{"id":8093,"date":"2018-11-02T09:34:28","date_gmt":"2018-11-02T09:34:28","guid":{"rendered":"https:\/\/uk.inbody.com\/?p=8093"},"modified":"2021-05-12T08:08:41","modified_gmt":"2021-05-12T07:08:41","slug":"what-you-can-do-about-malnutrition","status":"publish","type":"post","link":"https:\/\/ro.inbody.com\/ro\/what-you-can-do-about-malnutrition\/","title":{"rendered":"What You Can Do About Malnutrition?"},"content":{"rendered":"<div class=\"content-inner\">\n<p><span style=\"font-weight: 400;\">When it comes to malnutrition, most the focus\u2014and rightly so\u2014is on severe malnutrition in developing countries where<\/span><a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC1180662\/\"> <span style=\"font-weight: 400;\">lack of access to food<\/span><\/a><span style=\"font-weight: 400;\"> has tragic consequences.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">This condition can have <strong>debilitating effects on body composition, quality of life, and independent living<\/strong>. But malnutrition among older adults in developed countries is more widespread than most people realize. &nbsp;How can malnutrition coexist in countries that have an obesity epidemic?<\/span><\/p>\n<p><i><span style=\"font-weight: 400;\">Technically<\/span><\/i><span style=\"font-weight: 400;\">, malnutrition is an umbrella term including <strong>overnutrition<\/strong> (i.e. obesity) and <strong>undernutrition<\/strong>. Just as important as fighting increasing obesity, it\u2019s important to understand how various aspects of aging can make it difficult to consume all the essential nutrients the body needs.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">The good news is that malnutrition is easily diagnosed, managed and even reversed. As we continue we will be discussing treatment and prevention, but first let\u2019s raise awareness about the issue itself.<\/span><\/p>\n<h2>The What, Who, and Why of Malnutrition and Aging<\/h2>\n<p><span style=\"font-weight: 400;\">With so many different people experiencing different effects and severities of malnutrition, it can be complicated to break down. Since there are several primary types of malnutrition, we\u2019ll focus on <strong>how malnutrition impacts body composition and why this is so important for your long-term health.<\/strong><\/span><\/p>\n<h3>WHAT IS MALNUTRITION?<\/h3>\n<p><span style=\"font-weight: 400;\">The World Health Organization defines malnutrition as \u201c<\/span><span style=\"font-weight: 400;\">deficiencies, excesses or imbalances in a person\u2019s intake of energy and\/or nutrients\u201d. <\/span><span style=\"font-weight: 400;\"><strong>Protein-energy deficiency<\/strong> is one of the <strong>most common forms of malnutrition<\/strong> and this health condition has an immediate and negative impact on body composition. This deficiency <strong>wreaks havoc on skeletal muscle mass<\/strong> in particular, as the body eventually goes into starvation mode and breaks down its own protein (stored in muscle) for fuel.<\/span><\/p>\n<p><span style=\"font-weight: 400;\"><strong>Micronutrient deficiency<\/strong> is a lack of nutrients, like minerals and vitamins, that support important bodily processes like cells regeneration, your immune system, and even eyesight. Some common examples are iron or calcium deficiencies. Micronutrient deficiency has the greatest <strong>impact on normal physiological functions\/processes<\/strong> and can actually occur in conjunction with protein-energy deficiency since most micronutrients are obtained from food.