Wasay Waseem Kabir
Final Year MBBS, Deccan College of Medical
                 Sciences
NUTRITION

Nutrition , also called
nourishment , is the provision, to
cells and organisms , of the
materials necessary in the form
of food to support life.

Our food is made up of essential
, natural complex chemical
1.   Carbohydrate
2.   Fat
     Macro
3.   Protein
4.   Vitamins
5.   Minerals
--50-60% of total energy intake.
 Carbohydrates are divided into
Simple carbohydrates e.g.
  monosaccharide and disaccharides
  such as glucose and fructose in
  fruits, vegetables, sucrose in sugar,
  lactose in milk.
Complex Carbohydrates e.g.
  oligosaccharides & polysaccharides
  such as starch in cereals.
 Proteins are second most abundant
  substance in the body after water.
 They are required for growth and synthesis
  of tissues in the body, and as alternate
  source of energy for the body.
 Proteins are made of 20 different kinds of
  amino acids.
 Proteins provide 4 kcal energy/gm.
 25-30% of energy intake should be
 from fat.
 Acts as major structural element of cell
 membranes, carriers of fat soluble
 vitamins A, D, E, K, precursors offer
 biosynthesis of prostaglandins and
 hormones.
 Fats in diet or human body are in the form of
 triglycerides, phospholipids & cholesterol
SIMPLE
                      LIPIDS



SATURATED FATTY                         UNSATURATED
  ACIDS. Ghee,                           FATTY ACIDS
Butter, Coconut oil                         (UFA)




                           MUFA                     PUFA
                        Olive, palm,             Corn, soya,
                        mustard oils.           sunflower oils.




                                             EFA
                                  Linoleic & linolenic acids
RECOMMENDED DIETARY
ALLOWANCES
 A range of   acceptable or safe intake levels
  have been established for almost all the important
  nutrients, which are recognized as “RDA”.
 RDAs are formulated based on the current knowledge of
  nutritional requirements of diff age & sex groups
  depending on anthropometry.
 A simple way of calculating energy requirements is as
  follows:
-For children with normal body weights, the energy
  requirements are :-
 100 Kcal/Kg for the first 10 kg,
 Between 10-20 kg, the requirement is 1000kcal+50
  kcal/kg added for wt about 10 kg.
 For wt more than 20 kg 20 kcal/kg is added to 1500
  kcal to estimate the requirements.
RECOMMENDED DIETARY ALLOWANCES
FOR INDIAN CHILDREN.
GROUP     PARTICULAR BODY      ENERGY     PROTEIN   FAT
          S          WT (KG)   Kcal/day   gm/day    gm/day
INFANTS 0-6 MONTHS    5.4      108/Kg     2.05/Kg   30
        0-12          8.6      98/Kg      1.65/Kg   25
        MONTHS
CHILDRE   1-3 Yrs     12.2     1240       22        25
N         4-6Yrs      19.0     1690       30        25
          7-9Yrs      26.9     1950       41        25
BOYS      10-12 Yrs   35.4     2190       54        22
GIRLS     10-12 Yrs   31.5     1970       57        22
BOYS      13-15 Yrs   47.8     2450       70        22

GIRLS     13-15Yrs    46.7     2060       65        22

BOYS      16-18 Yrs   57.1     2640       78        22
GIRLS     16-18 Yrs   49.9     2060       63        22
 BREAST FEEDING:

