SITI YUYUN RAHAYU FITRI

Identification of potential problem & nutritional assesment Estimating nutrient requirement Determine route of delivery Formula selection Monitoring Communication with patient and families

ADULT VERSUS CHILDREN

Three different system :

Z-score (standard deviation

scores)
Percentiles

Percent of median

The best system because of its advantages compared to the other methods

oLinear

oSex independent
oFurther computation

The formula : Z score (or SD score) = (observed value median value of the reference population) / SD value of reference population Its reffered for children under 5 age The international reference population same age and sex Its adopted from NCHS by WHO

..\..\..\Z score\cht_wfl_girls_z_0_2.pdf ..\..\..\Z score\cht_wfh_girls_z_2_5.pdf ..\..\..\Z score\CDC Growth chart girls 2-20 th P3-97.pdf ..\..\..\Z score\BMI girls.pdf ..\..\..\Z score\cht_wfl_boys_z_0_2.pdf ..\..\..\Z score\cht_wfh_boys_z_2_5.pdf ..\..\..\Z score\CDC Growth chart boys 2-20 th P3-97.pdf

Z score Length/heig ht-for-age Above 3 Above 2 Above 1

Growth indicators Weight-forage Weight-forlength/heigh t obese Overwight Possible risk of overwight BMI-for-age

Obese Overweight Possible risk of overweight

0 (median)

Below - 1
Below 2 Below 3 Stunted Severity stunted Underweight Severity underweight wasted Severity wasted Wasted Severity wasted

 Kombinasi

3 indikator

Weight for age ( kurang berat, normal, BB lebih)Length for age (pendek, normal, tinggi) Weight for length (kurus, normal, gemuk)

Kategorisasi

status gizi

Normal ( - 2 SD sampai + 2 SD) Diatas normal ( lebih dari 2 SD diatas median) Dibawah normal (lebih dari 2 SD dibawah median

BB - U
Dibawah Normal

TB - U
Dibawah Normal

BB - TB
Normal Normal

Interpretasi
Riwayat kurang gizi, normal Normal

Di atas
Dibawah Di bawah Normal Diatas Normal Diatas

Di atas
Di atas Normal Di atas Di bawah Di bawah Normal

Normal
Di bawah Di bawah Di bawah Di atas Di atas Diatas

Tinggi, normal
Kurang gizi akut Kurang gizi akut Kurang gizi akut Gemuk Gemuk, riwayat kurang gizi Tidak gemuk

Body Mass Index (BMI) is a number calculated from a child's weight and height. BMI is a reliable indicator of body fatness for

most children and teens.

Weight Status Category Underweight

Percentile Range Less than the 5th percentile 5th percentile to less than the 85th percentile 85th to less than the 95th percentile Equal to or greater than the 95th percentile

Healthy weight

Overweight

Obese

WHO\WHO AnthroPlus\WHO AnthroPlus.exe

Energy Requirement
Simplest method Indirect calorimetri Harris-Benedict (REE)
RDA
Age (Year) 01 RDA (Kcal/Kg Wt) 100 120

13
46 79 10 12 12 18

100
90 80 M : 60 70 F : 50 60 M : 50 60 F : 40 50

Seorang anak laki-laki usia 36 bulan, dengan TB 96 cm dan BB 15 kg