Volume 49, Issue 5 (September 2004)

    Estimation of Caloric Deficit in a Fatal Case of Starvation Resulting from Child Neglect

    (Received 31 December 2003; accepted 3 April 2004)

    Published Online: September

    CODEN: JFSOAD

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    Abstract

    We report the case of a 3-year-20-day-old girl who died of starvation as a result of severe neglect. Her body weight had been 12 kg 70 days before her death, but was only 5 kg at the time of autopsy. From information supplied by her parents to police, we calculated her daily caloric intake and estimated the factors for physical activity. The daily recommended dietary allowance for the victim was calculated from 700 kcal/day × the appropriate factor for physical activity.

    In the absence of enough food, body fat (7.2 kcal/g body fat) and protein (4 kcal/g protein) would have been used to compensate until death. The calculated body weight at the time of death was around 5 kg. The statements of the parents therefore appear to be true.


    Author Information:

    Koyama, H
    University Graduate School of Medical Sciences, Nagoya,

    Monma-Ohtaki, J
    University Graduate School of Medical Sciences, Nagoya,

    Zhe, LX
    University Graduate School of Medical Sciences, Nagoya,

    Iwasa, M
    Faculty of Care and Rehabilitation, Seijoh University, Tokai-city,

    Nagao, M
    University Graduate School of Medical Sciences, Nagoya,

    Kawashima, N
    University Graduate School of Medical Sciences, Nagoya,

    Yano, T
    Toba Coast Guard Office, 4th Regional Coast Guard Headquarters, Yokkaichi,

    Maeno, Y
    University Graduate School of Medical Sciences, Nagoya,

    Seko-Nakamura, Y
    University Graduate School of Medical Sciences, Nagoya,


    Stock #: JFS2003426

    ISSN: 0022-1198

    DOI: 10.1520/JFS2003426

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    Title Estimation of Caloric Deficit in a Fatal Case of Starvation Resulting from Child Neglect
    Symposium , 0000-00-00
    Committee E30