What is kwashiorkor?

Kwashiorkor which is also
called protein energy malnutrition (PEM) is a disease caused by the lack of
protein in a child’s diet. This arises due to both dietary energy and protein.
Since energy is mainly supplied by carbohydrate and fat, we can say that protein
energy malnutrition is the deficiency of protein, carbohydrate and fats in the
diet (Dorling, 2012).

Kwashiorkor is the most
important nutritional disorder affecting children throughout the developing
countries. Infants and children growing up in typical or subtropical areas such
as Africa, South America and Asia where there is much poverty are at a high
risk of kwashiorkor.
Protein energy malnutrition
(P.E.M.) can also be called protein calorie malnutrition (PCM). Inadequate
intake of calories or when there is lack of calorie in a child’s diet, it can
also lead to kwashiorkor.According to Sear (2010), the name “kwashiorkor” is a Ghanaian
language and it is divided into two “Kwashi” which is a name given to a male
child born on Sunday while “orkor” is a light red colour presumably reflecting
the changes in the skin and hair found in children who are victims.
Wardlaw (2013) put it as a
disease that first children get when a new one comes. In a nutshell, it is the
most severe and fatal characteristic from malnutrition. It starts often after
weaning period when complementary diet is introduced to a child’s feeding
system. It is usually between 9 months and 2 years of age.
Protein energy malnutrition
according to Wardlaw is also a condition resulting from regularly consuming
insufficient amount of energy and protein giving food. The deficiency
eventually results in the body wasting primarily of lean tissues and increased
susceptible to infection.
According to Robin (2011)
who was a paediatrician says that protein energy malnutrition is an improper
development of the body when you do not consume enough protein and calorie in
your diet to meet the adequate proportion the body needs.
According to Merck (2007),
protein energy malnutrition can be sudden or total elimination of food
(saturation). Severity ranges from sub-clinical deficiency to wasting of body
tissues.
Lainkien (2012) also
contributed by saying that protein energy malnutrition is present mostly in the
pre-school children particularly between the ages of six (6) months to five (5)
years. However, the origin of the condition goes back to early life, low birth
weight and some inadequate growth in the first six (6) months of birth
particularly when the mother tries to introduce feeding bottle containing baby
food.
Protein energy malnutrition
is a combination of two classes of food deficiency which are kwashiorkor and
marasmus. This conditions has become a very serious problem in the communities
but parents of the children who suffer from this problem do not take it as a
life threatening condition, as they feel that this condition is a result of
other causes like spiritual case and also they sees it as a normal problem that
occur in children. So they feel that the child will grow later in life (Arthur
& Steven, 2013)
Kwashiorkor or protein
energy malnutrition can therefore be referred to as inadequate availability or
absorption of energy and protein in the body. Since the major dietary
requirement of the body is protein and energy or calorie, it is the major form
of malnutrition.
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