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Nutrition on adolescence and elderly- NUTRITION SUBJECT

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    Nutrition inADOLESCENCE

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    Adolescence

    is the transition period between childhoodand adulthood.

    it is the period where there is augmentedbiological development, second only tothat immediately prior to and followingbirth.

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    Nutrient Allowances Philippine RDA categorizes adolescence into the

    13-15 age group and the 16-19 years old.

    It is important to emphasize that all adolescentsdo not grow and develop at the same rate or atthe same age, nutrient needs tend to coincidewith the velocity of growth.

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    1) ENERGY 13-15 years old = 310 kcal

    16-19 years old = 640 kcal

    2) PROTEIN 13-15 years old = 59g

    16-19 years old = 65g

    3) VITAMINS- Vitamin A, C, Thiamin and Riboflavin are found

    deficient in the diet of Filipino adolescent.- Vitamin C has an important role in cellmetabolism.

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    4) MINERALS

    CALCIUM: 13-15 years old = 700mg

    16-19 years old = 600mg

    IRON: Increase intake to about 300mg influencesthe hemoglobin and hematocrit levels.

    IODINE: Increase to compensate the increase inthyroid activity associated with growth.

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    Feeding Habits ofAdolescentsdepends on:

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    emotional and social pressure

    self-consciousness especially

    with regards to figure

    independence in food choice

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    Nutrition in theELDERLY

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    ELDERLY or AGED generally refers toolder people age 60 years and over.

    SENESCENCE period of old age.

    GERONTOLOGY study of the phenomenaof old age.

    GERIATRICS treatment of itsaccompanying diseases.

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    FACTORS

    AFFECTINGADEQUATE

    FEEDING INELDERLY

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    A) Psychological Factors:

    -- Emotional stress can impair the elderlys ability to properly

    utilize ingested nutrients.

    Ex. - Loss of love ones

    - threat of death- Feeling of loneliness

    - intensified by loss of vision &/or hearing

    - Loss of job & sexual attractiveness

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    1) ANXIETY

    He is constantly worried about his environment, his health, andeverything about himself. His worry may produce changes in GITmotility.

    2) DEPRESSION

    He does not eat sufficiently, often out of conscious or unconsciousdesire to die.

    3) SUSPICION

    He does not eat because he is insecure about the food and peoplearound him.

    4) CONFUSION

    He does not know what is going on around him. Confusion may lead toemotional stress. He should be helped to see, hear, and understandwhat is going on and what is being served to him.

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    B) PhysicalFactors:-poor dentures-difficulty in swallowing

    -lack of motor coordination

    -physical discomforts such as heart burn and gas pain-diminished sense of taste and smell takes away the

    pleasure of eating

    -heavy handling of eating utensils may be a source offrustrations and loss of interest in food

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    C) Socio-Economic Factors:

    Retirement from work brings with it reduction in

    financial resources. Lack of money most often is

    the cause of selection inexpensive empty calorie

    foods and reduced intake of meat, milk and eggs. Elderly person is easy prey to food fallacies and

    superstitious belief.

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    DIETARY PRINCIPLES

    IN FEEDING THEELDERLY

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    No teeth or poor dentures restrict their foodto those that are mashed, chopped orpureed.

    For those with sensitive digestivesystems, take something hot at eachmeal.

    Fiber of tender vegetables, fruitsand whole grain cereals willpromote normal peristalsis inaddition to their being good

    sources of vitamins and minerals.

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    Milk is an important food inthe diet of the aged. It is a

    good source of protein,calcium, riboflavin and whenfortified an excellent sourceof Vitamin D.

    A good breakfast, pleasant eating

    surroundings, and familiar foodsshould be stressed when feeding theelderly.

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    Fats may retard digestion.

    It is recommended that the heavier

    meal be eaten at noon rather than atnight.

    Coffee and tea late inthe day may prevent agood sound sleep.

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    An important fact to consider in viewing geriatric nutrition is that while

    nutritional requirements remain similar, no matter what ones age,caloric requirements decrease with age.

    Nutrient Allowances

    1) CARBOHYDRATES

    -50 to 60% of the total kcal, primarily in the form ofstarches rather than sugars

    2) FATS-25 to 30% from fats, 2% of which in the form of

    polyunsaturated fatty acids

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    3) PROTEIN

    -1.12g/kg body weight based on a net proteinutilization of 63%.

    4) VITAMINS & MINERALS-Calcium, Iron, and Vitamins Aand C.

    5) WATER-approximately 6-8 glasses/day are needed.

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    The End


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