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ASSIGNMENT
BY: AJMAL. A
Malnutrition
Introduction
Malnutrition
is a condition that results from eating a diet in which nutrients are not
enough or are too much such that it causes health problems. The nutrients
involved can include: calories, protein, carbohydrates, vitamins or minerals.
It is often used specifically to refer to undernutrition where there is not
enough calories, protein or micronutrients; however, it also includes
overnutrition. If undernutrition occurs during either pregnancy or before the
age of two years of age it may result in permanent problems with physical and
mental development. Extreme undernourishment, known as starvation, may have
symptoms that include: a short height, thin body, very poor energy levels, and
swollen legs and abdomen. People also often get infections and are frequently
cold. The symptoms of micronutrient deficiencies depend on the micronutrient
that is lacking.
Undernourishment
is most often due to not enough high quality food available to eat. This is
often related to high food prices and poverty. A lack of breast feeding may
contribute, as may a number of infectious diseases such as: gastroenteritis,
pneumonia, malaria and measles which increase nutrient requirements. There are
two main types of undernutrition: protein-energy malnutrition and dietary
deficiencies. Protein-energy malnutrition has two severe forms: marasmus (a
lack of protein and calories) and kwashiorkor (a lack of just protein). Common
micronutrient deficiencies include: a lack of iron, iodine and vitamin A.
During pregnancy, due to increased demand, deficiencies become more common. In
some developing countries overnutrition in the form of obesity is beginning to
present within the same communities as undernutrition. Other causes of
malnutrition include anorexia nervosa and bariatric surgery. In the elderly
malnutrition becomes more common due to physical, psychological and social
factors.
Efforts
to improve nutrition are some of the most effective forms of development aid.
Breastfeeding can reduce rates of malnutrition and death in children, and
efforts to promote the practice increase rates. In young children providing
food in addition to breastmilk between six months and two years improves
outcomes. There is also good evidence supporting the supplementation of a
number of micronutrients during pregnancy and among young children in the
developing world. To get food to people who need it most both delivering food
and providing money so that people can buy food within local markets are
effective. Simply feeding people at school is insufficient. Management of
severe malnutrition within the person's home with ready-to-use therapeutic
foods is possible much of the time. In those who have severe malnutrition
complicated by other health problems treatment within hospital is recommended.
This often involves managing low blood sugar, body temperature, dehydration,
and gradual feeding. Routine antibiotics are usually recommended due to the
high risk of infection. Long term measures include: improving agricultural
practices, reducing poverty, improving sanitation, and the empowerment of
women.
There
were 925 million undernourished people in the world in 2010, an increase of 80
million since 1990. Another billion people are estimated to have a lack of
vitamins and minerals.In 2010 protein-energy malnutrition was estimated to have
resulted in 600,000 deaths down from 883,000 deaths in 1990. Other nutritional
deficiencies, which include iodine deficiency and iron deficiency anemia, result
in another 84,000 deaths. Undernutrition as of 2010 was the cause of 1.4% of
all disability adjusted life years. About a third of deaths in children are
believed to be due to undernutrition; however, the deaths are rarely labelled
as such. In 2010 it was estimated to have contributed to about 1.5 million
deaths in women and children though some estimate the number may be greater
than 3 million. An additional 165 million children have stunted growth from the
disease. Undernutrition is more common in developing countries.
Definition
Child in the
United States with signs of Kwashiorkor, a dietary protein deficiency.
Malnutrition is
caused by eating a diet in which nutrients are not enough or are too much such
that it causes health problems. It is a category of diseases that includes
undernutrition and overnutrition. Overnutrition can result in obesity and
overweight.
Malnutrition;
however, is frequently used to mean just undernutrition. Undernutrition is
sometimes used as a synonym of protein energy malnutrition. While other include
both micronutrient deficiencies and protein energy malnutrition in its definition.
It defers from calorie restriction in that calorie restriction may not result
in negative health effects. The term hypoalimentation means underfeeding.
