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ORIGINAL ARTICLE
Year : 2020  |  Volume : 10  |  Issue : 4  |  Page : 223-228

Home Based Food Supplemented With RUTF (Ready To Use Therapeutic Food) Versus Only Home Based Food for Post Discharge Rehabilitation Phase Weight Gain in Children with Severe Acute Malnutrition


GMERS Sola, Ahmedabad, Gujarat, India

Correspondence Address:
Nehal H Patel
Professor and Head, Pediatrics Department, GMERS Medical College and Sola Civil Hospital, Near Sola High Court, Ahmedabad, 380060, Gujarat
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ijnpnd.ijnpnd_53_20

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Background: Weight gain in patients of Severe Acute Malnutrition(SAM) after discharge from child malnutrition treatment centre (CMTC) is generally not satisfactory(<5gm/kg/day) on Home-based food alone. Aim: To compare post discharge weight gain in SAM patients gradually shifted from Ready To Use Therapeutic Food to home based food with those started directly on home based food. Materials and Methods: Sixty four children with SAM were included in study. The case group was given RUTF to be consumed at home along with other home based food while for control group only home based food was advised. In both the groups patients were followed up regularly every fortnight for three visits. Their weight, Height, Mid upper arm circumference(MUAC) and Z score were monitored in each visit. The difference in weight gain in both the groups was analysed using unpaired t test. Results: Thirty two children each in both case and control group were included. Rate of weight gain in case group was 2.08gms/kg/day while in the control group was 1.6gms/kg/day. The difference was statistically not significant. But age wise subgroup analysis showed that in toddler group weight gain in case group was 2.37gms/kg/day while in control was 1.13gm/kg/day, which is statistically significant (P<0.05). Conclusion: Introduction of RUTF as supplement to home based food significantly improves post discharge weight gain in toddler age group.


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