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Family Study & Dietary
Assessment
MD NAZIMUL ISLAM
ROLL NO. 45
URN- 19M2134
1
Contents
● Introduction
● Table No 1: Domestic Animals
● TableNo 2 : Diet
● Table No 3: Non-veg and Fruits
● Table No 4: Calories Consumption
● Dietary Assessment
● Summary
● References
2
INTRODUCTION
Family:-It is a primary unit of society consisting of individuals related
biologically or by marriage or adoption, living under the same room and
consuming food from a common kitchen.
The term family differs from a household due to the fact that all members of
a household may not be related.
3
Approach to family Assessment
Family studies are an integral part of teaching of community medicine to all
undergraduate medical and nursing students. It enhances the understanding
of students about social determinants and multifactorial causation of
disease.
4
Family Study For 3rd Term Students at
East Point College of Medical Sciences &
Research Center
Total Number of Families - 45
Table 1-4
5
The domestication of animals is the mutual relationship between
animals and the humans who have influence on their care and
reproduction.
6
7
Benefits of Domestic Animals
8
8
Disease Associated with Farm Animals
9
Table No 1: Distribution of Household According to
Domestic Animals (n=45)
Animals Number Percentage
YES 14 31.11%
NO 31 68.89%
Total 45 100
Overall, about 31.11% of households have domestic animals while
68.89% have no domestic animals.
10
As shown in the bar chart, Overall, about 31.11% of households have domestic animals while
68.89% have no domestic animals.
Figure No 1: Distribution of Household According to Domestic Animals
11
12
Balance Diet
13
What is the difference between
balanced and mixed diet?
A mixed diet means many different kinds of food are eaten together. Because there
are many types of nutritious elements in a mixed diet it is well balanced. It is not
enough for the body eating just to stop hunger, or to enjoy the taste. A balanced diet
is always needed.
A balanced diet contains a good amount of proteins and vitamins.A mixed diet
contains of all kinds of food,junk and healthy.
A mixed diet means many different kinds of food are eaten together. Because there
are many types of nutritious elements in a mixed diet it is well balanced.
14
Table No 2: Distribution of Household According to Diet (n=45)
Overall, about 84.44% of households eats rice, 44.44% of households eats ragi & 62.22% of
households eats wheat where 37.78% of households are vegetarian and 62.22% of households
are mixed.
TYPE DIET NUMBER PERCENTAGE
RICE 38 84.44%
RAGI 20 44.44%
WHEAT 28 62.22%
TOTAL 45 100%
TYPE DIET NUMBER PERCENTAGE
VEGETARIAN 17 37.78%
NON VEG 28 62.22%
TOTAL 45 100%
15
Figure No. 2: Distribution of Household According to Diet
As Shown in the bar chart Overall, 84.44% of households eats rice, 44.44% of households eats ragi
& 62.22% of households eats wheat where 37.78% of households are vegetarian and 62.22% of
households are mixed.
16
Non Veg & Fruits
17
Vegetarian vs Non-Vegetarian Diet
Vegetarian Diet Benefits:
Vegetarian Diet Benefits: In a vegetarian diet, the food intake of a person is confined to a large variety of foods derived from plants
along with milk and dairy. And, any form of meat and products derived from animals are completely avoided.
Pros of a Vegetarian Diet:
Vegetarians have been noted to consume a lesser amount of proteins, but they do not suffer from problems related to a high protein
diet, such as osteoporosis (characterized by brittle and weak bones) and kidney failure.
The diet includes a high level of antioxidants such as vitamin E & C as well as carotene, which is available in vegetables and fruits.
Additionally, they consume less amount of saturated fats.
Cons of Vegetarian Diet:
The deficiency of vitamin B12 is common amongst vegetarians, as it is mainly available in meat, eggs, and fish. Deficiency of vitamin
B12 can yield rare symptoms such as increased fatigue, shortness of breath, and a temporary loss of body balance.
