Understanding Malnutrition Assessment and Classification

Learn how to interpret malnutrition indices, classify types of malnutrition, recognize acute malnutrition, and grade oedema in this informative session. Explore key learning objectives, types of malnutrition, classification of acute malnutrition, and more. Enhance your knowledge to effectively assess and address malnutrition in children.

• Malnutrition
• Assessment
• Classification
• Learning
• Interpretation

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Uploaded on Aug 26, 2024 | 2 Views

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1. M1 INITIAL ASSESSMENT S2 INTERPRETATION

2. Key Key Learning Learning Objectives Objectives At the end of this session participants will be able to: 1. Interpret WHZ index, MUAC cut-offs and severity of bilateral oedema. 2. Define and classify the types of malnutrition according to WHZ, MUAC and/or oedema.

3. Initial Initial Questions Questions 1. What variables do you need to classify acute malnutrition? 2. Have you ever seen a child with bilateral oedema, how did you recognise it, where were they?

4. MALNUTRITION INDICES Low weight-for-height/length = Acute malnutrition (wasting) Low height-for-age = Chronic malnutrition (stunting) Low weight-for-age = Underweight

5. TYPES OF MALNUTRITION Malnutrition Micro-nutrient deficiency Global deficiency Chronic Malnutrition Stunting Too short Acute Malnutritrion Severe Acute Malnutrition Wasting Too skinny Kwashiorkor Oedema Moderate Acute Malnutrition

6. ACUTE MALNUTRITION CLASSIFICATION Moderate acute malnutrition (MAM) = moderate wasting. Severe acute malnutrition (SAM) = severe wasting or bilateral edema (can also be both). Global acute malnutrition refers to both moderate acute malnutrition (MAM) and severe acute malnutrition (SAM). MSFOCBA_2015

7. TYPES OF SAM Kwashiorkor Kwashiorkor Marasmus Marasmus- - kwashiorkor kwashiorkor Marasmus Marasmus

8. CLASSIFYING NUTRITIONAL STATUS ++ + +++ Defining the grade of oedema: if oedema is present in the feet: + feet and legs: ++ and feet, legs and other parts of the body: +++ for Comparing their WHZ to WHO Z-score tables Compare MUAC to STANDARDISED cut-off criteria MSFOCBA_2015

9. Kwashiorkor: GRADING OEDEMA Kwashiorkor: GRADING OEDEMA

10. CRITERIA TO DETERMINE ACUTE MALNUTRITION Acute malnutrition Criteria Global Acute Malnutrition (SAM + MAM) <-2 WHZ (0-59 months) and/or MUAC < 125 mm (6-59 months) And/or Bilateral oedema Moderate Acute Malnutrition <-2 to > -3 WHZ (0-59 months) and/or MUAC >115 mm to < 125 mm (6-59 months) Severe Acute Malnutrition < -3 WHZ (0-59 months) and/or MUAC < 115 mm (6-59 months) And/or Bilateral oedema