SOLVED| GRADED A+
cultural differences: may be sensitive when asked about diet
children: diets are highly variable, food habits change rapidly, take input from parents
older people: memory may be impaired, bias reporting due to diet restrictions, inquire about
multiple types of nutrition supplements and least, more, my plate, fiber, vitamins
Anthropometric
used to estimate body energy stores and _____________ mass
- height
- weight
-_______________ measurements
- measurements of __________________ and body composition protein, circumference,
skinfold
HEIGHT
standing height (start at 2yrs. old)
recumbent length or ______________ - heel length (3.6 cm > than standing)
sitting height or ^^ - rump length
,arm span measurement taken from sternal notch to longest finger on dominant hand. multiply
# by _____________
stadiometer- measures height made up of vertical stand with attached movable head piece
-______________________
-looking forward
-head NOT tilted
which is more accurate or stadiometer or anthropometer?_____________
because of _______________
knee height used to measure height for non-ambulatory people with contractures, paralysis,
knee and thigh must be at a ____________ degree angle crown, 2, barefoot, stadiometer,
calibration, 90
BODY WEIGHT
sum of fat, water, lean protein and mineral mass
most widely applied and useful nutritional index
limitations:
does not reflect body composition (lean vs fat mass)
**presence of ___________ and ascites (swelling)**
,losses of body stores are masked in pt with obesity
weight changes reflect fluid excretion
data used for interpretation
obtaining a valid weight:
same calibrated scales
same time of day
same amount of ________________
after patient has ________________ edema, clothing, voided
anthropometric assessments in adults:
weight-loss can indicate malnutrition
_______% weightloss within a 6 month period is significant
weight gain may indicate fluid retention which means worsening of disease state (heart/kidney
failure)
- fluid retention can mask weight loss associated with PEM
-changes in body may accompany illness and aging
**fluid retention vs fat can indicate sickness** 10
, skinfold measurements and limb circumferences help identify body ____________________
changes composition
BODY FRAME-WRIST CIRCUMFERENCE
height (in) / wrist circumference (in)
men: small: >_________ large<9.6
women: small: >_______ large<10.1
*********** larger the #, ___________ the frame*****************
Thumb/finger overlap= small
thumb/finger touch= medium
thumb/finger do not touch= large 10.4 , 11, smaller
quick estimate of IBW
_________________ method "rule of thumb" or 5's and 6's
Men: 106lbs [5ft.] + 6lb per inch after
Women: 100lbs [5ft] + 5lb per inch after