Undernutrition
encompasses stunting, wasting, and deficiencies of essential vitamins and
minerals (collectively referred to as micronutrients). The term hunger, which
describes a feeling of discomfort from not eating, has been used to describe
undernutrition, especially in reference to food insecurity.
The term
"severe malnutrition" or "severe undernutrition" is often
used to refer specifically to PEM. PEM is often associated with micronutrient
deficiency. Two forms of PEM are kwashiorkor and marasmus, and they commonly
coexist.
Kwashiorkor
(‘displaced child’) is mainly caused by inadequate protein intake resulting in
a low concentration of amino acids. The main symptoms are edema, wasting, liver
enlargement, hypoalbuminaemia, steatosis, and possibly depigmentation of skin
and hair. Kwashiorkor is identified by swelling of the extremities and belly,
which is deceiving of actual nutritional status.
Marasmus (‘to
waste away’) is caused by an inadequate intake of protein and energy. The main
symptoms are severe wasting, leaving little or no edema, minimal subcutaneous
fat, severe muscle wasting, and non-normal serum albumin levels. Marasmus can
result from a sustained diet of inadequate energy and protein, and the
metabolism adapts to prolong survival. It is traditionally seen in famine,
significant food restriction, or more severe cases of anorexia. Conditions are
characterized by extreme wasting of the muscles and a gaunt expression.
Effects
See
also: Stunted growth and Wasting
Malnutrition
increases the risk of infection and infectious disease, and moderate
malnutrition weakens every part of the immune system. For example, it is a
major risk factor in the onset of active tuberculosis. Protein and energy
malnutrition and deficiencies of specific micronutrients (including iron, zinc,
and vitamins) increase susceptibility to infection. Malnutrition affects HIV
transmission by increasing the risk of transmission from mother to child and also
increasing replication of the virus. In communities or areas that lack access
to safe drinking water, these additional health risks present a critical
problem. Lower energy and impaired function of the brain also represent the
downward spiral of malnutrition as victims are less able to perform the tasks
they need to in order to acquire food, earn an income, or gain an education.
Vitamin-deficiency-related
diseases (such as scurvy and rickets).
Hypoglycemia
(low blood sugar) can result from a child not eating for 4 to 6 hours.
Hypoglycemia should be considered if there is lethargy, limpness, convulsion,
or loss of consciousness. If blood sugar can be measured immediately and
quickly, perform a finger or heel stick.
Hypoglycemia
(low blood sugar) can result from a child not eating for 4 to 6 hours.
Hypoglycemia should be considered if there is lethargy, limpness, convulsion,
or loss of consciousness. If blood sugar can be measured immediately and
quickly, perform a finger or heel stick.
Mortality
Malnourished
children in Niger, during the 2005 famine.
Mortality
due to malnutrition accounted for 58 percent of the total mortality in 2006:
"In the world, approximately 62 million people, all causes of death
combined, die each year. One in twelve people worldwide is malnourished and
according to the Save the Children 2012 report, one in four of the world’s
children are chronically malnourished. dead link In 2006, more than 36 million
died of hunger or diseases due to deficiencies in micronutrients".
According
to the World Health Organization, malnutrition is the biggest contributor to
child mortality, present in half of all cases. Six million children die of
hunger every year. Underweight births and intrauterine growth restrictions
cause 2.2 million child deaths a year. Poor or non-existent breastfeeding
causes another 1.4 million. Other deficiencies, such as lack of vitamin A or
zinc, for example, account for 1 million. Malnutrition in the first two years
is irreversible. Malnourished children grow up with worse health and lower
education achievement. Their own children tend to be smaller. Malnutrition was
previously seen as something that exacerbates the problems of diseases as
measles, pneumonia and diarrhea. But malnutrition actually causes diseases and
can be fatal in its own right.
