A NUTRITIONALLY ADEQUATE DIET SHOULD BE...

APPENDIX-I

Dear Parents,

You are requested to follow the following menu chart this week in order to improve Hb level of your daughter. The recommendation is in accordance with the ongoing intervention programme to improve the health of our girl students. Kindly follow the chart sincerely for the benefit of your ward.

School Menu

Day

Monday

Tuesday

Wednesday

Thursday

Friday

Saturday

Fruit break

1 banana+1 orange/kinnu

1 banana+lguava


lbanana+1 guava


1 banana+ 1 guava

Tiffin palak/methi paratha/chapati+ gajar matar ki sabzi palak/methi paratha,chapati+aaloo soya badi ki sabji

palak/methi paratha/chapati+kale chane palak/methi paratha/chapati+ homemade paneer palak/methi paratha/chapati+ aaloo methi/palak

palak/methi paratha/chapati+ mixed veg.

Home Menu (all week days)

Morning

Afternoon/Evening

Snacks

Salads

8 almonds soaked overnight +10 kishmish + milk

Orange/kinnu/mausmi + anaar juice/ tomato carrot soup

Boiled egg/peanuts, gajjak/chana + gur/ til ke laddu/ khajoor Seasonal Radish, Tomato, Sprouts( ankurit dal) + 1 spoon lemon juice

You are requested to follow the chart for another three weeks after some changes

according to the tastes and likings of your ward. You have to keep in view green leafy

vegetables, seasonal fruits and vegetables to provide nutritious diet to your ward.

DIETARY GUIDELINES (NIN, Hyderabad, 2010)

1. Eat variety of foods to ensure a balanced diet.

2. Ensure provision of extra food and healthcare to pregnant and lactating women.

3. Promote exclusive breastfeeding for six months and encourage breastfeeding till two

years.

4. Feed home based semi solid foods to the infant after six months.

5. Ensure adequate and appropriate diets for children and adolescents both in health and

sickness.

6. Ensure moderate use of edible oils and animal foods and very less use of ghee/ butter/

vanaspati.

7. Overeating should be avoided to prevent overweight and obesity.

8. Use salt in moderation/ Restrict salt intake to minimum.

9. Ensure the use of safe and clean foods.

10. Practice right cooking methods and healthy eating habits.

11. Drink plenty of water and take beverages in moderation.

12. Minimize the use of processed foods rich in salt, sugar and fats.

13. Include micronutrient rich foods in the diets of elderly people to enable them to be fit

and active.

14. Eat plenty of vegetables and fruits.

15. Exercise regularly and be physically active to maintain ideal body weight.

DIETARY GOALS (NIN, Hyderabad, 2010)

1. Maintenance of a state of positive health and optimal performance in populations at

large by maintaining ideal body weight.

2. Ensurement of adequate nutritional status for pregnant women and lactating mothers.

3. Improvement of birth weights and promotion of growth of infants, children and

adolescents to achieve their full genetic potential.

4. Achievement of adequacy in all nutrients and prevention of deficiency diseases.

5. Prevention of chronic diet-related disorders.

6. Maintenance of the health of the elderly and increase the life expectancy.

GREEN LEAFY VEGETABLES, OTHER VEGETABLES AND FRUITS

SHOULD BE USED IN PLENTY (NIN, Hyderabad, 2010)

• Normal diet, to be wholesome and tasty, should include fresh vegetables and fruits,

which are store houses of micronutrients.

• Vegetables/fruits are rich sources of micronutrients.

• Fruits and vegetables also provide phytonutrients and fibre which are of vital health

significance.

• They help in prevention of micronutrient malnutrition and certain chronic diseases

such as cardiovascular diseases, cataract and cancer.

• Fresh fiiaits are nutritionally superior to fruit juices.

A NUTRITIONALLY ADEQUATE DIET SHOULD BE CONSUMED

THROUGH A WISE CHOICE FROM A VARIETY OF FOOD (NIN,

Hyderabad, 2010)

• Nutrition is a basic prerequisite to sustain life.

• Variety in food is not only the spice of life but also the essence of nutrition and

health.

