Back to Search
Start Over
Critical appraisal of the management of severe malnutrition: 2. Dietary management.
- Source :
-
Journal of Paediatrics & Child Health . Oct2006, Vol. 42 Issue 10, p575-582. 8p. 1 Chart. - Publication Year :
- 2006
-
Abstract
- In the dietary management of severe acute malnutrition in children, there is evidence to support the WHO Manual’s protocol of cautious feeding of a low energy and protein formula with small frequent feeds in the initial phase of treatment, particularly in kwashiorkor. However, this initial milk diet (WHO F-75) might benefit from increasing the sulphur amino acid, phosphorus and potassium content and reducing the lactose content, but further studies are needed. Careful tube-feeding results in faster initial recovery and weight gain, but has a significant risk of aspiration in poorly supervised settings. Ready-to-use therapeutic food is an important recent advance in the dietary management of malnutrition in ambulatory settings, allowing more effective prevention programmes and earlier discharge from hospital where community follow-up is available. It should be included in future protocols. There is very good evidence on the use of micronutrients such as zinc, and preliminary evidence suggests that smaller doses of daily vitamin A are preferable to a single large dose on admission for severe malnutrition. [ABSTRACT FROM AUTHOR]
- Subjects :
- *MALNUTRITION
*DIET
*MILK
*KWASHIORKOR
*MICRONUTRIENTS
*CHILDREN
*MANAGEMENT
Subjects
Details
- Language :
- English
- ISSN :
- 10344810
- Volume :
- 42
- Issue :
- 10
- Database :
- Academic Search Index
- Journal :
- Journal of Paediatrics & Child Health
- Publication Type :
- Academic Journal
- Accession number :
- 22172432
- Full Text :
- https://doi.org/10.1111/j.1440-1754.2006.00932.x