CLASSIFICATION OF PEM According to ICMR classification NORMAL
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CLASSIFICATION OF PEM • • • According to ICMR classification NORMAL--- 80 % & Above Grade I ---- 70 -80% Grade II----- 60 - 70 % Grade III----- 50 -60 % Grade Iv---- Below 50 %
DIETARY MANAGEMENT OF PEM 1. PROTEIN ALLOWANCE Ø Cereal & pulses protein about 4 to 5 gm per kg Ø Animal protein 3 to 3. 5 gm/kg Ø NPU of cereals & pulses is only 60 percent
CALORIES • • • 160 -180 KCAL /KG OF WEIGHT Younger child – 175 to 200 Older child – 150 - 175 One year old – 1 oookcal After one year add 100 kcal/year
TREATMENT OF PEM • Adequate diet : - 125 -150 kcal & 3 -4 gm of good quality of protein/kg of body weight/day. • Treatment of infections • Health education • Rehabilitation
Indicators • Weight/height = weight of the child x 100 • weight of normal child at same age
PREVENTIVE MEASURES • HEALTH PROMOTION • Measures directed to pregnant & lactating women • Promotion of breast feeding • development of low cost weaning foods • measures to improve family diet • Nutrition education
conti Family planning & spacing of births Family environment 2) specific protection Childs diet should include protein & energy rich foods • Immunization • Food fortification • •
Conti…. Early diagnosis & treatment period surveillance Early diagnosis f any lag in growth Early diagnosis and treatment of infections & diarrhea • development of programmes for deworming of heavily infested children • •
• Rehabilitation • Nutritional rehabilitation services • Hospital treatment & follow up.
Hyderabad mixture • • Whole wheat ( roasted )- --- 40 gm Bengal gram (roasted)---- 16 gm Ground nut (roasted) -----10 gm Jaggery -----------20 gm 86 gm energy ----330 kcal Protein ----11. 3 gm
