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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.
1 Proteins â are the third and last source of energy. 2  They are the last to be used of all macronutrients. 3  In cases of extreme starvation, the muscles in the body, that are made up of proteins, are used to provide energy. 4  This is called muscle wasting.