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Proteinâenergy wasting (PEW) is the state of decreased body stores of protein and energy fuels (that is, body protein and fat masses). This abnormality is often associated with diminished functional capacity related to metabolic stresses.
The ISRNM expert panel recommends the term âproteinâenergy wastingâ for loss of body protein mass and fuel reserves. âKidney disease wastingâ refers to the occurrence of proteinâenergy wasting in CKD or AKI regardless of the cause. Cachexia is a severe form of proteinâenergy wasting that occurs infrequently in kidney disease.