Lack of protein, as stated above, along with iron and zinc deficiency is also common.
19
Vegetarian vs Non-Vegetarian Diet
20
Non-vegetarian Diet Benefits:
A non-vegetarian diet includes all forms of plant foods as well as foods and by-products that are
derived from animals, such as poultry, fish, meat, etc.
Pros of Non-Vegetarian Diet:
Vitamin B12 is present in adequate level since they are derived from sources such as meat, eggs,
and fish. Adequate intake of proteins is never an issue for non-vegetarians.
Cons of Non-Vegetarian Diet:
Meat products are loaded with saturated fats, which increase the risk of heart diseases. Studies
have shown that people consuming non-vegetarian diets:
● Have a shorter lifespan and are more vulnerable to chronic diseases.
● Tend to develop diabetes, heart diseases, and hypertension.
Usually, non vegetarians eat less amount of vegetables and fruits than what is recommended.
21
Table No 3a: Distribution of Household According to consume of Nonveg (n=45)
On Basis Non Veg Percentage
Daily 2 4.44%
Weekly Twice 8 17.78%
Weekly Once 14 31.11%
Alternate Days 4 8.89%
Rarely 1 2.22%
Do not Consume 16 35.56%
Total 45 100
Overall, about 35.56% of households don't consume Nonveg while most of the households takes Nonveg
on weekly basis (31.11%)
22
Table No 3b: Distribution of Household According to consume of Fruits.
(n=45)
On Basis Fruits Percentage
Daily 27 60%
Weekly Once 4 8.89%
Weekly Twice 2 4.44%
Alternate Days 12 26.67%
Total 45 100
Overall, about 60% of households eats fruits daily and 8.89% of hoi eats weekly Once and 4 44%
of households eats weekly Twice while rest 26.67% eats on alternate days.
23
Figure No 3a: Distribution of Household According to consumption of Nonveg
As Shown in the bar chart Overall, 35.56% of households don't consume Nonveg while most of the
households takes Nonveg on weekly basis (31.11%)
24
Figure No 3b: Distribution of Household According to consumption of Fruits
As Shown in the bar chart Overall, 60% of households eats fruits daily and 8.89% of hoi eats
weekly Once and 4 44% of households eats weekly Twice while rest 26.67% eats on alternate
days.
25
Calories Consumption
26
27
28
Table No 4: Distribution of Household According to Calories Consumption (n=45)
Calories
Consumption
Number Percentage
On par with
Requirement
2 4.44%
Less than Requirement 22 48.89%
More than Requirement 21 46.67%
Total 45 100%
Overall, about 4.44% of households consume calories on par requirements and 48.89% of
households consume less than Requirement while other 46.67% of households consume more
than Requirement. 29
Figure No 4: Distribution of Household According to Calories Consumption
As Shown in the bar chart Overall, 4.44% of households consume calories on par requirements
and 48.89% of households consume less than Requirement while other 46.67% of households
consume more than Requirement. 30
DIETARY
ASSESSMENT
31
What is Dietary Assessment ?
● A dietary assessments is a comprehensive evaluation
to assess food consumption at national level,
household level and an individual level.
● It is one of the tool for nutritional status assessment.
