RT Book, Section A1 Goday, Praveen S. A2 Rudolph, Colin D. A2 Rudolph, Abraham M. A2 Lister, George E. A2 First, Lewis R. A2 Gershon, Anne A. SR Print(0) ID 6733043 T1 Chapter 29. Malnutrition and Refeeding T2 Rudolph's Pediatrics, 22e YR 2011 FD 2011 PB The McGraw-Hill Companies PP New York, NY SN 978-0-07-149723-7 LK accesspediatrics.mhmedical.com/content.aspx?aid=6733043 RD 2024/04/24 AB The etiology of malnutrition can be primary, as when the otherwise healthy individual’s needs for protein, energy, or both are not met by an adequate diet, or secondary, as a result of disease states that may lead to suboptimal intake, inadequate nutrient absorption or use, and/or increased requirements because of nutrient losses or increased energy expenditure. Protein-energy malnutrition is the most important nutritional disease in developing countries and one of the leading causes of morbidity and mortality in childhood worldwide.1,2 In the Western world primary malnutrition continues to occur with alarming frequency because of neglect or poverty. Secondary malnutrition exists as a result of chronic or acute illness.