Dimbuch
Ready-to-Use Therapeutic Food – RUSF
• 100 g individual sachet [530 kcal]
• Treatment of moderate acute malnutrition
• From 6 months
• About 75 kcal / kg / day during 2 months
• 1 sachet / day / person
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- Description
- Nutritional Values
- Studies
Dimbuch formula is a Ready-to-Use Supplementary Food (RUSF)
✓ For children after 6 months of age
Nutriset has developed the Dimbuch corn formula in order to:
- Enhance the acceptability of RUSF and program for target populations in areas where maize is a staple food and part of a daily diet,
- Increase the accessibility of RUSF to allow for the extension of programs and increase the coverage of vulnerable populations,
- Provide humanitarian organizations and programs with an alternative solution, adding a new reference to the Nutriset product range.
In the first years of life, children living in developing countries are most at risk of undernutrition. As this is an important period of growth and development, it is crucial to correct the nutritional status of these young groups as early as possible.
Dimbuch corn formula has been designed for the treatment of moderate acute malnutrition from the age of 6 months as part of nutritional supplementation programs. Dimbuch corn formula is also suitable for children who are coming out of therapeutic nutrition programs, to prevent relapse into severe acute malnutrition.
Dimbuch corn formula should not be given to people who are allergic to peanuts, dairy products or soy.
✓ To treat Moderate Acute Malnutrition
People who fall under the cut-off for moderate acute malnutrition (using Mid Upper Arm Circumference, Weight/Height ratio) need to receive an adapted diet that allows them to regain a normal nutritional status. The diet particularly needs to account for elevated nutrient and energy requirements.
A lipid-based nutritional supplement with a high vitamin and mineral content, such as Plumpy’Sup™ corn formula, is well-adapted to the needs of moderate acute malnourished people. Results that can be achieved with Plumpy’Sup™ have shown to be superior to those attained with fortified blended flours.
With these caracteristics, home use is possible and the product is particularly well adapted to emergency contexts or to nutritional programs to prevent malnutrition.
Dimbuch corn formula is not substitute for a varied and nutritious diet and for breastfeeding.
Immediate breastfeeding after birth, exclusive during the first 6 months and recommended for at least 24 months.
Main nutritional values
Plumpy’Nut® formula elements for 92 g*
| Energy | 530 kcal | Iron | 12 mg | Vitamin B1 | 1 mg |
| Proteins | 12 g | Iodine | 125 µg | Vitamin B2 | 2.6 mg |
| Skimmed milk | 3,6 g | ||||
| Lipids | 33 g | Selenium | 20 µg | Vitamin B6 | 1.8 mg |
| Calcium | 583 mg | Manganese | 1.5 mg | Vitamin B12 | 2.7 µg |
| Phosphorus | 552 mg | Sodium | 51 mg | Vitamin K | 27 µg |
| Potassium | 900 mg | Vitamin A | 750 µg | Biotin | 60 µg |
| Magnesium | 163 mg | Vitamin D | 15 µg | Folic acid | 455 µg DFE |
| Zinc | 12 mg | Vitamin E | 16.7 mg | Pantothenic acid | 4.9 mg |
| Copper | 1.4 mg | Vitamin C | 60 mg | Niacin | 16 mg |
Acceptability studies comparing Dimbuch corn formula with Plumpy’Sup™ (standard formula)
Both studies show good acceptability at the same level for Dimbuch corn formula and Plumpy’Sup™ (standard formula).
- In Malawi, among 40 children aged 12 to 23 months with moderate acute malnutrition
- In Kenya, rural areas of Kajiado District, among 153 children aged 12 to 24 months, and their mothers or caretakers, at high risk of food insecurity
Recent study on the efficacy of RUSF compared to Corn-Soy Blend (CSB)
This study reveals that , in the treatment of moderate acute malnutrition in children 6-23 months of age:
- RUSFs have a better impact on recovery rate than CSB
- RUSFs have a better impact on weight gain than CSB
- This superiority in terms of weight gain is only seen in children treated with RUSF containing soy isolate. In other words, according to this study, those receiving RUSF dehulled soy flour did not have a better weight gain than those receiving CSB containing dehulled soy flour.
- Children treated with RUSF have a higher fat-free tissue gain than those treated with CSB. This gain in fat-free tissue is associated with better growth in children.
Studies carried out with the Supplementary’Plumpy® formula (ex Plumpy’Sup™)
- Karakochuk C et al. “Treatment of moderate acute malnutrition with ready-to-use supplementary food results in higher overall recovery rates compared with a corn-soya blend in children in southern Ethiopia: an operations research trial.” Am J Clin Nutr. (2012); 96:911-6.
- Chang CY et al. “Children successfully treated for moderate acute malnutrition remain at risk for malnutrition and death in the subsequent year after recovery.” J Nutr. (2013); 143:215-20.
- Ackatia-Armah RS. “Malian children with moderate acute malnutrition who are treated with lipid-based dietary supplements have greater weight gains and recovery rates than those treated with locally produced cereal-legume products: a community-based, cluster-randomized trial.” Am J Clin Nutr. (2015).
Other studies carried out
- Stobaugh HC et al. “Including whey protein and whey permeate in ready-to-use supplementary food improves recovery rates in children with moderate acute malnutrition: a randomized, double-blind clinical trial.” Am J Clin Nutr. 2016 Mar;103(3):926-33.
- Wang RJ et al. “Investigation of food acceptability and feeding practices for lipid nutrient supplements and blended flours used to treat moderate malnutrition.” J Nutr. Educ Behav. 2013 May-Jun;45(3):258-63.
- Cohuet S et al. “Intra-household use and acceptability of Ready-to-Use-Supplementary-Foods distributed in Niger between July and December 2010.” Appetite. 2012 Dec;59(3):698-705.
- Matilsky DK et al. “Supplementary feeding with fortified spreads results in higher recovery rates than with a corn/soy blend in moderately wasted children.” J Nutr. (2009); 139:773-8.