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Parto de un niño muerto


18 años

28 años

38 años

Aborto espontáneo

Gestante: 83 meses (6,9 años) ó 27,7 % del tiempo.

Lactante: 195 meses (16,3 años) ó 65 % del tiempo.

Ni gestante ni lactante: 22 meses (1,8 años) ó 7,3 % del tiempo.

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Las facilidades adecuadas para la lactancia


son una inversión en la salud de la fuerza
laboral presente y futura. Los bebés de hoy
son los trabajadores del mañana.

TIEMPO
1. Otorgar por lo menos cuatro meses de licencia
por maternidad remunerada (con un ideal de seis
meses) que se inicia después que nace el niño.
Ofrecer otras opciones como una licencia de
maternidad mayor con pago de salario parcial.
2. Ofrecer horas flexibles de trabajo a las mujeres
que están amamantando, como programas de
trabajo parcial, interrupción más largos para el
almuerzo y trabajo compartido.
3. Otorgar pausas para amamantar de por lo menos
una hora diaria.

ESPACIO/
PROXIMIDAD APOYO
1. Apoyar el cuidado de bebés y niños en el 1. Informar a las mujeres trabajadoras y a los
lugar de trabajo o cerca de él y dar sindicatos sobre los beneficios de la maternidad y
transporte para que las madres puedan dar información para apoyar la salud de las mujeres.
unirse con sus pequeños. En lugares de 2. Garantizar que las mujeres tengan plena seguridad
trabajo rural y durante períodos de trabajo en el trabajo.
estacional, utilizar unidades de cuidado 3. Estimular a los compañeros de trabajo y al personal
móvil para los niños. administrativo para que tengan una actitud positiva
2. Proveer instalaciones cómodas y privadas hacia la lactancia en público.
para la extracción y almacenamiento de la 4. Estimular la creación de una red de mujeres
leche materna. de apoyo para sindicatos y grupos de
3. Mantener el ambiente de trabajo trabajadores, que puedan colaborar
limpio y seguro, libre de residuos con las mujeres para combinar
peligrosos y de sustancias lactancia y trabajo.
químicas.
86 Lactancia materna

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Nutrición humana en el mundo en desarrollo 161

!PQ.RS \
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Agotamiento progresivo de hierro corporal

Depósitos de hierro

Hemoglobina
(hierro en
glóbulos rojos)

Ferritina
sérica

Saturación de la
transferrina
(TS)

Protoporfirina
eritrocítica
libre (PEL)

Nivel más bajo


de hemoglobina
Concentración en sujetos normales
de hemoglobina

Normal Carencia de hierro

Anemia por carencia de hierro

!"#$%#F#_*%)2#K2'1%-(+O2#`'(&*'",+2'"-#&'#X'&6+"#a%(*+,+2'"-4#Gbff:
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262 Tablas de composición de alimentos, requerimientos nutricionales y hojas de balance de alimentos

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Nutrición humana en el mundo en desarrollo 263

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-./012 3?
UB$'"&)4:$49+4*&96$,:+484%#$'&''6P,4)&7#$49+4"6+*6,+4:$94+##&M

Arroz sin moler Arroz molido

La tiamina se encuentra Se pierde poca tiamina


principalmente en las capas
externas y el germen

Arroz sin moler en precocción Arroz sin moler precocido Arroz molido precocido

La tiamina pasa al endospermo Ahora hay más tiamina en Quedan cantidades adecuadas
durante la precocción el endospermo de tiamina en el grano

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340 Evaluación, análisis y seguimiento de la nutrición

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342 Evaluación, análisis y seguimiento de la nutrición

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346 Mejoramiento de la calidad y seguridad de los alimentos

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348 Mejoramiento de la calidad y seguridad de los alimentos

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Nutrición humana en el mundo en desarrollo 349

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350 Mejoramiento de la calidad y seguridad de los alimentos

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354 Mejoramiento de la calidad y seguridad de los alimentos

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Nutrición humana en el mundo en desarrollo 355

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356 Mejoramiento de la calidad y seguridad de los alimentos

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Nutrición humana en el mundo en desarrollo 357

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358 Mejoramiento de la seguridad alimentaria en el hogar

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Nutrición humana en el mundo en desarrollo 359

