Energy needs in the treatment of uncomplicated severe acute malnutrition: Secondary analysis to optimize delivery of ready-to-use therapeutic foods

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Standard

Energy needs in the treatment of uncomplicated severe acute malnutrition : Secondary analysis to optimize delivery of ready-to-use therapeutic foods. / Isanaka, Sheila; Andersen, Christopher T; Hanson, Kerstin E; Berthé, Fatou; Grais, Rebecca F; Briend, André.

I: Maternal and Child Nutrition, Bind 16, Nr. 4, e12989, 2020.

Publikation: Bidrag til tidsskriftTidsskriftartikelForskningfagfællebedømt

Harvard

Isanaka, S, Andersen, CT, Hanson, KE, Berthé, F, Grais, RF & Briend, A 2020, 'Energy needs in the treatment of uncomplicated severe acute malnutrition: Secondary analysis to optimize delivery of ready-to-use therapeutic foods', Maternal and Child Nutrition, bind 16, nr. 4, e12989. https://doi.org/10.1111/mcn.12989

APA

Isanaka, S., Andersen, C. T., Hanson, K. E., Berthé, F., Grais, R. F., & Briend, A. (2020). Energy needs in the treatment of uncomplicated severe acute malnutrition: Secondary analysis to optimize delivery of ready-to-use therapeutic foods. Maternal and Child Nutrition, 16(4), [e12989]. https://doi.org/10.1111/mcn.12989

Vancouver

Isanaka S, Andersen CT, Hanson KE, Berthé F, Grais RF, Briend A. Energy needs in the treatment of uncomplicated severe acute malnutrition: Secondary analysis to optimize delivery of ready-to-use therapeutic foods. Maternal and Child Nutrition. 2020;16(4). e12989. https://doi.org/10.1111/mcn.12989

Author

Isanaka, Sheila ; Andersen, Christopher T ; Hanson, Kerstin E ; Berthé, Fatou ; Grais, Rebecca F ; Briend, André. / Energy needs in the treatment of uncomplicated severe acute malnutrition : Secondary analysis to optimize delivery of ready-to-use therapeutic foods. I: Maternal and Child Nutrition. 2020 ; Bind 16, Nr. 4.

Bibtex

@article{71e3273f234243e28aaa529335d3735c,
title = "Energy needs in the treatment of uncomplicated severe acute malnutrition: Secondary analysis to optimize delivery of ready-to-use therapeutic foods",
abstract = "Outpatient therapeutic feeding protocols for the treatment of uncomplicated severe acute malnutrition in children were initially based on weight gain data from inpatient settings and expert knowledge of the physiological requirements during recovery. However, weight gain and energy requirements from historic inpatient settings may differ from modern outpatient settings and therefore may not be appropriate to guide current therapeutic feeding protocols. We calculated the weight gain and average estimated total daily energy requirement of children successfully treated for uncomplicated severe acute malnutrition as outpatients in Niger (n = 790). Mean energy provided by six therapeutic feeding protocols was calculated and compared with average estimated energy requirements in the study population. Overall weight gain was 5.5 g·kg-1 ·day-1 among recovered children. Average energy requirements ranged from 92 to 110 kcal·kg-1 ·day-1 depending on the estimation approach. Two current therapeutic feeding protocols were found to provide an excess of energy after the first week of treatment in our study population, whereas four research protocols tended to provide less energy than the estimated requirement after the first week of treatment. Alternative feeding protocols have the potential to simplify and lead to important savings for programmes but should be evaluated to show adequacy to meet the energy needs of children under treatment, as well as feasibility and cost efficiency. Our findings rely on theoretical calculations based on several assumptions and should be confirmed in field studies.",
keywords = "Faculty of Science, Community-based management of acute malnutrition, Energy requirement, Niger, Ready-to-use therapeutic food, Severe acute malnutrition, Weight gain",
author = "Sheila Isanaka and Andersen, {Christopher T} and Hanson, {Kerstin E} and Fatou Berth{\'e} and Grais, {Rebecca F} and Andr{\'e} Briend",
note = "{\circledC} 2020 The Authors. Maternal & Child Nutrition published by John Wiley & Sons Ltd.",
year = "2020",
doi = "10.1111/mcn.12989",
language = "English",
volume = "16",
journal = "Maternal and Child Nutrition",
issn = "1740-8695",
publisher = "Wiley-Blackwell",
number = "4",