Psychological
Malnutrition
in the form of iodine deficiency is "the most common preventable cause of
mental impairment worldwide." "Even moderate deficiency, especially
in pregnant women and infants, lowers intelligence by 10 to 15 I.Q. points,
shaving incalculable potential off a nation's development. The most visible and
severe effects — disabling goiters, cretinism and dwarfism — affect a tiny
minority, usually in mountain villages. But 16 percent of the world's people
have at least mild goiter, a swollen thyroid gland in the neck."
Protein-calorie
malnutrition can cause cognitive impairments. For humans, "critical period
varies from the final third of gestation to the first 2 years of
life".[43] Iron deficiency anemia in children under two years of age
likely affects brain function acutely and probably also chronically. Folate
deficiency has been linked to neural tube defects.
Causes
See
also: List of types of malnutrition
Union
Army soldier on his release from Andersonville prison, 1865
Major
causes of malnutrition include poverty and food prices, dietary practices and
agricultural productivity, with many individual cases being a mixture of
several factors. Clinical malnutrition, such as in cachexia, is a major burden
also in developed countries. Various scales of analysis also have to be
considered in order to determine the sociopolitical causes of malnutrition. For
example, the population of a community may be at risk if the area lacks
health-related services, but on a smaller scale certain households or
individuals may be at even higher risk due to differences in income levels,
access to land, or levels of education.
Diseases
Malnutrition
can be a consequence of health issues such as gastroenteritis or chronic
illness, especially the HIV/AIDS pandemic. Diarrhea and other infections can
cause malnutrition through decreased nutrient absorption, decreased intake of
food, increased metabolic requirements, and direct nutrient loss. Parasite
infections can also lead to malnutrition.
People
may become malnourished due to abnormal nutrient loss (due to diarrhea or
chronic illness) or increased energy expenditure (secondary malnutrition)
Dietary practices
A
lack of adequate breastfeeding leads to malnutrition in infants and children,
associated with the deaths of an estimated one million children annually.
Illegal advertising of breast milk substitutes continues three decades after
its 1981 prohibition under the WHO International Code of Marketing Breast Milk
Substitutes.
Deriving
too much of one's diet from a single source, such as eating almost exclusively
corn or rice, can cause malnutrition. This may either be from a lack of
education about proper nutrition, or from only having access to a single food
source.
Overnutrition
caused by overeating is also a form of malnutrition. In the United States, more
than half of all adults are now overweight — a condition that, like hunger,
increases susceptibility to disease and disability, reduces worker
productivity, and lowers life expectancy. Overeating is much more common in the
United States, where for the majority of people, access to food is not an
issue. Many parts of the world have access to a surplus of non-nutritious food,
in addition to increased sedentary lifestyles. Yale psychologist Kelly Brownell
calls this a "toxic food environment” where fat and sugar laden foods have
taken precedent over healthy nutritious foods. Not only does obesity occur in
developed countries, problems are also occurring in developing countries in
areas where income is on the rise. The issue in these developed countries is
choosing the right kind of food. More fast food is consumed per capita in the
United States than in any other country. The reason for this mass consumption
of fast food is its affordability and accessibility. Often fast food, low in
cost and nutrition, is high in calories and heavily promoted. When these eating
habits are combined with increasingly urbanized, automated, and more sedentary
lifestyles, it becomes clear why weight gain is difficult to avoid. However,
overeating is also a problem in countries where hunger and poverty persist. In
China, consumption of high-fat foods has increased while consumption of rice
and other goods has decreased. Overeating leads to many diseases, such as heart
disease and diabetes, that may result in death.
Poverty and food prices
A
child with extreme malnutrition in India, 1972
In
Bangladesh, poor socioeconomic position was associated with chronic
malnutrition since it inhibits purchase of nutritious foods such as milk, meat,
poultry, and fruits. As much as food shortages may be a contributing factor to
malnutrition in countries with lack of technology, the FAO (Food and
Agriculture Organization) has estimated that eighty percent of malnourished
children living in the developing world live in countries that produce food
surpluses. The economist Amartya Sen observed that, in recent decades, famine
has always a problem of food distribution and/or poverty, as there has been
sufficient food to feed the whole population of the world. He states that
malnutrition and famine were more related to problems of food distribution and
purchasing power.
