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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.
Kidney disease wasting. According to the ISRNM expert panel, kidney disease wasting (KDW) refers to the occurrence of protein-energy wasting in CKD or acute kidney injury (AKI), regardless of the cause. The clear majority of the ISRNM panel members prefer PEW to KDW for most circumstances.