32
Dietary Assessment Principles
Adequacy; a diet that provides enough energy and nutrients
to meet the needs according to the recommended dietary
intakes/ allowances
Balance : a diet that provides enough, but not too much of
each type of food ( adequacy of basic food groups)
33
Method of Assessing Diet
34
35
36
General Information
Name of the locality - Malda
Name of the PHC/ UFWC - Malda Medical College and Hospital
Head Of The Family - MD TAKBIR ALI
Religion - Islam
Address - Malda, 732206, West Bengal
37
FAMILY STRUCTURE
● TYPE OF FAMILY : NUCLEAR
● PROFILE OF FAMILY MEMBERS :
No Name of the family
members
Relation to
the HOF
Educatio
n
Occupation Type Of
Work
Energy
(Kcal/d)
Protein
(g/d)
1 MD TAKBIR ALI Head Graduate Profession Moderate 2830 80
2 MOST NAJIBA BIBI Wife Graduate Semi -
Profession
Moderate 2230 55
3 DR JASMIN
KHATUN
Daughter Graduate Profession Moderate 2230 55
4 MD NAZIMUL ISLAM Son Undergraduate
Student Sedentary 2320 60
Total CU of the Family : 4.0 Total 9,610 250
38
Table : Raw Food Consumed By The Family
SL No DIETARY ITEMS REQUIRED (gm) INTAKE (gm) COMMENT
1 Cereals 1425 1380 Deficit by 45gm
2 Pulses 285 265 Deficit by 20gm
3 Green Leafy Vegetables 380 400 Exceeded by 20gm
4 Roots & Tubes 760 700 Deficit by 60gm
5 Other Vegetables 760 760 On par with requirements
6 Milk 1140ml 1200ml Exceeded by 60ml
7 Sugar & Jaggery 95 90 Deficit by 5gm
8 Oils & Fats 95 100 Exceeded by 5gm
9 Egg & Meats 250 300 Exceeded by 50gm
39
Frequency of Consumption :
Non Veg Items - Alternate Days
Fruits - Daily
Beverage Intake - Weekly Once
Nuts Intake - Occasionally
Overall, about 250 g/d protein required for the family where
9610 Kcal/d calories required.
40
Figure : Raw Food Consumed By Family
As Shown in the bar chart dietary requirements of the family some dietary items are on par
requirements and some less than Requirement where others more than Requirement.
41
SUMMARY
● Family Study For 3rd Term Students at East Point College of Medical Sciences & Research Center
● Total Number Family- 45
● About 31.11% of households have domestic animals while 68.89% have no domestic animals.
● About 84.44% of households eats rice, 44.44% of households eats ragi & 62.22% of households
eats wheat where 37.78% of households are vegetarian and 62.22% of households are mixed.
● About 35.56% of households don't consume Nonveg while most of the households takes Nonveg
on weekly basis (31.11%)
● About 60% of households eats fruits daily and 8.89% of hoi eats weekly Once and 4 44% of
households eats weekly Twice while rest 26.67% eats on alternate days.
● About 4.44% of households consume calories on par requirements and 48.89% of households
consume less than Requirement while other 46.67% of households consume more than
Requirement.
42
● Dietary assessment is a necessary component of nutritional status
assessment of individuals, and also is useful for other purposes.
● It can be done using a variety of methods, each of which has advantages
and limitations.
● Intake from all sources (food, fortified food, beverages, and nutrient
supplements) must be included.
● Sufficient numbers of days to represent usual intakes must be obtained.
● Complete food and supplement composition tables must be employed.
● Appropriate reference standards and statistical procedures for assessing
intakes must be used.
● Dietary assessment methods work best in combination with other
methods for the assessment of nutritional status.
SUMMARY Contd...
43
REFERENCES
● JK Park Textbook of Preventive and Social Medicine; Banarasidas Bhanot Publication;22th
edition.
● Text Book of Public Health and Community Medicine, Published by Department of
Community Medicine, Armed Forces Medical College, Pune.Exploring methods in
information fiteracy research.p.149-170.
● Social Science & Medicine (1967)
Volume 8, Issues 9–10, September 1974, Pages 487-493
● Approach to family assessment and intervention
Anand Krishnan, Priyamadhaba Behera, Baridalyne Nongkynrih
All India Institute of Medical Sciences, Ansari Nagar, New Delhi 110029, India
14-Jun-2018 https://www.nmji.in › article
● Vegetarian vs Non Vegetarian Diet - Which is Better?
