Protein-Energy Malnutrition PEM

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Protein-Energy Malnutrition (PEM) Aka… Protein Calorie Malnutrition (PCM)

Protein-Energy Malnutrition PEM regularly influences kids 500 million youngsters are malnourished Live in destitution Adults may likewise be influenced At most serious hazard are: Those living in neediness Elderly living alone Addicts Those with dietary issues Those with long haul disease

Protein-Energy Malnutrition Most normal is Africa, Central America, South America, Middle East, SE/E Asia Also find in US Homeless internal city provincial destitution

© 2008 Thomson - Wadsworth

World Hunger Food Shortages Political turbulence and government approaches may add to sustenance issues. Equipped clashes frequently meddle with compassionate endeavors to inspire nourishment to individuals. Cataclysmic events add to world yearning © 2008 Thomson - Wadsworth

Types of PEM Protein-Energy Malnutrition (PEM) likewise called protein-kcalorie unhealthiness (PCM) Classifying PEM – content form Maramus – extreme protein and calorie shortage Kwashiorkor – direct calorie shortfall, serious protein deficiency, and contamination

Kwashiorkor – dependably edema Rapid onset, deficient protein allow regularly after disease Older babies and youthful youngsters, year and a half to 2 years old Edema and greasy liver Apathy, fractiousness, pity Loss of craving Infections wait, more typical Some muscle squandering Growth is 60-80% weight-for-age Loss of hair and skin colors Skin flaky, crackeed © 2008 Thomson - Wadsworth

Marasmus – Chronic PEM Infancy , 6 to year and a half of age Diet insufficient to address issues for calories, protein, basic FA… .watery grain is essential sustenance Small for their age, < 60% weight-for-age, grow gradually Severe weight reduction and muscle squandering, including the heart Anxiety and indifference Cold, no vitality Hair and skin issues as in Kwashiorkor No edema or greasy liver

Health Effects and Recommended Intakes of Protein PEM - Infections prompt to death much of the time Lack of antibodies to battle contaminations Fever Fluid uneven characters and looseness of the bowels - adds to kwashiorkor creating, debilitates safe framework considerably more Anemia – because of absence of hemoglobin Heart disappointment and conceivable demise – because of the majority of the above Rehabilitation Nutrition intercession must be mindful, gradually expanding protein. Programs including nearby individuals work better.

PEM in Haiti © 2008 Thomson - Wadsworth