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Community Nutrition Programme

  1. Special nutrition programme
    1. Beneficiaries: children below 6 years of age, pregnant, nursing mothers.
    2. Area: urban slums, tribal areas and backward rural area.
    3. Supplementation:
      1. 300 Kcal, 10-12 gm protein per child per day. Q
      2. 500 Kcal, 25 gm protein to mothers. Q
      3. Provided for 300 days. It is merged with ICDS.​
  1. ​​Balwadi Nutrition Programme
    1. Beneficiaries: children 3-6 years.
    2. Supplementation: 300 kcal & 10 gm protein.
  2. ICDS Scheme (Integrated child development services scheme)
    1. Supplementary nutrition
    2. Vitamin A prophylaxis
    3. IFA tablet distribution
      Beneficiaries: children below 6 years, adolescent girls 11-18 years, pregnant and lactating Mothers.
    • One Anganwadi worker for 1000 population.
  3. Mid-day meal programme
    1. Meal supplies 1/3rd of total energy and ½ of protein.Q
    2. Low cost/ easy to cook at school.
    3. Locally available food to be used.
    4. Change of menu.
Mid-day meal scheme (National Programme of Nutritional Support to Primary Education)
  1. Launched as centrally sponsored scheme on 15 August 1995 and revised in 2004.
  2. Objective is universalization of primary education.
  3. Originally covers children in class 1 to V.
  4. Free supply of 100 g of food grain per student per day.
  5. 300 kcal and 8-12 gm protein Q.
  6. Single dish meal like broken wheat pulao, upma, leafy khichdi and dhal vegetable bhat.
  7. Cereal pulse combination. Ratio ranging from 3:1 to 5:1.
  8. Iodized salt to be used.
  1. Population nutrient intake goals

Dietary factors

Goal (% of total energy unless stated)

Total fat

• Saturate FA
• PUFAs

♦ n-6 PUFA s

  n-3 PUFAs

Trans FA

  Monounsaturated FA

15-30%

<10%

6-10%

5-8%

1-2%

<1%

Total fat –(saturated FA+ PUFA+Trans FA)

Total carbohydrate

Free sugars

55-75%

<10%

Proteins

10-15%

Cholesterol

<300mg/day

NaCl

<5 gm/day (< 2 gm/day)

Fruits and vegetables

400 g/day

Total dietary fibers

From food

Non-starch polysaccharides

From food

  1. Obesity
    1. Indicators to measure obesity:
      1. Broca's index:
      2. the individual's height (in cms) -- 100=max. Weight (in kg)
    2. Body mass index (Quetelet's index) (BMI):- 
                        wt (in kg)
           BMI = (ht in meters) 2

Males                     Females
20-25                     19-24                     desirable range
22                          21                          desirable ideal
>30                       >28.6                     obese

 

  1. For the Indian population these guidelines have been revised by the WHO
    1. Normal: BMI – 18.5 – 22.99
    2. Overweight: BMI – 23 – 27.5
    3. Obese: BMI - > 27.5
  2. Corpulence index (ci):- actual wt (in kg)
                                       desirable wt (in kg)
    in obesity this should exceed 1.2
  3. Ponderal index (pi):- = ht (in cm)
                                       3√wt (in kg)
  4. Lorenz formula:-
    1. Male = [ht (cms) - 100] - [ht (cms) - 150]/4
    2. Female = [ht (cms) - 100] - [ht (cms) - 150]/2  
  1. Fat fold thickness (skin fold thickness)
    1. Measured by skin caliper’s.
    2. Sites- mid-triceps, biceps, subscapular and suprailiac region.
    3. Sum of the above four site measurements.
    4. Should not be more than 40 mm. for adult males and 50 mm for adult females.




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