Nutritional marasmus

E4_MARASMUS

marasmus: The lack of sufficient energy or protein to meet the body's metabolic demands, as a result of either an inadequate dietary intake of protein, intake of poor quality dietary protein, increased demands due to disease, or increased nutrient losses.

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Endpoint definition

Report an error or suggest an improvement for this endpoint codes

Endpoint definition steps

FinnGen

Phenotype data

519972

1. Apply sex-specific rule

None

519972

2. Check conditions

None

519972

3. Check pre-conditions, main-only, mode, registry filters

Registry filters:

  • Hospital discharge: ICD-10 E41
  • Hospital discharge: ICD-9 261
  • Cause of death: ICD-10 E41
  • Cause of death: ICD-9 261

2 out of 7 registries used, show all original rules.

67

4. Check minimum number of events

None

67

5. Include endpoints

None

67

6. Filter based on genotype QC (FinnGen only)

65

Control definitions (FinnGen only)

Control exclude
E4_MALNUTRITION

Extra metadata

Level in the ICD hierarchy
3
First used in FinnGen datafreeze
DF2
Parent code in ICD-10
E40-E46
Name in latin
Malnutritio gravis ex deficientia energetica (marasmus nutritionalis)

Case counts by codes

FinnGen case counts by registry codes:

generic upset plot

Upset plot

Full data table

Summary Statistics

-FinRegistry-

Key figures

All Female Male
Number of individuals
Whole population 989 547 434
Only index persons 714 397 317
Unadjusted period prevalence (%)
Whole population 0.01 0.02 0.01
Only index persons 0.01 0.01 0.01
Median age at first event (years)
Whole population 63.82 66.09 60.76
Only index persons 59.82 61.49 57.73

-FinnGen-

Key figures

All Female Male
Number of individuals 65 39 26
Unadjusted period prevalence (%) 0.01 0.01 0.01
Median age at first event (years) 55.78 51.28 62.54

-FinRegistry-

Age distribution of first events

-FinnGen-

Age distribution of first events

-FinRegistry-

Year distribution of first events

-FinnGen-

Year distribution of first events

-FinRegistry-

Cumulative Incidence Function

-FinnGen-

Cumulative Incidence Function

No data

CodeWAS

CodeWAS is a tool for exploring the associations between an endpoint and all of the medical codes and drug codes.

This is a new tool, please reach out using the contact form for feedback and improvement ideas.

First, a cohort is built by matching controls to the endpoint cases using year of birth and sex. Then, a Fisher test is done for all the medical codes and drug codes between the cases and controls of this cohort. Codes are reported in the table below if they have −log10(p-value) ≥ 6.

Matched cohort

Matched cases
67
Matched controls
670
Code
Vocabulary
Description
Odds Ratio
-log10(p)
N matched cases
N matched controls
E41
ICD-10 Finland
Nutritional marasmus
+∞
88.5
64
*
UJD10
NOMESCO Finland
Esophagoscopy, gastroscopy and duodenoscopy
5.3
10.5
36
121
GD1UA
NOMESCO Finland
Thorax X-ray examination outside radiological department
6.1
10.3
23
53
504
Kela drug reimbursment
Conditions requiring daily forced enteral nutrition
25.6
6.9
9
*
R29.8
ICD-10 Finland
Other and unspecified symptoms and signs involving the nervous and musculoskeletal systems
9.2
6.5
13
17
A12AX
ATC
Calcium, combinations with vitamin D and/or other drugs
3.7
6.5
36
161