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Although nutritional deficiencies of <\/span><a href=\"https:\/\/www.inbodyusa.com\/blogs\/inbodyblog\/why-vitamin-d-is-vital-to-your-muscle-and-health\"><span style=\"font-weight: 400;\">certain micronutrients<\/span><\/a><span style=\"font-weight: 400;\"> can impact processes such as building and repairing muscle, protein-energy deficiency has a more pronounced effect on body composition due to the fact that lowered protein intake can lead to more drastic losses in muscle mass. The <\/span><i><span style=\"font-weight: 400;\">American Society for Parenteral and Enteral Nutrition (ASPEN) <\/span><\/i><span style=\"font-weight: 400;\">defines <\/span><a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pubmed\/23969411\"><span style=\"font-weight: 400;\">several features<\/span><\/a><span style=\"font-weight: 400;\"> of malnutrition and nutritional deficiencies in adults:<\/span><\/p>\n<ul>\n<li>Insufficient energy intake<\/li>\n<li>Unintended weight loss<\/li>\n<li>Diminished physical function (including hand grip strength, and physical performance testing)<\/li>\n<li>Serious medical conditions (such as edema resulting from fluid accumulation)<\/li>\n<\/ul>\n<h3>WHO IS AFFECTED, AND WHY?<\/h3>\n<p><img decoding=\"async\" src=\"https:\/\/cdn.shopify.com\/s\/files\/1\/0832\/8945\/files\/Wheelchair.jpg?v=1506379441\" alt=\"\"><\/p>\n<p><span style=\"font-weight: 400;\">You would assume that adults spending time in rehabilitation centers or hospitals should be well nourished since they have a range of staff taking care of them, right?<\/span><\/p>\n<p><span style=\"font-weight: 400;\">In theory, yes. But in reality, things are more complicated.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">According to a <\/span><a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pubmed\/20863332\"><span style=\"font-weight: 400;\">study of over 4,000 individuals<\/span><\/a><span style=\"font-weight: 400;\">, approximately <strong>40-50% of patients in rehabilitation centers and hospitals are malnourished<\/strong>, compared to 14% in nursing homes and just 6% in independently dwelling adults. These are staggering differences, but the numbers should be put in context.<\/span><\/p>\n<p>There are&nbsp;<b>two overarching reasons malnutrition strikes older adults<\/b>.<\/p>\n<ul>\n<li><b>Insufficient food intake<\/b>. This often results from factors inherent to aging, including loss of taste or smell, dentition (poor muscle function or loss of teeth), or cognitive decline.<\/li>\n<\/ul>\n<ul>\n<li><b>Disease-related malnutrition<\/b>. Decreased food intake or absorption due to a wide range of diseases from cancer to inflammatory bowel disease or from cases such as hospitalization including surgery or emergency medical interventions (stroke, trauma, etc.)<\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">Since individuals suffering from disease-related malnutrition are more likely to require hospitalization (to treat their disease), this could contribute to the high rates of malnutrition in hospitals and rehabilitation facilities. But a host of other <\/span><a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC2563720\/\"><span style=\"font-weight: 400;\">factors in hospitals<\/span><\/a><span style=\"font-weight: 400;\"> make it no wonder that longer hospital stays are <\/span><a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pubmed\/23165541\"><span style=\"font-weight: 400;\">related to rates of malnutrition<\/span><\/a><span style=\"font-weight: 400;\">.<\/span><\/p>\n<h3>WHY YOU SHOULD CARE, EVEN IF YOU ARE NOT DIRECTLY AFFECTED<\/h3>\n<p><span style=\"font-weight: 400;\">Malnutrition really is an important issue in that it takes a<strong> high toll on people afflicted<\/strong>; on top of that is the <strong>associated economic cost that extends the burden beyond the malnourished individual.<\/strong> Massive medical bills strain individuals and their families and consume significant amounts of healthcare resources.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">In a study of almost 2000 older adults, health care costs for malnourished adults were <\/span><a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pubmed\/21406315\"><span style=\"font-weight: 400;\">more than double<\/span><\/a><span style=\"font-weight: 400;\"> those for non-malnourished adults. More visits to general practitioners and hospitals equals higher cost.