• A diet consisting of foods from several food groups provides all the required nutrients

in proper amounts.

• Cereals, millets and pulses are major sources of most nutrients.

• Milk which provides good quality proteins and calcium must be an essential item of

the diet, particularly for infants, children and women.

• Oils and nuts are calorie-rich foods, and are useful for increasing the energy density.

• Inclusion of eggs, flesh foods and fish enhances the quality of diet. However,

vegetarians can derive almost all the nutrients from diets consisting of cereals, pulses,

vegetables, fruits and milk-based diets.

• Vegetables and fruits provide protective substances such as vitamins/ minerals/

phytonutrients.

• Diversified diets with a judicious choice from a variety food groups provide the

necessary nutrients.

POINTS TO PONDER

o Choose a variety of foods in amounts appropriate for age, gender, physiological status

and physical activity

o Use a combination of whole grains, grams and greens.

o Include jaggery or sugar and cooking oils to bridge the calorie or energy gap.

o Prefer fresh locally available vegetables and fruits in plenty.

o Include in the diets, foods of animal origin such as milk, eggs and meat, particularly

for pregnant and lactating women and children.

o Adults should choose low-fat, protein-rich foods such as lean meat, fish, pulses and

low-fat milk.

o Develop healthy eating habits and exercise regularly and move as much as you can.

o Eat as much of other vegetables as possible daily.

o Include green leafy vegetables in daily diet.

o Eat vegetables/ fruits in all your meals in various forms (curry, soups, mixed with

curd, added to pulse preparations and rice)

o Consume raw and fresh vegetables as salads.

o Grow the family's requirements of vegetables in the kitchen garden if possible.

o Green leafy vegetables, when properly cleaned and cooked, are safe even for infants.

« Let different varieties of vegetables and fruits add colour to your plate and vitality to

your life.

o Beta carotene rich foods like dark green, yellow and orange colored Vegetables and

fruits (GLVs, carrots, papaya and mangoes) protect from vitamin A deficiency.

Dietary Sources of Iron

Food, Standard Amount

Fortified dry cereals (various), about 1 oz

Fortified instant cooked cereals (various), 1 packet

Soybeans, mature, cooked, V2 cup

Pumpkin and squash seed kernels, roasted, 1 oz

White beans, canned, V2 cup

Lentils, cooked, I/2 cup

Spinach, cooked from fresh, Vi cup

Kidney beans, cooked, '/2 cup

Chickpeas, cooked, V2 cup

Cowpeas, cooked, 'A cup

Tomato puree, Vi cup

Lima beans, cooked, V2 cup

Soybeans, green, cooked, VT. cup

Navy beans, cooked, I/2 cup

Refried beans, Vi cup

Tomato paste, % cup

Iron (mg)

1.8to21.1

4.9 to 8.1

4.4

4.2

3.9

3.3

3.2

2.6

2.4

2.2

2.2

2.2

2.2

2.1

2.1

2

Calories

54 to^l27

Varies

149

148

153

115

21

112

134

100

48

108

127

127

118

54

DIETARY SOURCES OF VITAMIN C

Food, Standard Amount

Guava, raw, V2 cup

Red bell pepper, raw, Vi cup

Red bell pepper, cooked, V2 cup

Kiwi fruit, 1 medium

Orange, raw, 1 medium

Orange juice, % cup

Green bell pepper, raw, Vi cup

Green bell pepper, cooked, Vi cup

Grapefruit juice, % cup

Vegetable juice cocktail, % cup

Strawberries, raw, V2 cup

Papaya, raw, % medium

Broccoli, raw, Vi cup

Edible pod peas, cooked, Vi cup

Broccoli, cooked, Vi cup

Sweet potato, canned, V2 cup

Tomato juice, % cup

Cauliflower, cooked, V2 cup

Pineapple, raw, V2 cup

Kale, cooked, V2 cup

Mango, V2 cup

Vitamin C (mg)

