{"id":180,"date":"2017-10-27T17:12:12","date_gmt":"2017-10-27T17:12:12","guid":{"rendered":"https:\/\/courses.lumenlearning.com\/sunynutrition\/?post_type=chapter&#038;p=180"},"modified":"2017-11-10T17:55:12","modified_gmt":"2017-11-10T17:55:12","slug":"2-28-protein-energy-malnutrition","status":"publish","type":"chapter","link":"https:\/\/courses.lumenlearning.com\/suny-nutrition\/chapter\/2-28-protein-energy-malnutrition\/","title":{"raw":"2.28 Protein-Energy Malnutrition","rendered":"2.28 Protein-Energy Malnutrition"},"content":{"raw":"<div class=\"__UNKNOWN__\">\r\n\r\nProtein deficiency rarely occurs alone. Instead it is often coupled with insufficient energy intake. As a result, the condition is called protein-energy malnutrition (PEM). This condition is not common in the U.S., but is more prevalent in less developed countries. Kwashiorkor and marasmus are the two forms of protein energy malnutrition. They differ in the severity of energy deficiency as shown in the figure below.\r\n<div>\r\n\r\n[caption id=\"\" align=\"aligncenter\" width=\"1091\"]<img src=\"https:\/\/s3-us-west-2.amazonaws.com\/courses-images\/wp-content\/uploads\/sites\/2569\/2017\/10\/23193721\/1000000000000443000002EADFEAD129.png\" alt=\"\" width=\"1091\" height=\"746\" \/> Figure 2.281 The 2 types of protein-energy malnutrition[\/caption]\r\n\r\n<\/div>\r\nKwashiorkor is a Ghanaian word that means \"the disease that the first child gets when the new child comes<sup>1<\/sup>.\" The characteristic symptom of kwashiorkor is a swollen abdomen. Energy intake could be adequate, but protein consumption is too low.\r\n<div>\r\n\r\n[caption id=\"\" align=\"aligncenter\" width=\"394\"]<img src=\"https:\/\/s3-us-west-2.amazonaws.com\/courses-images\/wp-content\/uploads\/sites\/2569\/2017\/10\/23193723\/100000000000018A000002577651030E.jpg\" alt=\"\" width=\"394\" height=\"599\" \/> Figure 2.282 A child suffering from kwashiorkor<sup>2<\/sup>[\/caption]\r\n\r\n<\/div>\r\nThe video below does a nice job showing the symptoms of the condition.\r\n<table><colgroup> <col \/><\/colgroup>\r\n<tbody>\r\n<tr>\r\n<td><h3>Web Link<\/h3>\r\n\r\n<a href=\"http:\/\/www.youtube.com\/watch?v=eTU3iPWAWXg\"><u>Video: Kwashiorkor (1:17)<\/u><\/a><\/td>\r\n<\/tr>\r\n<\/tbody>\r\n<\/table>\r\nMarasmus means \"to waste away\" or \"dying away\", and thus occurs in individuals who have severely limited energy intakes.\r\n<div>\r\n\r\n[caption id=\"\" align=\"aligncenter\" width=\"346\"]<img src=\"https:\/\/s3-us-west-2.amazonaws.com\/courses-images\/wp-content\/uploads\/sites\/2569\/2017\/10\/23193725\/100000000000015A000001F42176D3CD.jpg\" alt=\"\" width=\"346\" height=\"500\" \/> Figure 2.283 Two individuals suffering from marasmus<sup>3<\/sup>[\/caption]\r\n\r\n<\/div>\r\nThe video below shows individuals suffering from this condition.\r\n<table><colgroup> <col \/><\/colgroup>\r\n<tbody>\r\n<tr>\r\n<td><h3>Web Link<\/h3>\r\n\r\n<a href=\"https:\/\/youtu.be\/sokxsuTveU0\">Video: Marasmus (2:24)<\/a><\/td>\r\n<\/tr>\r\n<\/tbody>\r\n<\/table>\r\n<h3>References &amp; Links<\/h3>\r\n\r\n1. Byrd-Bredbenner C, Moe G, Beshgetoor D, Berning J. (2009) Wardlaw's perspectives in nutrition. New York, NY: McGraw-Hill.