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Causes and epidemiological dimensions Robert E. One in every three malnourished children in the world lives in India. About 50 per cent of all childhood deaths are attributed to malnutrition. Malnutrition limits development and the capacity to learn. In India, around 46 per cent of all children below the age of three are too small for their age, 47 per cent are underweight and at least 16 per cent are wasted. Many of these children are severely malnourished. The prevalence of malnutrition varies across states, with Madhya Pradesh recording the highest rate 55 per cent and Kerala among the lowest 27 per cent.
Malnutrition in children is not affected by food intake alone; it is also influenced by access to health services, quality of care for the child and pregnant mother as well as good hygiene practices. Girls are more at risk of malnutrition than boys because of their lower social status.
Malnutrition in early childhood has serious, long-term consequences because it impedes motor, sensory, cognitive, social and emotional development. Malnourished children are less likely to perform well in school and more likely to grow into malnourished adults, at greater risk of disease and early death. Around one-third of all adult women are underweight.
Inadequate care of women and girls, especially during pregnancy, results in low-birth weight babies. Nearly 30 per cent of all newborns have a low birth weight, making them vulnerable to further malnutrition and disease.
Anaemia affects 74 per cent of children under the age of three, more than 90 per cent of adolescent girls and 50 per cent of women. Iodine deficiency, which reduces learning capacity by up to 13 per cent, is widespread because fewer than half of all households use iodised salt.
Vitamin A deficiency, which causes blindness and increases morbidity and mortality among pre-schoolers, also remains a public-health problem. Infant and Young Child Feeding and Nutrition Feeding is a critical aspect of caring for infants and young children. Appropriate feeding practices stimulate bonding with the caregiver and psycho-social development. They lead to improved nutrition and physical growth, reduced susceptibility to common childhood infections and better resistance to cope with them.
Improved health outcomes in young children have long-lasting health effects throughout the life-span, including increased performance and productivity, and reduced risk of certain non-communicable diseases. Child Feeding and Nutrition years age Malnutrition contributes to more than half of all childhood deaths, although it is rarely listed as the direct cause. For most children, lack of access to food is not the only cause of malnutrition. Poor feeding practices and infection, or a combination of the two, are both major factors of malnutrition.
Infection — particularly frequent or persistent diarrhoea, pneumonia, measles and malaria — undermines nutritional status. Poor feeding practices, such as inadequate breastfeeding, offering the wrong foods, giving insufficient quantities, and not ensuring that the child gets enough food, contribute to malnutrition. Malnourished children are, in turn, more vulnerable to disease and the vicious circle is established. Improved feeding practices to prevent or treat malnutrition could save , lives per year.
Adolescent Nutrition Adolescence represents a window of opportunity to prepare for a healthy adult life. During adolescence, nutritional problems originating earlier in life can potentially be corrected, in addition to addressing current ones. It is also a timely period to shape and consolidate healthy eating and lifestyle behaviours, thereby preventing or postponing the onset of nutrition-related chronic diseases in adulthood.
As adolescents have a low prevalence of infections such as pneumonia and gastroenteritis compared with younger children, and of chronic disease compared with ageing people, they have generally been given little health and nutrition attention, except for reproductive health concerns.
However, there are nutritional issues, which are adolescent-specific, and which call for specific strategies and approaches. The main issues in adolescent nutrition are:. No claim for originality of the programmes is made by HETV.
We acknowledge our gratitude to the many people and sources whose work has been drawn freely upon. We thank them all. Programmes will be supplemented and supported by booklets, leaflets, posters and informational guides in Marathi and English, and made freely available at health worker stations, hospitals, schools, and more.
A very large number of these deaths are caused by dehydration from diarrhoea, the most easily preventable cause of childhood mortality. Nurturing Newborns Skilled attendance during pregnancy, childbirth and the immediate postpartum period.
Mothers will be provided with training for breastfeeding from the nurse or midwife, encouraged about the importance of providing colostrum within the first half hour after birth, and advised about other questions they may have about their newborn or postpartum period. Breastfeeding Protect against diseases through the promotion of clear guidelines about proper feeding practices and the benefits of immunity.