It
is argued that commodity speculators are increasing the cost of food. As the
real estate bubble in the United States was collapsing, it is said that
trillions of dollars moved to invest in food and primary commodities, causing
the 2007–2008 food price crisis.
The
use of biofuels as a replacement for traditional fuels and raises the price of
food. The United Nations special rapporteur on the right to food, Jean Ziegler
proposes that agricultural waste, such as corn cobs and banana leaves, rather
than crops themselves be used as fuel.
Agricultural productivity
Local
food shortages can be caused by a lack of arable land, adverse weather, lower
farming skills such as crop rotation, or by a lack of technology or resources
needed for the higher yields found in modern agriculture, such as fertilizers,
pesticides, irrigation, machinery and storage facilities. As a result of
widespread poverty, farmers cannot afford or governments cannot provide the
resources necessary to improve local yields. The World Bank and some wealthy
donor countries also press nations that depend on aid to cut or eliminate
subsidized agricultural inputs such as fertilizer, in the name of free market
policies even as the United States and Europe extensively subsidized their own
farmers. Many, if not most, farmers cannot afford fertilizer at market prices,
leading to low agricultural production and wages and high, unaffordable food
prices. Reasons for the unavailability of fertilizer include moves to stop
supplying fertilizer on environmental grounds, cited as the obstacle to feeding
Africa by the Green Revolution pioneers Norman Borlaug and Keith Rosenberg.
Future threats
There
are a number of potential disruptions to global food supply that could cause
widespread malnutrition.
Climate
change is of importance to food security, with 95 percent of all malnourished
peoples living in the relatively stable climate region of the sub-tropics and
tropics. According to the latest IPCC reports, temperature increases in these
regions are "very likely." Even small changes in temperatures can
lead to increased frequency of extreme weather conditions. Many of these have
great impact on agricultural production and hence nutrition. For example, the
1998–2001 central Asian drought brought about an 80 percent livestock loss and
50 percent reduction in wheat and barley crops in Iran. Similar figures were
present in other nations. An increase in extreme weather such as drought in
regions such as Sub-Saharan Africa would have even greater consequences in
terms of malnutrition. Even without an increase of extreme weather events, a
simple increase in temperature reduces the productivity of many crop species,
also decreasing food security in these regions.
Colony
collapse disorder is a phenomenon where bees die in large numbers. Since many
agricultural crops worldwide are pollinated by bees, this represents a threat
to the supply of food.
An
epidemic of wheat stem rust caused by race Ug99 is currently spreading across
Africa and into Asia and, it is feared, could wipe out more than 80 percent of the
world’s wheat crops.
Prevention
Main
article: Food security
Irrigation
canals have opened dry desert areas of Egypt to agriculture.
The
effort to bring modern agricultural techniques found in the West, such as
nitrogen fertilizers and pesticides, to Asia, called the Green Revolution,
resulted in decreases in malnutrition similar to those seen earlier in Western
nations. This was possible because of existing infrastructure and institutions
that are in short supply in Africa, such as a system of roads or public seed
companies that made seeds available.[ Investments in agriculture, such as
subsidized fertilizers and seeds, increases food harvest and reduces food
prices. For example, in the case of Malawi, almost five million of its 13
million people used to need emergency food aid. However, after the government
changed policy and subsidies for fertilizer and seed were introduced against
World Bank strictures, farmers produced record-breaking corn harvests as
production leaped to 3.4 million in 2007 from 1.2 million in 2005, making Malawi
a major food exporter. This lowered food prices and increased wages for farm
workers. Such investments in agriculture are still needed in other African
countries like the Democratic Republic of the Congo. The country has one of the
highest prevalence of malnutrition even though it is blessed with great
agricultural potential John Ulimwengu explains in his article for D+C.
