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07-SEPTEMBER-2008 03:17:44 - Wasting Wasting could also mean unefficient and/or uneffective consumption. See waste. In medical circles, wasting refers to the process by which a debilitating disease causes muscle and fat tissue to waste away. Wasting is sometimes referred to as acute malnutrition because it is believed that episodes of wasting have a short duration, in contrast to stunting, which is regarded as chronic malnutrition. Contents 1 Causes 2 Classification 3 See also 4 External links Causes Wasting can be caused by an extremely low energy intake e.g., caused by famine, nutrient losses due to infection, or a combination of low intake and high loss. Infections associated with wasting include tuberculosis, chronic diarrhea, and AIDS. The mechanism may involve cachectin - also called tumor necrosis factor, a macrophage-secreted cytokine. Caretakers and health providers can sometimes contribute to wasting if the patient is placed on an improper diet. Voluntary weight loss and eating disorders are excluded as causes of wasting. Classification Children: Weight-for-height WFH. In infants under 24 months, recumbent supine length is used. WFH as % of median reference value is calculated this way: \mathrmWFH = \frac\mboxweight of a given child\mboxmedian weight for a given child of that height \times 100 Cutoff points may vary, but 80% close to -2 Z-score is often used. Adults: Body Mass Index BMI is the quotient between weight and height squared kg/m2. An individual with a BMI 18.5 is regarded as a case of wasting. Percent of body weight lost At Tufts, an unintentional loss of 6% or more in 6 months is regarded as wasting See also Atrophy Cachexia Weight loss External links http://www.cdc.gov/ncidod/EID/vol10no6/03-1082.htm http://www.tufts.edu/med/nutrition-infection/hiv/health_weight_loss.html http://www.annalsnyas.org/cgi/content/abstract/587/1/325 Scientists find key to wasting syndrome This disease article is a stub. Retrieved from http://en..org/wiki/Wasting Categories: Disease stubs | Diseases Views Article Discussion this page History Personal tools Log in / create account Navigation Main page Contents Featured content Current events Random article Search Go Search Interaction Community portal Recent changes Contact Donate to Help Toolbox What links here Related changes Upload file Special pages Printable version Permanent link Cite this page This page was last modified on 9 May 2008, at 16:55
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