THE DANGER OF UNDER FEEDING
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SDA-RF-CH-1.53
SDA-RSSDA-RF-CH-1.51DA-R
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THE DANGER OF UNDER FEEDING
SDA-RF-CH-1.51
SDA-RF-CH-1.51
Kwashiorkor and marasmus are two diseases caused by
insufficient intake of food. This leads to deficiency of
calories (energy) and protein (body building material).
SSDA-RF-CH-1.5
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Kwashiorkor and marasmus occur most commonly in children
between 1—5 years of age.
Breast milk is sufficient for
children only upto the age of 4 months. Supplementation
with cereals, pulses, milk and eggs after the age of 4 months
is essential.
If this is delayed or not done, children do
not grow properly and kwashiorkor and marasmus develop.
SIGNS AND SYMPTOMS:„
OEDEMA: Children with kwashiorkor first show swelling of
the legs.
Later, the face and the whole body may
also become swollen.
SkIN CHANGES:
The skin becomes rough and sore.
HAIR CHANGES:
The hair may become scanty and also change colour
from black to various shades of brown. The child
a^.so becomes irritable and disinterested in his
surroundings.
Children with marasmus become very thin and feeble due
to wasting of muscles.
However, there is no oedema.
TREATHENT:
The thild should be made to eat more food at frequent
intervals, severe cases with loss of appetite should Le
treated at thtj hospital.
Milder cases can be treated at home.
The diet must contain protein and energy rich foods. A
Combination of Cereals, millets, pulses and oilseeds will
provide the necessary nutrients.
If possible, milk, eggs
or flesh foods should also be given.
It is important to treat infections and diarrhoea
promptly.
The National Institute of Nutrition^ Hyderabad has
formulated an enprgy-protein rich mixture to treat protein
calorie malnutrition at the home level.
It consists o'
wheat, roasted Bengal gram dhal, groundnuts and jagger'.
These ingredients can be suitably changed depending upen
local availability. The comnosition of the mixture is
given below:
- 2 -
Whole wheat (roasted)
s
40 grams
Bengal gram (roasted)
g
16 grams
(roast ed)
s
10 grams
s
20 grams
Groundnut
Baggery
TOTAL
86
Calories
g . 330
Protein
s
11 .3 grams.
Many children with protein calorie malnutrition have been
treated with this food fixture. A picture of one of these
children is shown below. The child showed improvement after
a few weeks and was completely cured within 3 months.
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