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1

Singh, Suraj Kumar, Atul Verma, and Hulsi Sahu. "Protein Energy Malnutrition in CKD Patients." International Journal of Trend in Scientific Research and Development Volume-2, Issue-5 (August 31, 2018): 16–19. http://dx.doi.org/10.31142/ijtsrd15704.

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2

Jahoor, F. "Protein-Energy Malnutrition." American Journal of Clinical Nutrition 88, no. 4 (October 1, 2008): 1182. http://dx.doi.org/10.1093/ajcn/88.4.1182.

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3

Lipschitz, David A. "Protein-Energy Malnutrition." Hospital Practice 23, no. 11 (November 15, 1988): 87–99. http://dx.doi.org/10.1080/21548331.1988.11703582.

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4

Grover, Zubin, and Looi C. Ee. "Protein Energy Malnutrition." Pediatric Clinics of North America 56, no. 5 (October 2009): 1055–68. http://dx.doi.org/10.1016/j.pcl.2009.07.001.

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5

Walia, B. N. S., and Surjit Singh. "Protein energy malnutrition." Current Paediatrics 5, no. 1 (March 1995): 43–48. http://dx.doi.org/10.1016/s0957-5839(95)80264-9.

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6

Behrens, R. H. "Protein-energy malnutrition." Transactions of the Royal Society of Tropical Medicine and Hygiene 87, no. 6 (November 1993): 719–20. http://dx.doi.org/10.1016/0035-9203(93)90331-j.

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7

Poskitt, E. M. E. "Protein Energy Malnutrition." Archives of Disease in Childhood 67, no. 11 (November 1, 1992): 1416. http://dx.doi.org/10.1136/adc.67.11.1416.

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8

Mouram, H., N. Layachi, N. Ouzeddoun, F. Ezaitouni, R. Bayahia, and L. Benamar. "Hémodialyse, malnutrition protéino-calorique haemodialysis, protein energy malnutrition." Kidney Research and Clinical Practice 31, no. 2 (June 2012): A49. http://dx.doi.org/10.1016/j.krcp.2012.04.454.

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9

Jee, Dr Km Om. "Protein energy malnutrition: An overview." International Journal of Homoeopathic Sciences 5, no. 1 (January 1, 2021): 368–73. http://dx.doi.org/10.33545/26164485.2021.v5.i1f.341.

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10

Javali, Nagaraj S., Shashikala P, Nasima Banu, and Ramya R. "HYPOMAGNESAEMIA IN PROTEIN ENERGY MALNUTRITION." Journal of Evidence Based Medicine and Healthcare 2, no. 2 (January 8, 2015): 81–88. http://dx.doi.org/10.18410/jebmh/2015/14.

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11

Klein, Kenneth, George J. Fuchs, Panja Kulapongs, Gregory Mertz, Robert M. Suskind, and Robert E. Olson. "Endotoxemia in Protein-Energy Malnutrition." Journal of Pediatric Gastroenterology and Nutrition 7, no. 2 (March 1988): 225–28. http://dx.doi.org/10.1097/00005176-198803000-00012.

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12

El Bushra, Hassan E., and Lawrence R. Ash. "Protein‐energy malnutrition and diarrhea." Ecology of Food and Nutrition 29, no. 2 (February 1993): 111–17. http://dx.doi.org/10.1080/03670244.1993.9991295.

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13

Adamson, I. (a), A. (a) Esangbedo, and P. (b) Abiodun. "Pepsins in Protein-Energy Malnutrition." Enzyme 39, no. 1 (1988): 44–49. http://dx.doi.org/10.1159/000469092.

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14

Oetzel, Garrett R. "Protein-Energy Malnutrition in Ruminants." Veterinary Clinics of North America: Food Animal Practice 4, no. 2 (July 1988): 317–29. http://dx.doi.org/10.1016/s0749-0720(15)31051-3.

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15

Kotler, Donald P. "Protein-Energy Malnutrition in Aids." Nutrition in Clinical Practice 5, no. 2 (April 1990): 41–42. http://dx.doi.org/10.1177/011542659000500241.

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16

Soja, S. L., and N. Udaya Kiran. "Protein Energy Malnutrition among Children." International Journal of Nursing Education 8, no. 2 (2016): 129. http://dx.doi.org/10.5958/0974-9357.2016.00063.5.

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17

McLaren, D. S. "Skin in protein energy malnutrition." Archives of Dermatology 123, no. 12 (December 1, 1987): 1674b—1676. http://dx.doi.org/10.1001/archderm.123.12.1674b.

