Antenatal malnulrition leads to IUQR and low birth weight which influences growth potential throughout life Posinaial PEM [protein energy malnutrition

Antenatal malnulrition leads to IUQR and low birth weight which influences growth potential throughout life Posinaial PEM [protein energy malnutrition), Iron dnffclency. trace element deflciency, vitamin deflciency 6 Socio-economic factors - Closely Influence nutrition. infeclion. developmental stimulation 7 Emotional factors - rnodify growth potential Deprivation leads to "emotional deprivation syndrome' whch can stunt physical and psycbolrjgcal development Posmon of child in family, interaction of paranig and child, child rearing patterns Influence growth S Culluropolitical factors - may limit development potential by eatablishjng conventional behaviour patterns and axpectations and alter schedule for acquisitions of motor and intellectual skilb 9 Intellectual stimulation and learning Groth parameters (1) Heigra or length Foetus 8 weeks 25 cm 12 weeks- 7 5 cm 28 weeks' 35 cm Birth" 50cm 1 year adds on 1/2 of birth lenght 75 cm 2 year adds 1/2of 1st years growth 87-88 cm Thereafter till adolescence growth spurit about 6-B cm per year. Weach's formula that can be used from 2-12 years Age (yr)x6 + 77cm (2) Weight. Sensitive growth paramaeter. first to decraase in acute malnurltion Foetus 8 weeks 1 gm 12 weeks: Brith 2 5-3 7 kg Less than 2 5 kg considered low birth wsight Weight loss in first 10 days upta 10% body weight Tharaatter increase of 20 gm per day for first 5 months and about 15gm per day upto 12 months Baby obubles birth weight ai 5 months, triples at 1 year 2nd year gains 2 5 kg 3-5 year gains 2 kg per year 6-12 yeara gains 2-2.5 kg per year Approximately 15 kg at 5 years, 25 kg at 10 years. 40 at 15 yerrs Weech's formulae for average weigh! (in kg) 3-12 rnonths 1-6yeaf3 age (yrs)x 2+ 86-12 years (3) skull circurnnference A good