GCEBiologyNutrition2023

Kwashiorkor and marasmus are both forms of protein-energy malnutrition. Which of the following correctly distinguishes kwashiorkor from marasmus?

AKwashiorkor results from total starvation, while marasmus results from protein deficiency alone
BKwashiorkor is characterised by oedema and adequate caloric intake but insufficient protein, while marasmus results from severe deficiency of both protein and caloriesCORRECT
CKwashiorkor occurs mainly in adults, while marasmus is exclusive to infants under six months
DKwashiorkor leads to muscle wasting without oedema, while marasmus causes bloated abdomen due to fluid accumulation
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Why the answer is B, and why the others tempt you.
Kwashiorkor typically develops when a child receives adequate or near-adequate calories but severely insufficient protein, leading to hypoalbuminaemia and oedema (swollen belly due to fluid retention). Marasmus results from a severe deficit of both protein and total calories, causing extreme wasting of muscle and fat. Option A reverses the descriptions, option C incorrectly restricts age ranges, and option D swaps the clinical signs between the two conditions.
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