Knowledge (XXG)

Protein–energy malnutrition

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institutionalized or hospitalized for a different diagnosis. Risk factors include a primary diagnosis of intellectual disability, cystic fibrosis, malignancy, cardiovascular disease, end stage renal disease, oncologic disease, genetic disease, neurological disease, multiple diagnoses, or prolonged hospitalization. In these conditions, the challenging nutritional management may get overlooked and underestimated, resulting in an impairment of the chances for recovery and the worsening of the situation.
48: 321:, pregnant women showed more successful results during birth, including high birth weights, longer gestations, and fewer pre-term births, than women who had consumed a supplement with micronutrients and low energy but no protein (although this finding may be due to the increase of energy in the supplements, not the increase of protein). 466:
between malnutrition and other health risks via the common underlying factor of poverty. For example, condoms can reduce spread of HIV, but impoverished people often may not have money to buy condoms or a nearby place to buy them. Also, once a poor person has any particular infection, they may not
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have been linked with many deficits, including decreased brain weight, increased obesity, and impaired communication within the brain in some animals. Even diets of mild protein undernutrition (7.2%) have been shown to have lasting and significant effects in rats. The following are some studies in
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is what prevents such diseases from being more widespread in healthy, well-nourished people and (2) malnutrition stresses and diminishes immune function. In other words, malnutrition tends to cause (mild or moderate) immunodeficiency, eroding the barriers that normally keep infectious diseases at
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From these studies it is possible to conclude that prenatal protein nutrition is vital to the development of the fetus, especially the brain, the susceptibility to diseases in adulthood, and even gene expression. When pregnant females of various species were given low-protein diets, the offspring
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Decreased brain size: Protein deficiency has been shown to affect the size and composition of brains in rhesus monkeys. Monkeys whose mother had eaten a diet with an adequate amount of protein were shown to have no deficit in brain size or composition, even when their body weight amounted to less
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A large percentage of children that suffer from PEM also have other co-morbid conditions. The most common co-morbidities are diarrhea (72.2% of a sample of 66 subjects) and malaria (43.3%). However, a variety of other conditions have been observed with PEM, including sepsis, severe anaemia,
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Although protein energy malnutrition is more common in low-income countries, children from higher-income countries are also affected, including children from large urban areas in low socioeconomic neighborhoods. This may also occur in children with chronic diseases, and children who are
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Increased obesity: Mice exposed to a low-protein diet prenatally weighed 40% less than the control group at birth (intrauterine growth retardation). When fed a high-fat diet after birth, the prenatally undernourished mice were shown to have increased body weight and
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in rats that were protein-deprived during early (gestation days 0–7) and mid (gestation days 8–14) pregnancy, and throughout pregnancy, whereas rats that were protein-deprived only late in gestation (gestation days 15–22) were shown to have increased gonadal
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Altered fat distribution: Protein undernutrition can have varying effects depending on the period of fetal life during which the malnutrition occurred. Although there were not significant differences in the food intake, there were increased amounts of
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PEU is fairly common worldwide in both children and adults and accounts for about 250,000 deaths annually. In the industrialized world, PEM is predominantly seen in hospitals, is associated with disease, or is often found in the elderly.
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PEM is fairly common worldwide in both children and adults and accounts for 250,000 deaths annually. In the industrialized world, PEM is predominantly seen in hospitals, is associated with disease, or is often found in the elderly.
