Page 44 - Coespu 2018-4
P. 44

have been shown to be at a greater risk of developing type 2 diabetes and cardiovascular disease.
            Another uncommon form of over nutrition is vitamin or mineral toxicity. This is usually due to
            excessive  supplementation,  for  instance,  with  high
            doses  of  fat-soluble  vitamins  such  as  vitamin  A
            rather than the ingestion of food. Toxicity symptoms
            depend on the substance(s) ingested, the severity of
            the overdose, and whether it is acute or chronic.
            But  primary  focus  of  this  article  is  the
            undernutrition,  since  in  peace  missions  this  one  of
            the problems that we encounter.
            Undernutrition: the second face of the coin
            Undernutrition  occurs  when  one  or  more  vital
            nutrients are not present or available in the quantity
            that is needed for the body to develop and function normally. This may be due to insufficient intake,
                                                          increased loss, increased demand, or a condition or
                                                          disease  that  decreases  the  body's  ability  to  digest
                                                          and absorb nutrients from food.
                                                          General  malnutrition  often  develops  slowly,  over
                                                          months or years. As the body's store of nutrients is
                                                          depleted,  changes  begin  to  happen  at  the  cellular
                                                          level,   affecting   biochemical   processes   and
                                                          decreasing  the  body's  ability  to  fight  infections.
                                                          Over  time,  a  variety  of  symptoms  may  begin  to
                                                          emerge, including: delayed or slow growth, bloated
                                                          abdomen, listlessness (in children);

                                                                anemia;
                weight loss, decreased muscle mass, and weakness;
                dry scaly skin;
                fluid accumulation (edema);
                brittle, thinning hair;
                brittle and malformed (spooned) nails;
                chronic diarrhea;
                slow wound healing;
                bone and joint pain;
                mental changes such as confusion and irritability (and other mental-psychological disease);

                enlarged thyroid gland (goiter)

            Then,  specific  nutrient  deficiencies  may  cause  characteristic  symptoms.  For  instance,  vitamin
            “B12” deficiency can lead to tingling, numbness, and burning in the hands and feet (due to nerve
            damage); a lack of vitamin “A “ may cause night blindness and increased sensitivity to light; and a
            lack of vitamin “D” can cause bone pain, malformation, or osteomalacia, the deficiency of vitamin
            “B1”  (thiamine)  may  cause  beriberi  (wet  beriberi:  affects  the  cardiovascular  system  ,  and  dry
            beriberi  and  Wernicke-Korsakoff  syndrome:  affects  the  nervous  system) or  when there is  not



                                                           42
   39   40   41   42   43   44   45   46   47   48   49