|Protein-Energy Interactions (IDECG, 1991, 437 p.)|
|Effects of disease on desirable protein/energy ratios|
1. Because infections always result in the depletion of lean body mass, it is important that the diet be adequate in protein and energy during the recovery period for the repletion of adults and for both the repletion and catch-up growth of children.
2. An adequate diet should continue to be fed during diarrhea. After an acute diarrhea! episode, additional food with an increased protein content should be provided for repletion and catch-up growth of children and for the restoration of the lean body mass of adults.
3. During persistent diarrhea, patients should receive as much nourishing food as they can tolerate. If depletion becomes clinically important, this may need to be supplemented by parenteral feeding.
4. The long-term approach to the prevention of environmental enteropathy is environmental sanitation and hygiene to ensure safe water and food supplies. Until the condition can be prevented, its adverse effect on the absorption of nutrients must be taken into consideration, given the wide prevalence but modest severity of malabsorption in the individual case. An additional allowance of 10% is likely to be sufficient to compensate for the effect of this condition on intestinal function.
5. The effects of intestinal parasites on the absorption of protein, fat and other nutrients depend on the kind of parasite and the severity of the infection. Severe parasitism will continue to impair absorption until treated.