Proponents for investing in agriculture include Jeffrey Sachs, who has
championed the idea that wealthy countries should invest in fertilizer and seed
for Africa’s farmers.
Breastfeeding
education helps. Breastfeeding in the first two years and exclusive
breastfeeding in the first six months could save 1.3 million children’s lives.
In the longer term, firms are trying to fortify everyday foods with
micronutrients that can be sold to consumers such as wheat flour for Beladi
bread in Egypt or fish sauce in Vietnam and the iodization of salt.
Restricting
population size is a proposed solution. Thomas Malthus argued that population
growth could be controlled by natural disasters and voluntary limits through
“moral restraint.” Robert Chapman suggests that an intervention through
government policies is a necessary ingredient of curtailing global population
growth. However, there are many who believe that the world has more than enough
resources to sustain its population. Instead, these theorists point to unequal
distribution of resources and under- or unutilized arable land as the cause for
malnutrition problems. For example, Amartya Sen advocates that, “no matter how
a famine is caused, methods of breaking it call for a large supply of food in
the public distribution system. This applies not only to organizing rationing
and control, but also to undertaking work programmes and other methods of
increasing purchasing power for those hit by shifts in exchange entitlements in
a general inflationary situation.” One suggested policy framework to resolve
access issues is termed food sovereignty, the right of peoples to define their
own food, agriculture, livestock, and fisheries systems in contrast to having
food largely subjected to international market forces. Food First is one of the
primary think tanks working to build support for food sovereignty. Neoliberals
advocate for an increasing role of the free market. Another possible long term
solution would be to increase access to health facilities to rural parts of the
world. These facilities could monitor undernourished children, act as
supplemental food distribution centers, and provide education on dietary needs.
These types of facilities have already proven very successful in countries such
as Peru and Ghana. New technology in agricultural production also has great
potential to combat under nutrition. By improving agricultural yields, farmers
could reduce poverty by increasing income as well as open up area for
diversification of crops for household use. The World Bank itself claims to be
part of the solution to malnutrition, asserting that the best way for countries
to succeed in breaking the cycle of poverty and malnutrition is to build
export-led economies that will give them the financial means to buy foodstuffs
on the world market.
Management
In
response to child malnutrition, the Bangladeshi government recommends 10 steps
for treating severe malnutrition. They are to prevent or treat dehydration, low
blood sugar, low body temperature, infection, correct electrolyte imbalances
and micronutrient deficiencies, start feeding cautiously, achieve catch-up
growth, provide psychological support, and prepare for discharge and follow-up
after recovery.
Food
The
evidence for benefit of supplementary feeding is poor. This is due to the small
amount of research done on this treatment.
Specially
formulated foods do however appear useful in those from the developing world
with moderate acute malnutrition. In young children with severe acute
malnutrition it is unclear if ready-to-use therapeutic food differs from a
normal diet. They may have some benefits in humanitarian emergencies as they
can be eaten directly from the packet, do not require refrigeration or mixing
with clean water, and can be stored for years.
In
those who are severely malnourished, feeding too much too quickly can result in
refeeding syndrome. This can result regardless of route of feeding and can
present itself a couple of days after eating with heart failure, dysrhythmias
and confusion that can result in death.
Micronutrients
Treating
malnutrition, mostly through fortifying foods with micronutrients (vitamins and
minerals), improves lives at a lower cost and shorter time than other forms of
aid, according to the World Bank. The Copenhagen Consensus, which look at a
variety of development proposals, ranked micronutrient supplements as number
one.
In
those with diarrhea, once an initial four-hour rehydration period is completed,
zinc supplementation is recommended. Daily zinc increases the chances of
reducing the severity and duration of the diarrhea, and continuing with daily
zinc for ten to fourteen days makes diarrhea less likely recur in the next two
to three months.