 An infant should be exclusively breast
  fed till 6 months of age”
 During this age, additional food or fluid is
  not required as breast milk is nutritionally
  complete for the child’s growth and
  development and it protects from
  infections and strengthens immune
  system.
COMPLEMENTARY DIET:
 Complementary feeding is started at 6 months of age
  while continuing breast feeding.
 Complementary feeding refers to food which
  complements breast milk and ensures that the child
  continues to have enough energy , protein and other
  nutrients to grow normally.
 Breast feeding is encouraged up to 2 years of age in
  addition to normal food.
BALANCED DIET:
 Balanced diet is defined as nutritionally adequate
  and appropriate; it provides all the nutrients in
  required amounts in proper proportions.
 A combination of carbohydrate rich food, a protein
  source and fat should be used to make nutritionally
  adequate complementary food or feed.
 This diet should contain 55-60% cal from
  carbohydrates, 10-12% proteins & 25-30% fats.
Foods are conventionally grouped as:
 Cereals, millets and pulses.
 Vegetables& fruits.
 Milk and milk products
 Egg, meat, fish.
 Oils and fats.
IMNCI FOOD BOX
AGE         FOOD
 Up to 6    Breast feed as often as the child
  months      wants, at least 8 times in 24 hrs.
             Do not give any other foods or fluids
              not even water.
 6-12       Breast feed as often as the child
 months       wants.
             1 katori serving at a time of:
              mashed roti/ bread / biscuit mixed in
              sweetened undiluted milk OR
             Mashed boiled /fried potatoes
             3 times a day.
AGE           FOOD
 12           Breast feed as often as the child
  months- 2     wants.
  yrs.         Offer food from the family pot.
               Give at least1 ½ katori serving at
                a time 5 times a day.
               Mashed roti/ rice/ bread mixed in
                thick dal with added ghee/ oil OR
                khichri with added ghee and cooked
                vegetables also in the servings.
 2yrs and
               Give family food as   3 meals each
 older          day.
               also, twice daily, give nutritious food
                between meals such as: banana/
COMMON FOOD STUFFS