LabWAS

OMOP Concept
People with measurements
Mean N measurements
Mean measured value
(ID) Name
N Cases
N Controls
OR
-log10(p)
cases
controls
cases
controls
unit
-log10(p)
N cases
N controls
36
130
4.82
9.41
2.4
1.9
2.83
3.04
mg/l
0.24
31
118
35
146
3.93
7.11
7.1
4.0
7.40
7.40
ph
0.02
12
25
25
84
4.15
6.86
2.8
1.5
1788.35
1127.12
nmol/l
2.65
20
66
44
223
3.83
6.53
19.1
11.7
1.09
1.30
inr
1.40
17
59
21
71
3.85
5.59
2.2
2.0
2.43
2.37
g/l
0.19
21
66
25
97
3.52
5.42
2.3
1.8
483.47
464.24
pmol/l
0.11
19
84
29
129
3.20
4.99
7.1
3.7
0.00
0.00
estimate
-0.00
11
43
17
54
3.88
4.89
9.7
7.6
107.00
103.19
mmol/l
0.82
17
54
18
60
3.73
4.84
2.7
1.5
—
—
—
0
0
31
150
2.99
4.54
3.7
2.7
—
—
—
0
0
43
253
2.95
4.34
13.9
7.0
1.21
1.22
mmol/l
0.23
32
224
43
253
2.95
4.34
12.7
6.6
—
—
—
0
0
7
8
9.59
3.87
3.0
4.0
—
—
—
0
0
34
187
2.66
3.75
2.1
1.9
89.87
103.42
pmol/l
1.00
16
91
25
118
2.78
3.71
4.4
4.0
—
—
—
0
0
11
26
4.85
3.70
20.6
6.0
94.35
94.45
%
0.02
11
26
44
277
2.71
3.67
10.6
6.1
0.14
0.19
e9/l
1.64
44
245
41
255
2.57
3.42
6.2
3.4
0.00
0.00
estimate
-0.00
12
47
11
29
4.33
3.37
20.6
5.5
0.73
0.68
%
0.17
11
29
29
154
2.56
3.36
3.0
2.1
—
—
—
0
0
41
257
2.53
3.33
6.2
3.4
0.00
0.00
estimate
-0.00
11
44
27
139
2.58
3.33
6.3
2.5
—
—
—
0
0
43
276
2.56
3.32
10.7
5.9
1.73
1.91
e9/l
0.71
43
248
46
306
2.61
3.27
16.6
4.5
7.00
6.60
mmol/l
0.20
46
287
12
36
3.83
3.22
7.2
3.3
—
—
—
0
0
40
254
2.43
3.08
7.3
4.8
0.00
0.00
estimate
-0.00
12
47
5
5
10.65
3.02
2.4
11.8
49.60
63.20
%
—
5
5
28
153
2.43
3.00
1.6
1.4
0.45
0.90
u/ml
1.25
11
41
6
9
7.19
2.93
1.2
1.4
—
—
—
0
0
10
29
3.87
2.83
22.1
5.5
1.18
1.55
%
—
10
29
13
49
3.05
2.81
19.1
6.0
—
—
—
0
0
38
243
2.30
2.79
9.7
5.8
0.56
0.64
%
0.38
38
231
32
193
2.26
2.67
6.9
3.2
52.61
49.83
e6/l
0.02
27
133
11
37
3.35
2.64
6.4
3.6
—
—
—
0
0
6
11
5.87
2.60
35.5
2.4
25.53
25.59
mmol/l
—
6
11
45
315
2.31
2.59
14.3
9.4
4.61
3.82
e9/l
0.87
45
277
30
180
2.21
2.50
3.0
4.2
23.73
35.99
ng/l
0.41
20
124
38
252
2.17
2.46
9.7
5.7
2.03
2.81
%
1.64
38
239
12
47
2.89
2.42
1.3
1.4
—
—
—
0
0
5
8
6.64
2.41
2.6
8.3
—
—
—
0
0
8
23
3.80
2.35
3.0
4.9
0.70
0.68
%
—
8
23
38
257
2.11
2.28
9.8
5.9
8.77
8.47
%
0.34
38
245
8
24
3.64
2.26
3.0
4.8
1.70
1.24
%
—
8
24
38
262
2.04
2.12
8.9
5.6
59.90
55.78
%
1.02
38
250
38
266
1.99
1.99
9.8
5.8
24.65
29.65
%
2.13
38
254
22
128
2.07
1.91
6.5
3.1
—
—
—
0
0
8
29
2.99
1.86
3.5
4.2
128.25
124.62
g/l
—
8
29
7
23
3.27
1.85
21.0
6.7
—
—
—
0
0
14
70
2.26
1.74
3.2
1.7
—
—
—
0
0
6
19
3.36
1.70
1.0
1.8
—
4.78
—
0
6
22
136
1.92
1.59
4.8
3.2
—
—
—
0
0
5
15
3.51
1.55
1.4
1.5
—
—
—
0
0
6
21
3.03
1.54
7.5
4.0
—
—
—
0
0
44
341
1.85
1.53
6.0
3.7
—
—
—
0
0
5
16
3.29
1.46
1.4
1.3
—
—
—
0
0
10
47
2.33
1.42
1.4
1.6
—
—
—
0
0
13
70
2.06
1.35
1.8
1.2
—
—
—
0
0
8
35
2.46
1.32
7.5
3.5
—
—
—
0
0
14
80
1.95
1.24
2.0
1.6
—
—
—
0
0
16
96
1.88
1.24
2.1
1.8
—
—
—
0
0
22
147
1.74
1.21
6.1
6.5
—
—
—
0
0
5
20
2.62
1.17
9.0
6.0
1.10
1.03