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Liu, T; Howard, RM; Mancini, AJ; Weston, WL; Paller, AS; Drolet, BA; Esterly, NB; Levy, ML; et al. (2001). "Kwashiorkor in the United States: Fad diets, perceived and true milk allergy, and nutritional ignorance".
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Decreased birth weight, and gestation duration: Supplementation of protein and energy can lead to increased duration of gestation and higher birth weight. When fed a supplement containing protein, energy, and
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Protein–energy undernutrition affects children the most because they have less protein intake. The few rare cases found in the developed world are almost entirely found in small children as a result of
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Protein undernutrition is detrimental at any point in life, but protein undernutrition prenatally has been shown to have significant lifelong effects. Diets that consist of less than 6% protein
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Decreased sperm quality: A low-protein diet during gestation in rats has been shown to affect the sperm quality of the male offspring in adulthood. The protein deficiency appeared to reduce
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Altered cardiac energy metabolism: Prenatal nutrition, specifically protein nutrition, may affect the regulation of cardiac energy metabolism through changes in specific genes.
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than one-half of that of the controls, whereas monkeys whose mothers had eaten low-protein diets were shown to have smaller brains regardless of the diet given after birth.
726:"Effect of prenatal protein malnutrition on long-term potentiation and BDNF protein expression in the rat entorhinal cortex after neocortical and hippocampal tetanization" 1022:"Feeding a protein-restricted diet during pregnancy induces altered epigenetic regulation of peroxisomal proliferator-activated receptor-α in the heart of the offspring" 324:
Increased stress sensitivity: Male offspring of pregnant rats fed low-protein diets have been shown to exhibit blood pressure that is hyperresponsive to stress and salt.
1376: 313:(body fat), while those who were adequately nourished prenatally did not show an increase in body weight or adiposity when fed the same high-fat diet after birth. 502:"Plasma fatty acids in children with grade III protein–energy malnutrition in its different clinical forms: Marasmus, marasmic kwashiorkor, and kwashiorkor" 362: 450:
and other paediatricians, tax already malnourished children and may prolong hospital stays initially for PEM and may increase the likelihood of death.
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Impaired neocortical long-term potentiation: Mild protein deficiency (in which 7.2% of the diet consists of protein) in rats has been shown to impair
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bronchopneumonia, HIV, tuberculosis, scabies, chronic suppurative otitis media, rickets, and keratomalacia. These co-morbidities, according to
1134:"Under-five Protein Energy Malnutrition Admitted at the University of In Nigeria Teaching Hospital, Enugu: a 10 year retrospective review" 569:
Muscaritoli, Maurizio; Molfino, Alessio; Bollea, Maria Rosa; Fanelli, Filippo Rossi (2009). "Malnutrition and wasting in renal disease".
233:(marked protein deficiency and marked calorie insufficiency signs present, sometimes referred to as the most severe form of malnutrition) 1369: 556:"Dietary Reference Intake: The Essential Guide to Nutrient Requirements" published by the Institute of Medicine and available online at 724:
Hernández A, Burgos H, Mondaca M, Barra R, Núñez H, Pérez H, Soto-Moyano R, Sierralta W, Fernández V, Olivares R, Valladares L (2008).
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have access to optimal treatment of it, which allows it to get worse, present more chances of transmission, and so on. Even when a
123: 1451: 1679: 1647: 830:"Protein malnutrition during pregnancy in C57BL/6J mice results in offspring with altered circadian physiology before obesity" 1362: 354:
were shown to have many deficits. These findings highlight the great significance of adequate protein in the prenatal diet.
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bay. For example, this reversal is well established regarding the variable natural history of tuberculosis in the pre–
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Ubesie, Agozie C.; Ibeziako, Ngozi S.; Ndiokwelu, Chika I.; Uzoka, Chinyeaka M.; Nwafor, Chinelo A. (2012-01-01).
685:"Effects of maternal and long-term postnatal protein malnutrition on brain size and composition in rhesus monkeys" 540: 557: 472: 1196:
