The Department of Endocrinology, 
Subclinical Kwashiorkor in Adults: A New Age Paradigm.
- Department of Endocrinology, Diabetes and Metabolism, Christian Medical College, Vellore, Tamil Nadu, India.
- Implementation Science Lab, Baker Heart and Diabetes Institute, Melbourne, Victoria, Australia.
- Consultant Endocrinologist, Apollo Centre for Obesity, Diabetes and Endocrinology (ACODE), Indraprastha Apollo Hospitals, New Delhi, India.
- Department of Diabetology, DNA Sugar Clinic, Gwalior, Madhya Pradesh, India.
- Department of Endocrinology, Hi Tech Medical College and Hospital, Bhubaneshwar, Odisha, India.
- Department of Endocrinology, St Johns Medical College and Hospital, Bengaluru, Karnataka, India.
- Department of Endocrinology, Deshmukh Clinic and Deenanath Mangeshkar Hospital and Research Centre, Pune, Maharashtra, India.
- Department of Endocrinology, Bharti Hospital, Karnal, Haryana, India.
Indian journal of endocrinology and metabolism Vol. 26 · Issue 3 · pp. 213-222
PMID 36248046 DOI 10.4103/ijem.ijem_42_22
Cite This Article
Nitin Kapoor, Saptarshi Bhattacharya, Navneet Agarwal, Sambit Das, Ganapathi Bantwal, Vaishali Deshmukh, Sanjay Kalra. Subclinical Kwashiorkor in Adults: A New Age Paradigm. Indian journal of endocrinology and metabolism. 2022;26(3):213-222. doi:10.4103/ijem.ijem_42_22
Abstract
Childhood protein-energy undernutrition (PEU) is a well-recognized problem and therefore a lot of work has been done to identify and manage paediatric PEU. Though there have been several reports of low protein consumption in adults from developing countries, PEU and its subtle forms (subclinical PEU) are not yet recognized as adult disorders. Physicians and public perception do not favour easy recognition and action. In this review, the authors provide a scoping review of the existing literature on this entity providing insights into its recognition, pathogenesis and management. Adult subclinical PEU is an enormous under-recognized challenge that can have detrimental consequences if not recognized and corrected in time. PEU has grave health and economic impact on the patient and society. Therefore, it is important to recognize subclinical PEU and prevent its progression to full-blown form.
Keywords
- Adults
- kwashiorkor
- obesity
- severe protein malnutrition
- subclinical
- undernutrition