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18

McLaren, Donald S. "Skin in Protein Energy Malnutrition." Archives of Dermatology 123, no. 12 (December 1, 1987): 1674. http://dx.doi.org/10.1001/archderm.1987.01660360102021.

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19

Nightingale, F. K. A., S. Sarathi, V. Hemavathy, J. A. Monisha, and B. Pandian. "Protein Energy Malnutrition-an Overview." CARDIOMETRY, no. 26 (March 1, 2023): 585–88. http://dx.doi.org/10.18137/cardiometry.2023.26.585588.

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Protein-energy malnutrition or PEM is the condition of lack of energy due to the deficiency of all the macronutrients and many micronutrients. It can occur suddenly or gradually. It can be graded as mild, moderate or severe. In developing countries, it affects children who are not provided with calories and proteins.
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20

Klein, Kenneth, George J. Fuchs, Panja Kulapongs, Gregory Mertz, Robert M. Suskind, and Robert E. Olson. "Endotoxemia in Protein‐Energy Malnutrition." Journal of Pediatric Gastroenterology and Nutrition 7, no. 2 (March 1988): 225–28. http://dx.doi.org/10.1002/j.1536-4801.1988.tb09510.x.

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SummaryThe plasma endotoxin levels of 16 severely malnourished Thai children were determined by the Limulus amebocyte lysate assay. Endotoxemia was present in seven children (44%) on admission to the hospital and was associated with the coexistence of vitamin A deficiency. Protein‐energy malnutrition is associated with the presence of endotoxemia.
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21

Mathur, Manesha, and Renu Sharma. "Plant Based Nutraceuticals Efficacious in Protein Energy Malnutrition (PEM), Especially in Children." Indian Journal of Pure & Applied Biosciences 10, no. 5 (October 28, 2022): 23–27. http://dx.doi.org/10.18782/2582-2845.8938.

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Malnutrition is a dietary condition caused by deficiency or excess of one or more essential nutrients in the diet. It is characterized by a wide array of health problems, including extreme weight loss, stunted growth, weakened resistance and impairment of intellect. Severe cases of malnutrition can lead to even death. Children suffer from the effects of starvation more quickly than adults. According to the United Nations Children Fund (UNICEF), malnutrition contributes to the death of more than six million children under the age of five each year. Typically starving children develop a condition called PEM (Protein Energy Malnutrition). According to Hudson et al. (2000), PEM is defined as an unintentional loss of 10% or more of body weight in a period of six months or less and/or serum albumin levels of less than 3.5 grams per decilitre (g/dl). The two most common forms of PEM, Marasmus and Kwashiorkor, occur in all developing countries and are life-threatening conditions. Marasmus occurs when a child is weaned earlier than normal and receives foods low in nutrients. The child may also suffer repeated infections such as gastroenteritis due to poor hygiene. A child with Marasmus is very underweight, with no body fat and wasted muscles. Kwashiorkor occurs when a child is weaned later than normal and receives starchy food low in protein. In this disease, the child's abnormally low body weight is often masked by water retention, which makes the face moon shaped and the belly swollen.
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22

Trotsyuk, D. V., D. S. Medvedev, S. V. Makarenko, I. D. Yushkova, and A. V. Lapotnikov. "PROTEIN-ENERGY MALNUTRITION IN ELDERLY PEOPLE." Современные проблемы науки и образования (Modern Problems of Science and Education), no. 2 2020 (2020): 67. http://dx.doi.org/10.17513/spno.29629.

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23

Yazzie, Delvin, Amitava Dasgupta, Angela Okolo, and Robert H. Glew. "Lysosomal Enzymuria in Protein Energy Malnutrition." American Journal of Nephrology 18, no. 1 (1998): 9–15. http://dx.doi.org/10.1159/000013298.

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24

Frenk, S. "Metabolic adaptation in protein-energy malnutrition." Journal of the American College of Nutrition 5, no. 4 (January 1986): 371–81. http://dx.doi.org/10.1080/07315724.1986.10720140.

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25

WHARTON, BRIAN. "Protein Energy Malnutrition: Problems and Priorities." Acta Paediatrica 80, s374 (April 1991): 5–14. http://dx.doi.org/10.1111/j.1651-2227.1991.tb12001.x.

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26

Ojofeitimi, E. O., O. Ajao, and J. E. Ighere. "Infant Protein Energy Malnutrition in Nigeria." Journal of the Royal Society of Health 107, no. 3 (June 1987): 95–97. http://dx.doi.org/10.1177/146642408710700309.

