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Protein-Energy Malnutrition: A Risk Factor for Various Ailments

机译:蛋白质能量营养不良:各种疾病的危险因素

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摘要

The wheel of industrialization that spun throughout the last century resulted in urbanization coupled with modifications in lifestyles and dietary habits. However, the communities living in developing economies are facing many problems related to their diet and health. Amongst, the prevalence of nutritional problems especially protein-energy malnutrition (PEM) and micronutrients deficiencies are the rising issues. Moreover, the immunity or susceptibility to infect-parasitic diseases is also directly linked with the nutritional status of the host. Likewise, disease-related malnutrition that includes an inflammatory component is commonly observed in clinical practice thus affecting the quality of life. The PEM is treatable but early detection is a key for its appropriate management. However, controlling the menace of PEM requires an aggressive partnership between the physician and the dietitian. This review mainly attempts to describe the pathophysiology, prevalence and consequences of PEM and aims to highlight the importance of this clinical syndrome and the recent growth in our understanding of the processes behind its development. Some management strategies/remedies to overcome PEM are also the limelight of the article. In the nutshell, early recognition, prompt management, and robust follow up are critical for best outcomes in preventing and treating PEM.
机译:整个上个世纪旋转的工业化车轮导致城市化,同时改变了生活方式和饮食习惯。但是,生活在发展中经济体中的社区面临着与其饮食和健康有关的许多问题。其中,营养问题尤其是蛋白质能量营养不良(PEM)和微量营养素缺乏症的普遍性正在上升。此外,对感染性寄生虫疾病的免疫力或易感性也与宿主的营养状况直接相关。同样,在临床实践中通常会观察到与疾病相关的营养不良,其中包括炎症成分,从而影响生活质量。 PEM可以治疗,但早期检测是对其进行适当管理的关键。但是,控制PEM的威胁需要医师和营养师之间的积极合作。这篇综述主要试图描述PEM的病理生理学,患病率和后果,并着重强调该临床综合征的重要性以及我们对其发展过程的了解的最新进展。克服PEM的一些管理策略/补救措施也是本文的关注点。简而言之,对于预防和治疗PEM的最佳结果,及早识别,及时管理和强有力的随访至关重要。

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