Dietary Management Of Protein Energy Malnutrition

Individuals treated for protein energy malnutrition are at risk for refeeding syndrome in which hypophosphatemia hypokalemia and hypomagnesemia may lead to disturbances in the cardiac neurologic gastrointestinal respiratory hematologic skeletal and endocrine systems.

Dietary management of protein energy malnutrition. The risk of having protein energy malnutrition pem in children with cmpa has been well documented. In 2007 the world health organisation published guidelines on the dietary management of pem which has impacted on the recommendations and composition on specialist feeds for many chronic diseases but not on cmpa. When the child is critically ill a cautious approach to feeding is vital. In discussing that protein energy malnutrition is highly prevalent among peritoneal dialysis patients chung et al noted that although nutritional status assessments had improved over the decade from 1997 to 2007 no definitive single test was available to assess nutritional status.

Severe malnutrition is best managed in the hospital as such cases usually have lifethreatening complications.