Balanced diet - this is the food that contain the entire nutrient (Protein, carbohydrate, Minerals, Vitamins, Fat, and Water) in the right proportion. In other words, this implies the right food in the right amount.

Food can be balanced without being adequate but food cannot be adequate without being balanced. It is just like being on diet but not on a healthy diet. What you continually consumes becomes your diet but a diet becomes adequate when it fufils energy needs (macro nutrient), provide sufficient essential nutrient(micro nutrient), reduces risk of diseases and is safe for consumption.

Take for instance a person that took beans in the morning, Soak garri in the afternoon with groundnut and milk and pumpkin with vegetable oil and pepper is on adequate diet than someone that ate rice in the morning, Pasta at noon and then indomie at night. No it is merely a repetition of the same nutrient which may be harmful when in excess (over nutrition).

Importance of adequate diet 

- It help in boosting the body immunity

-It ensures adequate growth and development

-It helps in maintaining a healthy pregnancy in pregnant women

-It helps in boosting mental capacity

Factors that predispose an individual to malnutrition

-poverty

-natural disaster

-Eating disorder such as anorexia nervosa and bulimia

-Refugees

Comprehensive nutrition services in the community and health facility

These services includes:

1. Screening of pregnant women for nutritional problems

2. Encouraging exclusive breastfeeding 

3. Supervising JCHEW, VVHWs/TBAs on nutrition activities

4. Teaching food handlers(caterers and vendors) food hygiene and adequate diet

5. Nutritional assessment

6. Management of nutritional problems according to the standing orders

7. Counseling mothers on breast-feeding, weaning diet and growth monitoring

8. Screen pregnant women for nutritional problems

9. Supervise the health team on nutritional activities

10. Give feedback to the team and community on growth Monitoring and other nutritional activities

11. Teach food handlers (caterers and vendors) food hygiene and adequate diet

NUTRITIONAL DISORDERS

Kwashiorkor

1. Marasmus

2. Anemia

3. Vitamin a deficiency

4. Iron deficiency disorder

5. Obesity

6. Rickets

7. Scurvy

8. Pallegra

9. Xeropthalmia

10. Osteoporosis  

11. Osteomalacia

12. Angular stomatitis

13. Beriberi

Kwashiorkor is a form of severe protein malnutrition characterized by edema and an enlarged liver with fatty infiltrates. It is caused by sufficient calorie intake, but with insufficient protein consumption, which distinguishes it from marasmus

Marasmus is a form of severe malnutrition caused by inadequate energy intake in all forms, including protein. Marasmus occurs among children under one years of age It can occur among adults with severe malnutrition. Body weight is reduced to less than 62% of the normal (expected) body weight for the age