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">However it is worth noting that although treatment for malnutrition can add up in cost, the sooner the treatment, the better. Intervening with treatment called oral nutritional supplementation (ONS) does add to healthcare costs, but according to an economic model analysis, the cost of ONS treatment is <\/span><a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pubmed\/22629244\"><span style=\"font-weight: 400;\">more than offset<\/span><\/a><span style=\"font-weight: 400;\"> by the long-term reduction in hospital admissions as a result of treatment.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">In other words, treating this condition sooner not only makes sense for health reasons, it makes sense economically.<\/span><\/p>\n<h2>How Body Composition Changes During Malnutrition<\/h2>\n<p><span style=\"font-weight: 400;\">Now that we have covered the \u201cWhat\u201d, \u201cWho\u201d, and \u201cWhy\u201d, let\u2019s discuss the \u201cHow\u201d malnutrition affects body composition.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Most adults experience a natural <\/span><a href=\"https:\/\/www.inbodyusa.com\/blogs\/inbodyblog\/102081153-how-time-works-against-your-body-and-what-to-do-about-it\"><span style=\"font-weight: 400;\">shift in body composition<\/span><\/a><span style=\"font-weight: 400;\"> as they age, partly thanks to a decrease in physical activity. What might accelerate and worsen that shift?<\/span><\/p>\n<p><span style=\"font-weight: 400;\">That\u2019s right: malnutrition.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">While <\/span><a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pubmed\/?term=Total+body+mass%2C+fat+mass%2C+fat-free+mass%2C+and+skeletal+muscle+in+older+people%3A+Cross-sectional+differences+in+60-year-old+persons\"><span style=\"font-weight: 400;\">Fat Free Mass starts to decline<\/span><\/a><span style=\"font-weight: 400;\"> in the middle of adulthood, it drops at a concerning rate by the time adults reach their 80\u2019s. Coupled with a decrease in <\/span><a href=\"https:\/\/www.inbodyusa.com\/blogs\/inbodyblog\/functional-strength-training-what-it-is-why-you-need-it-and-exercises-to-get-started\"><span style=\"font-weight: 400;\">functional health<\/span><\/a><span style=\"font-weight: 400;\">, it\u2019s clear that <strong>unfavorable changes are happening.<\/strong><\/span><\/p>\n<p><span style=\"font-weight: 400;\">Adding protein-energy deficiency into that mix makes the situation even more concerning. Researchers comparing elderly and middle-aged malnourished adults found that the elderly group was more prone to <\/span><a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pubmed\/12468370\"><span style=\"font-weight: 400;\">losing Fat Free Mass<\/span><\/a><span style=\"font-weight: 400;\"> than fat mass and this may come down to not taking in enough nutrients to support and maintain muscles and their function.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">In other words, <strong>undernutrition exacerbates the issue of muscle loss<\/strong> and those that are malnourished are more likely to tap into their muscle protein for fuel rather than those pesky fat stores (which are designed to be our energy-stores).<\/span><\/p>\n<p><span style=\"font-weight: 400;\">That matters because malnourished older adults are already at an <\/span><a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pubmed\/23538647\"><span style=\"font-weight: 400;\">increased risk of mortality<\/span><\/a><span style=\"font-weight: 400;\">. On top of that, losing muscle makes it difficult to perform those normal activities of daily living. As you burn through muscle protein, <strong>functional capacity declines,<\/strong> si <\/span><a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pubmed\/18625540\"><span style=\"font-weight: 400;\">loss of independence and malnutrition ensues<\/span><\/a><\/p>\n<h2>Recognize and Take Action<\/h2>\n<p><img decoding=\"async\" src=\"https:\/\/cdn.shopify.com\/s\/files\/1\/0832\/8945\/files\/Spices.jpg?v=1506379501\" alt=\"\"><\/p>\n<p><span style=\"font-weight: 400;\">In light of the fact that malnutrition is more prevalent than most would think,what are the warning signs you should you look out for? It\u2019s a tough problem to assess, and catching it before significant changes in body composition or muscle mass occur is best. However, watching out for these risk factors can be helpful in determining your likelihood of malnutrition or the severity of muscle loss.