Written and reviewed by Dr.Ruchi Goyal Dietitian/Nutritionist www.lybrate.com. 2018 44
45

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Family Study & Dietary Assessment

  • 1. Family Study & Dietary Assessment MD NAZIMUL ISLAM ROLL NO. 45 URN- 19M2134 1
  • 2. Contents ● Introduction ● Table No 1: Domestic Animals ● TableNo 2 : Diet ● Table No 3: Non-veg and Fruits ● Table No 4: Calories Consumption ● Dietary Assessment ● Summary ● References 2
  • 3. INTRODUCTION Family:-It is a primary unit of society consisting of individuals related biologically or by marriage or adoption, living under the same room and consuming food from a common kitchen. The term family differs from a household due to the fact that all members of a household may not be related. 3
  • 4. Approach to family Assessment Family studies are an integral part of teaching of community medicine to all undergraduate medical and nursing students. It enhances the understanding of students about social determinants and multifactorial causation of disease. 4
  • 5. Family Study For 3rd Term Students at East Point College of Medical Sciences & Research Center Total Number of Families - 45 Table 1-4 5
  • 6. The domestication of animals is the mutual relationship between animals and the humans who have influence on their care and reproduction. 6
  • 7. 7
  • 9. 8 Disease Associated with Farm Animals 9
  • 10. Table No 1: Distribution of Household According to Domestic Animals (n=45) Animals Number Percentage YES 14 31.11% NO 31 68.89% Total 45 100 Overall, about 31.11% of households have domestic animals while 68.89% have no domestic animals. 10
  • 11. As shown in the bar chart, Overall, about 31.11% of households have domestic animals while 68.89% have no domestic animals. Figure No 1: Distribution of Household According to Domestic Animals 11
  • 12. 12
  • 14. What is the difference between balanced and mixed diet? A mixed diet means many different kinds of food are eaten together. Because there are many types of nutritious elements in a mixed diet it is well balanced. It is not enough for the body eating just to stop hunger, or to enjoy the taste. A balanced diet is always needed. A balanced diet contains a good amount of proteins and vitamins.A mixed diet contains of all kinds of food,junk and healthy. A mixed diet means many different kinds of food are eaten together. Because there are many types of nutritious elements in a mixed diet it is well balanced. 14
  • 15. Table No 2: Distribution of Household According to Diet (n=45) Overall, about 84.44% of households eats rice, 44.44% of households eats ragi & 62.22% of households eats wheat where 37.78% of households are vegetarian and 62.22% of households are mixed. TYPE DIET NUMBER PERCENTAGE RICE 38 84.44% RAGI 20 44.44% WHEAT 28 62.22% TOTAL 45 100% TYPE DIET NUMBER PERCENTAGE VEGETARIAN 17 37.78% NON VEG 28 62.22% TOTAL 45 100% 15
  • 16. Figure No. 2: Distribution of Household According to Diet As Shown in the bar chart Overall, 84.44% of households eats rice, 44.44% of households eats ragi & 62.22% of households eats wheat where 37.78% of households are vegetarian and 62.22% of households are mixed. 16
  • 17. Non Veg & Fruits 17
  • 18.
