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The purpose of a nutritional assessment is to categorise individuals and evaluate their health, fitness and nutritional status and what behaviours they participate in within their life style. To carry out the assessments a selection of anthropometric meas

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Applied Nutrition and Health Assessment 1 Contents Page 1- Introduction Page 2-3 Historical Information Page 4-6 Anthropometric measurements Page 7-9 Basic fitness tests Page 10 Physical Appearance Page 11 Blood chemistry Results Introduction The purpose of a nutritional assessment is to categorise individuals and evaluate their health, fitness and nutritional status and what behaviours they participate in within their life style. To carry out the assessments a selection of anthropometric measurements, Nutritional diagnostic methods and fitness tests are used as well as forming an understanding of the individual's medical history and information. This report will describe these methods, their purpose and the key information required to carry out a full nutritional assessment. Historical Information Having an understanding of an individual's historical information will help identify problems so corrective action can be taken to improve nutritional status. Previous medical conditions or eating disorders can give indications as to what the current nutritional and fitness status may be. Components that may be considered are family medical history, weight changes, exercise habits as well as many socioeconomic factors such as low self-esteem; poor education, family problems and money all contribute. Health History Health history provides information on the clients past regarding diet, exercise, medical conditions, so as its possible to discover the best way forward in prescribing exercise to the individual. The methods used to obtain this important information are things like; Medical records- Medical records obtained by a client (as they are confidential and inaccessible to anyone but that person) ...read more.


Below is a table of general guidelines (based on personal experience) for using total sum (in millimetres) of the seven main skin fold sites (tricep, bicep, subscap, supraspinale, supra-illiac, abdominal, thigh, calf). Measurements are taken on the right side only (for consistency), the measurements can be compared to reference data and person's previous measurements, also these measurements are suitable for all people though may not be reliable for obese people. http://www.topendsports.com/testing/tests/skinfolds.htm Basic Fitness Tests Basic fitness tests such as resting heart rate, blood pressure, handgrip dynamometer and bio-electrical impedance are undertaken to develop an understanding of the individual's health status and to have previous data to compare to as the individual increases their fitness levels. RHR Your heart rate can be taken at any spot on the body at which an artery is close to the surface and a pulse can be felt. Carotid Pulse (neck) - To take your heart rate at the neck, place your first two fingers on either side of the neck. Be careful not too press to hard, then count the number of beats for a minute. Radial Pulse (wrist) - place your index and middle fingers together on the opposite wrist, about 1/2 inch on the inside of the joint, in line with the index finger. Once you find a pulse, count the number of beats you feel within a one minute period. You can estimate the per minute rate by counting over 10 seconds and multiplying this figure by 6, or count over 15 seconds and multiply by 4, or over 30 seconds and doubling the result. ...read more.


Haemoglobin levels are measured in grammes per 100 millilitres (g/dl). The normal ranges are 13.5-17.5g/dl for men and 11.5-15.5g/dl for women. Cholesterol Cholesterol forms part of the outer membrane that surrounds every cell. It's used to insulate nerve fibres (and so make nerve signals travel properly) and make hormones, which carry chemical signals around the body. Without cholesterol, your body wouldn't work - it's vital to ensure the body's normal function. Too much cholesterol in the blood, increases the risk of coronary heart disease and disease of the arteries. A cholesterol test determines the levels of cholesterol, triglycerides and other lipids in the blood, and the results can determine your risk factor for heart disease. Ideally recommended cholesterol levels are, total cholesterol levels less than 4.0 - 5.0 mmol/l. http://www.topendsports.com/testing/tests/cholesterol.htm Glucose A glucose tolerance test determines how quickly glucose is cleared from the blood. The test is usually used to test for diabetes and insulin resistance. The test is performed immediately following a fast of between 8-16 hours when glucose levels are at their lowest and glucose levels are at their highest after eating. A fasting blood glucose measurement is performed immediately prior to the test. If this level is greater than 7.0 mmol/L, the test is usually not performed as this level signifies diabetes mellitus. The patient is then given a glucose solution to drink. Adults are given 75 grams of glucose, children are given an amount dependent on their weight: 1.75 g/kg body weight (up to 75 grams maximum). The patient is instructed to rest, then another blood glucose measurement is taken after 2 hours. http://www.topendsports.com/testing/tests/glucose-tolerance.htm ...read more.

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