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%)&"$-"$)#)-10+($%+&+$(+$#.%)&808)-10+;$<0- C-$1+#0$/","#$("#$%+5#)#$)-$,)#+&&"(("=$)#
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370 Cuidados y nutrición

A-$ 1.0,+,"$ )9)1/08"$ )#$ 0*%"&/+-/)$ -" %0)-#+$?.)$)-$b9&01+=$1"*"$)-$(+$*+6"&5+


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0-9(.6)$)-$)($1.0,+,"; 0-+%&"%0+,+#=$ "$ ,)/)&*0-+-/)#$ 0*%"&/+-:
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0-/)&-+10"-+(=$-+10"-+(=$("1+($6$9+*0(0+&;$C( ,)$*+(-./&0102-$)#$9+8"&)1)&=$)-$/K&*0-"#
1.0,+,"$,)($-0L"$%.),)$)#/+&$0-9(.0,"$%"& ,)$ ,0)/+=$ #+(.,$ 6$ 1.0,+,"=$ +$ ("#$ 8+&"-)#
9+1/"&)#$ 0-/)&-+10"-+()#=$ 1"*"$ 4.)&&+#= #"'&)$ (+#$ -0L+#$ )-$ +(4.-+#$ @&)+#$ ,)($J#0+
'("?.)"#$.$"/&"#$,)/)&*0-+-/)#$?.)$*+-: *)&0,0"-+(;P$!+#$%&@1/01+#$/&+,010"-+()#$,)
/0)-)-$+$(+#$-+10"-)#$)-$(+$%"'&)B+Q$9+1/": 1.0,+,"$)-$#.$/K&*0-"$*@#$+*%(0"$#)$7+-
&)#$-+10"-+()#=$1"*"$+#.-/"#$&)(+10"-+,"# +(/)&+,"=$9&)1.)-/)*)-/)$)-$)($%)"&$#)-/0:
1"-$ (+$ )?.0,+,$ 6$ ,0#%"-0'0(0,+,$ ,)$ '.): ,"=$ 1"*"$ 1"-#)1.)-10+$ ,)$ (+$ *",)&-0B+:
-"#$#)&8010"#$,)$#+(.,$6$),.1+102-Q$9+1/": 102-=$(+$"110,)-/+(0B+102-$6$)($+.*)-/"$,)
&)#$("1+()#$1"*"$,0#/&0'.102-$,)$(+$/0)&&+= (+$ .&'+-0B+102-$ 6$ #"'&)$ ("$ ?.)$ *@#$ #)$ 7+
1(0*+=$+'+#/)10*0)-/"$,)$+4.+$6$+/)-102- )#1&0/"$M8K+#)$)($U+%5/.(" HP=$)#$)($,)#1)-:
%&0*+&0+$ ,)$ #+(.,Q$ 6$ 9+1/"&)#$ 9+*0(0+&)#= #"$ ,)$ (+$ (+1/+-10+$ *+/)&-+=$ ?.)$ )&+$ .-+
1"*"$ %&)#)-10+$ ,)$ "/&"#$ *0)*'&"#$ ,)$ (+ )R1)()-/)$%&@1/01+$/&+,010"-+($)-$1+#0$/","
9+*0(0+=$ /0%"$ ,)$ 7"4+&=$ ,0#%"-0'0(0,+,$ ,) )($*.-,";$C#/)$,)#1)-#"$#)$,)')$)-$%+&/)