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27

Elia, M., and P. G. Lunn. "Biological markers of protein-energy malnutrition." Clinical Nutrition 16 (March 1997): 11–17. http://dx.doi.org/10.1016/s0261-5614(97)80044-1.

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28

Bistrian, Bruce R., Karen C. McCowen, and Samuel Chan. "Protein-energy malnutrition in dialysis patients." American Journal of Kidney Diseases 33, no. 1 (January 1999): 172–75. http://dx.doi.org/10.1016/s0272-6386(99)70278-7.

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29

Schuftan, Claudio, V. Ramalingaswami, and F. James Levinson. "Micronutrient deficiencies and protein-energy malnutrition." Lancet 351, no. 9118 (June 1998): 1812. http://dx.doi.org/10.1016/s0140-6736(05)78774-2.

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30

Castiglia, Patricia T. "Protein-energy malnutrition (Kwashiorkor and Marasmus)." Journal of Pediatric Health Care 10, no. 1 (January 1996): 28–30. http://dx.doi.org/10.1016/s0891-5245(96)90071-1.

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31

Moriwaki, Hisataka. "Protein-energy malnutrition in liver cirrhosis." Journal of Gastroenterology 37, no. 7 (July 1, 2002): 578–79. http://dx.doi.org/10.1007/s005350200091.

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32

Soliman, Ashraf T., Mohamed K. Aref, and Abd-Ed Hadi I. Hassan. "Hormonal changes in protein energy malnutrition." Indian Journal of Pediatrics 55, no. 4 (July 1988): 465–69. http://dx.doi.org/10.1007/bf02868424.

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33

Chandra, Ranjit Kumar. "Protein-Energy Malnutrition and Immunological Responses." Journal of Nutrition 122, suppl_3 (March 1, 1992): 597–600. http://dx.doi.org/10.1093/jn/122.suppl_3.597.

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34

Price, Diane M. "Protein-Energy Malnutrition Among the Elderly." Holistic Nursing Practice 22, no. 6 (November 2008): 355–60. http://dx.doi.org/10.1097/01.hnp.0000339347.03629.41.

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35

Akyüz, Memduf, Handan Alp, Uǧur Dilmen, Sıtkı Öztaş, Mevlüt Ikbal, and M. Dursun Kaya. "Chromosome abnormalities in protein-energy malnutrition." Nutrition Research 16, no. 9 (September 1996): 1487–94. http://dx.doi.org/10.1016/0271-5317(96)00162-5.

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36

Redmond, H. Paul, Hubert J. Gallagher, Jian Shou, and John M. Daly. "Antigen Presentation in Protein-Energy Malnutrition." Cellular Immunology 163, no. 1 (June 1995): 80–87. http://dx.doi.org/10.1006/cimm.1995.1101.

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37

RR, Siva Kiran, GM Madhu, and SV Satyanarayana. "Spirulina in combating Protein Energy Malnutrition (PEM) and Protein Energy Wasting (PEW) - A review." Journal of Nutrition Research 3, no. 1 (December 15, 2015): 62–79. http://dx.doi.org/10.55289/jnutres/v3i1.5.

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Spirulina, is a simple extract of blue-green algae, which is now used worldwide as a food product and as a dietary supplement. It contains, essential amino acids, lipids, vitamins, minerals and anti-oxidants and can be considered as a wholesome food supplement. Spirulina contains, approximately, 65% to 71% protein by dry weight and is claimed to be non toxic nutritious food with exceptional properties. A large amount of scientific literature available about Spirulina and its usage in treatment of child malnutrition, nutrition rehabilitation of HIV-infected, cancer patients, hepato-protective effects etc. However, there is no specific review available which gives more emphasis on the protein and energy content and its effects. In the present work, we reviewed several papers and reports and paid more attention on protein content, which is the major constituent of Spirulina and its effect on various disease conditions and possibility of using Spirulina in combating against Protein Energy Malnutrition (PEM) and Protein Energy Wasting (PEW). This work is of certain significance for nutritionists, doctors and public health workers involved in combating malnutrition. The risks involved and optimal intake level for humans and animals are discussed in detail. Keywords: Protein Energy Malnutrition (PEM):Protein Energy Wasting (PEW):Spirulina¸ Toxicity.
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38

Missiriya, Sahbanathul. "Prevalence of Protein Energy Malnutrition Among Children at Slums of North Chennai." International Journal of Scientific Research 2, no. 10 (June 1, 2012): 1–2. http://dx.doi.org/10.15373/22778179/oct2013/115.