\r\n\r\n2. http:\/\/en.wikipedia.org\/wiki\/File:Starved_girl.jpg\r\n\r\n3. http:\/\/en.wikipedia.org\/wiki\/File:Starved_child.jpg\r\n\r\n<h3>Videos<\/h3>\r\n\r\nKwashiorkor - http:\/\/www.youtube.com\/watch?v=eTU3iPWAWXg\r\n\r\nMarasmus - https:\/\/www.youtube.com\/watch?v=LDCi3eda4WM\r\n\r\n<\/div>","rendered":"<div class=\"__UNKNOWN__\">\n<p>Protein deficiency rarely occurs alone. Instead it is often coupled with insufficient energy intake. As a result, the condition is called protein-energy malnutrition (PEM). This condition is not common in the U.S., but is more prevalent in less developed countries. Kwashiorkor and marasmus are the two forms of protein energy malnutrition. They differ in the severity of energy deficiency as shown in the figure below.<\/p>\n<div>\n<div style=\"width: 1101px\" class=\"wp-caption aligncenter\"><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/s3-us-west-2.amazonaws.com\/courses-images\/wp-content\/uploads\/sites\/2569\/2017\/10\/23193721\/1000000000000443000002EADFEAD129.png\" alt=\"\" width=\"1091\" height=\"746\" \/><\/p>\n<p class=\"wp-caption-text\">Figure 2.281 The 2 types of protein-energy malnutrition<\/p>\n<\/div>\n<\/div>\n<p>Kwashiorkor is a Ghanaian word that means &#8220;the disease that the first child gets when the new child comes<sup>1<\/sup>.&#8221; The characteristic symptom of kwashiorkor is a swollen abdomen. Energy intake could be adequate, but protein consumption is too low.<\/p>\n<div>\n<div style=\"width: 404px\" class=\"wp-caption aligncenter\"><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/s3-us-west-2.amazonaws.com\/courses-images\/wp-content\/uploads\/sites\/2569\/2017\/10\/23193723\/100000000000018A000002577651030E.jpg\" alt=\"\" width=\"394\" height=\"599\" \/><\/p>\n<p class=\"wp-caption-text\">Figure 2.282 A child suffering from kwashiorkor<sup>2<\/sup><\/p>\n<\/div>\n<\/div>\n<p>The video below does a nice job showing the symptoms of the condition.<\/p>\n<table>\n<colgroup>\n<col \/><\/colgroup>\n<tbody>\n<tr>\n<td>\n<h3>Web Link<\/h3>\n<p><a href=\"http:\/\/www.youtube.com\/watch?v=eTU3iPWAWXg\"><u>Video: Kwashiorkor (1:17)<\/u><\/a><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p>Marasmus means &#8220;to waste away&#8221; or &#8220;dying away&#8221;, and thus occurs in individuals who have severely limited energy intakes.<\/p>\n<div>\n<div style=\"width: 356px\" class=\"wp-caption aligncenter\"><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/s3-us-west-2.amazonaws.com\/courses-images\/wp-content\/uploads\/sites\/2569\/2017\/10\/23193725\/100000000000015A000001F42176D3CD.jpg\" alt=\"\" width=\"346\" height=\"500\" \/><\/p>\n<p class=\"wp-caption-text\">Figure 2.283 Two individuals suffering from marasmus<sup>3<\/sup><\/p>\n<\/div>\n<\/div>\n<p>The video below shows individuals suffering from this condition.<\/p>\n<table>\n<colgroup>\n<col \/><\/colgroup>\n<tbody>\n<tr>\n<td>\n<h3>Web Link<\/h3>\n<p><a href=\"https:\/\/youtu.be\/sokxsuTveU0\">Video: Marasmus (2:24)<\/a><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<h3>References &amp; Links<\/h3>\n<p>1. Byrd-Bredbenner C, Moe G, Beshgetoor D, Berning J. (2009) Wardlaw&#8217;s perspectives in nutrition. New York, NY: McGraw-Hill.