Clinical signs and symptoms of protein-energy malnutrition (PEM) include the following: Poor weight gain. Slowing of linear growth. Behavioral changes - Irritability, apathy, decreased social responsiveness, anxiety, and attention deficits.
There are 4 broad sub-forms of undernutrition: wasting, stunting, underweight, and deficiencies in vitamins and minerals.
Undernutrition may look like: Low body weight, prominent bones, depleted fat and muscle. Thin arms and legs with edema (swelling with fluid) in your belly and face. Stunted growth and intellectual development in children.
What do these indicators tell us? The indicators stunting, wasting, overweight and underweight are used to measure nutritional imbalance; such imbalance results in either undernutrition (assessed from stunting, wasting and underweight) or overweight.
Malnutrition (undernutrition) is caused by a lack of nutrients, either as a result of a poor diet or problems absorbing nutrients from food.
The nutrition-focused physical examination (NFPE) is an essential component for diagnosing malnutrition. Focusing on general characteristics such as edema, muscle wasting and subcutaneous fat loss to specific micronutrient related deficiencies, the NFPE is very sensitive for assessing nutritional status.
The cumulative proportion of recovery was 0.6% at 2 months, 17.5% at 3 months, 49.5% and 78% at 5 and 6 months, respectively (Figure 2).
According to the World Health Organization a BMI of less than 18.5 kg/m2 qualifies as underweight for adults. A number of other criteria define severe malnutrition including low energy intake, weight loss, loss of subcutaneous fat, loss of muscle mass, fluid accumulation, and decreased hand grip strength.
blood tests for general screening and monitoring. tests for specific nutrients, such as iron or vitamins. prealbumin tests, as malnutrition commonly affects levels of this protein. albumin tests, which may indicate liver or kidney disease.
Each day, some 15,000 cases of malnutrition go undiagnosed, according to the American Society of Enteral and Parenteral Nutrition. The signs are not always obvious. “Malnutrition can go unnoticed in people who are at a normal weight or overweight.
Insufficient levels can cause oxidative stress and contribute to nerve damage, resulting in numbness in the legs and arms, an inability to control body movements, speech difficulties, and peripheral neuropathy , causing a loss of reflexes in the legs.
Deficiency of protein and energy during infancy is one of the most serious problems throughout the world. It leads to clinical syndromes such as Kwashiorkor, Marasmus, and Anemia.
In addition to these physical consequences, malnutrition also results in psychosocial effects such as apathy, depression, anxiety and self-neglect.
Anemia. The most common illness which is caused by malnutrition. Although it can be triggered by many factors, but one of the main reasons for the occurrence of anemia is iron and vitamin B12 deficiency.
Identifying malnutrition isn't always clear-cut. In addition to your physical examination, your healthcare provider might run blood tests to help identify nutritional deficiencies. You may also need further evaluation to determine the cause of your malnutrition.
The most widely used classification of malnutrition is based on calculation of body mass index (BMI). Usually BMI lower than 20 kg/m² identifies high probability of undernutrition.
Fortifying your foods to increase calories
You get calories in protein foods, fats and oils, starchy foods (bread, potatoes, pasta, rice and breakfast cereals) and sugar.
Abstract. It has long been recognized that malnutrition changes physical appearance, as evidenced by muscle wasting, losses of fat stores, signs of vitamin and mineral deficiencies, and reduced physical activity.