DIETARY MANAGEMENT

Presented to you by:

BINAN, Katherine GOMEZ, Ana PIDO, Wendy LICYAYO, Jarvis

5237L 7.30-10.30 Friday H511

TOPICS
Management for OBESITY Management for UNDERWEGHT Management for KIDNEY DISEASE

OBESITY

DEFINITION

FACTORS RELATED TO OBESITY

Fat-cell development:: Result of hyperplasia and hypertrophy. Poor diet and inactivity. Genetic factors: Leptin Uncoupling CHON Amount of brown and white fat Fat-cell theory Set-point thoery

OTHER FACTORS
Presence of central obesity Association with smoking, alcohol, body frame profile, gender High correlation with fat intake

DIETARY MANAGEMENT
Dietary Plan: OBJECTIVE: change eating habits Reduce portion size and caloric intake Reduce daily intake by 500-1,000 cal/day

Use in moderation: high calorie and high fat gram measures

 Cooking methods: Broiling, grilling, baking, roasting, poaching, or boiling Use fat-free seasonings

Exercise Behavioral Modification

Change in habits Differentiate hunger from appetite

OTHER MODIFICATIONS
1. Weigh regularly (weekly, not daily) 2. Dont wait too long between meals if you feel hungry

3. Eat slowly
4. Use small plate 5. Treat yourself with something other than food

6. Include daily exercise

UNDERWEIGHT

CAUSES
Inadequate consumption of nutritious foods due to: Depression Disease Poverty Genetic Influences Excessive activity

Metabolism

DIETARY MANAGEMENT
Dietary Plan: Establish regular meal pattern Gradually increase daily calorie value Eat foods rich in Fats, CHO, and CHON If there are vitamin-mineral deficiencies, supplements are prescribed

FOOD SELECTION
Fatty foods used in discretion Bulky foods must be used sparingly

Others:
Incorporate activity Be creative with the food preparation and presentation Encourage snacks in between meals

KIDNEY DISEASES

GENERAL CAUSES
Inflammatory and Degenerative disease Damage from other diseases

Infection and Obstruction

Damage from other agents Genetic defect

NUTRITION THERAPY
Based on: Length of disease, Degree of impaired renal function, Clinical symptoms e.g. Glomerulonephritis Inflammatory process effecting glumruli Symptoms: hematuria, edema, mild hypertension may also occur, signs of oliguria or anuria

 If complicated, focuses mainly on bed rest and antibiotic therapy Dietary protein is restricted if BUN is elevated Normal BUN- CHON intake=0.75-1g/kg body weight CHO- provide sufficient energy Na restricted to 500-1000mg/day if low urine output Potassium is monitored carefully Water is restricted according to urine output

THANK YOU!!

REFERENCES
Notes provided by Ms. Zeny Shia

Submitted to: Engr. Roland Villanueva