Difference Between Kwashiorkor and Marasmus

Last Updated : 20 Jul, 2023

Kwashiorkor and Marasmus are the two types of effects caused by severe malnutrition which can affect children around the world. Malnutrition means taking inadequate amounts of essential nutrients like proteins, carbohydrates, fats, vitamins, and minerals. These nutrients are important for normal growth and development. Both kwashiorkor and marasmus will happen due to these insufficient nutrient intakes. However, they differ in their underlying causes and clinical manifestations.

Kwashiorkor

Kwashiorkor is a severe form of malnutrition that is caused by deficiency of dietary protein. It generally occurs in the age between one to three years in children. It occurs in the children who stop breastfeeding and don't get enough protein rich foods. The children with kwashiorkor can have specific signs like swollen body parts, especially their face and limbs. Their stomach can also look big as their liver will be enlarged. They may also have skin problems, changes like hair color and texture and lose muscle and fat.

Characteristics of Kwashiorkor

Characteristics of Kwashiorkor include:

  • Severe protein deficiency
  • Edema (swelling), especially in the limbs and face
  • Distended abdomen due to liver enlargement
  • Skin lesions and changes in hair color and texture
  • Muscle wasting and loss of subcutaneous fat.

Marasmus

Marasmus is also caused by malnutrition which happens in the children who don't get enough protein and calories. It mostly affects the infants who are under the age of one year and haven't got enough food for a long time. The children with marasmus will look skinny and weak, with thin arms and legs, loose and wrinkled skin and hardly body fat. They don't have swollen body parts like Kwashiorkor. They may also have problems with growth and development.

Characteristics of Marasmus

Characteristics of Marasmus include:

  • Deficiency in both protein and calories
  • Severe wasting of muscle and subcutaneous fat
  • Emaciated appearance with prominent bones and loose, wrinkled skin
  • Growth retardation and delayed development
  • Absence of edema

Tabular Difference Between Kwashiorkor and Marasmus

Characteristics

KwashiorkorMarasmus
PrimarySevere protein deficiencyDeficiency in both calories and protein
Age GroupTypically affects children aged 1-3Mainly affects infants under 1 year old
ProteinInadequate protein intakeInadequate protein and calorie intake
EdemaPresents with edema (swelling)No edema
AbdomenDistended abdomen due to liver enlargementNo significant abdominal distention
AppearanceMuscle wasting, subcutaneous fat lossEmaciated appearance with little body fat
SkinSkin lesions and changes in hair color/textureWrinkled, loose skin
GrowthGrowth impairment and delayed developmentGrowth retardation and developmental delays
Main CauseInsufficient protein-rich foods in the dietChronic inadequate food intake
TreatmentNutritional rehabilitation, protein-rich dietGradual refeeding, balanced nutrition

Conclusion

In summary, both kwashiorkor and marasmus are the two types of malnutrition effects caused in children. They are caused by differences in nutrition intake and effects on the body. Kwashiorkor is caused by not enough protein intake and shows signs like swelling. Marasmus is caused by not enough intake of calories and protein, which could result in extreme thinness.

Comment