Malnutrition

Malnutrition
Underfed child in Dolo Ado, Ethiopia, at an MSF treatment tent
SpecialtyCritical care medicine
SymptomsProblems with physical or mental development; poor energy levels; hair loss; swollen legs and abdomen
CausesEating a diet with too few or too many nutrients; malabsorption
Risk factorsLack of breastfeeding; gastroenteritis; pneumonia; malaria; measles; poverty; homelessness
PreventionImproving agricultural practices; reducing poverty; improving sanitation; education
TreatmentImproved nutrition; supplementation; ready-to-use therapeutic foods; treating the underlying cause
MedicationEating food with enough nutrients on a near daily basis
Frequency821 million undernourished / 11% of the population (2017)
Deaths406,000 from nutritional deficiencies (2015)

Malnutrition occurs when an organism gets too few or too many nutrients, resulting in health problems. Specifically, it is a deficiency, excess, or imbalance of energy, protein and other nutrients which adversely affects the body's tissues and form.

Malnutrition is a category of diseases that includes undernutrition and overnutrition. Undernutrition is a lack of nutrients, which can result in stunted growth, wasting, and being underweight. A surplus of nutrients causes overnutrition, which can result in obesity or toxic levels of micronutrients. In some developing countries, overnutrition in the form of obesity is beginning to appear within the same communities as undernutrition.

Most clinical studies use the term 'malnutrition' to refer to undernutrition. However, the use of 'malnutrition' instead of 'undernutrition' makes it impossible to distinguish between undernutrition and overnutrition, a less acknowledged form of malnutrition. Accordingly, a 2019 report by The Lancet Commission suggested expanding the definition of malnutrition to include "all its forms, including obesity, undernutrition, and other dietary risks." The World Health Organization and The Lancet Commission have also identified "[t]he double burden of malnutrition", which occurs from "the coexistence of overnutrition (overweight and obesity) alongside undernutrition (stunted growth and wasting)."