title: Diet and social disadvantage: the 'Medical Home' improves nutrition in childhood and diminishes likelihood of disease in adult life.
abstract: It is well appreciated that malnutrition in early life has an adverse impact on the overall health of adults. In this review, we address the impact of malnutrition, social disadvantages, and poverty on the lives of children. An integrated response to these difficulties associated in the lives of children, families and the communities in which they live - the "Medical Home" - is suggested as a means to promote health for all ages. The four types of malnutrition delineated by the World Health Organization are discussed, as are differences between "socioeconomic status" and "social gradient." The latter construct is more meaningful from a health care standpoint as differences within each of the socioeconomic groupings are greater than differences between them. Poverty affects food choices with a profound impact on nutritional status. This review suggests how providing a "Medical Home" can improve dietary habits, improve overall nutrition and prevent disease.
authors.affiliation: SUNY Downstate Medical Center, Brooklyn, NY 11203, United States. Rkarp@downstate.edu
authors.forename: Robert J
authors.initials: RJ
authors.lastname: Karp
authors.forename: Mark
authors.initials: M
authors.lastname: Shlomovich
authors.forename: Laura
authors.initials: L
authors.lastname: Bruno
mesh_terms: D000328:Adult; D002648:Child; D002755:Choice Behavior; D004032:Diet; D005190:Family; D005247:Feeding Behavior; D006293:Health Promotion; D006801:Humans; D044342:Malnutrition / Q000150:complications*; D009752:Nutritional Status; D018802:Patient-Centered Care; D011203:Poverty; D011315:Preventive Medicine; D012111:Residence Characteristics; D012923:Social Class