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    Malnutrition is directly responsible for 300,000 deaths per year in children younger than 5 years in developing countries and contributes indirectly to over half the deaths in childhood worldwide.

    The adverse effects of malnutrition include physical and developmental manifestations. Poor weight gain and slowing of linear growth occur. Impairment of immunologic functions in these .....(15)..... mimics those observed in children with AIDS, predisposing them to opportunistic and other typical childhood infections. Children who are chronically malnourished exhibit behavioral changes, including irritability, apathy and decreased social responsiveness, anxiety, and attention deficits. In addition, infants and young children who have malnutrition frequently demonstrate developmental delay or permanent cognitive deficits. The degree of delay and deficit depends on the severity and duration of nutritional compromise and the age at which malnutrition occurs. In general, nutritional insults at younger ages will have worse outcomes. .....(16)..... death from malnutrition in the United States is rare, in developing countries, more than 50% of the 10 million deaths each year are either directly or indirectly secondary to malnutrition in children younger than 5 years.

     Children are most vulnerable to the effects of malnutrition in infancy and early childhood. Premature infants have special nutritional needs that are not met with traditional feeding recommendations; they require fortified human milk or specially designed preterm formula until later in infancy. Children are susceptible to malnutrition for differing reasons. During adolescence, self-imposed dietary restrictions contribute to the incidence of nutritional deficiencies.

(Adapted from http://www.emedicine.com/PED/topic1360.htm)
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