Protein energy malnutrition classification: Difference between revisions

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==Classification==
==Classification==
Protein energy malnutrition (PEM) is a spectrum of conditions ranging from growth failure to overt marasmus or kwashiorkor.
The three different classification of protein energy malnutrition is described below:<ref name="pmid3088855">{{cite journal |vauthors=Bhattacharyya AK |title=Protein-energy malnutrition (Kwashiorkor-Marasmus syndrome): terminology, classification and evolution |journal=World Rev Nutr Diet |volume=47 |issue= |pages=80–133 |year=1986 |pmid=3088855 |doi= |url=}}</ref><ref name="pmid824854">{{cite journal |vauthors=Waterlow JC |title=Classification and definition of protein-energy malnutrition |journal=Monogr Ser World Health Organ |volume= |issue=62 |pages=530–55 |year=1976 |pmid=824854 |doi= |url=}}</ref>
There are various classifications of protein energy malnutrition:<ref name="pmid3088855">{{cite journal |vauthors=Bhattacharyya AK |title=Protein-energy malnutrition (Kwashiorkor-Marasmus syndrome): terminology, classification and evolution |journal=World Rev Nutr Diet |volume=47 |issue= |pages=80–133 |year=1986 |pmid=3088855 |doi= |url=}}</ref><ref name="pmid824854">{{cite journal |vauthors=Waterlow JC |title=Classification and definition of protein-energy malnutrition |journal=Monogr Ser World Health Organ |volume= |issue=62 |pages=530–55 |year=1976 |pmid=824854 |doi= |url=}}</ref>
*Gomez classification
*Gomez classification
*IAP classification
*IAP classification

Revision as of 22:56, 5 August 2017


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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Omodamola Aje B.Sc, M.D. [2]

Overview

Protein energy malnutrition may be classified according to the Gomez classification based on weight for age, or the Water low classification based on stunting and wasting or the Welcome classification based on the presence or absence of edema.

Classification

The three different classification of protein energy malnutrition is described below:[1][2]

  • Gomez classification
  • IAP classification
  • NCHS (WHO) classification
  • Waterlow's classification
  • Wellcome's classification

The wellcome's classification is described here:

  • Parameter: weight for age +/- edema
  • Reference standard (50th percentile)
  • Grades:
    • 80-60% without edema is underweight
    • 80-60% with edema is kwashiorkor
    • <60% with edema is Marasmus-Kwashiorkor
    • <60% without edema is Marasmus

References

  1. Bhattacharyya AK (1986). "Protein-energy malnutrition (Kwashiorkor-Marasmus syndrome): terminology, classification and evolution". World Rev Nutr Diet. 47: 80–133. PMID 3088855.
  2. Waterlow JC (1976). "Classification and definition of protein-energy malnutrition". Monogr Ser World Health Organ (62): 530–55. PMID 824854.

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