mmol/l
—
5
20
8
40
2.13
1.16
1.8
1.3
—
—
—
0
0
18
117
1.74
1.08
2.2
2.2
—
—
—
0
0
19
129
1.66
0.97
9.9
3.9
86.84
92.12
%
0.45
19
129
19
132
1.61
0.89
3.6
3.8
—
—
—
0
0
6
32
1.96
0.84
15.2
3.3
25.58
24.78
mmol/l
—
6
32
6
32
1.96
0.84
14.2
3.2
—
—
—
0
0
0
26
0.00
0.80
0.0
2.2
—
—
—
0
0
19
136
1.55
0.78
1.6
1.4
2.12
2.37
g/l
0.23
13
75
7
38
1.94
0.76
1.0
2.3
2.49
4.22
ug/l
—
7
33
5
24
2.17
0.76
1.6
2.5
—
—
—
0
0
40
339
1.45
0.71
5.6
3.3
—
—
—
0
0
5
27
1.92
0.70
4.4
2.8
24.22
24.31
mmol/l
—
5
27
56
599
0.60
0.67
43.4
18.1
91.60
90.28
fl
0.96
56
588
56
599
0.60
0.67
44.8
18.2
123.25
134.86
g/l
6.10
56
588
56
599
0.60
0.67
43.7
18.2
4.11
4.51
e12/l
5.64
56
579
56
599
0.60
0.67
43.6
18.2
7.10
6.49
e9/l
1.32
56
580
56
599
0.60
0.67
43.4
18.1
30.48
30.11
pg
0.62
56
588
47
414
1.45
0.65
5.2
3.9
14.51
14.83
pmol/l
0.32
42
386
56
598
0.61
0.64
43.6
18.2
281.64
252.92
e9/l
1.78
56
580
0
19
0.00
0.61
0.0
1.1
—
—
—
0
0
19
148
1.40
0.51
1.9
1.4
—
—
—
0
0
56
528
1.37
0.35
28.1
12.4
23.67
20.75
mg/l
0.45
48
405
56
530
1.34
0.32
40.7
14.2
3.96
3.95
mmol/l
0.09
56
516
56
530
1.34
0.32
40.8
14.2
138.07
139.69
mmol/l
3.39
56
516
5
73
0.66
0.27
1.6
1.6
—
—
—
0
0
5
42
1.21
0.22
1.8
1.4
—
—
—
0
0
0
11
0.00
0.21
0.0
1.9
—
7.16
—
0
11
0
11
0.00
0.21
0.0
1.9
—
1.33
—
0
11
0
11
0.00
0.21
0.0
1.4
—
—
—
0
0
0
11
0.00
0.21
0.0
1.4
—
—
—
0
0
0
10
0.00
0.21
0.0
1.1
—
—
—
0
0
0
12
0.00
0.21
0.0
1.5
—
—
—
0
0
12
143
0.80
0.21
6.0
3.0
3.38
7.93
mmol/l
6.83
12
126
0
13
0.00
0.21
0.0
3.2
—
20.08
—
0
13
0
13
0.00
0.21
0.0
3.5
—
—
—
0
0
0
13
0.00
0.21
0.0
1.5
—
8.41
—
0
13
8
68
1.20
0.17
2.3
1.8
—
—
—
0
0
22
198
1.17
0.17
2.0
2.0
—
—
—
0
0
56
551
1.10
0.04
27.1
11.5
—
—
—
0
0
12
125
0.95
0.00
2.9
5.1
2.02
2.05
ug/l
0.01
12
111
17
174
0.97
0.00
2.1
2.7
—
—
—
0
0
0
8
0.00
0.00
0.0
1.1
—
—
—
0
0
0
8
0.00
0.00
0.0
1.9
—
107.25
—
0
8
0
8
0.00
0.00
0.0
1.0
—
—
—
0
0
0
8
0.00
0.00
0.0
1.9
—
3.85
—
0
8
0
8
0.00
0.00
0.0
1.9
—
—
—
0
0
0
8
0.00
0.00
0.0
1.4
—
—
—
0
0
0
7
0.00
-0.00
0.0
2.6
—
—
—
0
0
0
9
0.00
-0.00
0.0
1.1
—
—
—
0
0
0
5
0.00
-0.00
0.0
1.0
—
—
—
0
0
0
6
0.00
-0.00
0.0
1.0
—
—
—
0
0
0
7
0.00
-0.00
0.0
2.6
—
—
—
0
0
0
5
0.00
-0.00
0.0
1.2
—
—
—
0
0
0
7
0.00
-0.00
0.0
1.4
—
—
—
0
0
0
6
0.00
-0.00
0.0
1.0
—
—
—
0
0
6
65
0.92
-0.00
1.3
1.1
—
—
—
0
0
0
6
0.00
-0.00
0.0
1.5
—
—
—
0
0
0
5
0.00
-0.00
0.0
1.0
—
—
—
0
0
0
9
0.00
-0.00
0.0
2.7
—
—
—
0
0
0
6
0.00
-0.00
0.0
12.7
—
—
—
0
0
0
6
0.00
-0.00
0.0
1.5
—
—
—
0
0
0
6
0.00
-0.00
0.0
1.2
—
—
—
0
0
0
5
0.00
-0.00
0.0
15.2
—
—
—
0
0
0
9
0.00
-0.00
0.0
1.2
—
—
—
0
0
0
6
0.00
-0.00
0.0
5.0
—
—
—
0
0
0
9
0.00
-0.00
0.0
1.1
—
—
—
0
0
0
6
0.00
-0.00
0.0
1.0
—
—
—
0
0
0
6
0.00
-0.00
0.0
1.2
—
—
—
0
0
0
6
0.00
-0.00
0.0
3.8
—
—
—
0
0
0
6
0.00
-0.00
0.0
1.3
—
—
—
0
0
0
5
0.00
-0.00
0.0
1.0
—
—
—
0
0
0
7
0.00
-0.00
0.0
1.3
—
—
—
0
0
0
5
0.00
-0.00
0.0
1.0
—
—
—
0
0
5
54
0.92
-0.00
1.4
1.5
—
—
—
0
0
0
7
0.00
-0.00
0.0
1.4
—
—
—
0
0