188

142

116

70

70

61 to 93

60

51

50 to 70

50

49

47

39

38

37

34

33

28

28

27

23

Calories

56

20

19

46

62

79 to 84

15

19

71 to 86

34

27

30

15

34

26

116

31

17

37

18

54

RECOMMENDED DIETARY ALLOWANCE OF IRON

Age

7 to 12 months

1 to 3 years

4 to 8 years

9 to 13 years

14 to 18 years

19 to 50 years

51+years

Males (mg/day)

11

7

10

8 -

11

8

8

Females (mg/day)

11

7

10

8

15

18

8

RECOMMENDED DIETARY ALLOWANCE OF VITAMIN C

Age

7 to 12 months

1 to 13 years

14 to 18 years

19+ years

Males (mg/day)

40

40

45

45

Females (mg/day)

40

40

45

45

Lactation (mg/day)

n/a

n/a

45

45

In 2000, the National Academy of Sciences established the following Adequate Intake levels for vitamin C:

0-6 months: 40 milligrams

7-12 months: 50 milligrams

In 2000, the National Academy of Sciences established the following Recommended Dietary Allowances for vitamin C:

1-3 years: 15 milligrams

4-8 years: 25 milligrams

Males 9-13 years: 45 milligrams

Males 14-18 years: 75 milligrams

Males 19 years and older: 90 milligrams

Females 9-13 years: 45 milligrams

Females 14-18 years: 65 milligrams

Females 19 years and older: 75 milligrams

Pregnant females 18 years: 80 milligrams

Pregnant females 19 years and older: 85 milligrams

Lactating females 18 years: 115 milligrams

Lactating females 19 years and older: 120 milligrams

APPENDIX- II

HEALTH RELATED SCHEDULE -I I 2005-2006

PERSONAL INFORMATION

Participant No.

Name

Age (Years)

Sex

Father's Name

Mother's Name

Complete Address

Marital Status

Educational Qualification (Years)

Rural/Urban

Occupation/Employment Status

Work Address

Family (Nuclear/Joint/Extended)

No. of members in the family,

give details

PHYSIOLOGICAL PARAMETERS

Participant No.

Height (Cms.)

Weight (Kg.)

BMI

Pulse Rate / mt.

Blood Pressure

Blood Sugar

Hb

Blood Group

Any chronic ailment, if yes

Common Name

Any chronic disease in family, if yes

Name

Any acute medical problem in

these days

Other biochemical test readings

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SUBJECTIVE WELL BEING INVENTORY

Instructions:

People are different. They live in a variety of situations and they do not feel the same way about

life and the world around them. From a practical viewpoint, it is important to know how different

persons feel with regard to their day-today concerns like their health and family. Such

knowledge is necessary if an improvement in the quality of life of people is to be brought about.

This is a questionnaire on how you feel about some aspects of your life. Each question may be

answered by any one of the given categories by putting a circle around the number which

seems to represent your feelings best. For example, in the first question, if you feel that your life

is very interesting please put a circle around the response '1 ' at times you may find that your

feeling is not represented perfectly by any of the given response categories. In such cases, just

choose the one closest to what you think. All information given by you will be treated as

confidential and will be used only for research purposes.

1. Do you feel your life is interesting?

a. very much 1

b. To some extent 2

c. Not so much 3

2. Do you think you have achieved the standard of living and the social

status that you had expected?

a. very much

b. To some extent

c. Not so much

1

2

3

3. How do you feel about the extent to which you have achieved success

and are getting ahead ?

a. Very Good

b. Quite good

c. Note so good

1

2

3

4. Do you normally accomplish what you want to?

a. Most of the time 1

b. Sometimes 2

c. Hardly ever 3

5. Compared with the past, do you feel you're your present life is?

a. Very happy 1

b. Quite happy 2

c. Not so happy 3

6. On the whole, how happy are you with the things you have been doing in

recent years ?

a. Very happy

b. Quite happy

c. Not so happy

1

2

3

7. Do you feel you can manage situations ever when they do not turn out

as expected ?


b. Sometimes 2

c. Hardly ever 3

8. Do you feel confident that in the case of a crisis (anything which substantially

upsets your life situation) you will be able to cope with it/face it boldly?

a. very much

b. To some extent

c. Not so much

1

2

3

9. The way things are going now do you feel confident in coping with the future?

a. very much 1

b. To some extent 2

c. Not so much 3

10. Do you sometimes feel that you and the things around you belong very

much together and are integral parts of a common force?

a. very much 1

b. To some extent 2

c. Not so much 3.

