veloped world. The degree of undernutrition
is not severe enough to be classified as marasmic
malnutrition (less than 60% expected
weight) but would be defmed as underweight
(26). The absence of oedema and the fact that
the serum albumin concentrations are effectively
within the norma! range (30) confirms
that neither kwashiorkor nor marasmic malnutrition
is present. The severity of the undernutrition
seen is less than that reported for
younger preschool children from third world
countries (31).