and adolescents?

Mental health

Harmful to academic achievement

What do policy makers need to realize about the importance of nutrition?

It effects good health and human productivity

How should the government work with the food industry?

Improve the way foods are fortified




Be sure processed foods are health

Where should partnerships be created to improve health?

Between

Civil Society,

Government,

& Private Sector

What are examples of nutrition-specific interventions?

  • promotion of exclusive breastfeeding
  • micronutrient supplementation
  • food fortification

What are examples of nutrition-sensitive interventions?

  • vaccination programs
  • nutrition programs
  • ways to increase crop yields

What is the "enabling environment for nutrition"?


What are examples?

Laws, policies, resources, and institutional issues that relate to the approach countries take to nutrition and how effective they are at formulating, implementing, and monitoring nutrition interventions


Taxing sweetened beverages or foods high in fat

What package of nutritional interventions, when given to pregnant women, can reduce child death by 15%?

  • folic acid supplementation or fortification
  • balanced energy protein supplementation
  • calcium supplementation
  • multiple micronutrient fortification
  • promotion of appropriate breastfeeding practices
  • appropriate complementary feeding

What should a package of nutrition interventions for undernutrition include?


  • Supplementation with Vitamin A and Zinc for children aged 6 to 59 months
  • Appropriate management of severe acute malnutrition
  • Appropriate management of moderate acute malnutrition

For the following nutrition interventions, what cost per DALY is averted?




Vitamin A & Zinc


Community-based management of severe acute malnutrition


Behavior change interventions taken to scale


Iron fortification


Folic acid fortification

$5 - $15

$40

$50 - $150

$66 - $115

$90

What are the benefit cost ratios for the following interventions?




Deworming


Iron fortification of staples


Salt iodination


Folic acid fortification

6:1

8:1

30:1

36:1

What can international organizations do about the overweight and obesity issue?

Set global nutrition and physical activity standards

What can governments do about the overweight and obesity issue?

Promote campaigns


Align national dietary goals with nutritional and agricultural policies

How can legislation be used to help the overweight and obesity issue?

Restrict unhealthy food marketing aimed at children

How can schools impact overweight and obesity issues?

Encourage healthy eating