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39

WOLFSON, MARSHA. "Management of Protein and Energy Intake in Dialysis Patients." Journal of the American Society of Nephrology 10, no. 10 (October 1999): 2244–47. http://dx.doi.org/10.1681/asn.v10102244.

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Abstract. Malnutrition is not uncommon in patients with end-stage renal disease treated with maintenance dialysis. The presence of several abnormal parameters of nutritional status are reported to be predictive of poorer outcomes in these patients, compared to dialysis patients without evidence of malnutrition. This article describes methods that may be used to recognize the presence of malnutrition in end-stage renal disease patients and the management of protein and energy intake. Whether the correction of malnutrition will improve outcomes, such as morbidity and mortality, is unknown.
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40

Zueva, T., S. Urazlina, and T. Zhdanova. "Protein-energy malnutrition in chronic kidney disease." Vrach 32, no. 1 (2021): 29–36. http://dx.doi.org/10.29296/25877305-2021-01-06.

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41

El Nawawy, A., S. Barakat, T. El Walily, Deghady A. Abdel Moneim, and M. Hussein. "Evaluation of erythropoiesis in protein energy malnutrition." Eastern Mediterranean Health Journal 8, no. 2-3 (June 15, 2002): 281–89. http://dx.doi.org/10.26719/2002.8.2-3.281.

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This study evaluated erythropoiesis in 50 infants hospitalized with protein energy malnutrition and in 50 control infants. The red cell count, mean corpuscular haemoglobin and reticulocyte index were significantly lower, while the white blood cell count, median corpuscular fragility and red cell distribution width were significantly higher on admission than in controls. Total serum protein, albumin, fasting blood glucose, and serum folate were significantly lower on admission than in controls. Serum ferritin was significantly higher and total iron-binding capacity was significantly lower on discharge compared to controls. The serum erythropoietin was significantly higher on admission and discharge than in controls. The anaemia of protein energy malnutrition is due to mixed deficiencies resulting in ineffective erythropoiesis despite an increased level of erythropoietin.
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42

Mishra, OP, S. Agrawal, and Z. Ali. "Adenosine deaminase activity in protein-energy malnutrition." Acta Paediatrica 87, no. 11 (January 2, 2007): 1116–19. http://dx.doi.org/10.1111/j.1651-2227.1998.tb00917.x.

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43

Constans, T., Y. Bacq, J. F. Bréchot, J. L. Guilmot, P. Choutet, and F. Lamisse. "Protein-Energy Malnutrition in Elderly Medical Patients." Journal of the American Geriatrics Society 40, no. 3 (March 1992): 263–68. http://dx.doi.org/10.1111/j.1532-5415.1992.tb02080.x.

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44

Househam, K. C., and J. F. de Villiers. "Computed tomography in severe protein energy malnutrition." Archives of Disease in Childhood 62, no. 6 (June 1, 1987): 589–92. http://dx.doi.org/10.1136/adc.62.6.589.

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45

Caballero, Benjamin. "MANAGEMENT OF PROTEIN-ENERGY MALNUTRITION - AN UPDATE." Journal of Pediatric Gastroenterology & Nutrition 27, no. 2 (August 1998): 243. http://dx.doi.org/10.1097/00005176-199808000-00029.

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46

Roulet, Michel. "Protein-energy malnutrition in cystic fibrosis patients." Acta Paediatrica 83, s395 (April 1994): 43–48. http://dx.doi.org/10.1111/j.1651-2227.1994.tb13228.x.

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47

Tomkins, Andrew M. "Protein–energy malnutrition and risk of infection." Proceedings of the Nutrition Society 45, no. 3 (September 1986): 289–304. http://dx.doi.org/10.1079/pns19860067.

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48

Abrol, Pankaj, Neeraj Sharma, and Harbans Lal. "Vitamin E status in protein energy malnutrition." Indian Journal of Clinical Biochemistry 12, no. 2 (July 1997): 125–27. http://dx.doi.org/10.1007/bf02873675.

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49

Sanz Ortiz, Jaime, José Andrés Moreno Nogueira, and Abelardo García de Lorenzo y Mateos. "Protein energy malnutrition (PEM) in cancer patients." Clinical and Translational Oncology 10, no. 9 (September 2008): 579–82. http://dx.doi.org/10.1007/s12094-008-0253-8.

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50

Chopra, J. S., and Arun Sharma. "Protein energy malnutrition and the nervous system." Journal of the Neurological Sciences 110, no. 1-2 (July 1992): 8–20. http://dx.doi.org/10.1016/0022-510x(92)90003-4.

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