protein-calorie nutrition disorder

Introduction

Introduction to Protein-Thermal Nutritional Disorders Protein-thermal dystrophy can be manifested as protein-thermal malnutrition or pediatric obesity. Protein-thermal malnutrition: A nutritional deficiency caused by lack of energy and/or protein, mainly found in infants under 3 years of age. Clinically, it is characterized by significant weight loss, reduction of subcutaneous fat, and subcutaneous edema, often accompanied by dysfunction of various organ systems. Acute cases are often accompanied by water and electrolyte disorders, and chronic ones often have multiple nutrient deficiencies. There are three types of clinical common: the lean type with insufficient energy supply; the edema type with insufficient protein supply and the lean-edema type between the two. Pediatric obesity: It is a kind of dystrophic disease in which the intake of energy exceeds the consumption of human energy for a long time, and the body fat is excessively accumulated and the body weight exceeds a certain range. Due to the improvement of people's living standards and changes in dietary structure, childhood obesity is gradually increasing. Obesity not only affects the health of children, but also causes adult diseases such as hypertension, diabetes, coronary heart disease, cholelithiasis, gout and sudden death. Therefore, the prevention and treatment of this disease should attract the attention of society and family. basic knowledge Sickness ratio: 0.0001% Susceptible people: no special people Mode of infection: non-infectious complication:

Cause

Protein-thermal dystrophic cause

Improper feeding or eating (40%):

Infants and young children grow fast and must supply enough nutrients, especially high-quality protein, to meet the needs. If energy and protein intake are insufficient, they can cause disease.

Disease induced (30%):

The most common are digestive diseases or congenital malformations, such as infantile diarrhea, intestinal malabsorption syndrome, cleft lip, cleft palate, acute and chronic infectious diseases, intestinal parasitic diseases, long-term fever, malignant tumors, congenital deficiency or poor physiological function (premature birth, twins) can cause malnutrition.

Prevention

Protein-thermal energy nutrition prevention

Pay attention to rest, work and rest, life in an orderly manner, and maintaining an optimistic, positive and upward attitude towards life can be of great help in preventing diseases.

Complication

Protein-thermal dystrophic complications Complication

No special complications

Symptom

Protein-thermal dystrophy symptoms common symptoms skin pale subcutaneous tissue edema weight loss subcutaneous fat disappear muscle atrophy

The lack of weight is the earliest symptom, and then the weight declines, and the height is also lower than normal. Subcutaneous fat gradually decreases and disappears, first involving the abdomen, followed by the trunk, buttocks, limbs, and finally the cheeks; the subcutaneous fat layer of the abdomen is one of the important indicators for determining the degree of malnutrition. As the disease progresses, various clinical symptoms gradually increase. At the beginning, only the body weight is reduced, the light subcutaneous fat is thinner, and the skin is dry, but the height is not affected, and the mental state is normal. Then, the body weight and subcutaneous fat are further reduced, and the height stops growing. The skin is dry, pale, and the muscles are slack; when the condition is further aggravated, the body weight is obviously reduced, the subcutaneous fat disappears, and the wrinkles in the forehead are old, the height is obviously lower than that of the same age, the skin is pale, dry, inelastic, muscle atrophy, and apathetic, Poor response, low body temperature, weak pulse, low appetite, frequent diarrhea, alternating constipation, some children may have edema due to a significant decrease in plasma albumin.

Examine

Protein-thermal energy dysfunction check

According to the age of children, feeding, weight loss, subcutaneous fat reduction, systemic dysfunction and other nutrient deficiency symptoms and signs, the diagnosis of typical cases is not difficult, but mild children are easily ignored, need to grow regularly Monitoring and follow-up can be found. After the diagnosis, detailed medical history and further examination are required to make an etiological diagnosis.

Diagnosis

Diagnosis of protein-thermal dystrophy

1. The parameters were selected using the NCHS (National Health Statistics Center) standard recommended by WHO.

2. Physical Measurement Indicators The three anthropometric indicators for evaluating malnutrition in children are age weight (W/A), age height (H/A), and height weight (W/H). 3. Statistical indicators According to the characteristics of the sample, the standard deviation method was used, and the less than the median minus 2s was the point of malnutrition. 4. Classification and indexing (1) Classification 1 Underweight: The weight loss is less than 2 times the standard deviation of the same age and the same sex reference population. 2 growth retardation (stunting): height is less than 2 times the standard deviation of the same age, the same sex reference population. 3 wasting: The median weight of the reference population is lower than the standard deviation of the same sex, and the body weight is less than 2 standard deviations.

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