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Chapter-11 Pediatric Nutritional Requirements

BOOK TITLE: The Short Textbook of Pediatrics

Author
1. Gupte Suraj
2. Vani Shashi
ISBN
9788184484694
DOI
10.5005/jp/books/10983_11
Edition
11/e
Publishing Year
2009
Pages
6
Author Affiliations
1. Maharaja Agrasen Medical College, Agroha, Hisar, India, Mamata Medical College and General and Super Specialty Hospitals, Khammam, Telangana, India, Mamata Medical College/Mamata General and Superspeciality Hospitals, Khammam, Telangana, South India, Mamata Medical College/Mamata, General and Superspecialty Hospitals, Khammam, Telangana, India, Postgraduate Department of Pediatrics Mamata Medical College and Hospital Khammam, Andhra Pradesh, India, Mamata Medical College/Mamata General and Superspecialty Hospitals, Khammam 507002, Andhra Pradesh, India, Mamata Medical College/Mamata General and Superspecialty Hospitals, Khammam, Andhra Pradesh, India, Mamata Medical College and Hospitals, Khammam, Andhra Pradesh, India, Narayana Medical College/Narayana General and Superspeciality Hospitals, Nellore 524002, AP, South India, Narayana Medical College and Hospital, Nellore, AP, India, Narayana Medical College/Narayana General and Superspeciality Hospitals, Nellore, Andhra Pradesh (India), Children’s Health Cen
2. PS Medical College, Karamsad, Anand, Gujarat, India, PS Medical College and Srikrishna Hospital, Karamsad, Gujarat, India
Chapter keywords

Abstract

Nothing is more important than adequate nutrition for the child, especially in the first 3 years of life, when growth is most rapid and the child is, by and large, totally dependent on the parents or other caretaker. An important factor responsible for adequate growth is balanced nutrition. Erroneous nutrition leads to inadequate growth in addition to under-nutrition and poor gain in weight. Understandably, a basic knowledge of nutritional requirements at various ages as also sources of such vital nutrients as vitamins and micronutrients as iron and zinc is mandatory. The term, energy requirement, denotes the amount of dietary energy required to balance energy expanded and deposited in new tissues (growth). Breakup of energy expenditure is: growth 12%, physical activity 25%, basal metabolism 50% and fecal loss 8%. In order to meet the growth needs in first 3 years and during adolescence, a higher energy dense diet is needed. The chief constituents of food are water, proteins, carbohydrates, fats, vitamins and minerals. These six factors form the human body in the following ways: water 63%, proteins 17%, fats 12%, carbohydrates 1%, vitamins and minerals 7%. Free radicals are atoms or molecules that contain one or more unpaired electrons that capable of altering (usually enhancing) their chemical reactivity and cause tissue damage. To counter the unfavorable effects of free radicals, defenses are provided in the form of antioxidants. The antioxidants are substances in foods significantly decreasing the adverse effects of free radicals. Vitamin C, vitamin E, selenium, zinc, etc. are noteworthy examples of antioxidants.

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