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Question
Posted by: pp | 2010/06/12

emaciation

hi there dietdoc
i trust you enjoyed the " gees"  yesterday :P
I have a question about weight loss: when someone is referred to as being emaciated, what features (exterior and clinical) do these people have? can part of it be based on bmi ( i am not a bmi fan, but ja)....also, how do you work out the % of your recommended weight? pt is 1.66m and 41kg!
thx a mill!

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Our expert says:
Expert ImageDietDoc

Dear PP
I was so excited yesterday and mighty impressed by our Bafana's performance - they have such incredible courage. Emaciation refers to a sub-normal body weight with a BMI below 18 and various other parameters. Externally the patient has protruding bones, hollow cheeks, sunken eyes, a limp, clammy skin and is listless, very tired and incapable of doing most normal tasks (even climbing stairs is an effort, etc). Biochemically most serum values would be low - haemoglobin, proteins, etc. The patient in question has a BMI of 14,9 which for an adult is dangerously low. If the patient is a woman, then her ideal BMI would be about 22 for which she would need to weigh 60,7 kg. She is thus 19,7 or 20 kg underweight and her present weight only represents 67,5% of her desired weight. You don't mention what has caused this extreme emaciation? If it is self-induced due to anorexia or bulimia then she needs to receive liquid meal supplements in addition to a normal high-kilojoule diet and urgent treatment by a psychologist and a dietitian.
Hope this helps
DietDoc

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Our users say:
Posted by: DietDoc | 2010/06/12

Dear PP
I was so excited yesterday and mighty impressed by our Bafana's performance - they have such incredible courage. Emaciation refers to a sub-normal body weight with a BMI below 18 and various other parameters. Externally the patient has protruding bones, hollow cheeks, sunken eyes, a limp, clammy skin and is listless, very tired and incapable of doing most normal tasks (even climbing stairs is an effort, etc). Biochemically most serum values would be low - haemoglobin, proteins, etc. The patient in question has a BMI of 14,9 which for an adult is dangerously low. If the patient is a woman, then her ideal BMI would be about 22 for which she would need to weigh 60,7 kg. She is thus 19,7 or 20 kg underweight and her present weight only represents 67,5% of her desired weight. You don't mention what has caused this extreme emaciation? If it is self-induced due to anorexia or bulimia then she needs to receive liquid meal supplements in addition to a normal high-kilojoule diet and urgent treatment by a psychologist and a dietitian.
Hope this helps
DietDoc

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