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Research on treament of moderate acute malnutrition in Philippines

This question was posted the Prevention and treatment of moderate acute malnutrition forum area and has 3 replies. You can also reply via email – be sure to leave the subject unchanged.

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fe

nutritionist

Normal user

15 Jun 2012, 07:29

In treating the moderate acute malnutrition by giving ready to use supplemental food such as plumpy doz, Is it safe to increase the dosage from 3tablespoon to 4-5 tbsp a day? to ensure that we reached the normal nutrient intake of a child.? Does the hemoglobin level of the child will also increase?

Dr Basil Kransdorff - e'Pap Technologies - info@epap.co.za

CEO - e'Pap Technologies

Normal user

15 Jun 2012, 09:23

you can do your own calculation. Typically for an inorganic refined mineral - biological absorption would be about 2% of the iron content per 100 grams in a phytate rich diet. If there are equal quantities of inorganic zinc also present - this would block about 70% of the iron which would further reduce the amount iron absorbed biologically to about 1% of the iron content.

With such small quantities of plumpy fed the quantities of iron added that could be absorbed biologically - it would be impossible to deliver the quantity of iron required by even a normal non malnourished child which would require at least 1mg absorbed daily. If the source of iron for the child is only the plumpy - then the child's iron status will in fact get worse daily because if the quantity does not address the daily needs - a deficit will result daily as the reserves if any are used up.

Dr Basil Kransdorff - e'Pap Technologies - info@epap.co.za

CEO - e'Pap Technologies

Normal user

15 Jun 2012, 09:23

you can do your own calculation. Typically for an inorganic refined mineral - biological absorption would be about 2% of the iron content per 100 grams in a phytate rich diet. If there are equal quantities of inorganic zinc also present - this would block about 70% of the iron which would further reduce the amount iron absorbed biologically to about 1% of the iron content.

With such small quantities of plumpy fed the quantities of iron added that could be absorbed biologically - it would be impossible to deliver the quantity of iron required by even a normal non malnourished child which would require at least 1mg absorbed daily. If the source of iron for the child is only the plumpy - then the child's iron status will in fact get worse daily because if the quantity does not address the daily needs - a deficit will result daily as the reserves if any are used up.

André BRIEND

Frequent user

15 Jun 2012, 09:25

Dear Marife,

Plumpy dose is not suitable for treating moderate malnutrition. This product was designed and tested to prevent malnutrition, not to treat it. I would advise not to use it for treating malnourished children.

André

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