  • 19. Vegetarian vs Non-Vegetarian Diet Vegetarian Diet Benefits: Vegetarian Diet Benefits: In a vegetarian diet, the food intake of a person is confined to a large variety of foods derived from plants along with milk and dairy. And, any form of meat and products derived from animals are completely avoided. Pros of a Vegetarian Diet: Vegetarians have been noted to consume a lesser amount of proteins, but they do not suffer from problems related to a high protein diet, such as osteoporosis (characterized by brittle and weak bones) and kidney failure. The diet includes a high level of antioxidants such as vitamin E & C as well as carotene, which is available in vegetables and fruits. Additionally, they consume less amount of saturated fats. Cons of Vegetarian Diet: The deficiency of vitamin B12 is common amongst vegetarians, as it is mainly available in meat, eggs, and fish. Deficiency of vitamin B12 can yield rare symptoms such as increased fatigue, shortness of breath, and a temporary loss of body balance. Lack of protein, as stated above, along with iron and zinc deficiency is also common. 19
  • 20. Vegetarian vs Non-Vegetarian Diet 20 Non-vegetarian Diet Benefits: A non-vegetarian diet includes all forms of plant foods as well as foods and by-products that are derived from animals, such as poultry, fish, meat, etc. Pros of Non-Vegetarian Diet: Vitamin B12 is present in adequate level since they are derived from sources such as meat, eggs, and fish. Adequate intake of proteins is never an issue for non-vegetarians. Cons of Non-Vegetarian Diet: Meat products are loaded with saturated fats, which increase the risk of heart diseases. Studies have shown that people consuming non-vegetarian diets: ● Have a shorter lifespan and are more vulnerable to chronic diseases. ● Tend to develop diabetes, heart diseases, and hypertension. Usually, non vegetarians eat less amount of vegetables and fruits than what is recommended.
  • 21. 21
  • 22. Table No 3a: Distribution of Household According to consume of Nonveg (n=45) On Basis Non Veg Percentage Daily 2 4.44% Weekly Twice 8 17.78% Weekly Once 14 31.11% Alternate Days 4 8.89% Rarely 1 2.22% Do not Consume 16 35.56% Total 45 100 Overall, about 35.56% of households don't consume Nonveg while most of the households takes Nonveg on weekly basis (31.11%) 22
  • 23. Table No 3b: Distribution of Household According to consume of Fruits. (n=45) On Basis Fruits Percentage Daily 27 60% Weekly Once 4 8.89% Weekly Twice 2 4.44% Alternate Days 12 26.67% Total 45 100 Overall, about 60% of households eats fruits daily and 8.89% of hoi eats weekly Once and 4 44% of households eats weekly Twice while rest 26.67% eats on alternate days. 23
  • 24. Figure No 3a: Distribution of Household According to consumption of Nonveg As Shown in the bar chart Overall, 35.56% of households don't consume Nonveg while most of the households takes Nonveg on weekly basis (31.11%) 24
  • 25. Figure No 3b: Distribution of Household According to consumption of Fruits As Shown in the bar chart Overall, 60% of households eats fruits daily and 8.89% of hoi eats weekly Once and 4 44% of households eats weekly Twice while rest 26.67% eats on alternate days. 25
  • 27. 27
  • 28. 28
  • 29. Table No 4: Distribution of Household According to Calories Consumption (n=45) Calories Consumption Number Percentage On par with Requirement 2 4.44% Less than Requirement 22 48.89% More than Requirement 21 46.67% Total 45 100% Overall, about 4.44% of households consume calories on par requirements and 48.89% of households consume less than Requirement while other 46.67% of households consume more than Requirement. 29
  • 30. Figure No 4: Distribution of Household According to Calories Consumption As Shown in the bar chart Overall, 4.44% of households consume calories on par requirements and 48.89% of households consume less than Requirement while other 46.67% of households consume more than Requirement. 30
  • 32. What is Dietary Assessment ? ● A dietary assessments is a comprehensive evaluation to assess food consumption at national level, household level and an individual level. ● It is one of the tool for nutritional status assessment. 32