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,)$(+$*+,&); *"102-$ ,)$ ("#$ 9+'&01+-/)#$ ,)$ 92&*.(+#
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!@<:6CC;DE8&?!<F<&F&!@<N<C;DE& #0"-+()#$,)$(+$#+(.,$?.)$#)$"&0)-/+-$7+10+
>6&TB6E?=&!@GC:;C?=&>6&CB;>?>< "110,)-/);
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/&0'.6)-$+$(+$'.)-+$-./&0102-=$(+$#+(.,$6$)( !+$ %&"/)1102-$ )#$ .-+$ %+&/)$ )#)-10+($ ,)
'0)-)#/+&$ ,)($ -0L"=$ 8+&5+-$ *.17"$ ,)$ .-+ 1.+(?.0)&$)#/&+/)40+$%+&+$'&0-,+&$.-$2%/0:
#"10),+,$+$"/&+$6$)-/&)$(+#$,09)&)-/)#$1.(: *"$ 1.0,+,"$ 6$ 4+&+-/0B+&$ .-$ '.)-$ )#/+,"
/.&+#;$ A-$ %&0*)&$ #.%.)#/"$ )#$ ?.)$ 1+#0 -./&010"-+(;$!+#$'.)-+#$%&@1/01+#$#)$,)')-
/",+#$(+#$#"10),+,)#$8+("&+-$+$("#$-0L"#$6 %&"/)4)&$ ,)($ ,)/)&0"&"$ 1+.#+,"$ %"&
,)#)+-$ 8)&()#$ 1&)1)&$ %+&+$ 1"-8)&/0&#)$ )- *.17"#$ 9+1/"&)#$ ,09)&)-/)#;$ O"&$ )3)*%("=
+,.(/"#$#+(.,+'()#=$0-/)(04)-/)#$6$%&",.1: )-$.-+$#"10),+,$,"-,)$(+$*+6"&5+$,)$(+#
/08"#;$ A-+$ #)4.-,+$ 1"-#0,)&+102-$ *@# *+,&)#$(+1/+-$+$#.#$')'K#$7+#/+$(+$),+,$,)
,)'+/0'()=$)#$?.)$(+#$#"10),+,)#=$)-$4)-): DY$*)#)#$"$*@#$MW"/" HTP=$#0-$0-/&",.1102-
&+(=$ /0)-)-$ %&@1/01+#$ ,)$ 1.0,+,"$ /&+,010": ,)$ "/&"#$ +(0*)-/"#$ "$ 1"-$ *.6$ %"1"#$ +(0:
-+($ "$ 1.(/.&+(*)-/)$ ,)/)&*0-+,+#=$ 1.6+ *)-/"#$+,010"-+()#=$(+$%&"/)1102-$,)')$#)&
*+6"&5+$ #"-$ '.)-+#$ 6$ 1"-/&0'.6)-$ +( .-+$%&0"&0,+,$%+&+$%&"*"8)&$6$+%"6+&$(+
,)#+&&"(("$ ,)($ -0L"=$ +#5$ 1"*"$ +$ .-$ '.)- (+1/+-10+$ *+/)&-+;$ J#0*0#*"=$ (+$ %&"/)1:
)#/+,"$-./&010"-+(; 102-$)#/@$+#)4.&+,+$#0$.-+$#"10),+,$/&+,0:
J,)*@#$ ,)$ )#/+#$ ,"#$ %&)#.-10"-)#=$ #) 10"-+(*)-/)$ %&"%"&10"-+$ '+#/+-/)#$ )#/5:
Nutrición humana en el mundo en desarrollo 371