11. Do you sometimes experience moments of intense happiness almost like

a kind of ecstasy or bliss ?

a. Quite often 1

b. Sometimes 2

c. Hardly ever 3

12. Do you sometimes experience a joyful feeling of being part of mankind

as of one large family ?

a. Quite often 1

b. Sometimes 2

c. Hardly ever 3

13. Do you feel confident that relatives and /or friends will help you out if

there is an emergency e.g if you lose what you have by fire or theft?

a.

b.

c,

very much

To some extent

Not so much

1

2

3

14. How do you feel about the relationship you and your children have?

a. Very good 1

b. Quite good 2

c. Not so good 3

d. Not applicable 4

15. Do you feel confident that your relatives, or friends will look after if

you are severely ill or meet with an accident?

a.

b.

c.

very much

To some extent

Not so much

1

2

3

16. Do you get easily upset if things don't turn out as expected?

a. very much 1

b. To some extent 2

c. Not so much 3

17. Do you sometimes feel sad without reason?

a. very much 1

b. To some extent 2

c. Not so much 3

18. Do you feel too easily irritated, or, too sensitive?

a. very much 1

b. To some extent 2

c. Not so much 3

19. Do you feel disturbed by feelings of anxiety and tension?


b. Sometimes 2

c. Hardly ever 3

20. Do you consider it a problem for you that you sometimes lose your

temper over minor things?

a.

b.

c.

very much

To some extent

Not so much

1

2

3

21. Do you consider your family a source of help to you in finding solutions

to most of the problems you have?

a.

b.

c.

very much

To some extent

Not so much

1

2

3

22. Do you think that most of the members of your family feel closely

attached to one another?

a.

b.

c.

very much

To some extent

Not so much

1

2

3

23. Do you think you would be looked after well by your family in case

you were seriously ill?

a. very much 1

b. To some extent 2

c. Not so much 3

24. Do you feel your life is boring / uninteresting?

a. very much 1

b. To some extent 2

c. Not so much 3

25. Do you worry about your future?

a. very much 1

b. To some extent 2

c. Not so much 3

26. Do you feel your life is useless?

a. very much 1

b. To some extent 2

c. Not so much 3

27. Do you sometimes worry about the relationship you and your

wife/ husband have ?

a. very much 1

b. To some extent 2

c. Not so much 3

28. Do you feel your friends /relatives would help you out if you were in need?

a. very much 1

b. To some extent 2

c. Not so much 3

29. Do you sometimes worry about the relationship you and your children have?

a. very much 1

b. To some extent 2

c. Not so much 3

30. Do you feel that minor things upset you more than necessary?

a. very much 1

b. To some extent 2

c. Not so much 3

31. Do you get easily upset if you are criticized?


b. Sometimes 2

c. Hardly ever 3

32. Would you wish to have more friends than you actually have?

a. very much 1

b. To some extent 2

c. Not so much 3

33. Do you sometimes feel that you miss a real close friend?

. a. very much 1

b. To some extent 2

c. Not so much 3

34. Do you sometimes worry about your health?

a. very much 1

b. To some extent 2 "

c. Not so much 3

35. Do you suffer from pains in various parts of your body?


b. Sometimes 2

c. Hardly ever 3

36. Are you disturbed by palpitations/a thumping heart?


b. Sometimes 2

c. Hardly ever 3

37. Are you disturbed by a feeling of giddiness?


b. Sometimes 2

c. Hardly ever 3

38. Do you feel you get tired too easily?


b. Sometimes 2

c. Hardly ever 3

39. Are you troubled by disturbed sleep?


b. Sometimes 2

c. Hardly ever 3

40. Do you sometimes worry that you do not have close personal

relationship with other people ?

a. very much 1

b. To some extent 2

c. Not so much 3

MDU

221859

155.533 YllE

A NUTRITIONALLY ADEQUATE DIET SHOULD BE...

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