In
addition, malnourished children need both potassium and magnesium. This can be
obtained by following the above recommendations for the dehydrated child to
continue eating within two to three hours of starting rehydration, and
including foods rich in potassium as above. Low blood potassium is worsened
when base (as in Ringer's/Hartmann's) is given to treat acidosis without
simultaneously providing potassium. As above, available home products such as
salted and unsalted cereal water, salted and unsalted vegetable broth can be
given early during the course of a child's diarrhea along with continued
eating. Vitamin A, potassium, magnesium, and zinc should be added with other
vitamins and minerals if available.
For
a malnourished child with diarrhea from any cause, this should include foods
rich in potassium such as bananas, green coconut water, and unsweetened fresh
fruit juice.
Diarrhea
Examples
of commercially available oral rehydration salts (Nepal on left, Peru on
right).
The
World Health Organization (WHO) recommends rehydrating a severely
undernourished child who has diarrhea relatively slowly. The preferred method
is with fluids by mouth using a drink called oral rehydration solution (ORS).
The oral rehydration solution is both slightly sweet and slightly salty and the
one recommended in those with severe undernutrition should have half the usual
sodium and greater potassium. Fluids by nasogastric tube may be use in those
who do not drink. Intravenous fluids are recommended only in those who have
significant dehydration due to their potential complications. These
complications include congestive heart failure.
Breast
feeding and eating should resume as soon as possible. Drinks such as soft
drinks, fruit juices, or sweetened teas are not recommended as they contain too
much sugar and may worsen diarrhea. Broad spectrum antibiotics are recommended
in all severely undernourished children with diarrhea requiring admission to
hospital.
To
prevent dehydration readily available fluids, preferably with a modest amount
of sugars and salt such as vegetable broth or salted rice water, may be used.
The drinking of additional clean water is also recommended. Once dehydration
develops oral rehydration solutions are preferred. As much of these drinks as
the person wants can be given, unless there are signs of swelling. If vomiting
occurs, fluids can be paused for 5–10 minutes and then restarting more slowly.
Vomiting rarely prevents rehydration as fluid are still absorbed and the
vomiting rarely last long. A severely malnourished child with what appears to
be dehydration but who has not had diarrhea should be treated as if they have
an infection.
For
babies a dropper or syringe without the needle can be used to put small amounts
of fluid into the mouth; for children under 2, a teaspoon every one to two
minutes; and for older children and adults, frequent sips directly from a cup.
After the first two hours, rehydration should be continued at the same or
slower rate, determined by how much fluid the child wants and any ongoing
diarrheal loses. After the first two hours of rehydration it is recommended
that to alternate between rehydration and food.
In
2003, WHO and UNICEF recommended a reduced-osmolarity ORS which still treats
dehydration but also reduced stool volume and vomiting. Reduced-osmolarity ORS
is the current standard ORS with reasonably wide availability. For general use,
one packet of ORS (glucose sugar, salt, potassium chloride, and trisodium
citrate) is added to one liter of water; however, for malnourished children
it's recommended that one packet of ORS be added to two liters of water along
with an extra 50 grams of sucrose sugar and some stock potassium solution.
Malnourished
children have an excess of body sodium. Recommendations for home remedies agree
with one liter of water (34 oz.) and 6 teaspoons sugar and disagree regarding
whether it's then one teaspoon of salt added or only 1/2, with perhaps most
sources recommending 1/2 teaspoon of added salt to one liter water.
Low blood sugar
Hypoglycemia,
whether known or suspected, can be treated with a mixture of sugar and water.
If the child is conscious, the initial dose of sugar and water can be given by
mouth. If the child is unconscious, give glucose by intravenous or nasogastric
tube. If seizures occur after despite glucose, rectal diazepam is recommended.
Blood sugar levels should be re-checked on two hour intervals.
Hypothermia
Hypothermia
can occur. To prevent or treat this, the child can be kept warm with covering
including of the head or by direct skin-to-skin contact with the mother or
father and then covering both parent and child. Prolonged bathing or prolonged
medical exams should be avoided. Warming methods are usually most important at
night.
