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Muesli belt malnutrition


Muesli belt malnutrition is a term coined by Professor Vincent Marks, author of the book Panic Nation, to describe the supposed phenomenon that parents feeding their children what is seen as an "extremely healthy" diet could be depriving their children of essential fats.

A study carried out at Bristol University examining the diets of British toddlers found that such fears were overstated. The study found that while children in the lowest fat group had lower intakes of zinc and vitamin A, children in the highest fat group ingested less iron and vitamin C. Overall the children were not seriously deprived of any essential nutrients, regardless of their diets.




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Muselmann


Muselmann (pl. Muselmänner, the German version of Musulman, meaning Muslim) was a slang term used among captives of World War II Nazi concentration camps to refer to those suffering from a combination of starvation (known also as "hunger disease") and exhaustion and who were resigned to their impending death. The Muselmann prisoners exhibited severe emaciation and physical weakness, an apathetic listlessness regarding their own fate, and unresponsiveness to their surroundings owing to the barbaric treatment by the Nazis and prisoner functionaries.

Some scholars argue that the term possibly comes from the Muselmann's inability to stand for any time due to the loss of leg muscle, thus spending much of the time in a prone position, recalling the position of the Musulman (Muslim) during prayers.

The American psychologist David P. Boder assisted in identifying the term musselman when in 1946 he conducted interviews with camp survivors in Europe. He asked them to describe, spell and pronounce the word for camp inmates so emaciated that they had lost the will to live.

Primo Levi tried to explain the term (he also uses Musselman), in a footnote of If This Is a Man, his autobiographical account of his time in Auschwitz:

This word ‘Muselmann’, I do not know why, was used by the old ones of the camp to describe the weak, the inept, those doomed to selection.

The psychologist and Auschwitz survivor Viktor Frankl, in his book Man's Search for Meaning, provides the example of a prisoner who decides to use up his last cigarettes (used as currency in the concentration camps) in the evening because he is convinced he won't survive the Appell (roll call assembly) the next morning; his fellow captives derided him as a Muselmann. Frankl compares this to the dehumanized behavior and attitudes of the kapos.



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NutritionDay


"nutritionDay worldwide" is a large scale, worldwide action project designed to reduce disease related malnutrition among hospitalised patients and nursing home residents. The aim of this project is to increase awareness and knowledge regarding disease related malnutrition in hospitalised patients and the elderly.

In 1977 poor nutritional status and malnutrition was already detected in surgical patients. Still, disease related malnutrition is a much underrated public health issue and has also become an enormous economical concern. It is estimated that over 50 million Europeans are at risk. A study performed in the UK in 2005 estimated the cost of malnutrition to the UK to be € 10.6 b per year, double the projected € 5.1 b cost of obesity. Two population groups are at particularly high risk: hospitalized patients and residents of nursing homes.

Disease related malnutrition can be responsible for prolonged length of hospital stay, morbidity and premature mortality in hospitalized patients. Research has shown that approximately 31% of all hospitalized patients can be considered malnourished or at nutritional risk.

Previous nutritionDay studies have shown that malnutrition is a major health concern which still gets too little attention in hospitals and nursing homes. Malnutrition, as it has been shown in many studies, increases infection rates, affects the patient’s wound healing, leads to cardiac complications and also prolongs hospital stay.

Generally health care focuses mainly on the increasing incidence of obesity. It used to be the accepted opinion that only patients with low body weight or low body mass index (BMI, BMI < 18.5 kg/m2) are malnourished. However, studies show that BMI is not always a good parameter to detect malnutrition. Analysis show that a high percentage of body fat reduces the sensitivity of BMI to detect nutritional depletion.



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Omegaven


Omegaven is a fatty acid emulsion produced by Fresenius Kabi. It is used for total parenteral nutrition (feeding directly into a venous catheter), e.g. in short bowel syndrome. It is rich in omega-3 fatty acids.

It has gained popularity in children in preference to the more commonly used Intralipid after case reports that it reduced the risk of liver damage.

A recent study indicated that the use of Omegaven may be an appropriate intervention strategy for newborns with a very low birth weight, gastrochisis, and jejunal atresia.

It is currently undergoing a clinical trial at National Taiwan University Hospital.

Although the use of Omegaven in children in the United States is experimental, the use of it in adults in Europe is less controversial. In European studies, Omegaven has been associated with a reduction in psoriasis, when contrasted to administration of omega-6 fatty acid Lipoven. Omegaven has also been associated with reduced mortality and antibiotic use during hospital stays.



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Overnutrition


Overnutrition or hyperalimentation is a form of malnutrition in which the intake of nutrients is oversupplied. The amount of nutrients exceeds the amount required for normal growth, development, and metabolism.

The term can also refer to:

For mineral excess, see:

Overnutrition may also refers to greater food consumption than appropriate, as well as other feeding procedures such as parenteral nutrition.



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Pagpag


Pagpag is a Tagalog term for leftover food from restaurants (usually from fast-food restaurants) scavenged from garbage sites and dumps. Pagpag food can also be expired frozen meat, fish or vegetables discarded by supermarkets and scavenged in garbage trucks where those expired foods are collected. The word in the Tagalog language literally means to "shake off the dust or dirt," and refers to the act of shaking the dirt off of the edible portion of the leftovers. Pagpag can be either eaten immediately after it was found in the trash or cooked in variety of ways after collecting it.