Bistrian, Bruce R.; McCowen, Karen C.; Chan, Samuel (1999). "Protein–energy malnutrition in dialysis patients".
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Increased passive stiffness: Intrauterine undernutrition was shown to increase passive stiffness in
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The general explanation of increased infectious comorbidity in malnourished people is that (1) the
1767: 1624: 1423: 1017: 967:"In utero protein restriction causes growth delay and alters sperm parameters in adult male rats" 637: 594: 468: 270: 109: 1739: 1734: 1689: 1684: 1526: 1513: 1269: 1213: 1173: 1155: 1100: 1051: 998: 947: 898: 859: 810: 757: 706: 665: 629: 586: 523: 289: 68: 1652: 1567: 1205: 1163: 1145: 1090: 1082: 1041: 1033: 988: 978: 937: 929: 890: 849: 841: 800: 792: 747: 737: 696: 621: 578: 513: 346: 17: 1674: 1669: 246: 612:
Bosaeus, Ingvar (2008). "Nutritional support in multimodal therapy for cancer cachexia".
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which prenatal protein deficiency has been shown to have unfavorable consequences.
258: 105: 1071:"Passive stiffness of rat skeletal muscle undernourished during fetal development" 922:
American Journal of Physiology. Regulatory, Integrative and Comparative Physiology
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https://www.nap.edu/read/11537/chapter/14?term=protein-energy+malnutrition#151
257:, or ignorance of the nutritional needs of children, particularly in cases of 1159: 701: 518: 501: 1337: 1288: 1284: 1150: 965:
Toledo FC, Perobelli JE, Pedrosa FP, Anselmo-Franci JA, Kempinas WD (2011).
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that is defined as a range of conditions arising from coincident lack of
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for protein–energy malnutrition per 100,000 inhabitants in 2004.
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Deaths from protein-energy malnutrition per million persons in 2012
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Deaths from protein-energy malnutrition, by age - Our World in Data
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Augustyniak RA, Singh K, Zeldes D, Singh M, Rossi NF (May 2010).
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plasticity (visuospatial memory), noradrenergic function in the
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Note that PEU may be secondary to other conditions such as
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Franco, V.; Hotta, JK; Jorge, SM; Dos Santos, JE (1999).
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Current Opinion in Clinical Nutrition and Metabolic Care
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Journal of Developmental Origins of Health and Disease
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Portman OW, Neuringer M, Alexander M (November 1987).
1242: 1760: 1725: 1623: 1554: 1431: 1422: 1392: 1328: 1246: 479:, the poorest quarter of its population may face a 67: 37: 32: 1069:Toscano AE, Ferraz KM, Castro RM, Canon F (2010). 41:Protein–calorie undernutrition, PEU, PCU, PEM, PCM 249:in which protein energy wasting (PEW) may occur. 828:Sutton GM, Centanni AV, Butler AA (April 2010). 63:, an example of protein-energy undernutrition. 1370: 8: 1428: 1377: 1363: 1355: 1243: 877:Rasmussen KM, Habicht JP (February 2010). 78: 46: 29: 1230:The Merck Manual of Diagnosis and Therapy 1167: 1149: 1094: 1045: 992: 982: 941: 853: 804: 751: 741: 700: 517: 296:, and neocortical long-term potentiation. 492: 462:era. Epidemiologically, there are also 971:Reproductive Biology and Endocrinology 552: 550: 548: 7: 483:reality of poor health care access. 1198:American Journal of Kidney Diseases 221:(protein malnutrition predominant) 25: 785:International Journal of Obesity 1121:. Medscape Reference. May 2009. 1087:10.1590/s1807-59322010001200022 265:Prenatal protein undernutrition 506:Journal of Tropical Pediatrics 227:(deficiency in calorie intake) 1: 1225:Protein–Energy Undernutrition 1210:10.1016/S0272-6386(99)70278-7 128:Disability-adjusted life year 90:Protein–energy undernutrition 33:Protein–energy undernutrition 583:10.1097/MCO.0b013e32832c7ae1 142: less than 10 1804:Protein–energy malnutrition 1452:Wernicke–Korsakoff syndrome 98:protein-energy malnutrition 18:Protein-energy malnutrition 1820: 1119:"Marasmus and Kwashiorkor" 934:10.1152/ajpregu.00848.2009 268: 1457:Wernicke's encephalopathy 1038:10.1017/S2040174410000425 775:Bellinger L, Sculley DV, 626:10.1007/s00520-007-0388-7 614:Supportive Care in Cancer 473:national health insurance 471:nominally/officially has 54: 45: 883:The Journal of Nutrition 689:The Journal of Nutrition 1151:10.1186/1475-2891-11-43 658:Archives of Dermatology 984:10.1186/1477-7827-9-94 797:10.1038/sj.ijo.0803205 702:10.1093/jn/117.11.1844 