*.("#$+$("#$-0L"#Q$%"&$)3)*%("=$#0$(+$1&0+: ()8)$ ?.)$ (+#$ #"%+#$ 1+#)&+#$ 6$ (+$ (+1/+-10+


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(+#$+'.)(+#=$("#$7)&*+-"#$*+6"&)#$6$"/&"# (+$ *+,&)$ +($ *)&1+,"$ ,)($ %.)'("Q$ 6$ ?.)
%+&0)-/)#$1"-$9&)1.)-10+$+6.,+-$)-$)($1.0: 1"*)&$ 1"-$ /)-),"&$ )#$ %&)9)&0'()$ +$ 1"*)&
,+,"$,)($-0L"$MW"/" HSPQ$6$#0$)R0#/)$(+$1"#: 1"-$(+$*+-"$,)#%.K#$,)($(+8+,"$/&+,010":
/.*'&)$,)$#.*0-0#/&+&$+(0*)-/"#$/&+,010": -+($ ,)$ *+-"#;$ C-$ &)+(0,+,$ -0-4.-+$ ,)
-+()#$,)$,)#/)/)=$1"*"$*+-5=$7"&/+(0B+#$,) )#/+#$%&@1/01+#$q*",)&-+#r$)#$*)3"&$%+&+
7"3+$8)&,)$6$()4.*'&)#$1"-$.-+$%+%0((+$,) )($-0L"$?.)$(+#$+(/)&-+/08+#$/&+,010"-+()#;
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+*)-+B+,+#$ %"&$ 0-9(.)-10+#$ *",)&-+#$ . )*%()"$&)*.-)&+,"$%+&+$(+#$*.3)&)#$()3"#
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+,.(/"#$ ,)3)-$ ,)$ )#/0*.(+&$ +$ #.#$ -0L"#Q /&+,010"-+()#;$ U0)&/+*)-/)$ 7+$ ,0901.(/+,"
?.)$ (+$ %&"%+4+-,+$ 6$ %&"*"102-$ ,)$ +(0: (+$ (+1/+-10+$ M8K+#)$ )($ U+%5/.(" HP;$ Z&)#
*)-/"#$ 0-,.#/&0+()#$ 1+&"#$ %+&+$ )($ ,)#/)/) *)#)#$ ,)$ (01)-10+$ ,)$ *+/)&-0,+,$ +6.,+:
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"$ /&+'+3+&$ ()3"#$ ,)$ 1+#+$ %.),)$ 1+.#+&$ (+ ,.&+-/)$ (+#$ "17"$ 7"&+#$ ?.)$ (+#$ *+,&)#
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,)&5+$ )-$ )($ (.4+&$ ,)$ /&+'+3"$ #)&@$ .-$ 4&+-
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1.+-,"$ (+#$ *+,&)#$ "$ (+#$ 9+*0(0+#$ 8)-$ #.# +&&)4("#$ )#%)10+()#$ %+&+$ 1"-/+&$ 1"-$ +,):
'.)-+#$%&@1/01+#$,)$+/)-102-$+*)-+B+,+# 1.+,"$ 1.0,+,"$ +$ ("#$ -0L"#$ *0)-/&+#$ (+
"$)&"#0"-+,+#$%"&$("#$1+*'0"#$)-$(+$#"10): *+,&)$ )#/@$ ()3"#$ ,)$ 1+#+;$ !"#$ 7"&+&0"#$ ,)
,+,=$1"*"$1"-#)1.)-10+$,)$(+$*",)&-0B+: /&+'+3"$ %"&$ /.&-"#$ %+&+$ ,09)&)-/)#$ *0)*:
102-=$"110,)-/+(0B+102-$"$.&'+-0B+102-;$C( '&"#$,)$(+$9+*0(0+$6$.-$*+6"&$%+%)($%+&+
+%"6"$ 0-1(.6)$ +1/080,+,)#$ 9"&*+()#$ ) )($ %+,&)$ )-$ )($ 1.0,+,"$ ,)($ -0L"$ /+*'0K-
0-9"&*+()#$?.)$%.),)-$+6.,+&$+$(+#$*.3): %.),)-$#)&$,)$+6.,+;
&)#$+$1+*'0+&$(+#$10&1.-#/+-10+#=$%+&+$1"-:
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?.)$ .-+$ 8)B$ #)$ 1"-#0,)&+&"-$ -"&*+()#$ 6 !+$ %&"*"102-$ )#$ %+&/01.(+&*)-/)$ 0*%"&:
+7"&+$)#/@-$+*)-+B+,+#;$C($+%"6"$0*%(0: /+-/)$1.+-,"=$+(4.-+#=$*.17+#$"$(+$*+6":
1+$ /+*'0K-=$ &)#/+.&+&$ (+$ 1"-90+-B+$ ,)$ (+# &5+$,)$(+#$'.)-+#$%&@1/01+#$,)$1.0,+,"$/&+:
*+,&)#=$ 9"&/+()1)&$ #.$ 1"-801102-$ ,)$ ?.) ,010"-+()#$ #)$ 7+-$ +'+-,"-+,"$ "$ #)$ 7+-
(+#$ '.)-+#$ %&@1/01+#$ ,)$ 1.0,+,"$ /&+,010": %)&,0,";$!+$%&"*"102-$0-1(.6)$(+$*"/08+:
-+()#$ %.),)-$ #)&$ *)3"&)#$ ?.)$ (+#$ -.)8+# 102-$ "$ (+$ &)),.1+102-$ ,)$ (+#$ *+,&)#=$ ,)
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%("=$ (+$ "110,)-/+(0B+102-$ 6$ (+$ *",)&-0B+: 1"#/"#+$,)$(+#$/&)#$)#/&+/)40+#;
102-$ %.),)-$ #.4)&0&$ ?.)$ .-+$ *+,&) O.),)$#)&$0*%"&/+-/)$)*%)B+&$0,)-/090:
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(.4+&$%>'(01"Q$?.)$("#$+(0*)-/"#$)-(+/+,"# ?.)$(()8+&"-$+$(+$,0#*0-.102-$"$,)#+%+&0:
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#"-$ .-$ *)3"&$ /&+/+*0)-/"$ %+&+$ (+$ ,0+&&)+ 1+#$ ,)$ 1.0,+,"$ #"-$ *)-"#$ ,)#)+'()#$ 6
372 Cuidados y nutrición

