Protein energy malnutrition classification: Difference between revisions

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==Overview==
==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.
Protein energy malnutrition may be classified according to the 'Gomez classification' based on [[weight]] for [[age]], or the 'Water low classification' based on [[Stunted growth|stunting]] and [[wasting]] or the 'Welcome classification' based on the presence or absence of [[edema]].


==Classification==
==Classification==
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>
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>


'''Gomez classification'''
'''Gomez classification'''
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|90-100
|90-100
|-
|-
|Mild malnutrition, Grade I
|Mild [[malnutrition]], Grade I
|75-89
|75-89
|-
|-
|Moderate malnutrition, Grade II
|Moderate [[malnutrition]], Grade II
|60-74
|60-74
|-
|-
|Severe malnutrition, Grade III
|Severe [[malnutrition]], Grade III
|Less than 60
|Less than 60
|}
|}
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|90
|90
|-
|-
|Mild malnutrition
|Mild [[malnutrition]]
|87.5-95
|87.5-95
|80-90
|80-90
|-
|-
|Moderate malnutrition
|Moderate [[malnutrition]]
|80-87.5
|80-87.5
|70-80
|70-80
|-
|-
|Severe malnutrition
|Severe [[malnutrition]]
|Less than 80
|Less than 80
|Less than 70
|Less than 70
|}
|}


'''Wellcome's classification'''
'''Welcome's classification'''
{| class="wikitable"
{| class="wikitable"
!Weight for age
!Weight for age
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|-
|-
|60-80%
|60-80%
|Kwashiorkor
|[[Kwashiorkor]]
|Undernutrition
|Undernutrition
|-
|-
|<60%
|<60%
|Marasmic kwashiorkor
|[[Marasmic]] [[kwashiorkor]]
|Marasmus
|[[Marasmus]]
|}
|}


Revision as of 10:06, 9 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

Grade of PEM Weigh for age (%)
Normal 90-100
Mild malnutrition, Grade I 75-89
Moderate malnutrition, Grade II 60-74
Severe malnutrition, Grade III Less than 60

Water low's classification

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

Welcome's classification

Weight for age With edema Without edema
60-80% Kwashiorkor Undernutrition
<60% Marasmic kwashiorkor 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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