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Dosage of RUTF

This question was posted the Prevention and treatment of severe acute malnutrition forum area and has 2 replies. You can also reply via email – be sure to leave the subject unchanged.

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Joseph

Normal user

13 Sep 2011, 13:17

The recommendations of RUTF are based on 200kcal per kg per day for under fives. Taking an example of a child who is, say 10.5kg, a dose of 4.2 sachets per day( 4.5 in the dosage chart of IMAM). This is 2100Kcal per day. RDI for children between 0 to 8 year has between 900 Kcal to 1400 Kcal (NCHS 2006). What are the assumptions behind the dosage of RUTF resulting to extra calories per day?

Rogers Wanyama

Emergency Nutrition Specialist

Normal user

13 Sep 2011, 16:47

Hi Njau

The ration of RUTF aims to provide the child with all of their nutritional needs for RECOVERY from SAM.

Thanks

André BRIEND

Frequent user

13 Sep 2011, 17:18

Energy requirements for catch up growth can be roughly estimated with the assumption that maintenance requirements are 80-100 kcal/kg and the cost of growth is about 5 kcal /g. 200 kcal/day is more than twice the energy intake recommended for a well nourished child. It corresponds to the requirement for a catch up growth of around 20 g/kg/day (100 + 5 x 20), a weight gain never achieved in OTP. This recommendation goes back to the old days when the recovery phase took place in hospital, where feeds were supervised and weight gains often much higher than in OTPs. Now in community settings, weight gain are lower, typically 5 g/kg/day on average and children presumably never eat that much RUTF. A lower recommendation, around 150 kcal/kg/day to take into account children with a weight gain higher than average and some wastage, would be more appropriate.

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