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Protein energy malnutrition
This document discusses protein energy malnutrition (PEM) and various methods of classifying malnutrition. It defines PEM as a cellular imbalance between nutrient/energy supply and demand. PEM is classified as kwashiorkor, marasmus, prekwashiorkor, or nutritional dwarfism. The WHO classification uses underweight, stunting, and wasting based on weight-for-age, height-for-age, and weight-for-height. Other classifications discussed include Arnold based on mid-upper arm circumference, IAP and Jelliffe based on weight-for-age, Waterlow based on height-for-age, and ponderal index based on weight and height.
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Protein energy malnutrition
- 1. PROTEIN ENERGY MALNUTRITION BY: DINABANDHU BARAD MSCTUTOR, SNC, SOA, DTU
- 3. PROTEIN ENERGY MALNUTRITION •WHO defines malnutrition as the cellular imbalance between the supply of nutrient and energy and the body’s demand for them to ensure growth, maintenance and specific function.
- 4. CLASSIFICATION • SYNDROMAL CLASSIFICATION 1.KWASHIORKOR 2. NUTRITIONAL MARASMUS 3. PREKWASHIORKOR 4. NUTRITIONAL DWARFISM
- 6. CLASSIFICATION • WHO CLASSIFICATION Whoused three terms to classify PEM 1. Under weight (weight for age) 2. Stunting (height for age) 3. Wasting (weight for height)
- 7. WHO CLASSIFICATION PARAMETERS ACUTE MALNUTRITION CHRONIC MALNUTRITION WeightFor Age Low Low Height for Age Normal Low Weight For Height Low Normal
- 8. WHO CLASSIFICATION SAM MAM W/H<3SD 2-3 SD <1 SD NORMAL MUAC <11.5 CM 11.5-12.5 CM >12.5 CM NORMAL BILATERAL EDEMA PRESENT ABSENT
- 9. ARNOLD CLASSIFICATION BASED ONMUAC • NORMAL 16 CM • MILD PEM 13.5-16CM • MODERATE 12.5-13.5CM • SEVERE <12.4CM
- 10. CLASSIFICATION CLASSIFICATION BY IAP (BASEDON WEIGHT FOR AGE) NORMAL 80% GRADE –I 71-80% GRADE –II 61-70% GRADE –III 51-60% GRADE --IV <50%
- 11. CLASSIFICATION CLASSIFICATION BY JELLIFE (BASEDON WEIGHT FOR AGE) NORMAL 90% GRADE –I 80-90% GRADE –II 70-79% GRADE –III 60-69% GRADE --IV <60%
- 12. CLASSIFICATION WATERLOW CLASSIFICATION (BASED ONHEIGHT FOR AGE) NORMAL 95% FIRST DEGREE STUNTING 90-95% SECOND DEGREE STUNTING 85-89% THIRD DEGREE STUNTING <85%
- 13. CLASSIFICATION PONDERAL INDEX PONDERAL INDEX=WEIGHT IN GRAM/ (HEIGHT IN CM)3 * 100 NORMAL >2.5 BORDERLINE PEM 2.0-2.5 SEVERE PEM <2.0
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