Undernutrition Although not as prevalent in America as it is in developing countries, undernutrition is not uncommon and affects many subpopulations, including the elderly, those with certain diseases, and those in poverty.17 Undernutrition is most often due to not enough high-quality food being available to eat. This is often related to high food prices and poverty. There are two main types of undernutrition: protein-energy malnutrition and dietary deficiencies. Protein-energy malnutrition has two severe forms: marasmus (a lack of protein and calories) and kwashiorkor (a lack of just protein). Common micronutrient deficiencies include a lack of iron, iodine, and vitamin A. Undernutrition encompasses stunted growth (stunting), wasting, and deficiencies of essential vitamins and minerals (collectively referred to as micronutrients).18 Even moderate undernutrition can have lasting effects on children’s cognitive development. When children are hungry or undernourished, they have difficulty resisting infection and therefore are more likely than other children to become sick and to miss school. They are irritable and have difficulty concentrating, which can interfere with learning; and they have low energy, which can limit their physical activity. Some reports have estimated that millions of children in the United States experience hunger over the course of a year but no scientific consensus currently exists on how to define or measure hunger.19 The term hunger, which describes a feeling of discomfort from not eating, has been used to describe undernutrition, especially in reference to food insecurity.
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