After reading this chapter you should be able to:
explain what is meant by protein—energy malnutrition and differentiate between marasmus and kwashiorkor;
explain why marasmus can be considered to be the predictable outcome of prolonged negative energy balance;
describe the groups of people in developed countries who are at risk of protein— energy malnutrition;
describe the features of cachexia and explain how it differs from marasmus; describe the features of kwashiorkor and explain how it differs from marasmus.
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All you need is a proper diet of fresh fruits and vegetables and get plenty of exercise and you'll be fine. Ever heard those words from your doctor? If that's all heshe recommends then you're missing out an important ingredient for health that he's not telling you. Fact is that you can adhere to the strictest diet, watch everything you eat and get the exercise of amarathon runner and still come down with diabetic complications. Diet, exercise and standard drug treatments simply aren't enough to help keep your diabetes under control.