Nutritional assessment and Nutritional counseling

When you read more about nutrition, know how to modify your diet, what to eat and what to avoid and discover the best way to make your diet, you will need to know how to assess your nutrition. Our food is responsible for our shape and our health. If you eat well, you will be in good shape and healthy. If you don’t eat well, you will just be in bad shape and will suffer from the consequences of that; it is that simple. Counseling a nutritionist is the best way to achieve the maximum benefits of your diet. The long-term relationship between the person and the nutritionist will help both of them. The nutritionist will understand the case well and put the best plan for the person that will make him/her achieve her goals whatever these goals are. Whether you want to lose weight, gain weight or modify your diet for a certain disease, the nutritionist knows better. Here is how the nutritionist will assess your case and the information you need to know about nutritional counseling.

• Nutritional assessment:
The clinical nutritional assessment is based clinically on:
1. Medical and nutritional history:
A. Medical history like history of weight loss, weight gain and chronic illness.
B. Dietary history: a diet history can be obtained accurately by questioning food intake for specific meal within the past 24 hours or by asking specific questions about the patient’s consumption of individual food items such as bread, milk, egg and vegetable.
2. Physical examination:
Edema, hypertension and loss of subcutaneous fat and skeletal muscles wasting and weight changes are important signs in assessing the response for diet prescription.
3. Simple anthropometry:
A. The body mass index (BMI): The weight in kilograms divided by the height in meters squared (relatively independent of height, apply to males and females). Normal nutrition is defined as a body mass index of 18 to 25 while significant obesity as body mass index more than 28.
B. The arm muscle circumference: This is particularly valuable in edematous states in which weights are inaccurate and insensitive.
It is a little bit complicated to measure the arm muscle circumference but we will make it as easy as possible.
The arm muscle circumference (AMC) = Arm circumference – (TSF × 3.4/ 10).
TSF refers to triceps skin fold thickness. It is done perfectly by the nutritionist and it is perfect as anthropometry tool.
4. Laboratory investigations:
According to the condition like blood glucose, lipoprotein kidney function tests and liver function tests.

• Nutrition Counseling:
Nutrition counseling refers to individualized guidance on appropriate diets and nutrient intakes taking into consideration health, cultural, socioeconomic, functional and physiological factors.
Nutrition counseling includes:
A. An in-depth nutrition assessment.
B. Nutrition care pan:
1. Selection of food and its amounts.
2. Timing and composition of meals.
3. Food consistency: modified food textures.
4. Route of nutrition administration from oral to feeding tube or intravenous nutrition.

Choosing the right nutritionist will make your life easier and your health better. Building up a long-term relationship needs some time and making sure that the nutritionist is the best.