<\/p>\n<p>2. http:\/\/en.wikipedia.org\/wiki\/File:Starved_girl.jpg<\/p>\n<p>3. http:\/\/en.wikipedia.org\/wiki\/File:Starved_child.jpg<\/p>\n<h3>Videos<\/h3>\n<p>Kwashiorkor &#8211; http:\/\/www.youtube.com\/watch?v=eTU3iPWAWXg<\/p>\n<p>Marasmus &#8211; https:\/\/www.youtube.com\/watch?v=LDCi3eda4WM<\/p>\n<\/div>\n\n\t\t\t <section class=\"citations-section\" role=\"contentinfo\">\n\t\t\t <h3>Candela Citations<\/h3>\n\t\t\t\t\t <div>\n\t\t\t\t\t\t <div id=\"citation-list-180\">\n\t\t\t\t\t\t\t <div class=\"licensing\"><div class=\"license-attribution-dropdown-subheading\">CC licensed content, Shared previously<\/div><ul class=\"citation-list\"><li>Kansas State University Human Nutrition Flexbook. <strong>Authored by<\/strong>: Brian Lindshield. <strong>Provided by<\/strong>: Kansas State University. <strong>Located at<\/strong>: <a target=\"_blank\" href=\"http:\/\/goo.gl\/vOAnR\">http:\/\/goo.gl\/vOAnR<\/a>. <strong>License<\/strong>: <em><a target=\"_blank\" rel=\"license\" href=\"https:\/\/creativecommons.org\/licenses\/by\/4.0\/\">CC BY: Attribution<\/a><\/em><\/li><\/ul><\/div>\n\t\t\t\t\t\t <\/div>\n\t\t\t\t\t <\/div>\n\t\t\t <\/section>","protected":false},"author":311,"menu_order":19,"template":"","meta":{"_candela_citation":"[{\"type\":\"cc\",\"description\":\"Kansas State University Human Nutrition Flexbook\",\"author\":\"Brian Lindshield\",\"organization\":\"Kansas State University\",\"url\":\"goo.gl\/vOAnR\",\"project\":\"\",\"license\":\"cc-by\",\"license_terms\":\"\"}]","CANDELA_OUTCOMES_GUID":"","pb_show_title":"on","pb_short_title":"","pb_subtitle":"","pb_authors":[],"pb_section_license":""},"chapter-type":[],"contributor":[],"license":[],"class_list":["post-180","chapter","type-chapter","status-publish","hentry"],"part":88,"_links":{"self":[{"href":"https:\/\/courses.lumenlearning.com\/suny-nutrition\/wp-json\/pressbooks\/v2\/chapters\/180","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/courses.lumenlearning.com\/suny-nutrition\/wp-json\/pressbooks\/v2\/chapters"}],"about":[{"href":"https:\/\/courses.lumenlearning.com\/suny-nutrition\/wp-json\/wp\/v2\/types\/chapter"}],"author":[{"embeddable":true,"href":"https:\/\/courses.lumenlearning.com\/suny-nutrition\/wp-json\/wp\/v2\/users\/311"}],"version-history":[{"count":6,"href":"https:\/\/courses.lumenlearning.com\/suny-nutrition\/wp-json\/pressbooks\/v2\/chapters\/180\/revisions"}],"predecessor-version":[{"id":1676,"href":"https:\/\/courses.lumenlearning.com\/suny-nutrition\/wp-json\/pressbooks\/v2\/chapters\/180\/revisions\/1676"}],"part":[{"href":"https:\/\/courses.lumenlearning.com\/suny-nutrition\/wp-json\/pressbooks\/v2\/parts\/88"}],"metadata":[{"href":"https:\/\/courses.lumenlearning.com\/suny-nutrition\/wp-json\/pressbooks\/v2\/chapters\/180\/metadata\/"}],"wp:attachment":[{"href":"https:\/\/courses.lumenlearning.com\/suny-nutrition\/wp-json\/wp\/v2\/media?parent=180"}],"wp:term":[{"taxonomy":"chapter-type","embeddable":true,"href":"https:\/\/courses.lumenlearning.com\/suny-nutrition\/wp-json\/pressbooks\/v2\/chapter-type?post=180"},{"taxonomy":"contributor","embeddable":true,"href":"https:\/\/courses.lumenlearning.com\/suny-nutrition\/wp-json\/wp\/v2\/contributor?post=180"},{"taxonomy":"license","embeddable":true,"href":"https:\/\/courses.lumenlearning.com\/suny-nutrition\/wp-json\/wp\/v2\/license?post=180"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}