Childhood Nutritional Disorders Dr
Childhood Nutritional Disorders Dr. Abdullah Al Sanie Consultant
Pediatric Gastroenterologist Department of Pediatrics King Khalid
University Hospital " Nutritional Disorders"
1.Under nutrition PEM. 2.Vitamin deficiencies. 3.Over nutrition
(obesity). 1 Protein Energy Malnutrition
A range of pathological condition arising from coincident lack of
proteins & calories. It is commonly associated with infection.
It occurs in infant or young child if :- - He has been given an
inadequate diet for several weeks. - He has suffered several attack
of diarrhea. - He has been ill with serious infection. Prevalence :
Very high affects > 100 Million children. Has high morbidity
& mortality rate. 2 P. E. M . Type and classification : - Mild
- Moderate - Severe
Degree : -Mild Moderate Severe Types (Severs) : -Marasmus -Marasmic
kwashiorkor -Kwashiorkor Gomez : Percentage of expected weight for
age -Normal > 90% Mild 89-75% -Moderate 74-60% Severe90%,1 =
90-80%, 2 = 80-70%,3 = 95%,1 = 95-90%, 2 = 89-85%,3 =