}

RIS

TY - JOUR

T1 - Energy needs in the treatment of uncomplicated severe acute malnutrition

T2 - Secondary analysis to optimize delivery of ready-to-use therapeutic foods

AU - Isanaka, Sheila

AU - Andersen, Christopher T

AU - Hanson, Kerstin E

AU - Berthé, Fatou

AU - Grais, Rebecca F

AU - Briend, André

N1 - © 2020 The Authors. Maternal & Child Nutrition published by John Wiley & Sons Ltd.

PY - 2020

Y1 - 2020

N2 - Outpatient therapeutic feeding protocols for the treatment of uncomplicated severe acute malnutrition in children were initially based on weight gain data from inpatient settings and expert knowledge of the physiological requirements during recovery. However, weight gain and energy requirements from historic inpatient settings may differ from modern outpatient settings and therefore may not be appropriate to guide current therapeutic feeding protocols. We calculated the weight gain and average estimated total daily energy requirement of children successfully treated for uncomplicated severe acute malnutrition as outpatients in Niger (n = 790). Mean energy provided by six therapeutic feeding protocols was calculated and compared with average estimated energy requirements in the study population. Overall weight gain was 5.5 g·kg-1 ·day-1 among recovered children. Average energy requirements ranged from 92 to 110 kcal·kg-1 ·day-1 depending on the estimation approach. Two current therapeutic feeding protocols were found to provide an excess of energy after the first week of treatment in our study population, whereas four research protocols tended to provide less energy than the estimated requirement after the first week of treatment. Alternative feeding protocols have the potential to simplify and lead to important savings for programmes but should be evaluated to show adequacy to meet the energy needs of children under treatment, as well as feasibility and cost efficiency. Our findings rely on theoretical calculations based on several assumptions and should be confirmed in field studies.

AB - Outpatient therapeutic feeding protocols for the treatment of uncomplicated severe acute malnutrition in children were initially based on weight gain data from inpatient settings and expert knowledge of the physiological requirements during recovery. However, weight gain and energy requirements from historic inpatient settings may differ from modern outpatient settings and therefore may not be appropriate to guide current therapeutic feeding protocols. We calculated the weight gain and average estimated total daily energy requirement of children successfully treated for uncomplicated severe acute malnutrition as outpatients in Niger (n = 790). Mean energy provided by six therapeutic feeding protocols was calculated and compared with average estimated energy requirements in the study population. Overall weight gain was 5.5 g·kg-1 ·day-1 among recovered children. Average energy requirements ranged from 92 to 110 kcal·kg-1 ·day-1 depending on the estimation approach. Two current therapeutic feeding protocols were found to provide an excess of energy after the first week of treatment in our study population, whereas four research protocols tended to provide less energy than the estimated requirement after the first week of treatment. Alternative feeding protocols have the potential to simplify and lead to important savings for programmes but should be evaluated to show adequacy to meet the energy needs of children under treatment, as well as feasibility and cost efficiency. Our findings rely on theoretical calculations based on several assumptions and should be confirmed in field studies.

KW - Faculty of Science

KW - Community-based management of acute malnutrition

KW - Energy requirement

KW - Niger

KW - Ready-to-use therapeutic food

KW - Severe acute malnutrition

KW - Weight gain

U2 - 10.1111/mcn.12989

DO - 10.1111/mcn.12989

M3 - Journal article

C2 - 32144946

VL - 16

JO - Maternal and Child Nutrition

JF - Maternal and Child Nutrition

SN - 1740-8695

IS - 4

M1 - e12989

ER -

ID: 237756352