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NUTRITIONAL STATUS IN PALESTINE. PRESENTED BY …… AYA HASSOUNA ZAID SARAWAN DUA’A SHTAIWI. The major nutritional problems in Palestine. Prepared by … Aya Hassouna. Main topics……. Malnutrition Chronic diseases like obesity Micronutrient deficiencies. Malnutrition.
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NUTRITIONAL STATUS IN PALESTINE PRESENTED BY …… AYA HASSOUNA ZAID SARAWAN DUA’A SHTAIWI
The major nutritional problems in Palestine Prepared by … AyaHassouna
Main topics…… • Malnutrition • Chronic diseases like obesity • Micronutrient deficiencies
Malnutrition • Malnutrition in Young Children • Malnutrition in School-aged Children • Malnutrition in Adults and the Elderly
Malnutrition Malnutrition which causes growth failure in children results from either inadequate macronutrient (energy and protein) intake or from micronutrient (mineral and vitamin) deficiencies and/or infections.
Stuntingis when children are too short for their age. Stunting is evidence of chronic malnutrition and develops over a long period as a result of inadequate dietary intake and/or repeated infections. It is irreversible. Wastingis when children are too light for their height (too thin). Wasting is evidence of acute malnutrition as a result of recent rapid weight loss or a failure to gain weight. It can be reversed when conditions improve. Underweightchildren are too light for their age. Children may become underweight either because of wasting or Measures of growth failure in children:
Malnutrition in Young ChildrenTrends in malnutrition among under fives
Trends in stunting in under fives in West Bank and Gaza Strip
• Refugee children are more likely to be stunted than non-refugee children probably as a result of higher poverty among refugees. • Stunting is higher in the Gaza Strip, where there are more refugees, than in the West Bank. • Stunting is higher in rural areas compared to urban areas. Important factors …
1- Children in households with wage earners working less than 20 hours per week are statistically more likely to be both wasted and stunted than those in households that are Employed. 2- Children living in crowded households are more likely to be stunted 3- Children of mothers with no education are more likely to be stunted Stunting is strongly related to poverty in the Palestine ….
Malnutrition in School-aged Children… • the level of malnutrition among school-aged children is insignificant so it not a real problem..
********More than 70 per cent of the products sold in the canteens were foods with poor nutritional value such as ‘bamba’ (cheese puffs), sweets and chips. This sets an unhealthy pattern of behaviour and attitude toward the consumption of food on the school premises and may lead to nutritional problems such as obesity and micronutrient deficiency. Common habits …..
*******Members of the West Bank School Health Unit report that many children do not receive breakfast before arriving in school. There is very strong evidence that hungry children do not concentrate well which may ultimately have a damaging effect on their educational achievement. Common habits …..
Malnutrition in Adults and the Elderly The elderly are metabolically vulnerable to malnutrition and can also suffer particularly in situations of crisis and conflict. Monitoring the nutritional status of the elderly is therefore important.
Low Birth Weight Low birth weight (an indicator of maternal undernutrition) is not routinely reported in MoH annual reports though it was reported that of 2,257 births in the Gaza Strip during 2003, 5.3 per cent were low birth weight (<2,500 grams) (Ministry of Health 2004). Malnutrition in Adults and the Elderly
OBESITY • defined as BMI >=30… • The survey found that obesity was associated with older age and residence in urban areas.
MAIN REASON FOR OBESITY • One reason commonly given for obesity is the increasingly poor ‘quality’ of the diet. The suggestion is that adults are eating a greater quantity of cheaper starchy foods in place of fresh vegetables and meat.
Obesity related chronic diseases • Obesity is related to a number of dietary-related chronic diseases such as : • Diabetes • Hypertension • cardiovascular disease.
Conclusion related to the obesity….. • It is possible that obesity is increasing in the general population of the Palestine. • It appears that around one third of adults are currently obese. • Dietary related chronic diseases are a significant and growing problem among older adults in the Palestine. • Obesity and dietary-related chronic diseases present a major challenge in nutrition in the Palestine.
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