<\/span><\/p>\n<h3>ADDRESSING THE RISKS<\/h3>\n<p><span style=\"font-weight: 400;\">Just because malnutrition can be difficult to spot early on, doesn\u2019t mean all is lost. There are a variety of <\/span><a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC2563720\/\"><span style=\"font-weight: 400;\">risk factors<\/span><\/a><span style=\"font-weight: 400;\"> and health problems to be aware of and recognize. Here is a list of a few.<\/span><\/p>\n<ul>\n<li>Traits of frailty are a strong&nbsp;<a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pubmed\/23538658\">predictor for malnutrition risk<\/a><\/li>\n<li>Decreased sense of taste or smell<\/li>\n<li>Tooth loss<\/li>\n<li>Parkinson\u2019s disease<\/li>\n<li>Constipation<\/li>\n<li>Cognitive decline<\/li>\n<li>Dysphagia (difficulty swallowing)<\/li>\n<li>Medications that affect appetite<\/li>\n<li>Depression more than&nbsp;<a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pubmed\/24679034\">doubles the risk of malnutrition<\/a>, especially among men.<\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">The first step to addressing the undernutrition problem is to <strong>make people aware of the problem<\/strong>. Research shows that among cancer patients (a nutritionally at-risk group) at home, <\/span><a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pubmed\/18528714\"><span style=\"font-weight: 400;\">nearly 25%<\/span><\/a><span style=\"font-weight: 400;\"> do not receive nutritional support or counseling despite receiving other health care.<\/span><\/p>\n<p><strong>If you don\u2019t recognize a problem, you can\u2019t do anything about it.<\/strong><\/p>\n<p><span style=\"font-weight: 400;\">Before getting into actual treatment, here are a couple strategies to address malnutrition risk factors head on.<\/span><\/p>\n<ul>\n<li><b>Spice up your food<\/b>. A few dashes of flavored powders like beef bouillon or lemon butter help&nbsp;<a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pubmed\/11283191\">increased body weight<\/a>&nbsp;and prevent a decline in energy intake by making foods more appealing.<\/li>\n<li><b>Take care of your teeth<\/b>. Missing a substantial number of teeth is associated with lower energy and protein intake. Wearing dentures can&nbsp;<a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pubmed\/22004061\">lower your risk of malnutrition<\/a>&nbsp;by about 20%, but only if you&nbsp;<a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pubmed\/22934613\">wear them consistently<\/a>.<\/li>\n<li><b>Make meals something to look forward to<\/b>. Rather than eat each meal alone, have meals with other people in your community or schedule regular dinners with family and friends.<\/li>\n<li><strong>Get your body composition tested<\/strong>.&nbsp;Regularly get your body composition tested either bi-monthly or monthly to make sure that your muscle and fat levels are where you want them to be.<\/li>\n<\/ul>\n<h3>FOOD-FORWARD SOLUTIONS<\/h3>\n<p><img decoding=\"async\" src=\"https:\/\/cdn.shopify.com\/s\/files\/1\/0832\/8945\/files\/milkshake-1021027_1280.jpg?v=1506379561\" alt=\"\"><\/p>\n<p><span style=\"font-weight: 400;\">If you do find yourself, or a patient, facing malnutrition, <strong>oral nutritional supplementation (ONS) is one of the most promising treatments you can use.<\/strong><\/span><\/p>\n<p><span style=\"font-weight: 400;\">Most nutritional supplements you are familiar with probably come in pill form, like Vitamin A or Vitamin D, but ONS is in liquid form. Boost and Ensure (though not necessarily brands we are recommending- please do your research on fitting the ingredients to your specific needs) are some common brand names, and there are dozens of more options out there in a variety of flavors and formulas.