  • 33. Dietary Assessment Principles Adequacy; a diet that provides enough energy and nutrients to meet the needs according to the recommended dietary intakes/ allowances Balance : a diet that provides enough, but not too much of each type of food ( adequacy of basic food groups) 33
  • 35. 35
  • 36. 36
  • 37. General Information Name of the locality - Malda Name of the PHC/ UFWC - Malda Medical College and Hospital Head Of The Family - MD TAKBIR ALI Religion - Islam Address - Malda, 732206, West Bengal 37
  • 38. FAMILY STRUCTURE ● TYPE OF FAMILY : NUCLEAR ● PROFILE OF FAMILY MEMBERS : No Name of the family members Relation to the HOF Educatio n Occupation Type Of Work Energy (Kcal/d) Protein (g/d) 1 MD TAKBIR ALI Head Graduate Profession Moderate 2830 80 2 MOST NAJIBA BIBI Wife Graduate Semi - Profession Moderate 2230 55 3 DR JASMIN KHATUN Daughter Graduate Profession Moderate 2230 55 4 MD NAZIMUL ISLAM Son Undergraduate Student Sedentary 2320 60 Total CU of the Family : 4.0 Total 9,610 250 38
  • 39. Table : Raw Food Consumed By The Family SL No DIETARY ITEMS REQUIRED (gm) INTAKE (gm) COMMENT 1 Cereals 1425 1380 Deficit by 45gm 2 Pulses 285 265 Deficit by 20gm 3 Green Leafy Vegetables 380 400 Exceeded by 20gm 4 Roots & Tubes 760 700 Deficit by 60gm 5 Other Vegetables 760 760 On par with requirements 6 Milk 1140ml 1200ml Exceeded by 60ml 7 Sugar & Jaggery 95 90 Deficit by 5gm 8 Oils & Fats 95 100 Exceeded by 5gm 9 Egg & Meats 250 300 Exceeded by 50gm 39
  • 40. Frequency of Consumption : Non Veg Items - Alternate Days Fruits - Daily Beverage Intake - Weekly Once Nuts Intake - Occasionally Overall, about 250 g/d protein required for the family where 9610 Kcal/d calories required. 40
  • 41. Figure : Raw Food Consumed By Family As Shown in the bar chart dietary requirements of the family some dietary items are on par requirements and some less than Requirement where others more than Requirement. 41
  • 42. SUMMARY ● Family Study For 3rd Term Students at East Point College of Medical Sciences & Research Center ● Total Number Family- 45 ● About 31.11% of households have domestic animals while 68.89% have no domestic animals. ● About 84.44% of households eats rice, 44.44% of households eats ragi & 62.22% of households eats wheat where 37.78% of households are vegetarian and 62.22% of households are mixed. ● About 35.56% of households don't consume Nonveg while most of the households takes Nonveg on weekly basis (31.11%) ● About 60% of households eats fruits daily and 8.89% of hoi eats weekly Once and 4 44% of households eats weekly Twice while rest 26.67% eats on alternate days. ● About 4.44% of households consume calories on par requirements and 48.89% of households consume less than Requirement while other 46.67% of households consume more than Requirement. 42
  • 43. ● Dietary assessment is a necessary component of nutritional status assessment of individuals, and also is useful for other purposes. ● It can be done using a variety of methods, each of which has advantages and limitations. ● Intake from all sources (food, fortified food, beverages, and nutrient supplements) must be included. ● Sufficient numbers of days to represent usual intakes must be obtained. ● Complete food and supplement composition tables must be employed. ● Appropriate reference standards and statistical procedures for assessing intakes must be used. ● Dietary assessment methods work best in combination with other methods for the assessment of nutritional status. SUMMARY Contd... 43
  • 44. REFERENCES ● JK Park Textbook of Preventive and Social Medicine; Banarasidas Bhanot Publication;22th edition. ● Text Book of Public Health and Community Medicine, Published by Department of Community Medicine, Armed Forces Medical College, Pune.Exploring methods in information fiteracy research.p.149-170. ● Social Science & Medicine (1967) Volume 8, Issues 9–10, September 1974, Pages 487-493 ● Approach to family assessment and intervention Anand Krishnan, Priyamadhaba Behera, Baridalyne Nongkynrih All India Institute of Medical Sciences, Ansari Nagar, New Delhi 110029, India 14-Jun-2018 https://www.nmji.in › article ● Vegetarian vs Non Vegetarian Diet - Which is Better? Written and reviewed by Dr.Ruchi Goyal Dietitian/Nutritionist www.lybrate.com. 2018 44
  • 45. 45