S5-Nutrition Assessment ABCD
ANTHROPOMETRIC DATA
Weight
Height
BMI
weight/height2
limitations
Not good for muscle mass
if patient is short
ethnic/gender- doesn't account for
Less precise if <20 >65
Bioelectrical Impedance
variable accuracy but better than BMI
Hydrostatic underwater weighing
uncommon but accurate
Caliper
not accurate
BIOCHEMICAL
Primary testing
FBC, Hba1c, U&Es, LFTs, lipis
Secondary testing
vit d , b12, iron, ferritin
CLINICAL
Age
Gender
Medical hx
Activity level
Nutritional history
weight highs and low
nutritional insufficiencies/probs with malabsorption etc.
Vital Signs
Physical Exam
skin, haiur nails condition
hydration
Muscle wasting
DIETARY
24 hour recall
boiled, grilled etc.
snacks , beverages
Typical day
typical weekend
3 day food record
Catch good & bad days
portion sizes
Mini Nutrional assessment of elderly
Validated Screening tool
people at risk of malnourishment
Meal schedule
times/place
actibities during eating
Social hx
culutural or religious aspects to food
financial ability
functional ability
NUTRIENTS BEING OVER AND UNDERCONSUMED
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