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">The science behind ONS is substantial. It counteracts malnutrition and related comorbidities in adults ranging from hospitalized hip fracture patients to frail community-dwelling elderly adults.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">An <\/span><a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pubmed\/22212388\"><span style=\"font-weight: 400;\">analysis of 36 studies on high-protein ONS<\/span><\/a><span style=\"font-weight: 400;\"> found that it <strong>increases calorie intake<\/strong> by more than 300 calories per day and protein by over 20g per day, slightly <strong>increases body weight, and improves muscle size and strength<\/strong>. That\u2019s all from drinking just a daily 8 oz. shake.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Of course, getting your nutritional needs in by consuming real food is better than relying on supplements. However, when it comes to malnutrition it\u2019s critical to get enough protein, vitamins, minerals, and calories, making supplements often necessary to round out the diet.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Getting enough real food is tough if it\u2019s difficult to swallow or your sense of taste and smell start to go (or down). That\u2019s why researchers experiment with \u2018densification\u2019 of real foods.<\/span><\/p>\n<p><img decoding=\"async\" src=\"https:\/\/cdn.shopify.com\/s\/files\/1\/0832\/8945\/files\/Soup.jpeg?v=1506379603\" alt=\"\"><\/p>\n<p>&nbsp;<\/p>\n<p><span style=\"font-weight: 400;\">Densification involves <strong>adding calorie and protein content without changing the types and quantities of food<\/strong>. The idea is to get patients to consume more nutrients without feeling overburdened by large meals, and it works.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Elderly adults who prefer smaller meals <\/span><a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pubmed\/19248860\"><span style=\"font-weight: 400;\">consume more calories<\/span><\/a><span style=\"font-weight: 400;\"> across breakfast and lunch when foods are \u2018densified\u2019. This strategy can even be implemented at home. To add calories and protein to the foods, researchers simply replace water in recipes with extra fats and dairy.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Whether ONS, food densification, or just adding more food to the diet, increasing calories and the range of vitamins and minerals will certainly offset malnutrition and its associated effects.<\/span><\/p>\n<h3>WHERE DOES EXERCISE FIT INTO ALL THIS?<\/h3>\n<p><span style=\"font-weight: 400;\">In some ways, ONS to a malnourished older adult is like protein powder to a bodybuilder. It\u2019s not the only way to build muscle and work towards body composition goals, but it sure does help.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Malnourished older adults and bodybuilders also have this in common: their bodies require a <strong>nutritional and exercise jumpstart in order to build muscle.<\/strong><\/span><\/p>\n<p><span style=\"font-weight: 400;\">Researchers recently gave older adults with sarcopenia, or a significant loss of muscle mass, a whey protein shake along with a progressive strength training program. By the end of the study, almost 70% of the participants <\/span><a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pubmed\/26864356\"><span style=\"font-weight: 400;\">reversed <\/span><\/a><span style=\"font-weight: 400;\">many of their symptoms.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Part of their success was probably thanks to a dedicated team of researchers keeping them on track with the study. Social support is important for frail older adults who want to use nutrition and exercise therapy to regain a healthy body composition. It can be as simple as asking a family member or friend to come by <\/span><a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pubmed\/27346650\"><span style=\"font-weight: 400;\">a couple times per week<\/span><\/a><span style=\"font-weight: 400;\"> to help keep you on track..