即食辅食治疗6 ~ 59月龄儿童中度急性营养不良的制备

Patricia M. Ntsama, J. Tsafack, G. Medoua, C. Mbofung
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摘要

中度营养不良的儿童死亡率高,MAM与大量与营养有关的死亡有关。如果其中一些患有MAM的儿童得不到足够的支持,他们可能会发展为严重急性营养不良(SAM),这是一种危及生命的疾病。因此,MAM的管理应成为公共卫生的重点。根据世卫组织关于治疗6 -59个月的中度急性营养不良儿童的建议,制定了均衡的饮食。根据配方,以谷物、豆类、种子、油脂、糖、维生素和矿物质预混料配制了9种RUSF产品。经感官评价,母亲认为RUSF MSPe、PBPe和ISPe三种产品较好。根据儿童感官评价,RUSF MSPe是三种产品中效果最好的。对产品进行了近似成分、矿物质、维生素、蛋白质消化率的分析。100 g产品的蛋白质、脂肪、碳水化合物、膳食纤维、总灰分、维生素C、维生素A、铁、钙、锌含量分别为15.9g、33.7g、44.3g、6.6g、2.2g、54.6 mg、855µg、14.1 mg、66.6 g、12.4µg。日粮可提供544.5千卡/100克。蛋白质、脂肪和碳水化合物分别占总热量的11.68%、55.7%和32.62%。蛋白质消化率经化学指标PDCASS调整为0.95。因此,制备的RUSF符合世卫组织给出的规格,可在临床试验后有效治疗中度急性营养不良儿童。
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Preparation of Ready to Use Supplementary Food for Treating Moderate Acute Malnutrition in Children Aged 6 to 59 Months
Children with moderate malnutrition have a high risk of mortality and MAM is associated with a high number of nutrition-related deaths. If some of these children suffering from MAM do not receive adequate support, they may progress towards severe acute malnutrition (SAM), which is a life-threatening condition. Therefore, the management of MAM should be a public health priority A well-balanced diet was prepared based on the recommendation of WHO for the treatment of moderate acute malnourished children aged 6 -59 months.  According to the formulae, nine products of RUSF were prepared using cereals, legumes, seeds, oil, sugar, and vitamin and mineral premix. Three products of RUSF MSPe, PBPe, and ISPe were found to be better among the nine products by the mothers after sensory evaluation. Based on sensory evaluation in children, RUSF   MSPe was found to be the best among the three products. The product was analyzed for proximate composition, mineral, vitamin, digestibility of protein.  The protein, fat, carbohydrate, dietary fiber, total ash, vitamin C, Vitamin A,  iron, calcium and zinc of 100 g of the product were found to be  15.9g, 33.7g, 44.3g, 6.6g, 2.2g, 54.6 mg, 855 µg,  14.1 mg,  66.6 g and  12.4 µg respectively. The diet can supply 544.5 Kcal/100 g. The energy contributed by the protein, fat, and carbohydrate was found to be 11.68%, 55.7%, and 32.62% of total Kcals respectively. The protein digestibility adjusted to the chemical index PDCASS was 0.95. Hence, the prepared RUSF is in accordance with the specification given by WHO which could be effective in the treatment of moderate acute malnourished children after the clinical trial.
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