Causes And Risk Factors Of Marasmus
Published on: April 17, 2025
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Deval Koshti

Bachelor's degree, Pharmacy, <a href="https://www.gtu.ac.in/" rel="nofollow">Gujarat Technological University (GTU)</a>

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Nazira Sulthana

B.Sc in Biotechnology, India

If marasmus is bothering you and you want to know why it happens or what puts you at risk, then you can stop worrying because I got your back on that. Below is an in-depth solution that may assist you in grasping this threatening health problem tightly. Now we shall look at each detail so that understanding can be well established without ambiguity.

"The main cause of malnutrition, which is a very dangerous condition, is consuming insufficient amounts of protein or calories. 

It typically starts with

  • Inadequate dietary intake: It is when there is little food available because of situations such as lack of money, no rains leading to famine, or when one is abandoned
  • Chronic illnesses: Examples include HIV/AIDS, tuberculosis, and chronic diarrhoea conditions that interfere with the absorption of nutrients and raise metabolic needs"
  • Psychosocial factors: marasmus may arise from inadequate maternity care, a lack of knowledge on good nutrition, or unhealthy social environments
  • Environmental factors: These are limited to food safety regions or frequent natural disasters

Prevention and treatment of marasmus are dependent on knowledge of the disease and its understanding. This includes the symptoms; diagnosis, and how to take care of it to stop it from happening.

What is marasmus?

An extreme case of malnutrition, specifically undernutrition in protein and calories, is called marasmus. It is the outcome of a general calorie deficit. A shortage of any one of the three macronutrients—protein, lipids, and carbohydrates—causes marasmus. You do not have enough fuel to keep your body functioning normally if you have marasmus disease. Marasmus patients exhibit obvious signs of depletion, extreme underweight, and emaciation. Children's growth and size may be affected. Extended fasting results in malnutrition.

What happens to the body during marasmus disease?

When it lacks energy from food, the body begins consuming its tissues; first of all, fat stores end up disappearing, followed by muscles. Also, some of its components are switched off to allow it to conserve energy. The slowdown of heartbeat rate, blood flow, and temperature in the human body is due to the energy-saving. This may sometimes cause a condition like heart failure. The immune system gets weaker in malnourished people; hence, they easily catch diseases that would not infect healthy humans.

What are the primary reasons for marasmus?

The primary factors impacting people of all ages are:

  • Food shortages and poverty
  • AIDS 
  • Infections that result in persistent diarrhoea
  • Anorexia
  • Either eating too little or too little nourishment

Other factors impacting kids are as follows:

  • Inadequate nursing or removing baby foods too soon [insufficient breastfeeding]
  • Abuse or neglect of children

Adults are also affected by the following causes:

  • Dementia: the loss of cognitive functioning —thinking, remembering, and reasoning 
  • Abuse or neglect of elderly people

Risk factors of marasmus

  • The chance of getting marasmus is higher in those residing in underdeveloped nations
  • Children with marasmus are more common in places impacted by famine and poverty
  • Children are more likely to develop marasmus if nursing mothers are unable to breastfeed their newborns because of starvation
  • The population is also more susceptible to marasmus for other reasons, such as high disease rates and inadequate access to healthcare

What outward manifestations of marasmus exist?

  • Observable loss of muscle and fat
  • Prominent skeletal structure
  • The head seems larger than the body
  • Face could seem ageing and withered
  • Loose, dry skin (atrophic skin)
  • Hair loss or brittle, dry hair
  • Infants with recessed fontanelles
  • Weakness, lethargy, and indifference
  • A reduction in weight of over 40%
  • BMI < 16

What further signs and symptoms are possible with marasmus?

  • Dryness of the body
  • Imbalances in body electrolytes
  • Low pulse rate
  • Heart rate slows down
  • Low body temperature
  • Intestinal inadequacy in absorption
  • Reduced body growth
  • Delays in development
  • Anemia
  • Rickets or osteomalacia

Treatmet for marasmus

The patient with marasmus is prescribed the following initial and primary treatments:

  • Supplements containing multiple vitamins to help with malnutrition and appetite
  • The symptoms of dehydration can be avoided by consuming electrolyte-containing drinks such as water
  • When treating children for pathogenic illnesses, not many antibiotics or other drugs are administered
  • A balanced diet is started as soon as the child's condition stabilises and begins to gradually improve
  • Eat more protein-rich foods, such as skim milk, and other food supplements that boost energy levels

The main cause of marasmus, a severe form of malnutrition, is a markedly low intake of calories and protein. This illness is frequently brought on by insufficient food intake as a result of things like hunger, poverty, abuse, and restricted access to nutrient-dense food. The chance of developing marasmus can be further increased by chronic illnesses such as HIV/AIDS, TB, and chronic diarrhoea, which can decrease nutrient absorption and raise metabolic demands. 

The illness is further exacerbated by psychosocial factors, such as inadequate mother care, ignorance of healthy eating, and social instability. The development of marasmus is also significantly influenced by environmental variables, such as residing in regions with low food security or experiencing numerous natural catastrophes. To effectively intervene and prevent this crippling condition and ensure improved health outcomes for people who are affected by it or at risk of it, it is imperative to recognize these causes and risk factors.

FAQs

What causes mastitis?

Lack of certain nutrients, like protein, carbs, and calories, results in marasmus. The scarcity of food and poverty are the main causes of it.

What are the initial indications of marasmus?

Significant lack of fat beneath the skin, substantial weight loss, and muscular withering are early indications.

In what way is mastitis treated?

Improving general food security and care habits, treating any underlying medical issues, and nutritional rehabilitation are the main goals of treatment.

Summary

Marasmus is a severe form of malnutrition caused by a significant deficiency in calories, protein, and other nutrients. It commonly results from poverty, food scarcity, chronic illnesses like HIV/AIDS and tuberculosis, and poor maternal or elderly care. Psychosocial and environmental factors also play a role. Symptoms include extreme weight loss, muscle wasting, dry skin, and weakness. If untreated, it can lead to developmental delays, immune weakness, and even heart failure. Treatment involves hydration, vitamin supplements, managing infections, and gradually introducing a balanced, nutrient-rich diet to restore health and prevent future cases.

References

  1. ‘Marasmus: Definition, Symptoms, & Causes’. Cleveland Clinic, https://my.clevelandclinic.org/health/diseases/23296-marasmus. Accessed June 22, 2024.
  2. Marasmus: Causes, Symptoms, and Treatment. 23 Aug. 2018, https://www.medicalnewstoday.com/articles/313185.
  3. Contributors, WebMD Editorial. ‘What Is Marasmus?’ WebMD, https://www.webmd.com/a-to-z-guides/what-is-marasmus. Accessed June 22, 2024.
  4. ‘Marasmus - Causes, Symptoms, and Treatments Of Marasmus’. BYJUS, https://byjus.com/biology/marasmus/. Accessed June 22, 2024.

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Deval Koshti

Bachelor's degree, Pharmacy, Gujarat Technological University (GTU)

Hello, my name is Deval Koshti. I am a dedicated and ambitious professional with a strong foundation in pharmaceuticals. Currently, I am in the final semester of a Bachelor of Pharmacy program. I have complemented my academic pursuits with practical experience in the industry. Holding a certification in medical writing from Alison, I have honed skills essential to effectively communicating complex medical information.

Having undertaken internships in both quality assurance and production departments within the pharmaceutical sector, I possess a well-rounded understanding of industry operations. This hands-on experience and solid academic background equip me with a unique perspective and valuable insights into pharmaceutical processes.

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