<\/span><\/p>\n<p><span style=\"font-weight: 400;\">So while bodybuilders may be more intrinsically motivated to increase their diet and exercise to improve the muscle mass and physique, older adults may need some social support to improve their diet and exercise in order to offset or prevent these symptoms from occurring in the first place.<\/span><\/p>\n<h2>Wrap-Up: Your Next Steps<\/h2>\n<p><img decoding=\"async\" src=\"https:\/\/cdn.shopify.com\/s\/files\/1\/0832\/8945\/files\/Workout_56b5cf6a-6aae-4608-a6f8-fa05ae2883ff.jpg?v=1506379649\" alt=\"\"><\/p>\n<p><span style=\"font-weight: 400;\">By the time someone becomes clinically malnourished or frail, their eating and exercise habits have likely been insufficient for a long time. With some exceptions in disease-related malnutrition, this is not something that happens overnight.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">So what can we do to increase awareness, maintain our well-being, and prevent these conditions associated with malnutrition? Keeping a healthy, well-rounded, and calorically full diet with regular exercise is the best method of prevention.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Ignoring nutrition will <\/span><a href=\"https:\/\/www.inbodyusa.com\/blogs\/inbodyblog\/102081153-how-time-works-against-your-body-and-what-to-do-about-it\"><span style=\"font-weight: 400;\">gradually work against your body composition<\/span><\/a><span style=\"font-weight: 400;\">, just as your smell and taste can eventually decline and various other factors we\u2019ve discussed set in to increase the risk for malnutrition. But <strong>forming a few key dietary habits before the effects of aging truly appear can help you prevent poor outcomes later in life.<\/strong><\/span><\/p>\n<ul>\n<li><b>Establish a strength training routine<\/b>. Although some muscle mass loss can be stopped later in life with exercise, it\u2019s better to start out with muscle mass than try to play catch-up.<\/li>\n<li><b>Eat sufficient protein throughout the day<\/b>. It is often best to space out your protein across meals rather than consuming it all at once to ensure you\u2019re getting a good amount on a daily basis.<\/li>\n<li><b>Monitor your body composition regularly<\/b>. You should make sure you minimize muscle mass loss and fat mass gain as you age.<\/li>\n<\/ul>\n<p>By avoiding or treating malnutrition and maintaining your body composition, you can continue on to age gracefully\u2026 who wouldn\u2019t want that?<\/p>\n<p>**<\/p>\n<p><em><a href=\"https:\/\/membership.usatriathlon.org\/Public\/Public\/Coach?userID=2099698775\">Max Gait\u00e1<\/a><a href=\"https:\/\/inbody-usa.myshopify.com\/admin\/blogs\/6838669\/articles\/1270284318#temp_created_link\">n,MEd<\/a>&nbsp;is an exercise physiologist and a USA Triathlon Certified Coach. When he\u2019s not coaching, studying, or writing, Max spends most of his time outdoors training for triathlons.<\/em><\/p>\n<div class=\"reading-position-indicator-end\">&nbsp;<\/div>\n<div class=\"pdf24Plugin-cp\">\n<form action=\"https:\/\/doc2pdf.pdf24.org\/wordpress.php\" method=\"post\" name=\"pdf24Form0\" target=\"pdf24PopWin\"><input name=\"blogCharset\" type=\"hidden\" value=\"Cw1x07UAAA==\"><input name=\"blogPosts\" type=\"hidden\" value=\"MwQA\"><input name=\"blogUrl\" type=\"hidden\" value=\"yygpKSi20tfPzEvKT6ksLU7US87PBQA=\"><input name=\"blogName\" type=\"hidden\" value=\"88xzyk+pVAgNdgQA\"><input name=\"blogValueEncoding\" type=\"hidden\" value=\"gzdeflate base64\"><input name=\"blogEmailText\" type=\"hidden\" value=\"AwA=\"><input name=\"blogEmailType\" type=\"hidden\" value=\"K0mtKNEvyEnMzAMA\"><input name=\"blogEmailSubject\" type=\"hidden\" value=\"AwA=\"><input name=\"blogEmailFrom\" type=\"hidden\" value=\"AwA=\"><input name=\"blogDocHeader\" type=\"hidden\" 