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Protein–energy undernutrition (PEU), once called protein–energy malnutrition (PEM), is a form of malnutrition that is defined as a range of conditions arising from coincident lack of dietary protein and/or energy in varying proportions. The condition has mild, moderate, and severe degrees.
Malnutrition occurs when an organism gets too few or too many nutrients, resulting in health problems. [11] [12] Specifically, it is a deficiency, excess, or imbalance of energy, protein and other nutrients which adversely affects the body's tissues and form.
Protein-Energy Malnutrition (PEM) is another form of malnutrition that affects children. PEM can appear as conditions called marasmus, kwashiorkor, and an intermediate state of marasmus-kwashiorkor. Although malnutrition can have severe and lasting health effects on women and children, they are still susceptible to other water-related dangers. [10]
Kwashiorkor is a type of severe acute malnutrition (SAM). SAM is a category, composed of two conditions: marasmus and kwashiorkor. [9] Both kwashiorkor and marasmus fall under the umbrella of protein–energy malnutrition (PEM). [10]
In critically ill patients admitted to an intensive care unit, if phosphate drops to below 0.65 mmol/L (2.0 mg/dL) from a previously normal level within three days of starting enteral or parenteral nutrition, caloric intake should be reduced to 480 kcals per day for at least two days while electrolytes are replaced. [3]
Tea and toast syndrome is a form of malnutrition commonly experienced by elderly people who cannot prepare meals and tend to themselves. The term is not intrinsic to tea or bread products only; rather, it describes limited dietary patterns that lead to reduced calories resulting in a deficiency of vitamins and other nutrients.
In the United States, average protein consumption is higher than the RDA. According to results of the National Health and Nutrition Examination Survey (NHANES 2013–2014), average protein consumption for women ages 20 and older was 69.8 grams and for men 98.3 grams/day. [40]
An example of nutritional hypoproteinemia is Kwashiorkor, a type of protein energy malnutrition affecting young children. Malabsorption , often caused by celiac disease or inflammatory bowel disease Liver disease can also cause hypoproteinemia by decreasing synthesis of plasma proteins like albumin.