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Determining Nutritional Status. M. Burns FCS 3151. A few definitions…. Nutrition Surveillance Nutrition Monitoring Nutrition Assessment Nutrition Screening. NNMRRP. National Nutrition Monitoring and Related Research Program
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Determining Nutritional Status M. Burns FCS 3151
A few definitions… • Nutrition Surveillance • Nutrition Monitoring • Nutrition Assessment • Nutrition Screening M. Burns, 2005
NNMRRP • National Nutrition Monitoring and Related Research Program • Set of activities that provides regular information about the health and nutritional status of Americans in general and high-risk groups M. Burns, 2005
Five areas of NNMRRP • National Status and Nutrition-related Health Measurements • NHANES • HHANES • Food & Nutrient Consumption • CSFII M. Burns, 2005
Five areas of NNMRRP • Knowledge, attitudes and behavior assessments • Food Composition and Nutrient Data bases • Food-supply determinations M. Burns, 2005
Nutrition Screening • Purpose: to quickly identify persons at greatest risk for malnutrition • Quick, safe, and cheap M. Burns, 2005
Nutrition Screening • What it is? • Who does it? • When it is done? • Where? • How? M. Burns, 2005
From the video… • Characteristics of malnutrition • Parts/steps of screening • Outcomes of screening M. Burns, 2005
Nutrition Screening Process • Includes a quick collection and interpretation of crucial data • Determines the need for nutritional assessment • Identifies level of risk for malnutrition M. Burns, 2005
Nutrition Screening Initiative (NSI) • Focuses on older Americans • Goals • ID potential risk factors • ID indicators of malnutrition • Raise public awareness M. Burns, 2005
Health Risk Appraisal • Survey used to characterize a population’s general health status • Used widely in worksites, government agencies, universities, and health education • Demographics, health risk calculations, and educational message M. Burns, 2005
Nutrition assessment • process of estimatingindividual or group nutritional status as a basis for • identifying needs and goals • planning personal health care • community programs to meet nutritional needs M. Burns, 2005
Assessment Methods • Anthropometric • B iochemical • C linical • D ietary • E motional • F amily M. Burns, 2005
Anthropometric methods • Measurements of physical dimensions and gross composition of body • Commonly used • Specific measures M. Burns, 2005
From video… • Why are the procedures so specific? • When is recumbent height taken? • Why are the measurements taken from all over the body? M. Burns, 2005
Biochemical methods • Measurements of chemical components • Provide indications of tissue level and/or functioning • Most objective, but expensive and invasive M. Burns, 2005
Clinical assessment • Observation of physical signs associated with malnutrition • More subjective • Very useful in screening M. Burns, 2005
Dietary assessment • collection of food intake data • analysis and interpretation of food intake data • to make judgments about dietary adequacy • can occur at the national, household, or individual level M. Burns, 2005
Dietary Assessment Types • Food records • Estimation by recall • Food frequency • Diet history • Direct observation M. Burns, 2005
Issues of data collection • Sensitivity v specificity • Validity • Reliability • Cultural issues M. Burns, 2005
Application to Health Fair • What are the nutritional needs of our target audience? • What type of data would you collect? • What type of nutrition screening would be appropriate for us to complete? M. Burns, 2005
Just a Taste • Exam 1 • Check out website for study guide M. Burns, 2005