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1. P.E.M PROTEIN ENERGY MALNUTRITION
or P.C.M PROTEIN CALORIES MALNUTRITION
• According UNDP report 2018, Pakistan is in the top five countries where above
45% of children under the age of 5 years, are suffering from malnutrition”
• “We are in the top five countries where most of women are dying during delivery”
•
• The above words are said by our PM Imran Khan in his speech to the nation in
2018.
• This is first time in the history of our country that our PM mentioned this very
important issue.
By Dr Mohib Ullah AIOU/BZ554926/19SKE00544/AUT2019/4701/ 3641/2/Q5B

2. UNO Survey 2018
• According to the UNO survey of 2018 we are
losing 4% GDP annually because of
malnutrition.
• One another survey claimed that 80% of our
children are malnourished
By Dr Mohib Ullah AIOU/AUT2019/4701/ 3641/2/Q5B

3. Protein Energy Malnutrition (P E M)
• The term Protein Energy Malnutrition (P E M)
has been adopted by WHO in 1976.
• Sometimes called (PCM) protein calories
malnutrition
• PEM or PCM is at high prevalence in developing
countries
• It is prevalent in infants and before the age of 5
years.
• All children with PEM have micronutrient
deficiency.
By Dr Mohib Ullah AIOU/AUT2019/4701/ 3641/2/Q5B

4. KWASHIORKOR AND MARASMUS
• Marasmus is derived from Greek word meaning
wasting
• Marasmus mostly occurs under the age of 1 year.
• Marasmus is caused by protein deficiency in daily
diet.
• Kwashiorkor and Marasmus are the two extreme
forms of P E M
By Dr Mohib Ullah AIOU/AUT2019/4701/ 3641/2/Q5B

5. KWASHIORKOR
• Cecily William was a British nurse in 1933 who
introduced this word in medical field.
• Kwashiorkor is result of multiple important
nutrients deficiency.
• The patient of this condition shows
• Edema, Mental Changes, Growth Retardation,
wasting
By Dr Mohib Ullah AIOU/AUT2019/AUT2019/4701/ 3641/2/Q5B

6. WHAT IS NUTRITION
• *The eatables which can be process and
utilize by our body.
• *The taking in and metabolism of
nutrients.
• *The Process from ingestion to Digestion.
• *The Utilization of Nutritional Bio-
Molecules
• *The process of anabolism and
Catabolism.
By Dr Mohib Ullah AIOU/AUT2019/AUT2019/4701/ 3641/2/Q5B

7. WHAT IS MALNUTRITION
• Wasting Condition Resulting from
energy and protein deficiency , a
disorder of nutrition.
• Some times with vitamins and trace
elements as well.
By Dr Mohib Ullah AIOU/AUT2019/4701/ 3641/2/Q5B

8. PROTEIN
• Proteins are complex organic
nitrogenous compounds.
• The basic unit of protein is amino
acids.
• Proteins belong to the group of
macronutrients.
By Dr Mohib Ullah AIOU/AUT2019/4701/ 3641/2/Q5B

9. CLASSIFICATION OF PROTEIN
• 1-Classification Based on Structure
• Fibrous Protein
• Globular Protein
• Intermediate Proteins
• 2-Classification Based on Composition
• Simple Protein
• Conjugated or Complex Proteins
• 3-Classification based on Functions
• Structural Protein, Enzymes, Hormones
• Pigments, Transport Protein, Contractile Proteins.
• Storage Proteins, Toxins
By Dr Mohib Ullah AIOU/AUT2019/4701/ 3641/2/Q5B

10. FUNCTIONS OF PROTEIN
• Protein is a good source of energy it gives 4 Cal/gm
• Proteins plays fundamental role in cell structure and
functions.
• All the enzymes, Several Hormones, Transport Carrier, and
Immunoglobulin are Proteins.
• Proteins involves in the maintenance of osmotic pressure,
• Clotting of Blood,
• Muscles Contraction.
• During starvation amino acids serve as major energy source.
• 10% ----to-----15% of the total body energy is delivered from
proteins.
• Proteins maintain nitrogen balance of the body.
By Dr Mohib Ullah AIOU/AUT2019/4701/ 3641/2/Q5B

11. DAILY REQUIRMENTS AND RDA ABOUT PROTEIN
• For adults 0.8--To--1.0 gm protein/kg body
weight
• Additional requirement of 20%-----to-----30%
above normal is needed for pregnant and
lactating women
• Protein requirement for growing children is
2grams/kg body weight/day, this amount of
protein is double as compare to adult
requirement.
By Dr Mohib Ullah AIOU/AUT2019/4701/ 3641/2/Q5B

12. PM Imran Khan says About Malnutrition

13. Pakistani Media About Malnutrition

14. NNS National Nutrition Survey Pakistan 2018

15. Thanks & Regards
The End