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Nutritional Assessment of Community N utrition using Clinical P arameters. Clinical Methods. one of the most practical and important method used in assessing the nutritional status of a community.
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Nutritional Assessment of Community Nutrition using Clinical Parameters
Clinical Methods • one of the most practical and important method used in assessing the nutritional status of a community. • External examination of the body for changes in superficial epithelial tissues especiallly skin, hair, & buccal mucosa may be carried out. • Similarly, organs close to the surface of the body may be examined, e.g. the parotid & thyroid gland. • When two or more signs charateristic of a deficiency disease are present simultaneously, their diagnostic significance is greatly enhanced.
Early clinical symptoms & signs of malnutrition are rather vague & often include weakness, lethargy, irritability, & light headedness. • Many of the symptoms & signs are non specific for a single nutrient defict. • And may be cause by insufficiency of several nutrients. • E.g. flaking dermatitis may be due to protein, riboflavin, or linoleic acid deficiency
Advantages of Clinical Assessment • Physical examinations should be an integral part of most nutrition surveys for the following reasons: • It is inexpensive. • It does not require any laboratory equipment. • Cooperation of the subject can be achieved easily. • A physical examination may reveal evidence of certain nutritional deficiencies which will not be detected by dietary or laboratory methods. • The identification of even a few cases of clear-cut nutritional deficiency may be particularly revealing and provide a clue of malnutrition in a community. • The nutritional examination may reveal signs of a host of other diseases which merit diagnosis and treatment.
DISADVANTAGES OF CLINICAL ASSESSMENT: • The major problems encountered in the clinical assessment of nutritional status are: • These have a low general prevalence in developed countries except in high risk groups. • Some clinical signs are non-specific of nutritional deficiency. • One clinical sign overlaps for more than one deficiency disorder. • It does not reflect the magnitude of the problem. • Skilled personel is required to carry out clinical examinations.
REFRENCES • NUTRITION SCIENCE • B. Srilakshmi • NUTRITION & DIETETICS with indian case studies • Shubhangini A Joshi • INTERNET