Mortality – FinRegistry

Association

Association between endpoint E4_MARASMUS and mortality.

Females

Parameter HR [95% CI] p-value
E4_MARASMUS 5.254 [2.49, 11.07] < 0.001
Birth year 0.996 [0.99, 1.0] 0.322

During the follow-up period (1.1.1998 — 31.12.2019), 120 out of 307 females with E4_MARASMUS died.

Males

Parameter HR [95% CI] p-value
E4_MARASMUS 6.144 [2.76, 13.69] < 0.001
Birth year 0.993 [0.98, 1.0] 0.122

During the follow-up period (1.1.1998 — 31.12.2019), 90 out of 242 males with E4_MARASMUS died.

Mortality risk

Mortality risk for people of age

years, who have E4_MARASMUS.

N-year risk Females Males
1 0.561% 1.389%
5 2.995% 8.042%
10 7.721% 19.488%
15 14.526% 35.354%
20 23.997% 52.914%

Relationships between endpoints

Index endpoint: E4_MARASMUS – Nutritional marasmus

GWS hits: -

Endpoint
Case Overlap
Survival Analysis
Genetic Correlations
Genetic Signals
N (Jaccard index)
HR [CI]
rg [CI]
Hits
Coloc Hits
FinRegistry
FinnGen
FinRegistry
FinnGen
FinnGen
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