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Micronutrients for SAM cases

This question was posted the Prevention and treatment of severe acute malnutrition forum area and has 5 replies. You can also reply via email – be sure to leave the subject unchanged.

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shima mansor

program nutrition officer

Normal user

19 Jan 2017, 18:50

Recently , i knew from one tecnical nutrition health worker about the relation between micronutrients that used to enhance the appetite in SAM children to feed them later on with plumpy nut . I'm not sure if this scintifically based on evidence or it is just a general observation in some cases . Do any one have an article or prove in this regard ??.

Regards

Yusuf Lare

Program Manager

Normal user

21 Jan 2017, 11:20

Dear senior Nutritional Experts
what I meant is not the feeding practices with plumpy nut feeding for the Children above five years, but for the children under-five who are very seriously malnourished.


thanks a lot
yours best listening

Hamed Abdu

Save the Children International

Normal user

22 Jan 2017, 05:27

Hello Shima,

In my experience and knowledge, MNP should not be given to the SAM and MAM cases as one of the component of the plumpy nut/sup is Micro nutrient.

André BRIEND

Frequent user

23 Jan 2017, 14:57

Dear Shima,

Ideally, children with no appetite should be fed F-75 and associated complications which may induce anorexia, mainly infections, should be treated. In that case, there is no need to give Micro Nutrient Powder (MNP) as F-75 is already fortified with all nutrients needed by SAM children.

I am not aware of any evidence showing than MNP have an effect on anorexia in SAM children. I am not sure it is a good idea either, as these MNP often have a high iron content which can create problems in children with infections or oxidative stress.

shima mansor

program nutrition officer

Normal user

24 Jan 2017, 07:10

Thanks Hamed & Andre for your replies . I'm with you in what you said . I'm not sure about the relation between micronutrients and enhancing appetitie in SAM cases . I tried to search for any article or evidence to support this practice , but i did not find .

Thanks a gain and happy to recieve any comemnts if any .

Regards

Mushtaq HassaN

Project Manager/ Relief Pakistan

Normal user

24 Jan 2017, 08:31

Dear All,
Greetings from Pakistan.
It has been a very interesting topic because normally in field, we don't follow the rules to provide MM Supplements in addition to the others.
While going through this case, I have always observed that whenever we apply Multivitamins or Micro-nutrients, the appetite tends to improve. It has been observed in around 50% cases in the field and mostly, talking from Medical Point of View, the Practitioners always prescribe the multivitamins just with the intentions to increase the appetite.
Any other reply in this case will be highly valued.

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