EFFECTIVENESS AND ACCEPTABILITY OF READY-TO-USE THERAPUETIC FOODS AMONG MALNOURISHED CHILDREN IN A TERTIARY CARE HOSPITAL
AbstractBackground: Ready-to-use-therapeutic foods (RUTF) are an important component of the effective outpatient treatment of severe wasting because most of the child deaths in the world especially in developing countries is due to malnutrition. The objective of the study was to evaluate the effectiveness and acceptability of ready to use therapeutic food among malnourished children in a tertiary care hospital. Methods: An observational exploratory study based on sixty subjects with 3–120 months of age, malnourished children were chosen by universal sampling from Children Hospital Lahore, Pakistan, during the time period 1st September 2012 to 30th November 2012 with the approval of ethical committee. The study tool for investigation was a well-structured questionnaire. Results: The highest proportion of malnourished children belonged to urban areas (71.67%) and age group <24 months (65%).The effect of RUTF on weight for height and weight for age Z score from baseline to the end of follow-up was statistically significant (Paired sample t-test) (p=0.000, 0.000) but there was no significant effect of RUTF on height for age (p-value=0.14).The acceptance of food among patients was good, the proportion of patient was higher who consumed ready to use therapeutic food easily (70%), percentage of vomiting (16.7%) and complaints of diarrhoea (46.7%) after taking RUTF was less in patients. All mothers were satisfied from ready to use therapeutic foods (100%). Conclusion: Malnourished children gained weight after the short term supplementation of ready to use therapeutic food but had no significant effect on height of the patients. Its acceptability in term of taste, amount consumes and demand was good. Mother’s perception was also satisfactory regarding these foods.Keywords: Malnutrition, children, ready to use therapeutic food, RUTF
Park SE, Kim S, Ouma C, Loha M, Wierzba TF, Beck NS. Community management of acute malnutrition in the developing world. Pediatr Gastroenterol Hepatol Nutr 2012;15(4):210–9.
Bhutta ZA, Ahmed T, Black RE, Cousens S, Dewey K, Giugliani E, et al. What works? Interventions for maternal and child under nutrition and survival. Lancet 2008;371(9610):417–40.
Kumar R, Singh J, Joshi K, Singh HP, Bijesh S. Hospitalized children with severe acute malnutrition in Rewa district. Indian Pediatr 2013;1–6.
Schoness A, Lombard M, Musekiwa A, Nel E, Volmink J. Ready to use therapeutic food for home based treatment of severe acute malnutrition in children from six months to five years of age. Cochrane Database Syst Rev 2013;6:CD00900.
Isanaka S, Nombela N, Djibo A, poupard M, Van Beckhoven D, Gaboulaud V, et al. Effect of preventive supplementation with ready-to-use-therapeutic food on the nutritional status, mortality and morbidity of children 6 to 60 months in Niger: a cluster randomized trial. JAMA 2009;301(3):277–85.
Latham MC, Jonsson U, Sterken E, Kent G. RUTF stuff: Can the children be saved with fortified peanut paste? World Nutr 2011;2(2):11–2.
Thakur GS, Singh HP, Patel C. Locally prepared ready-to-use therapeutic food for children with acute malnutrition a controlled trial. Indian Pediatr 2013;50(3):295–9.
Ciliberto MA, Sandige H, Ndekha MJ, Ashorn P, Briend A, Ciliberto HM, et al. Comparison of home based therapy with ready to use therapeutic food with standard therapy in the treatment of malnourished Malawian children: A controlled clinical effectiveness trial. Am J Clin Nutr 2005;81(4):864–70.
Diop el HI, Dossou NI, Ndour MM, Briend A, Wade S. Comparison of the efficacy of a solid ready-to-use food and a liquid, milk-based diet for the rehabilitation of severely malnourished children: a randomized trial. Am J Clin Nutr 2003;78(2):302–7.
Chaparro CM, Dewey KG. Use of lipid-based nutrient supplements (LNS) to improve the nutrient adequacy of general food distribution rations for vulnerable sub-groups in emergency settings. Matern Child Nutr 2010;1:1–69.
Golden MH. Evolution of nutritional management of acute malnutrition. Indian Pediatr 2010;47(8):667–78.
Hendricks KM. Ready to use therapeutic food for prevention of childhood under nutrition. Nutr Rev 2010;68(7):429–35.
Amthor RE, Cole SM, Manary MJ. The use of home based therapy with ready to use therapeutic food to treat malnutrition in a rural area during a food crisis. J Am Diet Assoc 2009;109(3):464–7.
Dibari F, Bahwere P, Huerqa H, Irena AH, Owino V, Collins S, et al. Development of a cross-over randomized trial method to determine the acceptability and safety of novel ready-to-use therapeutic foods. Nutrition 2013;29(1):107–12.
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