Protein-Energy Malnutrition Children's Hospital, Zhejiang University School of Medicine JIE SHAO THE CHILDREN'S HOSPITAL ZHEJIANG UNIVERSITY SCHOOL OF MEDICINE 浙江大学医学院附属儿童医院
Protein-Energy Malnutrition Children’s Hospital, Zhejiang University School of Medicine JIE SHAO
Introduction There is more than one-third of the world's under-five population is malnourished. In China:serious PEM is rare but mild or moderate PEM are still common THE CHILDREN'S HOSPITAL ZHEJIANG UNIVERSITY SCHOOL OF MEDICINE 浙江大学医学院附属儿童医院
Introduction There is more than one-third of the world's under-five population is malnourished. In China:serious PEM is rare,but mild or moderate PEM are still common
Nutritional status of children under 6 years 17.0% ● Normal (eutrophy) 55.0% O Overweight/Obese 28.0% ● Protein-Energy Malnutrition THE CHILDREN'S HOSPITAL ZHEJIANG UNIVERSITY SCHOOL OF MEDICINE 浙江大学医学院附属儿童医院
Nutritional status of children under 6 years Normal (eutrophy) Overweight/Obese Protein-Energy Malnutrition
Definition A state of deficiency resulting from inadequate intake of protein and/or energy relative to physiological needs leading to progressive changes in body composition and function The child with PEM usually has growth failure which manifests shorter in height or lighter in weight than expected for a child of his age,or may be thinner than expected for height THE CHILDREN'S HOSPITAL ZHEJIANG UNIVERSITY SCHOOL OF MEDICINE 浙江大学医学院附属儿童医院
Definition A state of deficiency resulting from inadequate intake of protein and/or energy relative to physiological needs leading to progressive changes in body composition and function The child with PEM usually has growth failure which manifests shorter in height or lighter in weight than expected for a child of his age, or may be thinner than expected for height
Definition PEM,a macronutrient deficiency,not a micronutrient deficiency Mainly occur in the children =3 years old THE CHILDREN'S HOSPITAL ZHEJIANG UNIVERSITY SCHOOL OF MEDICINE 浙江大学医学院附属儿童医院
Definition PEM, a macronutrient deficiency, not a micronutrient deficiency Mainly occur in the children ≦3 years old
Classification Marasmus Severe inadequacy of energy and nutrients, characterized by severe wasting Tha Globa Mail,July 10,1998 (Sudamn) THE CHILDREN'S HOSPITAL ZHEJIANG UNIVERSITY SCHOOL OF MEDICINE 浙江大学医学院附属儿童医院
Classification Marasmus Severe inadequacy of energy and nutrients ， characterized by severe wasting
Classification Edema (Kwashiorkor) caused mainly by protein and essential amino acids deficiency (fed on a relatively high starch diet),characterized by the presence of edema THE CHILDREN'S HOSPITAL ZHEJIANG UNIVERSITY SCHOOL OF MEDICINE 浙江大学医学院附属儿童医院
Classification Edema (Kwashiorkor) caused mainly by protein and essential amino acids deficiency (fed on a relatively high starch diet), characterized by the presence of edema
Classification Marasmus-edema Intermediate forms THE CHILDREN'S HOSPITAL ZHEJIANG UNIVERSITY SCHOOL OF MEDICINE 浙江大学医学院附属儿童医院
Classification Marasmus-edema Intermediate forms
Etiology Primary:Long-term inadequate food intake 1.Insufficient food supply poverty-stricken 2.Improper feeding inappropriate weaning practices staple diets that are often of low energy density insufficient artificial feeding 3.Poor dietary habits and emotional factors monophagia Picky Eating Anorexia Nervosa THE CHILDREN'S HOSPITAL ZHEJIANG UNIVERSITY SCHOOL OF MEDICINE 浙江大学医学院附属儿童医院
Etiology Primary: Long-term inadequate food intake 1.Insufficient food supply ：poverty-stricken 2.Improper feeding inappropriate weaning practices staple diets that are often of low energy density insufficient artificial feeding 3.Poor dietary habits and emotional factors monophagia Picky Eating Anorexia Nervosa
Etiology Secondary:Disease factor Inadequate digestion absorption of food Abnormality of alimentary canal Malabsorption syndrome Infection Tuberculosis Parasitosis Chronic wasting disease Diabetes Hyperthyroidism THE CHILDREN'S HOSPITAL ZHEJIANG UNIVERSITY SCHOOL OF MEDICINE 浙江大学医学院附属儿童医院
Etiology Secondary:Disease factor Inadequate digestion & absorption of food Abnormality of alimentary canal Malabsorption syndrome Infection Tuberculosis Parasitosis Chronic wasting disease Diabetes Hyperthyroidism