[Protein and energy needs of the infant with severe malnutrition. Application in a hospital environment for the treatment of malnutrition caused by deficient intake].
Severe malnutrition is defined by a weight for height below 70% of international standards or by presence of oedema in a clinically undernourished child. Severe malnutrition associated with oedema is called kwashiorkor. The origin of oedemas of kwashiorkor is still debated, but its relation with protein deficiency is strongly questioned. The same dietary management is now recommended for malnutrition with or without oedema. Present recommendations are based, as for well nourished children, on the separate estimation of nutritional requirements for maintenance and growth. Total requirements vary between 0.7 g/kg/day in the first few days of treatment to 5 g/kg/day or more when weight gain is maximum. As a result of high energy requirement during catch-up growth, protein requirements never exceed 10 to 12% of total energy needs.
Inserm U290, hôpital Saint-Lazare, Paris.
B
B
Beaufrère
J L
JL
Bresson
A
A
Briend
J
J
Ghisolfi
O
O
Goulet
J
J
Navarro
J
J
Rey
C
C
Ricour
D
D
Rieu
D
D
Turck
M
M
Vidailhet
D015362:Child Nutrition Disorders / Q000178:diet therapy* / Q000209:etiology; D002675:Child, Preschool; D004044:Dietary Proteins / Q000008:administration & dosage*; D004487:Edema / Q000209:etiology; D002149:Energy Intake; D005526:Food, Formulated / Q000592:standards; D006128:Growth / Q000502:physiology; D006801:Humans; D007223:Infant; D007225:Infant Food / Q000592:standards; D007228:Infant Nutrition Disorders / Q000178:diet therapy / Q000209:etiology; D007227:Infant Nutritional Physiological Phenomena; D007732:Kwashiorkor / Q000178:diet therapy / Q000209:etiology; D011502:Protein-Energy Malnutrition / Q000178:diet therapy* / Q000209:etiology; D012016:Reference Values
D004044:Dietary Proteins
Besoins en protéines et en énergie de l'enfant atteint de malnutrition sévère. Application au traitement en milieu hospitalier de la malnutrition par carence d'apports.