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Nutritional disorders in a concentration camp.

OBJECTIVE: Observations on nutritional disorders were made by a physician inmate in a concentration camp before and during the Great Starvation in China. METHODS/RESULTS: Based on therapeutic response, many unique abnormalities should be considered as a part of clinical picture of malnutrition, such as mucocutaneous pigmentation, nail layering phenomena and intranail hemorrhage, palmar/plantar fissures, vegetative system crisis, a avitaminostic fevers, multiple premature beats, and enlargement of cartilage, lymph nodes, and submandibular glands. DISCUSSION: Thiamin deficiency should be also considered as one, if not the only, etiologic factor of several common disorders, including submandibular gland cyst, Baker's cyst, stenosing tenosynovitis, direct inguinal hernia, among others.

Adult↗

Common nutritional disorders in the elderly: atypical manifestations.

Nutritional problems are commonly seen in elderly persons living in both community and institutional settings. Multiple interacting medical problems, age-related physiological changes, and low socio-economic status are just some of the factors placing the older person at greater risk for nutritional problems. Nutritional inadequacies often have a slow and insidious onset; many of the presenting features mimic changes of normal aging. Absence of clear-cut signs and symptoms may easily lead to a delay in the diagnosis of these potentially serious yet easily reversible conditions. Practicing physicians need to keep in mind the atypical presentation nutritional deficiencies may have in old age.

Aged↗

Clues in the eye: ocular signs of metabolic and nutritional disorders.

Ocular signs and symptoms provide clinical clues to many of the more common metabolic and nutritional disorders seen in older adults. Diabetes mellitus can affect all parts of the eye and orbit. Complications include refractive visual loss, macular edema, retinopathy, increased risk of fungal infection, and diplopia. In patients with gout, urate crystals may precipitate in the eye and cause conjunctivitis, uveitis, or scleritis. Other problems are seen with Wilson's disease, hyperlipidemia, and albinism. Nutritional disorders usually arise from malabsorption, gastrointestinal surgery, and alcohol abuse. Deficiencies in vitamins A, B1 (thiamine), B12, and C may be manifest in the eye.

Adult↗

Manic depressive psychosis and schizophrenia are neurological disorders at the extremes of CNS maturation and nutritional disorders associated with a deficit in marine fat.

The maturational theory of brain development comprises manic depressive psychosis and schizophrenia. It holds that the disorders are part of human diversity in growth and maturation, which explains their ubiquity, shared susceptibility genes and multifactorial inheritance. Rate of maturation and age at puberty are the genotype; the disorders are localized at the extremes with normality in between. This is based on the association between onset of puberty and the final regressive event, with pruning of 40% of excitatory synapses leaving the inhibitory ones fairly unchanged. This makes excitability, a fundamental property of nervous tissue, a distinguishing factor: the earlier puberty, the greater excitability--the later puberty, the greater deficit. Biological treatment supports deviation from the norm: neuroleptics are convulsant; antidepressives are anti-epiletogenic. There is an association between onset of puberty and body-build: early maturers are pyknic broad-built, late ones linearly leptosomic. This discrepancy is similar to that in the two disorders, supporting the theory that body-build is the phenotype. Standard of living is the environmental factor, which affects pubertal age and shifts the panorama of mental illness accordingly. Unnatural death has increased with antipsychotics. Other treatment is needed. PUFA deficit has been observed in RBC in both disorders and striking improvements with addition of minor amounts of PUFA. This supports that dietary deficit might cause psychotic development and that prevention is possible. Other neurological disorders also profit from PUFA, underlining a general deficit in the diet.

Biological Evolution↗

Nutritional disorders in Saudi Arabia: a review.

The article reviews the literature on the problem of nutritional disorders in Saudi Arabia. Most of the studies reveal problems of anaemia and a mild to moderate degree of stunting and wasting among preschool children. The causes are, apparently, ignorance and misconception rather than purely economic. Recently, overnutrition has been observed as a problem among the middle and upper class of urban societies. In general, an improvement in the nutritional status of the Saudis has been observed over the last two decades. This is a repercussion of socioeconomic development and improvement in education, dietary habits, and environmental conditions. The time is ripe to create Saudi standards for health and nutrition. These will be used as yardsticks for planning and evaluation of health and nutritional programmes.

Adolescent↗

Preventing nutritional disorders in athletes: focus on the basics.

The prevention of nutritional disorders in athletes is often a controversial topic. The answer centers on the practitioners ability to assess each participant's individual needs, ensuring that basic nutrient requirements are met. The cornerstone to any athlete's nutritional program is to ensure an adequate energy intake correctly proportioned with macronutrients. Inherent to this goal is the understanding that exposure to chronic stress alters energy depots: musculoskeletal structure and immune/inflammatory responses that either facilitate or hinder training based on recovery. Essential to the athlete's health is the understanding that each is a unique individual who will never fit neatly into a predefined, cookbook approach to nutrition. Failure to meet these objectives will only impair recovery. Although quality training and adequate rest is important to training, so too is adequate energy balance. This article focuses on better understanding the benefits of adequate energy balance, further enhanced by a better understanding of macronutrient use.

Dietary Carbohydrates↗

Nutritional disorders associated with affluence in Bahrain.

In this paper the nutritional disorders associated with affluence in Bahrain are reviewed and analysed. Heart diseases, obesity, diabetes mellitus, cancer, and dental caries are becoming the main public health problems in the country. The major aetiological factors leading to such a situation are change in lifestyle, high per capita income, change in food consumption patterns, and ineffective preventive measures. Programmes to control the disease of affluence should be given a high priority in any health plan. Emphasis should be placed on initiating intervention nutrition programmes, training health staff and carrying out epidemiological studies.

Adolescent↗