Protein energy malnutrition

Protein energy malnutrition, BY. MR. DINABANDHU BARAD

1. PROTEIN ENERGY MALNUTRITION BY: DINABANDHU BARAD MSC TUTOR, SNC, SOA, DTU

2. 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.

3. CLASSIFICATION SYNDROMAL CLASSIFICATION KWASHIORKOR NUTRITIONAL MARASMUS PREKWASHIORKOR NUTRITIONAL DWARFISM

4. CLASSIFICATION WHO CLASSIFICATION Who used three terms to classify PEM Under weight (weight for age) Stunting (height for age) Wasting (weight for height)

5. WHO CLASSIFICATION PARAMETERS ACUTE MALNUTRITION CHRONIC MALNUTRITION Weight For Age Low Low Height for Age Normal Low Weight For Height Low Normal

6. 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

7. ARNOLD CLASSIFICATION BASED ON MUAC NORMAL 16 CM MILD PEM 13.5-16CM MODERATE 12.5-13.5CM SEVERE <12.4CM

8. CLASSIFICATION CLASSIFICATION BY IAP (BASED ON WEIGHT FOR AGE) NORMAL 80% GRADE –I 71-80% GRADE –II 61-70% GRADE –III 51-60% GRADE --IV <50%

9. CLASSIFICATION CLASSIFICATION BY JELLIFE (BASED ON WEIGHT FOR AGE) NORMAL 90% GRADE –I 80-90% GRADE –II 70-79% GRADE –III 60-69% GRADE --IV <60%

10. CLASSIFICATION WATERLOW CLASSIFICATION (BASED ON HEIGHT FOR AGE) NORMAL 95% FIRST DEGREE STUNTING 90-95% SECOND DEGREE STUNTING 85-89% THIRD DEGREE STUNTING <85%

11. 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

12. WEIGHT FOR AGE

13. FLAKY PAINT DERMATOSIS

14. CHEILOSIS

15. THANK YOU