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Assessing the Efficacy of Low Cost Indigenously Produced Soya Based Ready to Use Therapeutic Food with Standard Indigenously Produced Peanut Based Ready to Use Therapeutic Food | Abstract
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International Journal of Medical Research & Health Sciences (IJMRHS)
ISSN: 2319-5886 Indexed in: ESCI (Thomson Reuters)

Abstract

Assessing the Efficacy of Low Cost Indigenously Produced Soya Based Ready to Use Therapeutic Food with Standard Indigenously Produced Peanut Based Ready to Use Therapeutic Food

Author(s):Lavina Fernandes*, Alka Rajendra Jadhav, Prachi Karnik, Blossom Rodrigues, Divya Ananthasubramanian and Annapurna Koli

Background: Ready-to-Use Therapeutic Food (RUTF) is considered a gold standard in management of Severely Acute Malnourished (SAM) children. Its use is limited in resource poor settings due to cost constraint. We prepared Soya based RUTF costing 25% less using WHO recommendations. Objective: To compare efficacy between soya based RUTF named as Soya-Medical Nutrition Therapy (S-MNT) and standard Peanut based RUTF named as Peanut-Medical Nutrition Therapy (P-MNT) in treatment of SAM. Methods: This open randomized controlled trial enrolled children between (6-60) months, diagnosed as SAM by WHO criteria. Subjects were divided into two groups that received S-MNT or P-MNT for 12 weeks. Main outcome measures were rate of weight gain (g/kg/day) and change in nutritional status. Result: Of 125 SAM children enrolled, 78 completed 12 weeks of intervention. At week 2, rate of weight gain in P-MNT was 2.8 g/kg/day and S-MNT was 2.43 g/kg/day (p=0.662). At 12 weeks, it was 0.75 g/kg/day in P-MNT and 0.87 g/kg/day in S-MNT (p=0.821). The mean rate of weight gain in P-MNT group was 2.49 g/kg/day while in S-MNT group was 1.78 g/kg/day which were statistically not significant. 75% subjects recovered from SAM in S-MNT while 89.13% in P-MNT (p=0.496). Pre and Post mean weight in both the groups were significant (p<0.001). 25% subjects had less than 30% consumption of S-MNT compared to 13.04% in P-MNT group.  Conclusion: S-MNT was found to be as efficacious as P-MNT and hence can be a good alternative in SAM management. Soya based RUTF reduces cost of therapy without compromising the nutritional quality of RUTF.


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