')-K901+#;$ A-+$ 9+(/+$ ,)$ 1"-"10*0)-/"$ )- ?.)$(()8)-$+$+110"-)#$%+&+$%&"/)4)&=$+%":


)#/)$#)-/0,"$1+#0$#0)*%&)$(()8+&@$+($9&+1+#" 6+&$ 6$ %&"*"8)&$ .-$ '.)-$ 1.0,+,"$ ,)$ ("#
,)$ .-+$ 1+*%+L+$ %&"*"10"-+(;$ O.),)$ #)& -0L"#$)#$)8+(.+&$(+#$%&@1/01+#$,)$1.0,+,"
>/0($1"-/+&$1"-$/K1-01+#$6$*K/","#$,)$*)&: +1/.+()#$ ?.)$ %.),)-$ 0-9(.0&$ )-$ (+$ -./&0:
1+,)"$ #"10+($ +%(01+,"#$ )-$ 9"&*+$ 1"&&)1/+; 102-;$ O+&+$ *.17"#$ %+5#)#=$ ,"-,)$ )R0#/)
O.),)$#)&$-)1)#+&0"$1"-/+&$1"-$)($1"*%&": .-$1"-"10*0)-/"$'+#/+-/)$'.)-"$#"'&)$(+
*0#"$ %"(5/01";$ !+$ %&"*"102-$ ,)$ '.)-+# #0/.+102-$+(0*)-/+&0+$6$#"'&)$)($)#/+,"$,)
%&@1/01+#$ ,)$ 1.0,+,"=$ 4)-)&+(*)-/) #+(.,$ 6$ +/)-102-$ ,)$ #+(.,=$ %.),)$ 7+')&
&)?.0)&)-$ ,)$ ),.1+102-$ %>'(01+$ 6$ &)9.)&: *.6$%"1+#$)R%)&0)-10+#$%.'(01+,+#$#"'&)
B"#$ )-$ ("#$ *),0"#$ *+#08"#$ ,)$ 1"*.-01+: )($ 1.0,+,"$ ,)$ ("#$ -0L"#=$ #"'&)$ /","$ 1"-
102-; &)#%)1/"$+$(+$-./&0102-;$C-$4)-)&+($#)$1"-:
J(4.-"#$ ,)$ ("#$ *)3"&)#$ )3)*%("#$ ,) /+&@$1"-$+(4.-+$0-9"&*+102-$#"'&)$(+$(+1:
%&"*"102-$,)$.-+$'.)-+$%&@1/01+$,)$1.0: /+-10+$-+/.&+($6$%&@1/01+#$,)$,)#/)/)=$%)&"
,+,"$/&+,010"-+(=$?.)$7+$#0,"$4&+8)*)-/) +$*)-.,"$7+6$*.6$%"1"#$,+/"#$"$0-1(.#"
%)&3.,01+,+=$ #)$ &)90)&)-$ +$ (+$ (+1/+-10+ ,)#1&0%10"-)#$1"-$&)#%)1/"$+$(+#$%&@1/01+#
*+/)&-+=$ ?.)$ 7+$ ,)1(0-+,"$ -"/"&0+*)-/) ,)$1.0,+,"$?.)$0-9(.6)-$#"'&)$)($,)#+&&":
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&+#$ )-$ (+$ ,K1+,+$ ,)$ DEYT=$ ,)*"#/&+&"- &0"#$?.)$/0)-)-$.-+$4&+-$0-9(.)-10+$)-$)(
/)-)&$ 4&+-$ KR0/";$ X/&+#$ %&@1/01+#$ %+&+$ (+# 1.0,+,"$,)$("#$-0L"#;$O.),)-$)R0#/0&$9"&:
?.)$ #)$ %.),)$ 0-/)-/+&$ (+$ %&"*"102-= *+#$,)$"'/)-)&$)#+$0-9"&*+102-$1"-$&+%0:
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*)-/+102-$ 1+#)&+$ %+&+$ )($ -0L"$ 1"-$ ,0+: 0*%"&/+-/)$+1/080,+,;
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374 Cuidados y nutrición

