Beruflich Dokumente
Kultur Dokumente
and
Global Health
Micheline Beaudry,
Ph.D.
Université Laval
Learning Objectives
At the end of this lecture you will
Be aware of the key role played by
undernutrition in the lives of people
& societies around the world
Realize that food, though essential,
is not equivalent to nutrition
Know that there are affordable
solutions & wish to find out more
about them
At the end of this lecture you will be
able to (performance objectives)
Wasting
insufficient weight gain relative to height/losing weight
implies recent/acute malnutrition
Underweight
insufficient weight gain relative to age or losing weight
implies various combinations of stunting and wasting
Proportion (%) of underweight
children by region, 1985-1995
60
50
40 South Asia
SubSaharan Africa
30
Sout-East Asia
20
N.Africa&M.East
10 Lat.Amer.&Caribb
.
0
1985 1990 1995
PEM and young child mortality
Malnutrition potentiates the effect of
disease on child mortality
The effect is for both mild-to-
moderate as well as severe
malnutrition; it is not only due to
confounding by socioeconomic
factors or intercurrent illness
The effect of malnutrition and
infection on child mortality is
multiplicative rather than additive as
was implicitly assumed
Other consequences of PEM
Impaired cognitive &
behavioral development
Low educability
Reduced productivity &
income
Poor reproductive health
Causes of malnutrition
Manifestations Growth, survival and
development
Immediate Diet intake Disease
Causes
Underlying Access to CARE practices HEALTH
Causes FOOD for mothers&ch serv & environ.
EDUCATION
Ressources & Control
Human, Economic &
Basic Organizational
Causes
Political, Ideological
&Economic structure
To ensure adequate growth &
nutrition, it is necessary to facilitate
The ability of households to provide
CARE for mothers & young children
(e.g. breast-feeding, complementary
feeding, love...)
Access by households to sufficient
FOOD to lead an active & healthy life
Access to adequate HEALTH services
(e.g. immunization) & a healthy
environment (e.g. clean water)
Iron deficiency
Over 2 billion people suffer from some
form of iron deficiency
Not all causes of anaemia are
nutritional in origin; yet anaemia linked
to iron and/or folic acid deficiency is
among the world’s major nutritional
disorders
Africa & South Asia have the highest
overall incidence of anaemia, followed
by Latin America & East Asia
Consequences of iron deficiency
Reduces work capacity, thus
productivity, earnings & ability to care
for children
Associated with 50% of maternal
deaths & wholly blamed for up to 20%
Retards fetal growth, causes low birth
weight (LBW) & increases infant
mortality
Impairs ability to resist disease; in
childhood, reduces learning
Improving Iron status