PubMed Health. A service of the National Library of Medicine, National Institutes of Health.

A.D.A.M. Medical Encyclopedia. Atlanta (GA): A.D.A.M.; 2011.

A.D.A.M. Medical Encyclopedia.

Malnutrition

Nutrition - inadequate

Last reviewed: June 14, 2011.

Malnutrition is the condition that occurs when your body does not get enough nutrients.

Causes, incidence, and risk factors

There are a number of causes of malnutrition. It may result from:

  • Inadequate or unbalanced diet

  • Problems with digestion or absorption

  • Certain medical conditions

Malnutrition can occur if you do not eat enough food. Starvation is a form of malnutrition.

You may develop malnutrition if you lack of a single vitamin in the diet.

In some cases, malnutrition is very mild and causes no symptoms. However, sometimes it can be so severe that the damage done to the body is permanent, even though you survive.

Malnutrition continues to be a significant problem all over the world, especially among children. Poverty, natural disasters, political problems, and war all contribute to conditions -- even epidemics -- of malnutrition and starvation, and not just in developing countries.

Related topics:

Symptoms

Symptoms vary and depend on what is causing the malnutrition. However, some general symptoms include fatigue, dizziness, and weight loss.

Signs and tests

Testing depends on the specific disorder. Most work-ups include nutritional assessments and blood work.

Treatment

Treatment usually consists of replacing missing nutrients, treating symptoms as needed, and treating any underlying medical condition.

Expectations (prognosis)

The outlook depends on the cause of the malnutrition. Most nutritional deficiencies can be corrected. However, if malnutrition is caused by a medical condition, that illness has to be treated in order to reverse the nutritional deficiency.

Complications

If untreated, malnutrition can lead to mental or physical disability, illness, and possibly death.

Calling your health care provider

Discuss the risk of malnutrition with your health care provider. Treatment is necessary if you or your child have any changes in the body's ability to function. Contact your health care provider if the following symptoms develop:

  • Fainting

  • Lack of menstruation

  • Lack of growth in children

  • Rapid hair loss

Prevention

Eating a good, well-balanced diet helps to prevent most forms of malnutrition.

References

  1. Grover Z, Ee LC. Protein energy malnutrition. Pediatr Clin North Am. 2009 Oct;56(5):1055-68. [PubMed: 19931063]
  2. Visvanathan R, Chapman IM. Undernutrition and anorexia in the older person. Gastroenterol Clin North Am. 2009 Sep;38(3):393-409. [PubMed: 19699404]
  3. Suskind DL. Nutritional deficiencies during normal growth. Pediatr Clin North Am. 2009 Oct;56(5):1035-53. [PubMed: 19931062]
  4. Kirby M, Danner E. Nutritional deficiencies in children on restricted diets. Pediatr Clin North Am. 2009 Oct;56(5):1085-103. [PubMed: 19931065]

Review Date: 6/14/2011.

Reviewed by: A.D.A.M. Editorial Team: David Zieve, MD, MHA, and David R. Eltz. Previously reviewed by Linda J. Vorvick, MD, Medical Director, MEDEX Northwest Division of Physician Assistant Studies, University of Washington, School of Medicine (4/30/2011).

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What works?

  • Advice on diet for malnutrition as a result of disease in adults Advice on diet for malnutrition as a result of disease in adults
    Ill people often have a poor appetite or feel sick due to treatments and eat less than usual. If this reduced food intake is prolonged, it can cause weight loss, malnutrition and death. Healthcare professionals may offer advice to encourage good eating habits of high‐protein and high‐energy foods so that weight can be gained and the person's nutritional status improved. Oral nutritional supplements are commonly offered with or without advice on increasing food intake. Forty‐five studies with a total of 3186 people are included in this review in four different comparisons: dietary advice to no advice; to oral nutritional supplements; to dietary advice plus oral nutritional supplements; and to dietary advice and nutritional supplements given together compared with no additional help. Follow‐up ranged from 18 days to 24 months. There are some significant results for change in weight, muscle bulk and strength suggesting that nutritional intervention is beneficial although for some comparisons there are big differences between the studies. The authors conclude that nutritional intervention appears to be more effective than no help at improving weight, muscle bulk and strength. More research is needed to work out the best ways to help people who are losing weight because of illness in order to improve their clinical outcomes and quality of life.
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