Economics
There
is a growing realization among aid groups that giving cash or cash vouchers
instead of food is a cheaper, faster, and more efficient way to deliver help to
the hungry, particularly in areas where food is available but unaffordable. The
UN's World Food Program, the biggest non-governmental distributor of food,
announced that it will begin distributing cash and vouchers instead of food in
some areas, which Josette Sheeran, the WFP's executive director, described as a
"revolution" in food aid. The aid agency Concern Worldwide is
piloting a method through a mobile phone operator, Safaricom, which runs a
money transfer program that allows cash to be sent from one part of the country
to another.
However,
for people in a drought living a long way from and with limited access to
markets, delivering food may be the most appropriate way to help. Fred Cuny
stated that "the chances of saving lives at the outset of a relief
operation are greatly reduced when food is imported. By the time it arrives in
the country and gets to people, many will have died." U.S. law, which
requires buying food at home rather than where the hungry live, is inefficient
because approximately half of what is spent goes for transport. Cuny further
pointed out "studies of every recent famine have shown that food was
available in-country — though not always in the immediate food deficit
area" and "even though by local standards the prices are too high for
the poor to purchase it, it would usually be cheaper for a donor to buy the
hoarded food at the inflated price than to import it from abroad."
Ethiopia
has been pioneering a program that has now become part of the World Bank's
prescribed method for coping with a food crisis and had been seen by aid
organizations as a model of how to best help hungry nations. Through the
country's main food assistance program, the Productive Safety Net Program,
Ethiopia has been giving rural residents who are chronically short of food, a
chance to work for food or cash. Foreign aid organizations like the World Food
Program were then able to buy food locally from surplus areas to distribute in
areas with a shortage of food. Ethiopia been pioneering a program, and Brazil
has established a recycling program for organic waste that benefits farmers,
urban poor, and the city in general. City residents separate organic waste from
their garbage, bag it, and then exchange it for fresh fruit and vegetables from
local farmers. As a result, the country's waste is reduced and the urban poor
get a steady supply of nutritious food.
Nutrition is perhaps the most
important factor, which affects the health of a person. The body needs a
balanced amount of nutrients and energy for its survival and is essential for
good health. A balanced diet is needed and it takes into account six different
food components which are proteins, fats, carbohydrates, vitamins, minerals,
fibres and water. The needs may depend on your gender, your age, your life
type, you health conditions and so on. Intakes of energy and nutrients below or
in excess of needs for a prolonged period of time can adversely affect health.
Malnutrition is a term which covers problems of both under nutrition and over
nutrition. b) Malnutrition and Social
conditions Malnutrition does not only arise because of insufficient or too much
nutrient intake. The problem may also occur because of the society where for
example there is a population growth which may lead to insufficient food supply
for part of the population. During war time, a similar situation is possible.
But these are not the only ways malnutrition can occur in social conditions;
teenage girls often have a problem with their body and go on diets and become
either anorexic or bulimic or even both. This is a serious case nowadays since
the young part of the population is deeply involved with it and serious
troubles are caused. It may lead to psychological problems. Malnutrition and
Economical conditions Malnutrition is also a cause of a poor economy where
people do not have the money to buy food and because of that end up having an
unbalanced diet. “The real problem is money. Food is available, but people
can't afford it. We need real development and income-generating projects. Poor
people live on the basic commodities such as bread, tea, sugar and rice.
LESSON PLAN BY: AJMAL. A
Name
of the teacher: AJMAL. A
Name
of the School: C.M.S.H.S.S, Kattanam
Subject : ജീവശാസ്ത്രം
Unit :ജീവികള്ക്കൊരു മേല്വിലാസം
Topic :ആഹാര ശ്യംഖല
|
Date: 08/09/2014
Class: VIII
Strength: 30
Duration: 45 min
|
Circular
statement
To develop different
dimension of knowledge on an ecosystem and food chain through role play,
discursion, explanation and evaluation by questioning, participation in discussion
and role play.
Learning Out come
Enable the pupil to
develop,
1.
Factual knowledge on the different
aspects of an ecosystem.
