1. Nutritional Assessment of a Community
Dr. Hamda Qotba, B.Med.Sc, M.D, ABCM

2. Terminology you have to know
Nutrition:
Process by which living organism receives material and uses them to promote it’s vital activities
Nutrient:
Any substance which is digested and absorbed to promote body function

3. Diet:
Selection of food which is normally eaten by person or population
Food:
Substance when eaten , digested, absorbed provide at least one nutrient
Balanced diet :
Diet that provide adequate amount of all nutrients

4. Nutritional assessment:
Malnutrition:
Caused by incorrect amount of nutrient intake
Nutritional status:
Health status that produced by balanced between requirements and intake
Nutritional assessment:
Measurement of nutritional status by anthropometrics , biochemical data, dietary history

5. A) Collect anthropometrics measurements
B) Look at biochemical data
C) Conduct physical examination to detect the clinical signs of nutritional status
D) Obtain a dietary history
To assess the nutritional status use the ABCD system

6. Anthropometrics Height Weight
Skin fold thickness (triceps, biceps, below scapula, above iliac, and upper thigh)
Circumference (head, mid upper arm, waist, calf, and hip)

7. Physical growth Weight for age Height for age Weight for height BMI
Malnutrition (Gomez)
Height for age
Stunting (waterlow)
Weight for height
Wasting
BMI
Obesity

8. Weight for age Malnutrition (Gomez)
W/A= W/W(N) x 100
= Normal
75-89 = 1st, Mild
60-74 = 2nd , Moderate
<60 = 3rd, Severe

9. Height for age Stunting
H/A=H/H(N) x 100
< -2 SD = Stunted, Wasted
> 95 = Normal
= Mild
= Moderate
< 80 = Severe

10. Weight for height Wasting
W/H= W/W(at same H) x 100
< -2 SD = Stunted, Wasted
> 90 = Normal
80-90 = Mild
70-80 = Moderate
< 70 = Severe

11. Body Mass Index (BMI) BMI= W(kg)/ H(m)² < 15= Underweight
15-85= Normal
> 85= Overweight
> 95= Obese