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Clinical Nutrition

NUT1290
Two hours English

Clinical Nutrition

Clinical Nutrition
1 Course overview, key concepts of clinical nutrition science, and the role of nutrition in human growth and maintenance ? Define food, nutrition, nutrients, diet, and balanced diet ? Energy balance ? Basal metabolic rate (BMR) ? Thermic effect of food ? Food Model ? Malnutrition
2 Dietary recommendations during the human lifecycle ? Preconception nutrition ? Nutrition during pregnancy ? Nutrition during lactation ? Nutrition during preschool child ? Nutrition during adolescents ? Nutrition during adulthood ? Nutrition during older adults
3 Nutritional assessment for humans ? The importance of nutritional assessments ? Anthropometric measurements ? Dietary assessments ? Clinical examination ? Biochemical tests
4 Enteral nutrition ? Define nutrition support ? Determine conditions and indications that require nutrition support. ? Contraindications for the use of enteral nutrition ? Routes of enteral nutrition delivery and access
5 Parenteral nutrition ? Define parenteral nutrition ? Determine conditions and indications that require for parenteral nutrition ? Contraindications for the use of parenteral nutrition ? Routes of parenteral nutrition delivery and access
6 MNT I: Obesity, satiety and hunger hormones, and eating disorders ? Overweight and obese patients ? Genetic predisposition towards obesity ? Role of Dietary intake (Fat, Sugars, Carbohydrates, Calories) in the development of obesity ? Treatment of obesity by Very low calorie diets (VLCDs), High Proteins diet, Water, Exercise. ? Diet & weight control ? Dietary management of patients after bariatric surgery ? Post Operative Proteins & Fluid requirement ? Fad Diets ? Anorexia Nervosa
7 MNT II: Anemia Iron-deficiency Anaemia ? Main causes; Main laboratory tests; Main dietary sources of Iron ? Factors that interfere (enhance / inhibit) with iron absorption. Haemochromatosis ? Main symptoms and dietary management of iron overload Megaloblastic Anaemia ? Main causes; Factors causing B12 & folic-acid deficiency & Dietary management of these deficiencies
8 MNT III: Gastrointestinal diseases (Upper gastrointestinal system) ? Ways of restricting nausea and vomiting ? Lifestyle modifications in Gastro-Oesophageal Reflux Disease (GERD) ? Dietary recommendations during the acute phase of Oesophagitis ? Role of dietary management in peptic ulcer disease ? Dietary protocols after undergoing gastric surgery
9 MNT III: Gastrointestinal diseases (Lower gastrointestinal system) ? Dietary assessment and the counseling of a patient with constipation ? Main categories & the nutritional management for Diarrhoea ? Properties & use of medium-chain triglycerides (MCT) ? Coeliac disease & Dietary recommendations
10 MNT VI: Hypertension, Heart diseases ? Risk factors of coronary artery disease, atherosclerosis, and hypertension. ? MNT for coronary artery disease, atherosclerosis, hypertension, heart failure, and heart cachexia.
11 MNT V: Cachexia and cancer ? Cancer and cancer cachexia. ? MNT for cancer.
12 MNT VI: Renal diseases ? Nephrotic Syndrome ? Renal Stones ? Acute Renal Failure (ARF) ? Chronic Kidney Disease (CKD)
13 MNT VII: Pulmonary Diseases ? Respiratory Quotient (RQ) ? Chronic obstructive pulmonary disease (COPD) ? Cystic fibrosis (CF) ? Asthma
14 MNT VIII: Diabetes and pancreatic diseases, and Starve-feed cycle ? Insulin and Glucagon Role In Hunger And Satiety ? Diabetes Mellitus ? Classifications of Diabetes Mellitus ? Diabetes Mellitus type 1 (DM1) ? Diabetes Mellitus type 2 (DM2) ? Glycemic index & its application in diabetic diet ? Gestational Diabetes & its Classification ? Pancreatic Diseases ? Starve-feed Cycle
15 Course activities discussion
1.1 Mapped to: K1

Understand the nutrition principles for proper growth across lifespan

Teaching Strategy • Lecture / • Case studies / • Group discussion and assignment
Assessment Methods Exams / Report assignment rubric
1.2 Mapped to: K1

Demonstrate the principles of different nutritional assessment approaches and methods for body composition assessment

Teaching Strategy • Lecture / • Case studies / • Group discussion and assignment
Assessment Methods Exams / Report assignment rubric
2.1 Mapped to: S1

Apply applications of MNT and enteral and parenteral nutrition in various diseases.

Teaching Strategy • Lecture / • Case studies
Assessment Methods Exams / Oral assessment
2.2 Mapped to: S4

Construct assessment approaches and methods for body composition assessment with appropriate methods of assessment in health and disease

Teaching Strategy • Lecture / • Case studies
Assessment Methods Exams / Oral assessment
3.1 Mapped to: V2

Demonstrate collaboration, commitment, social responsibility, and self-development

Teaching Strategy • Case studies / • Group discussion
Assessment Methods Rubrics for group work / Class activity rubric