-Recalling the new terms of ecosystem,
food chain, food web, etc.
-Recognizing the different criteria
included in ecosystem.
2.
Conceptual Knowledge about an ecosystem
and food chain
-Interpreting
the ecosystem
-Identify
the different food chain in the ecosystem.
3. Procedural knowledge about the different food
chain.
-Collecting information from various
resources regarding the ecosystem.
4.
Metacognitive knowledge on the ecosystem and food chain.
-Recognizing the different food chain and
web in ecosystem.
Scientific
altitude
Students Develop a scientific attitude
regarding the ecosystem.
Process
skill
Process
skill such as observation, communication. Predicting are developed among the
students.
Content
analysis
New terms: ആവാസവ്യവസ്ത, ആഹാര ശ്യംഖലാ ജാലിക.
Fact:
Ø ഏതൊരു ജീവിക്കും നില നില്ക്കാനുള പ്രക്യതിയായുള്ള ചുറ്റുപാടാണ്
ആവാസവ്യവസ്ത.
Ø ആവാസവ്യവസ്ഥയില് ജീവിയ ഘടകങ്ങളും അജീവിയ ഘടകങ്ങളും ഉണ്ട്
Ø ആവാസവ്യവസ്ഥയിലെ ഒരു പ്രതേക ഇനത്തിൽപെട്ട ജീവികളെ ഒന്നാകെ ജീവി ഗണം എന്ന്
പറയുന്നു.
Ø നിരവധി ജീവിഗണങ്ങൾ ചേർന്ന് ജീവസമുദായമായിട്ടാണ് ജീവികൾ ജീവിക്കുന്നത്.
Ø ആവാസവ്യവസ്ഥയിലെ വിവിധ ആഹാര ബന്ധങ്ങളെ ആഹാരശ്യംഖല എന്ന് പറയുന്നു.
Ø ഓരോ ആഹാരശ്യംഖലയും ആരംഭിക്കുന്നത്
ഹരിത സസ്യങ്ങളില് നിന്നാണ്.
Concept:
ആഹാര ശ്യംഖല
Pre- requisite: ആവാസവ്യവസ്ഥയില് വിവിത ജീവികൾ
പരസ്പരം
ആശ്രയിച്ചാണ്
ജീവിക്കുന്നത് എന്ന് കുട്ടികൾക്കറിയാം.
Teaching
learning resources :
ആവാസവ്യവസ്ഥയുടെ മാതൃക, മൃഗങ്ങളുടെ
മുഖചിത്രം.
Follow up activities
1. ആവാസവ്യവസ്ഥ എന്നാലെന്ത് ?
2. ആഹാര ശൃംഖലകള് ആരംഭിക്കുന്നത് എവിടെ നിന്ന് ?
3. ഹരിത സസ്യങ്ങള് ഇല്ലാതായാല് ആവാസ വ്യവസ്ഥക്ക് എന്ത്
സംഭവിക്കും ?
Assignment
1. ആവാസ വ്യവസ്ഥകള് കണ്ടെത്ത് പരമാവധി നിര്മിക്കാന്
കഴിയുന്ന ആഹാര ശൃംഖസകള് നിര്മിക്കുക. ?
Reflection
ജീവികള്ക്കൊരു മേല്വിലാസം എന്ന
അദ്ധ്യായത്തിലെ ആവാസവ്യവസ്ഥ എന്ന പാഠഭാഗമാണ് ക്ലാസ്സെടുത്തത്. കുട്ടികള് നല്ല
രീതിയില് പ്രതികരിക്കുന്നുണ്ടായിരുന്നു. ആവാസവ്യവസ്ഥയുടെ കൂടുതല് ഉദാഹരണങ്ങള്
ഉള്പ്പെട്ട വീഡിയോ കാണിച്ചിരുന്നെങ്കില് ക്ലാസ്സ് കൂറച്ചുകൂടി മെച്ചപ്പെടുത്താമായിരുന്നു.
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