
Child Malnutrition a Global Concern
Malnutrition is a global public health problem that is associated with high health care cost, and increased morbidity and mortality.
Childhood and adolescence are nutritional critical points due to rapid growth and development. This developmental growth stage of the child is predetermined by his activity levels which depend on his physical and mental stamina. However, in these children, a dietary pattern which is rich in energy-dense foods, processed meat and less vegetables, may increase several cardiometabolic parameters.1
The daily recommended caloric intake for children above 9 years is 35 to 45 kcal/kg/day, whereas, protein intake is 0.9 g/kg/day. If these requirements are unmet, there can be significant impact on brain development, and can also result in stunted growth.2,3
Boosting Stamina and Performance
Growing children and adolescents must consume enough energy and nutrients to meet their needs in terms of growth, tissue maintenance and performance of their intellectual and physical activities.4 A well-balanced diet containing appropriate amounts of macronutrients and micronutrients is essential to provide enough energy for growth and activity.4
Carbohydrates are the most important fuel source for physically active children because they provide the glucose used for energy. Protein intake in age group must be adequate to maintain a positive nitrogen balance (i.e., a higher intake than utilization) for the purpose of growth and development of body organs and tissues.2
Micronutrients
Micronutrients is a must for the child which helps in bone, muscle, and cellular development.
How can Nutritional Uptake be Achieved?5-7
During childhood and adolescence, there is development of foundational skills for physical and mental activity
A well-balanced diet containing appropriate amounts of macronutrients (protein, carbohydrates and fat) and micronutrients (vitamins and minerals) is essential to provide enough nutrients for growth and activity
Protein intake especially amino acids like Arginine is a well-known growth hormone (GH) stimulator
Micronutrients such as Calcium, Magnesium, Vitamin D, Folic acid, Vitamin K2 help in bone, muscle, and cellular development
ONS (Oral Nutritional Supplements) which provides major macro- and micro-nutrients in powder form, is easy to absorb and assimilate into the body of the child
Malnutrition is a global public health problem that is associated with high health care cost, and increased morbidity and mortality.
Linear growth in early childhood is a strong marker of healthy growth and is also closely linked with child development in several domains including cognitive, language and sensory-motor capacities.
Weight management at the early childhood, is an essential part of healthy growth amongst children.
References:
1. Pinto A, Santos AC, Lopes C, Oliveira A. Dietary patterns at 7 year-old and their association with cardiometabolic health at 10 year-old. Clinical Nutrition. 2020 Apr 1;39(4):1195-202.
2. Faizan U, Rouster AS. Nutrition and hydration requirements in children and adults.
3. Hörnell A, Lagström H, Lande B, Thorsdottir I. Protein intake from 0 to 18 years of age and its relation to health: a systematic literature review for the 5th Nordic Nutrition Recommendations. Food & nutrition research. 2013 Jan 1;57(1):21083.
4. Iglesia et al. Physiological and public health basis for assessing micronutrient requirements in children and adolescents.The EURRECA networkmcn_273 84..9Maternal and Child Nutrition (2010), 6 (Suppl. 2), pp. 84–9
5. Zhang Z, Li F, Hannon BA, Hustead DS, Aw MM, Liu Z, Chuah KA, Low YL, Huynh DT. Effect of Oral Nutritional Supplementation on Growth in Children with Undernutrition: A Systematic Review and Meta-Analysis. Nutrients. 2021 Aug 30;13(9):3036.
6. Jain, Monika & Yadav, Deeksha & Singh, Vandana & Chamoli, Ritushri. (2018). Nutritional Status and Diet Quality in 7-10 Years Old School Going Children. ESSENCE International Journal for Environmental Rehabilitation and Conservation. 9. 127-133)
7. van Vught AJ, Dagnelie PC, Arts IC, Froberg K, Andersen LB, El-Naaman B, Bugge A, Nielsen BM, Heitman BL. Dietary arginine and linear growth: the Copenhagen School Child Intervention Study. Br J Nutr. 2013 Mar 28;109(6):1031-9.
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