Background

Nutrient is a very important substances for our body,

whreas this substance was used by the body to regulate
the growth and development of organs and matters in
the body

Nutrient deficiency is very common in society

Mostly caused by eating disorders

Anorexia is a psycological eating dissorder where theres

no sense of eating in condition where actually our body
feel hungry
 Definition
• Anorexia nervosa is an eating dissorders which
where the person limiting / refuse the food intake
to the body even when the they feel the sense of
hunger.
• Anoreksia was classified as a psycological
dissorder
• Infantile anorexia is an eating dissorder that
happen in the first 3 year of life, usually
characterized by early food rejection and
followed by growth dissorder
 epidemiology
• US America
Male to female ratio is 1:8 from total population
With the Bigest population is from teenager
 etiology
• Nutrient factor
• Organic penyakit
• Psycological factor
patophysiology
 diagnosis
• Anamnesis :
a. Refusal to eat adequate amount of food for >1 month
b. Onset of the food refusal at <3 years of age
c. Doesnt communicate hunger signals. Lack interest in
food, but shows strong interest in exploration and/or
interaction with caregiver
d. Has shown poor growth since infancy
e. Food refusal does follow a traumatic event
f. The food refusal is not due to an underlying medical
illness or developmental dissorder
 Physical findings
• Antropometric measurement
• Growth curve evaluation since infancy
• Abnormality in craniofacial, sistemic disease
and atopic history must be found
• Nerurological assesment had to be done to
evaluate the psikomotoric development
Supporting assesment
 treatment
Evalute the process of he food intake in the
family and underlying caused
• Beware of malnutrition, evaluate by
• Mineral suplement  Kalium, Calcium,
Phospat, Iron, Magnesium
 complication
• Growth and developmental dissorder
• Dizziness
• Fatigue
• Sincope
• Malnutrition
• Osteophorosis
• Cognitif delay
 conclusion
• Anorexia nervosa is an eating dissordes in any ages,
mainly in infatile, characterized by food rejection and
limitation even theyre hungry
• Infantile anorexia is caused by nutritional factor,
underlying disease, and psycological dissorder
• Holistic valuation of the food intake int he family,
children development, and hostory of psycological
dissorder is the main treatment of anorexia in infantile
• If this dissorder wasnot treated well , malnutrition,
cognitif and dissorder, even suicide could happen