The act of eating pagpag arose from the practical challenges of hunger that resulted from extreme poverty. Selling pagpag has been a profitable business in areas where poor people live. Pagpag is also called batchoy, which is derived from the Filipino dish with the same name. Technically, batchoy is soup-based though the term batchoy that is used to refer to leftover food from trash may be a meal cooked differently like fried pagpag batchoy. Persons who scavenge leftover food from garbage are called mambabatchoy.

After any dirt and inedible stuff are removed, pagpag can be eaten on site where it is found. It can also be processed further, most commonly by frying it in hot oil depending on the condition of the food. Filipino politician and former actor Isko Moreno used to scavenge leftover food and fry it calling it pagpag batsoy. Small cottage industries have arisen around pagpag with impoverished people making a living scavenging, collecting, processing, and selling the processed pagpag to other poor people. A cook in a restaurant in Tondo, Manila prepares pagpag in traditional Filipino cooking, such as pagpag à la kaldereta or adobo, with the mixture of the leftover chicken from Jollibee and KFC as the main ingredient.



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Protein poisoning


Protein poisoning (also referred to colloquially as rabbit starvation, mal de caribou, or fat starvation) is a rare form of acute malnutrition thought to be caused by a complete absence of fat in the diet.

Excess protein is sometimes cited as the cause of this issue; when meat and fat are consumed in the correct ratio, such as that found in pemmican (which is 50% fat by volume), the diet is considered nutritionally complete and can support humans for months or more. Other stressors, such as severe cold or a dry environment, may intensify symptoms or decrease time to onset. Symptoms include diarrhea, headache, fatigue, low blood pressure, slow heart rate, and a vague discomfort and hunger (very similar to a food craving) that can be satisfied only by the consumption of fat.

Protein poisoning was first noted as a consequence of eating rabbit meat exclusively, hence the term, "rabbit starvation". Rabbit meat is very lean; commercial rabbit meat has 50–100 g dissectable fat per 2 kg (live weight). Based on a carcass yield of 60%, rabbit meat is around 8.3% fat. For comparison, in terms of carcass composition, beef and pork are 32% fat and lamb 28%.

It has been observed that the human liver cannot safely metabolise much more than 221–301 g of protein per day (for an 80 kg/176 pound person), and human kidneys are similarly limited in their capability to remove urea (a byproduct of protein catabolism) from the bloodstream. Exceeding that amount results in excess levels of amino acids, ammonia (hyperammonemia), and/or urea in the bloodstream, with potentially fatal consequences, especially if the person switches to a high-protein diet without giving time for the levels of his or her hepatic enzymes to upregulate. Since protein only contains 4 kcal/gram, and a typical adult human requires in excess of 1900 kcal to maintain the energy balance, it is possible to exceed the safe intake of protein if one is subjected to a high-protein diet with little or no fat or carbohydrates. However, given the lack of scientific data on the effects of high-protein diets, and the observed ability of the liver to compensate over a few days for a shift in protein intake, the US Food and Nutrition Board does not set a tolerable upper intake level nor upper acceptable macronutrient distribution range for protein.



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Positive deviance


Positive deviance (PD) is an approach to behavioral and social change based on the observation that in any community there are people whose uncommon but successful behaviors or strategies enable them to find better solutions to a problem than their peers, despite facing similar challenges and having no extra resources or knowledge than their peers. These individuals are referred to as positive deviants.

The concept first appeared in nutrition research in the 1970s. Researchers observed that despite the poverty in a community, some poor families had well nourished children. Some suggested using information gathered from these outliers to plan nutrition programs.

Positive deviance is a strength-based approach which is applied to problems requiring behavior and social change. It is based on the following principles:

The PD approach was first operationalized and applied in programming in the field by Jerry and Monique Sternin through their work with Save the Children in Vietnam in the 1990s (Tuhus-Dubrow, Sternin, Sternin & Pascale).

At the start of the pilot 64% of children weighed in the pilot villages were malnourished. Through a PD inquiry, the villagers found poor peers in the community that through their uncommon but successful strategies, had well-nourished children. These families collected foods typically considered inappropriate for children (sweet potato greens, shrimp, and crabs), washed their children's hands before meals, and actively fed them three to four times a day instead of the typical two meals a day provided to children.

Without knowing it, PDs had incorporated foods already found in their community that provided important nutrients: protein, iron, and calcium. A nutrition program based on these insights was created. Instead of simply telling participants what to do differently, they designed the program to help them act their way into a new way of thinking. To attend a feeding session, parents were required to bring one of the newly identified foods. They brought their children and while sharing nutritious meals, learned to cook the new foods.

At the end of the two year pilot, malnutrition fell by 85%. Results were sustained, and transferred to the younger siblings of participants.

This approach to programming was different in important ways. Based on a community's own assets, the positive deviance approach operates within the specific cultural context of a given community (village, business, schools, ministry, department, hospital) and is therefore always appropriate. It provides to community members the "social proof" that an uncommon behavior can be adopted by all because it is already practiced by a few within the community. The solutions come from the community, therefore avoid the "immune response" that can occur when outside experts enter a community with best practices that are often unsuccessful in promoting sustained change. (Sternin)



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Rachitic rosary


The prominent knobs of bone at the of rickets patients are known as a rachitic rosary or beading of the ribs. The knobs create the appearance of large beads under the skin of the rib cage, hence the name by analogy with the beads of a Catholic Christian rosary.

Causes include:

Rachitic rosary is due to a deficiency of calcium resulting in lack of mineralization and an overgrowth of costochondral joint cartilage. The calcium deficiency may be caused by Rickets or other causes of calcium deficiency such as hypoparathyroidism.



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