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378 Protección y promoción de una buena salud

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380 Protección y promoción de una buena salud

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384 Protección y promoción de una buena salud

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Nutrición humana en el mundo en desarrollo 385

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386 Protección y promoción de una buena salud

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388 Protección y promoción de una buena salud

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72=1203*/-,1120+*0-6*-,;,*/4:

RAZONES PARA UNA ATENCIÓN ESPECIAL


Nombre

Peso al nacer

PESO
1° Año
Kilogramos

4° Año 5° Año

3° Año

2° Año
EDAD EN MESES
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394 Protección y promoción de una buena salud

!"#$%& WT
"/J*--,./0@:60@26E3,4:30,/4*34,/21*3M0;21/546,-,./0G0J21420+*0+*3266:11:

INFECCIÓN POR PARÁSITOS

Pérdida de apetito Efecto en la mucosa intestinal

Reducción consumo de nutrientes

Pérdida de nutrientes

MALNUTRICIÓN

Disminución capacidad para


obtener alimentos Pérdida de energía

Baja productividad

Falta de desarrollo

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406 Fomento de dietas apropiadas y estilos de vida saludables

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Nutrición humana en el mundo en desarrollo 407

!"#$%& W'
#5?20@,6E;,+*0+*01:3021,;*/4:3 CLAVE
Grasa (presente Azúcares
naturalmente (agregados)
y la agregada)
Grasas, aceites y dulces
UTILIZARLOS MODERADAMENTE Estos símbolos muestran que las grasas
y los azúcares agregados provienen sobre todo
de grasas, aceites y dulces, pero pueden ser parte
o adiciones de los alimentos por otros grupos
de productos.

Grupo de leche, yogur y queso Grupo de carne, pollo, pescado, fríjo-


2 A 3 PORCIONES les secos, huevos y nueces
2 A 3 PORCIONES

Grupo de hortalizas Grupo de frutas


2 A 3 PORCIONES 2 A 4 PORCIONES

Grupo de pan,
cereal, arroz y pastas
6 A 11
PORCIONES

!5*/4*`$A-0/),$</+/)#$V)%+&/*)-/$"9$J4&01.(/.&)nA-0/),$</+/)#$V)%+&/*)-/$"9$[)+(/7$+-,$[.*+-$<)&801)#$

!+#$ )/0?.)/+#$ ,)$ -./&0102-$ #)$ 1&0/01+-$ )- ,)/)&*0-+&$#.$)R+1/0/.,$6$?.0B@#$)8+(.+&$#.


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408 Fomento de dietas apropiadas y estilos de vida saludables

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410 Fomento de dietas apropiadas y estilos de vida saludables

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414 Fomento de dietas apropiadas y estilos de vida saludables

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418 Prevención de carencias específicas de micronutrientes

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428 Prevención de carencias específicas de micronutrientes

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Alimentos ricos en proteína Alimentos ricos en energía


• Legumbres (frijoles, arvejas, maní) • Aceite, grasas
• Carne, pollo, leche, huevos • Maní, semillas oleaginosas
• Azúcar

ALIMENTO BÁSICO

Verduras y frutas frescas, especialmente: Alimentos saborizantes


• Hojas verde oscuro • Cebollas
• Frutas y hortalizas de color naranja • Hierbas, condimentos
• Frutas cítricas, guayaba • Sal

Adicione por lo menos un alimento de cada grupo al alimento básico para preparar una comida balanceada.

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480 Anexo 1

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Nutrición humana en el mundo en desarrollo 483

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484 Anexo 2

!+,-./0,0[
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518 Bibliografía

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