Diet in Nutritional Anemia iron deficiency

Anemia treatment

1. Diet in Nutritional Anemia

2. Outline Introduction Normal Values of Hemoglobin Types Of Nutritional Anemia Dietary Modification

3. Introduction Anemia is a decrease in the RBC count and hemoglobin values Anemia due to a poor diet is called nutritional anemia More specifically diet which is deficient in following nutrients Iron,vitamin B12 & folate Protein & essential fatty acids

4. Normal Hemoglobin Values Category values Reference values Men ≥ 13g/dl Women ≥ 12g/dl Pregnant women ≥ 11g/dl Infants (2-6 month) ≥ 9.5g/dl Children (6-24 month) ≥ 10.5g/dl Children (2-11 years) ≥ 11.5g/dl

5. Types Of Nutritional Anemia Iron deficiency anemia Most type of anemia Vitamin Deficiency Anemia Less intake of vitamin B 12 and folic acid.

6. Diet for nutritional anemia Diet must provide the sufficient amount of all these nutrients Iron, copper & folate vitamin B12 ,B6 & E Protein & essential fatty acids Specially Iron , folate and vitamin b12

7. Food Sources of Iron Age Iron RDA Men 19-older 8mg/day Women 19-50 year 18mg/day Pregnant women 27mg/day Lactating women 9-10mg/day Children 1-10 years 7-10mg/day Haem Iron is provided by animal-origin foods (i.e. red meat, liver , kidneys, egg yolk, fish, chicken, etc .) Bioavailability 8 to 40 % Non Haem Iron , which is inorganic iron, very abundant in plant foods ( i.e. dried fruits and vegetables, wholegrain cereals, legumes) Bioavailability 0.5–6 %

8. FACTORS AFFECTING IRON ABSORPTION Enhancer Vitamin C Vitamin A MFP factor Inhibitors: Phytic Acid Phenolic Compounds Tannins Calcium

9. Folic acid food source Citrus Dark green leafy vegetables Legumes Uncooked cereal grains Folate is sensitive to high temperatures Must include raw food e.g. fruits and vegetables Age Folic RDA Infant 50ug/day Children 100ug-300ug/day Adult 400ug/day Pregnant 600ug-800ug/day

10. VITAMIN B12 food Sources Animal source foods are rich in b12 specially sea food then meat and dairy products Age Vitamin B12 RDA Infant 0.4-0.5ug/day Children 0.9-1.2ug/day Adult 2.4ug/day Pregnancy and lactation 2.6-2.8ug/day

11. Dietary modification for nutritional Anemia Increase iron rich foods Increase absorbable iron in the diet Include vitamin C at every meal Include meat or fish or poultry at every meal Decrease or limit iron inhibitors (tea, coffee) consumption with meal Include raw fruits and vegetable