519:10.1093/tropej/45.2.71 429: 211: 59:in 1970 with signs of 1633:Electrolyte imbalance 1501:Pyridoxine deficiency 1475:Riboflavin deficiency 1016:Slater-Jefferies JL, 895:10.3945/jn.109.114488 477:universal health care 365: 243:chronic renal disease 126: 1611:Vitamin K deficiency 1605:Vitamin E deficiency 1582:Vitamin D deficiency 1563:Vitamin A deficiency 1462:Korsakoff's syndrome 1233:Professional Edition 846:10.1210/en.2009-1133 231:Marasmic kwashiorkor 208: more than 1350 1075:Clinics (Sao Paulo) 743:10.1155/2008/646919 1625:Mineral deficiency 1424:Vitamin deficiency 1329:External resources 469:developing country 430: 271:Prenatal nutrition 212: 136: no data 1791: 1790: 1740:Failure to thrive 1735:Delayed milestone 1619: 1618: 1597:Harrison's groove 1527:Folate deficiency 1514:Biotin deficiency 1352: 1351: 1138:Nutrition Journal 730:Neural Plasticity 290:entorhinal cortex 87: 86: 27:Medical condition 16:(Redirected from 1811: 1429: 1379: 1372: 1365: 1356: 1244: 1221: 1182: 1181: 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692: 688: 678: 664:(5): 630–6. 661: 657: 650: 617: 613: 607: 574: 570: 564: 536: 509: 505: 495: 464:associations 452: 444: 441:Co-morbidity 435: 431: 414: 66-182 358:Epidemiology 352: 329:sertoli cell 276: 274: 259:milk allergy 251: 240: 236: 213: 148: 10–100 106:malnutrition 101: 97: 93: 89: 88: 1783:Underweight 1773:Weight loss 1414:Catabolysis 1404:Kwashiorkor 512:(2): 71–5. 408: 39-65 402: 23-38 396: 14-22 337:sperm count 219:Kwashiorkor 61:kwashiorkor 38:Other names 1750:Idiopathic 1700:Molybdenum 1544:deficiency 1433:B vitamins 487:References 390: 7-13 269:See also: 1680:Manganese 1658:Potassium 1653:Phosphate 1648:Magnesium 1540:Vitamin B 1338:eMedicine 1160:1475-2891 384: 4-6 378: 1-3 372: 0-0 311:adiposity 294:neocortex 255:fad diets 69:Specialty 1798:Category 1778:Cachexia 1768:Anorexia 1717:Fluorine 1705:Selenium 1695:Chromium 1643:Chloride 1488:Pellagra 1447:Beriberi 1409:Marasmus 1343:derm/797 1178:22704641 1105:21340228 1056:22003431 1003:21702915 952:20200128 903:20032480 864:20160133 815:16404403 762:18604298 670:11346341 634:18196284 599:32472183 591:19474712 528:10341499 481:de facto 349:in rats. 331:number, 277:in utero 225:Marasmus 118:calories 1761:General 1638:Calcium 1587:Rickets 1319:D011502 1218:9915286 1169:3487930 1096:3020350 1047:3191520 994:3141647 943:2867525 855:2850243 806:1865484 753:2442167 736:: 1–9. 711:3681475 642:7078558 460:TB drug 112:and/or 1727:Growth 1690:Iodine 1685:Copper 1663:Sodium 1576:Scurvy 1216:  1176:  1166:  1158:  1144:: 43. 1103:  1093:  1054:  1044:  1001:  991:  977:: 94. 950:  940:  901:  862:  852:  813:  803:  760:  750:  709:  668:  640:  632:  597:  589:  526:  424:  418:  412:  406:  400:  394:  388:  382:  376:  370:  335:, and 206:  200:  194:  188:  182:  176:  170:  164:  158:  152:  146:  140:  134:  114:energy 76:  1555:Other 1270:5B71 638:S2CID 595:S2CID 475:with 1675:Zinc 1670:Iron 1314:MeSH 1299:9-CM 1214:PMID 1174:PMID 1156:ISSN 1101:PMID 1052:PMID 999:PMID 948:PMID 899:PMID 860:PMID 811:PMID 758:PMID 734:2008 707:PMID 666:PMID 630:PMID 587:PMID 524:PMID 305:fat. 1609:K: 1603:E: 1580:D: 1574:C: 1561:A: 1308:263 1304:260 1295:ICD 1289:E44 1285:E40 1276:ICD 1261:ICD 1227:at 1206:doi 1164:PMC 1146:doi 1091:PMC 1083:doi 1042:PMC 1034:doi 989:PMC 979:doi 938:PMC 930:doi 926:298 891:doi 887:140 850:PMC 842:doi 838:151 801:PMC 793:doi 748:PMC 738:doi 697:doi 693:117 662:137 622:doi 579:doi 514:doi 245:or 102:PEM 94:PEU 1800:: 1542:12 1535:12 1341:: 1317:: 1302:: 1283:: 1280:10 1268:: 1265:11 1212:. 1202:33 1200:. 1172:. 1162:. 1154:. 1142:11 1140:. 1136:. 1099:. 1089:. 1079:65 1077:. 1073:. 1050:. 1040:. 1028:. 1024:. 997:. 987:. 973:. 969:. 946:. 936:. 924:. 920:. 897:. 885:. 881:. 858:. 848:. 836:. 832:. 809:. 799:. 789:30 787:. 783:. 756:. 746:. 732:. 728:. 705:. 691:. 687:. 660:. 636:. 628:. 618:16 616:. 593:. 585:. 575:12 573:. 547:^ 522:. 510:45 508:. 504:. 261:. 1533:B 1522:9 1520:B 1509:7 1507:B 1496:6 1494:B 1483:3 1481:B 1470:2 1468:B 1442:1 1440:B 1378:e 1371:t 1364:v 1306:- 1297:- 1287:- 1278:- 1263:- 1253:D 1220:. 1208:: 1180:. 1148:: 1107:. 1085:: 1058:. 1036:: 1030:2 1005:. 981:: 975:9 954:. 932:: 905:. 893:: 866:. 844:: 817:. 795:: 764:. 740:: 713:. 699:: 672:. 644:. 624:: 601:. 581:: 530:. 516:: 339:. 116:( 100:( 92:( 20:)

Index

Protein-energy malnutrition

United States
kwashiorkor
Specialty
Endocrinology
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malnutrition
dietary protein
energy
calories

Disability-adjusted life year
Kwashiorkor
Marasmus
Marasmic kwashiorkor
chronic renal disease
cancer cachexia
fad diets
milk allergy
Prenatal nutrition
entorhinal cortex
neocortex
perirenal fat
adiposity
micronutrients
sertoli cell
sperm motility
sperm count
skeletal muscles

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