Abstract
Protein-energy malnutrition (PEM) (undernutrition or overnutrition) is one of the nutritional problems recognized by the WHO as public health problems in different parts of the world. The others are nutritional anemias, vitamin A deficiency, and iodine deficiency. Primary PEM (undernutrition) has long been regarded as a problem of underprivileged, low-socioeconomic groups, especially those from less developed countries. Although severe malnutrition (kwashiorkor and/or marasmus) are rare except in countries hit by natural disasters such as drought and war, mild and moderate malnutrition are quite common. The prevalence of this form of malnutrition varies from 21 to 70% depending on the continent and/or country (Rao and Naider, 1977; Suskind et al., 1990). This form of malnutrition may not be any less deleterious on the immune response than severe malnutrition, especially when it occurs in the context of poor sanitation, infections, and multiple nutritional deficiencies.
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References
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Kuvibidila, S., Yu, L., Ode, D., Warrier, R.P. (1993). The Immune Response in Protein-Energy Malnutrition and Single Nutrient Deficiencies. In: Klurfeld, D.M. (eds) Nutrition and Immunology. Human Nutrition. Springer, Boston, MA. https://doi.org/10.1007/978-1-4615-2900-2_6
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