Protein energy malnutrition classification: Difference between revisions
No edit summary |
|||
| Line 11: | Line 11: | ||
=== '''(i) Gomez classification''' === | === '''(i) Gomez classification''' === | ||
==== General acheme ==== | |||
Definitions of general terms that are used in the classification of protein-energy malnutrition include the following: | Definitions of general terms that are used in the classification of protein-energy malnutrition include the following: | ||
{| class="wikitable" | {| class="wikitable" | ||
| Line 29: | Line 31: | ||
|} | |} | ||
==== Grading ==== | |||
{| class="wikitable" | {| class="wikitable" | ||
! align="center" style="background:#4479BA; color: #FFFFFF;" + |Grade of PEM | ! align="center" style="background:#4479BA; color: #FFFFFF;" + |Grade of PEM | ||
Revision as of 20:28, 19 September 2017
|
Protein energy malnutrition Microchapters |
|
Patient Information |
|---|
|
Differentiating Protein energy malnutrition from other Diseases |
|
Diagnosis |
|
Treatment |
|
Case Studies |
|
Protein energy malnutrition classification On the Web |
|
American Roentgen Ray Society Images of Protein energy malnutrition classification |
|
Risk calculators and risk factors for Protein energy malnutrition classification |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Omodamola Aje B.Sc, M.D. [2], Syed Hassan A. Kazmi BSc, MD [3]
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 schemes of protein-energy malnutrition are described below:[1][2]
(i) Gomez classification
General acheme
Definitions of general terms that are used in the classification of protein-energy malnutrition include the following:
| Terminology | Meaning |
|---|---|
| Undrweight | Underweight for one’s age (Weight for age ) |
| Stunted | Too short for one’s age (Height for age ) |
| Wasted | Dangerously thin (Weight for height ) |
| Micronutrient malnutrition | Deficient in vitamins and minerals (Hidden Hunger ) |
Grading
| Grade of PEM | Weigh for age (%) | General considerations and formula |
|---|---|---|
| Normal | 90-100 |
|
| Mild malnutrition, Grade I | 75-89 | |
| Moderate malnutrition, Grade II | 60-74 | |
| Severe malnutrition, Grade III | Less than 60 |
(ii) Waterlow's classification
General scheme
| Feature | Basic definition |
|---|---|
| Stunting | Drop in height for age (< 90%) |
| Wasting | Drop in weight for height (<80%) |
| Under weight | Drop in Weight for Age (<80%) |
Grading
| Grade of PEM | Stunting
(low height for age) |
Wasting
(low weight for height) |
|---|---|---|
| Normal | 95 | 90 |
| Mild malnutrition | 87.5-95 | 80-90 |
| Moderate malnutrition | 80-87.5 | 70-80 |
| Severe malnutrition | Less than 80 | Less than 70 |
(iii) Welcome's classification
| Weight for age | With edema | Without edema | General considerations |
|---|---|---|---|
| 60-80% | Kwashiorkor | Undernutrition |
|
| <60% | Marasmic kwashiorkor | Marasmus |
References
- ↑ Bhattacharyya AK (1986). "Protein-energy malnutrition (Kwashiorkor-Marasmus syndrome): terminology, classification and evolution". World Rev Nutr Diet. 47: 80–133. PMID 3088855.
- ↑ Waterlow JC (1976). "Classification and definition of protein-energy malnutrition". Monogr Ser World Health Organ (62): 530–55. PMID 824854.