UNIVERSITY OF MADRAS
B.Sc. Degree Course in Clinical Nutrition and Dietetics
SEMESTER SYSTEM WITH CREDITS
(Effective from the Academic Year 2003-2004)

SYLLABUS

Semester V - Paper X - Acvanced Dietetics

Number of Lectures: 4
Duration of Examination: 3 hrs
Maximum Marks: 100
Credits: 4

Theory - 4hrs. / week
Practicals - 2 hrs. / week

Objectives:

1. To obtain knowledge regarding metabolic processes of normal and diseased organ: and tissues.

2. To be familiar with the dietary/behaviour modifications based on physiological changes occurring in disease conditions.

3. To acquire knowledge regarding effect of various diseases on nutritional status and nutrient requirement.

4. To understand the role of dietician.

5. To develop skill and techniques in the planning and preparation of therapeutic diets for various diseases and nutritional deficiencies.

6. To gain knowledge in diet counseling and educating patients.

UNIT I - ADVANCED DIETETICS (THEORY)

Course Content

1. Nutrition and Diet Counselling: No. of Lectures: (2)
Nutritional assessment of patients, dietary prescription and counselling follow up, patient education and diet.

2. Routine Hopital Diets: No. of Lectures: (3)
Pre-operthive and post operative diets, study and review of hospital diet, basic concepts and methods i) Oral feeding ii) Tube feeding iii) parenteral nutrition and intravenous feeding Diet in surgical conditions, burns and cancer.

3. Obesity and leanness: No . of Lectures: (2)
Causes, complications and health effects, dietary treatment and other recommendations

4. Diets in fevers and infections:
Types, metabolism in fevers, general dietary considerations, diet in influenza, typhoid fever, recurrent malaria and tuberculosis

5. Diet in gastritis and peptic ulcer (gastric and duodenal): No. of Lectures: (4)
Etiology, symptoms and clinical findings, treatment, dietary notifications, adequate nutrition, amount of food, intervals of feeding , chemically and thermally irritating foods. A four stage diet - liquid, soft convalescence and liberalized diet.

6. Diseases of the gastro - intestinal tract:
Effect on digestion, absorption and nutritional status.
Implications of dict therapy
- Diarrhoea, constipation.
- Gastritis and Ulcers.
- Colitis.
- Malabsorption syndromes.
- Diarrheoa (child and adult), classification, modification of diet, fibre, residue, fluids nutritional adequacy.
- Constipation, flatulence - dietary considerations.
- Ulcerative colitis (adults), symptoms and dietary treatment.
- Sprue, celiac diseases and disaccharide intolerance and dietary treatment

7. Diet in diseases of the liver and gall bladder and pancreas: No. of Lectures: (4)
Etiology, symptoms, metabolic and nutritional implications. Dietary treatment in
Jaundice, Hepatitis, Cirrhosis of liver and hepatic coma.
- Role of alcohol in liver disease.
- Dietary treatment in chobeystitis and choblithiasis and pancreatitis.

8. Disorders of metabolism: No. of Lectures: (5)
a) Diabetes Mellitus .
- Incidence and predisposing factors.
- Symptoms, types and tests for detection.
- Metabolism in diabetes
- Dietary treatment and meal management
- Hypoglycemic agent, insulin and its types.
- Complications of diabetes.
b) Gout
Nature and occurrence of uric acid, causes, symptoms and diet.

9. Diet in renal diseases: No. of Lectures: (3)
Basic renal function - Etiology, symptoms, metabolic and nutritional implications
and dietary treatment.
i) Acute and chronic glomelous nephritis.
ii) Nephritic syndrome.
iii) Renal failure and dialysis
iv) Urinary calculi - causes treatment, acid and
alkali producing food, neutral foods and dietary
treatment.

10. Diet in Cardio-vascular diseases: No. of Lectures: (3)
Role of nutrition in cardiac efficiency.
Atheroselerosis - incidence and dietary principles.
Hyperlipidemia and hypertension - dietary treatment. Dietary management of acute and chronic diseases of the heart.

Sodium restricted diet, level of sodium restriction, source of sodium and danger of sodium restriction.

11. Diet in allergy and skin disturbances: No. of Lectures: (2)
Definition, classification, manifestation, common food allergies, tests and dietetic treatment.

12. Diet and Drug interactions: No. of Lectures: (2)
Effect of drug therapy on intake, absorption and utilisation of nutrients

Total: 37 hours

REFERENCES:

1. Antia, C.P. "Clinical Dietetics and Nutrition", 3^rd Ed. 2000, Oxford University Press, New Delhi/ Bombay.

2. Passmore, R, Eastwood, M.A. "Human Nutrition and Dietetics", 8^th Ed. 1986, ELBS Publishers.

3. Robinson, C.H. & Wzley, E.S. "Basic Nutrition & Diet Therapy", 6^th Edition, 1989, Macmillan Pub. New York.

4. Anderson, L and others, "Nutrition in Health and Disease", 1982, 17^th edition, J.B. Lippin Cott Co. Philadelphia.

5. Bhala, S.M.L., Bhati, N. Gopinath "Diet Manual for Heart Patients", CTC, AIMS, New Delhi, 1983.

6. helen S. Guthrie, "Introducing Nutrition", 6^th edition, St.Louis, Times Mirror/Mosby College, 1988.

ADVANCED DIETETICS (PRACTICALS)

1. Planning and Preparation of diets with modified:
a) Consistency
b) Fibre ahd residue 4
c) Diet for diarrhoea and constipation 4
d) Diet fo peptic ulcer 4
e) Diet for liver diseases 4

2. Planning and Preparatidn of diet in fevers and infections 4

3. Planning and preparation of diets for insulin dependent Diabetes Mellitus. 8
Planning Snacks, deserts and beverages for diabeties.
Complications in diabetes 4
Meal Exchange List

4. Planning and preparations of diet in cardio- vascular diseases congestive cardiac failure.

5. Planning and preparation of diet in:
a) Kidney failure
b) Kidney transplant
c) Renal complications
d) Kidney stones

6. Planning and preparations of diet in:
a) Cancer
b) Trauma (burns)
c) Surgery

REFERENCE:

1. Anita FR : Clinical Dietetics and Nutrition, 3^rd Ed., Oxford University Press, Bombay, 1989.

2. Robinson C.H. and E.S. Weigley: Basic Nutrition and Diet Therapy, 6^th Ed., McMillan Pub.Co.N.Y. 1989.

3. Bhala S.M.L. Bhatia, N. Gopinath: Diet Manual for Heart Patients, CTC, AIMS, New Delhi, 1983.