Dietetics for NursesProudfit, Fairfax T. (Fairfax Throckmorton)
Science
Dietetics for Nurses
Proudfit, Fairfax T. (Fairfax Throckmorton)
Diet in disease
~Thinness in Children.~--Parents are to blame for much of the thinness
seen in children, especially the nervous high-strung children whose
energies outweigh their desire for food or, as is more often the case,
their willingness to eat the proper foods. It is a mistaken kindness
to cater to the whims and fancies of a child's appetite, and much harm
is wrought by allowing the "trash" to overbalance the necessary
building or repair food in the dietary. Not that sugar is not
necessary, for it is particularly so at the age when the metabolic
processes are faster than later in life, but it must be remembered
that the body is being built up both in height and breadth.
~The Need for Building Foods.~--The skeleton and the muscular tissues
cannot be constructed from sugar, hence the diet which consists
chiefly of this food constituent is unbalanced and will sooner or
later bring about disturbances which are very apt to result in
emaciation. ~The causes of emaciation~ may be summarized as follows:
(1) Those cases which are due to pathological conditions such as
tuberculosis, anemia, typhoid fever, etc.;
(2) Those induced by errors in diet and bad habits such as
insufficient or improper food, loss of sleep, over-exercise, lack of
ventilation in the sleeping apartment, which destroys the appetite;
(3) Malformation or deformities of mouth, throat, or stomach which
make it impossible for the individual to partake of sufficient food to
cover the needs of the body;
(4) Heredity ("constitutional thinness").
~Regulating the Diet.~--As has been stated in a former chapter, any
persistent loss of weight or failure to gain on the part of an infant
whose chief business in life should be to grow, should be given
immediate and careful attention. As a rule the diet is to blame; it is
either improperly balanced, insufficient in amount, or poorly
prepared, any of which might readily cause a disturbance to the
delicate apparatus of the child.
~Diet and Habits.~--In adults, the diet and habits of life are in many
cases to blame for the excessive thinness seen in many individuals. If
the trouble can be traced to some abnormal condition, it can only be
removed by relieving or checking the disease which induced it. The
older methods of treating typhoid fever, for example, did nothing to
prevent the progressive emaciation which was the result not only of
the accelerated metabolism from the fever but also from the invasion
of the intestinal tract by the specific bacteria which brought about a
like result. In tuberculosis a similar breaking down of the tissues
occurs, as is likewise the case in anemia and other diseases in which
the functions of the blood-making organs are interfered with. Any of
the above diseases may cause emaciation, and the treatment in most of
the cases resolves itself in removing the cause as far as possible and
in adjusting the diet.
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