Question

. What is PEM? Explain the causes and characteristic lèaurcs of diFferent forms of PEM

07 Mar 2018
Answer :
Word Count : 469

Protein energy malnutrition (PEM) is one of the most important public health problems in many developing countries including India, South East Asia and Africa. It is a wide-spread deficiency disease among children of low socio-economic groups. In many areas nearly half the children do not survive to the age of five years on account of protein calorie malnutrition; those who survive may suffer from impaired growth and perhaps mental retardation.

The diseases known as ‘kwashiorkor’ and ‘marasmus’ represent extreme forms of protein calorie malnutrition. In 1933, a paediatri­cian, Cicelly William, working in West Africa used the local term Kwashiorkor which means ‘displaced child’ meaning “the sickness which a child develops when the next baby is born and the older one gets deprived of breast milk”. Kwashiorkor occurs due to the imbal­ance between proteins and carbohydrates. The term marasmus is derived from a Greek word meaning “to waste”. ‘Marasmus’ is also the result of a continued deficiency of calories, protein and other nutrients.

Protein energy malnutrition is characteristic of children under five years whenever the diet is poor in protein and calories, though no

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