       FOOD   K CAL/100 gm PROTEIN/100g
FISH          100         20

COW MILK      67          3.3

DHAL          350         21

RICE          350         7

POTATO        100         1.6

BANANA        100         1.0

TAPIOCA       160         0.7
PREPARATIONS   QTY FOR 1   KCAL
               SERVING
RICE           1 CUP       100

PHULKA         1 NO        50

BREAD          2 SLICES    100

UPMA           1 CUP       250

IDLY           2 NO        100

DOSA           1NO         50

KHICHRI        1 CUP       200

CORN FLAKES    1 CUP       220

SAMBAR         1 ½ CUP     100



BOILED EGG     1 NO        70
PREPARATIONS   QTY FOR 1   KCAL
               SERVING
Plain Dhal     1 CUP       110

SAMOSA         1 NO        200

SAND WICH      2 NO        200

APPLE          1           65

BANANA         1           90

GRAPES         30 NO       70

GUAVA          1           50

JACKFRUIT      4 PIECES    90

MANGO          1           180

CHEEKU         1           80

ORANGE         1           40
Any
Questions??
THANK YOU…




  Acknowledgement
-Dr.Narayan Reddy

Nutrition wasay

  • 1.
    Wasay Waseem Kabir FinalYear MBBS, Deccan College of Medical Sciences
  • 3.
    NUTRITION Nutrition , alsocalled nourishment , is the provision, to cells and organisms , of the materials necessary in the form of food to support life. Our food is made up of essential , natural complex chemical
  • 4.
    1. Carbohydrate 2. Fat Macro 3. Protein 4. Vitamins 5. Minerals
  • 5.
    --50-60% of totalenergy intake.  Carbohydrates are divided into Simple carbohydrates e.g. monosaccharide and disaccharides such as glucose and fructose in fruits, vegetables, sucrose in sugar, lactose in milk. Complex Carbohydrates e.g. oligosaccharides & polysaccharides such as starch in cereals.
  • 6.
     Proteins aresecond most abundant substance in the body after water.  They are required for growth and synthesis of tissues in the body, and as alternate source of energy for the body.  Proteins are made of 20 different kinds of amino acids.  Proteins provide 4 kcal energy/gm.
  • 7.
     25-30% ofenergy intake should be from fat.  Acts as major structural element of cell membranes, carriers of fat soluble vitamins A, D, E, K, precursors offer biosynthesis of prostaglandins and hormones.  Fats in diet or human body are in the form of triglycerides, phospholipids & cholesterol
  • 8.
    SIMPLE LIPIDS SATURATED FATTY UNSATURATED ACIDS. Ghee, FATTY ACIDS Butter, Coconut oil (UFA) MUFA PUFA Olive, palm, Corn, soya, mustard oils. sunflower oils. EFA Linoleic & linolenic acids
  • 9.
    RECOMMENDED DIETARY ALLOWANCES  Arange of acceptable or safe intake levels have been established for almost all the important nutrients, which are recognized as “RDA”.  RDAs are formulated based on the current knowledge of nutritional requirements of diff age & sex groups depending on anthropometry.  A simple way of calculating energy requirements is as follows: -For children with normal body weights, the energy requirements are :-  100 Kcal/Kg for the first 10 kg,  Between 10-20 kg, the requirement is 1000kcal+50 kcal/kg added for wt about 10 kg.  For wt more than 20 kg 20 kcal/kg is added to 1500 kcal to estimate the requirements.
  • 10.
    RECOMMENDED DIETARY ALLOWANCES FORINDIAN CHILDREN. GROUP PARTICULAR BODY ENERGY PROTEIN FAT S WT (KG) Kcal/day gm/day gm/day INFANTS 0-6 MONTHS 5.4 108/Kg 2.05/Kg 30 0-12 8.6 98/Kg 1.65/Kg 25 MONTHS CHILDRE 1-3 Yrs 12.2 1240 22 25 N 4-6Yrs 19.0 1690 30 25 7-9Yrs 26.9 1950 41 25 BOYS 10-12 Yrs 35.4 2190 54 22 GIRLS 10-12 Yrs 31.5 1970 57 22 BOYS 13-15 Yrs 47.8 2450 70 22 GIRLS 13-15Yrs 46.7 2060 65 22 BOYS 16-18 Yrs 57.1 2640 78 22 GIRLS 16-18 Yrs 49.9 2060 63 22
  • 11.
     BREAST FEEDING: An infant should be exclusively breast fed till 6 months of age”  During this age, additional food or fluid is not required as breast milk is nutritionally complete for the child’s growth and development and it protects from infections and strengthens immune system.
  • 12.
    COMPLEMENTARY DIET:  Complementaryfeeding is started at 6 months of age while continuing breast feeding.  Complementary feeding refers to food which complements breast milk and ensures that the child continues to have enough energy , protein and other nutrients to grow normally.  Breast feeding is encouraged up to 2 years of age in addition to normal food. BALANCED DIET:  Balanced diet is defined as nutritionally adequate and appropriate; it provides all the nutrients in required amounts in proper proportions.  A combination of carbohydrate rich food, a protein source and fat should be used to make nutritionally adequate complementary food or feed.  This diet should contain 55-60% cal from carbohydrates, 10-12% proteins & 25-30% fats.
  • 13.
    Foods are conventionallygrouped as:  Cereals, millets and pulses.  Vegetables& fruits.  Milk and milk products  Egg, meat, fish.  Oils and fats.
  • 14.
    IMNCI FOOD BOX AGE FOOD  Up to 6  Breast feed as often as the child months wants, at least 8 times in 24 hrs.  Do not give any other foods or fluids not even water.  6-12  Breast feed as often as the child months wants.  1 katori serving at a time of: mashed roti/ bread / biscuit mixed in sweetened undiluted milk OR  Mashed boiled /fried potatoes  3 times a day.
  • 15.
    AGE FOOD  12  Breast feed as often as the child months- 2 wants. yrs.  Offer food from the family pot.  Give at least1 ½ katori serving at a time 5 times a day.  Mashed roti/ rice/ bread mixed in thick dal with added ghee/ oil OR khichri with added ghee and cooked vegetables also in the servings.  2yrs and  Give family food as 3 meals each older day.  also, twice daily, give nutritious food between meals such as: banana/
  • 16.
    COMMON FOOD STUFFS FOOD K CAL/100 gm PROTEIN/100g FISH 100 20 COW MILK 67 3.3 DHAL 350 21 RICE 350 7 POTATO 100 1.6 BANANA 100 1.0 TAPIOCA 160 0.7
  • 17.
    PREPARATIONS QTY FOR 1 KCAL SERVING RICE 1 CUP 100 PHULKA 1 NO 50 BREAD 2 SLICES 100 UPMA 1 CUP 250 IDLY 2 NO 100 DOSA 1NO 50 KHICHRI 1 CUP 200 CORN FLAKES 1 CUP 220 SAMBAR 1 ½ CUP 100 BOILED EGG 1 NO 70
  • 18.
    PREPARATIONS QTY FOR 1 KCAL SERVING Plain Dhal 1 CUP 110 SAMOSA 1 NO 200 SAND WICH 2 NO 200 APPLE 1 65 BANANA 1 90 GRAPES 30 NO 70 GUAVA 1 50 JACKFRUIT 4 PIECES 90 MANGO 1 180 CHEEKU 1 80 ORANGE 1 40
  • 19.
  • 20.
    THANK YOU… Acknowledgement -Dr.Narayan Reddy