Oyedeji G A
Clin Pediatr (Phila). 1984 Nov;23(11):623-8. doi: 10.1177/000992288402301104.
Eighty-eight patients with severe protein-energy malnutrition (PEM) admitted into the Wesley Guild Hospital, Ilesa, Nigeria over a 9-month period were studied to define the patterns and factors encountered currently in PEM. Severe PEM now occurs predominantly in the 6- to 18-month age group, which is earlier than was reported previously. The majority of the parents were Yoruba Christians and were low-income workers or unemployed. Poverty was a factor in 54.5 percent. Most of the parents were literate. About half of the families were polygamous. The prevalence of social problems was high, with 72.7 percent of the parents living apart. Attacks of measles and recurrent or prolonged gastroenteritis were preceding precipitating factors in 30.7 percent and 33 percent of the patients, respectively. Failure or cessation of breast-feeding or bottle-feeding with cow's milk from the first month of life preceded the development of PEM in a large percentage of patients. The implications of these findings are discussed.
对尼日利亚伊莱萨市卫斯理公会医院9个月内收治的88例重度蛋白质-能量营养不良（PEM）患者进行了研究，以确定目前PEM所呈现的模式和相关因素。重度PEM目前主要发生在6至18个月龄组，这比之前报道的时间更早。大多数家长是约鲁巴基督徒，属于低收入工人或无业人员。贫困是54.5%患者的一个因素。大多数家长有文化。约一半家庭是一夫多妻制。社会问题的发生率很高，72.7%的家长分居。麻疹发作以及反复或长期的肠胃炎分别是30.7%和33%患者的诱发因素。在很大比例的患者中，从出生第一个月起母乳喂养失败或停止，或用牛奶瓶喂，先于PEM的发生。文中讨论了这些发现的意义。
