Influence of chronic liver disease and chronic renal failure on nutrient metabolism and undernutrition

Cano, Noël; Leverve, Xavier

doi:10.1016/s0899-9007(97)83071-7

Cited by 10 publications

(2 citation statements)

References 67 publications

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“…A history of deficient protein intake in a healthy or sick adult should raise a suspicion of subclinical PEU. Adults having malabsorption syndromes,[ 89 ] kidney[ 90 91 ] or liver disease[ 92 ] and those with prolonged illness or cancer[ 93 94 ] are likely to have subclinical PEU before the symptoms actually manifest. Adults presenting with mild oedema, loss of muscle strength and inability to gain muscle mass in spite of appropriate exercise may have adult subclinical kwashiorkor, even in the face of normal biochemistry.…”

Section: S Ubclinical K Washiorkormentioning

confidence: 99%

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Subclinical Kwashiorkor in Adults

Kapoor¹,

Bhattacharya²,

Agarwal³

et al. 2022

Indian Journal of Endocrinology and Metabolism

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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.

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