Complementary Feeding Complementary feeding means giving foods in addition to breastmilk. Malnutrition can result from suboptimal breastfeeding practices, poor quality complementary foods, detrimental feeding practices, and contamination of complementary food and feeding utensils. The second half of an infant's first year is an especially vulnerable time because infants are learning to eat and must be fed soft foods frequently and patiently. If nutritional intake is inadequate, the consequences persist throughout life.
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There was a problem filtering reviews right now. Please try again later. To a certain degree, I feel like DriftOff has literally saved me. I've been battling chronic insomnia for almost 8 years now, starting with me waking up in the middle of the night and not being able to fall back asleep and evolving into full-blown, all-night insomnia. The insomnia got so bad it was truly affected all aspects of my life, professional, personal, social, etc.
On average I would log 2 - 4 hours of sleep per night and tried all the over the counter as well as prescription drugs to combat it. The only thing that really did the trick was Ambien CR, but that wasn't a sustainable solution as long-term Ambien use can lead to all sorts of fun and exciting terrible outcomes.
So, in my desperation, one day I was on Amazon and decided to randomly look for yet another over the counter, natural solution that might help. Reading reviews and such, I settled on trying DriftOff as it seems to fit the bill.
I honestly did this on a whim, without much expectation as I tried so many other over the counter remedies that didn't help. I was so aloof about it that I had even forgotten I had ordered it when it unexpectedly showed up on my doorstep. I started taking it without much expectation. Night 1 wasn't all that different than normal Night 2, however, went much differently as I can only assume my body was adjusting perhaps?
Anyway, I very softly got drowsy, which was super exciting, and fell asleep, waking briefly in the middle of the night for roughly 30 minutes before falling back asleep.
Managed 6 hours or night 2 and was thrilled! I hadn't slept for 6 hours without Ambien in ages. I've now been taking it nightly for almost 2 months, and although I'll still have one or two nights every so often where I fall back into my 3-hour routine, it's been a game changer!
No hangovers, no grogginess, no odd side effects I shared this particular ingredient mix with my doctor shortly after starting it and he gave me the thumbs up, saying that it appeared to be a safe mix and should target the issues I'm having So not only is it working well, but I feel reasonably good about what I'm putting into my body.
Anyway, yeah, I'd definitely recommend this to anyone who has sleep issues. Hopefully, you'll have the same experiences that I have. I've always had troubles with getting to sleep and staying asleep once I was asleep. I've tried many things which were suppose to be healthy and that were not healthy.
I could not find anything that would help me sleep without bad sides affects. I got on Amazon and read many reviews about different sleep aide products. Can't remember why I chose Driftoff but I'm thankful I did. Something that helped me sleep without bad side affects!! Here's what it does for me: I work in construction and we work long hard hours. One of the guys I work with had same trouble. Gave him a few nights worth of Driftoff and he said that it really did help.
He didn't have to drink any alcohol to try to get to sleep. So good in more than one way. Anyhow, I recommend Driftoff to anyone and everyone who tells me they have a hard time sleeping. It's worth the try in my opinion. Hope it helps everyone like it helps me.
I bought this product for my young adult son who has had problems sleeping for most of his life. He started with half the suggested dose to see how it made him feel first. While it did aid somewhat with him getting to sleep, he ended up having an allergic reaction. More specifically, he got red itchy bumps in the folds of his elbows.
Once he discontinued taking it, the rash went away. For those whose body can tolerate it, this sleep aid does seem to be somewhat effective I say somewhat because he did wake up during the night. This company has thoroughly impressed me. Now that's customer service!! It is so rare to find that level of attentiveness in this day and age. I can confidently recommend this company to friends and family, knowing they will be treated well.
I've been taking it for about a week now, and I used Luna sleep aid before, this works way better. It knocks you out and puts you into a deep sleep without any adverse effects. I really reccomend it. I suffer from sleep anxiety, wherein I dread ed bedtime because I worry that if I don't get a good night's sleep, the next day will be difficult. This is something I've had since I was a kid, but its recently been exacerbated because of new stuff happening in my life recently moved, got engaged, new career, etc.
Some nights I was getting two hours of sleep despite laying in bed for hours. Generally laying in bed would devolve to sweating, panicking, and just having an overall bad time. For a while, I tried diphenhydramine generic benadryl and it worked well for about a week until I developed a tolerance, then I moved on to Driftoff. I am definitely impressed so far.
It does not tranquilize me, but it makes me feel comfortable, cozy, and peaceful. For the last week, bedtime has become a happy place.