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Xp\/EUq6Wk6y1C2leleRzP1r9eH6kLsLC1AuDR1DOR\/GC6LyLIcT485\/2R9tPvhE3HdFP7B45euBP2NIlbSJ9piXzizmcFPzodCg5L6IpMI44I3ysIYI7CsMESIFpI3hTYnsFGgPdevaA2oipLhZ0oE8HViM6X9\/Hc+A0tnDx4f8C\"><\/form>\n<\/div>\n<div class=\"post-tags\">\n<div class=\"clear\">Source:&nbsp;https:\/\/inbodyusa.com\/blogs\/inbodyblog\/what-you-can-do-about-malnutrition\/<\/div>\n<\/div>\n<\/div>\n<div style=\"overflow:hidden;height:1px;\">\n<p> <a href=\"https:\/\/uk.inbody.com\/?blog=what-diet-pill-did-shark-tank-use\/\">What diet pill did shark tank use<\/a><br \/>\n<a href=\"https:\/\/uk.inbody.com\/?blog=weight-loss-when-running\/\">Weight loss when running<\/a><br \/>\n<a href=\"https:\/\/uk.inbody.com\/?blog=weight-loss-with-probiotic\/\">Weight loss with probiotic<\/a><br \/>\n<a href=\"https:\/\/uk.inbody.com\/?blog=weight-loss-without-dieting-causes\/\">Weight loss without dieting causes<\/a><br \/>\n<a href=\"https:\/\/uk.inbody.com\/?blog=weight-loss-with-vitamins\/\">Weight loss with vitamins<\/a><br \/>\n<a href=\"https:\/\/uk.inbody.com\/?blog=weight-loss-water-lemon\/\">Weight loss water lemon<\/a><br \/>\n<a href=\"https:\/\/uk.inbody.com\/?blog=what-foods-are-in-the-keto-diet\/\">What foods are in the keto diet<\/a><br \/>\n<a href=\"https:\/\/uk.inbody.com\/?blog=what-a-good-diet-pill-that-works\/\">What a good diet pill that works<\/a><br \/>\n<a href=\"https:\/\/uk.inbody.com\/?blog=weight-loss-workout-plan-women\/\">Weight loss workout plan women<\/a><br \/>\n<a href=\"https:\/\/uk.inbody.com\/?blog=what-fruits-can-i-eat-on-the-keto-diet\/\">What fruits can i eat on the keto diet<\/a><br \/>\n<a href=\"https:\/\/uk.inbody.com\/?blog=what-alcohol-to-drink-when-dieting\/\">What alcohol to drink when dieting<\/a><br \/>\n<a href=\"https:\/\/uk.inbody.com\/?blog=weight-loss-when-breastfeeding\/\">Weight loss when breastfeeding<\/a><br \/>\n<a href=\"https:\/\/uk.inbody.com\/?blog=weight-loss-workout-for-gym\/\">Weight loss workout for gym<\/a><br \/>\n<a href=\"https:\/\/uk.inbody.com\/?blog=weight-loss-with-apple-cider-vinegar-and\/\">Weight loss with apple cider vinegar and<\/a><br \/>\n<a href=\"https:\/\/uk.inbody.com\/?blog=weight-loss-surgeries-options\/\">Weight loss surgeries options<\/a><\/p>\n<\/div>","protected":false},"excerpt":{"rendered":"<p>When it comes to malnutrition, most the focus\u2014and rightly so\u2014is on severe malnutrition in developing countries where lack of access to food has tragic consequences. This condition can have debilitating&#8230;<\/p>","protected":false},"author":18,"featured_media":8094,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"inline_featured_image":false,"footnotes":""},"categories":[207],"tags":[220],"class_list":{"0":"post-8093","1":"post","2":"type-post","3":"status-publish","4":"format-standard","5":"has-post-thumbnail","7":"category-nutrition","8":"tag-malnutrition"},"_links":{"self":[{"href":"https:\/\/ro.inbody.com\/ro\/wp-json\/wp\/v2\/posts\/8093","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/ro.inbody.com\/ro\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/ro.inbody.com\/ro\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/ro.inbody.com\/ro\/wp-json\/wp\/v2\/users\/18"}],"replies":[{"embeddable":true,"href":"https:\/\/ro.inbody.com\/ro\/wp-json\/wp\/v2\/comments?post=8093"}],"version-history":[{"count":4,"href":"https:\/\/ro.inbody.com\/ro\/wp-json\/wp\/v2\/posts\/8093\/revisions"}],"predecessor-version":[{"id":11022,"href":"https:\/\/ro.inbody.com\/ro\/wp-json\/wp\/v2\/posts\/8093\/revisions\/11022"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/ro.inbody.com\/ro\/wp-json\/wp\/v2\/media\/8094"}],"wp:attachment":[{"href":"https:\/\/ro.inbody.com\/ro\/wp-json\/wp\/v2\/media?parent=8093"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/ro.inbody.com\/ro\/wp-json\/wp\/v2\/categories?post=8093"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/ro.inbody.com\/ro\/wp-json\/wp\/v2\/tags?post=8093"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}