Adults in urban areas tend to be obese, but they have malnourished and underweight children. Almost half of adolescent girls are chronically malnourished. Many animals were found malnourished or dehydrated. This contributed to widespread famine, leaving hundreds of thousands of people malnourished or starving. According to UNICEF, about half of children are chronically malnourished. Patients with severe gastrointestinal involvement can become profoundly malnourished. The inmates were malnourished and in extremely poor physical condition. They investigated and freed Wells who was by then severely malnourished. Most were malnourished and sick from tropical illnesses. Many were malnourished, exhausted or seriously ill. Anorexic is a description of somebody with the stereotypical thin, frail, malnourished appearance. She was extremely malnourished, which indicated she had been neglected by her caretakers. A similar disorder, seen in very young malnourished children, is kwashiorkor. Visitors observed that the children were malnourished and looked sick. WHO guidelines outline 10 general principles for the inpatient management of severely malnourished children.