Plumpy’Nut ®

Plumpy’Nut ®

Ready-to-Use Therapeutic Food – RUTF
• 92 g individual sachet [500 kcal]
• Treatment of Severe Acute Malnutrition
• From 6 months200 kcal / kg / day during 6 to 8 weeks
• 2 to 3 sachets / day / person

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Plumpy'Nut® is a Ready-to-Use Therapeutic Food (RUTF).

✓ For children after 6 months of age

Plumpy’Nut® is specifically formulated for the nutritional rehabilitation of children from six months of age and adults suffering from severe acute malnutrition.

The invention of Plumpy’Nut® made home treatment/ambulatory or outpatient care possible for severely malnourished children with an appetite and without medical complications.

However, the vulnerable condition of severely malnourished children requires a health practitioner's prescription and regular medical check-ups.

Plumpy'Nut® should not be given to people who are allergic to peanuts or dairy products.

✓ To treat Severe Acute Malnutrition

Children who fall under the cut-off for severe acute malnutrition need to receive an adapted diet that allows them to regain a normal nutritional status. Providing the same nutritional value (but without the same use constraints) than F-100 therapeutic milk, Plumpy’Nut® is well-adapted to the needs of severely acute malnourished children.

Since it can be used at home without prior preparation, under the supervision of the mother or another member of the family, Plumpy’Nut® made outpatient treatment possible for most of the children suffering from severe acute malnutrition. Thanks to these characteristics, the number of malnourished children treated considerably increased and the adherence to the regularity of the treatment and the recovery rate improved.

Plumpy’Nut® 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*

Energy500 kcalCopper1.5 mgVitamin B10.46 mg
Proteins12.8 gIron10.3 mgVitamin B21.5 mg
Lipids30.3 gIodine98 µgVitamin B60.55 mg
Carbohydrates45 gSelenium28 µgVitamin B121.5 µg
Calcium302 mgSodium165 mgVitamin K14.4 µg
Phosphorus343 mgVitamin A0.79 mgBiotin56 µg
Potassium1 171 mgVitamin D14 µgFolic acid184 µg
Magnesium80 mgVitamin E18.4 mgPantothenic acid2.8 mg
Zinc11.8 mgVitamin C46 mgNiacin4.6 mg

 

Studies

 

Articles

Briend A et al. Developing food supplements for moderately malnourished children: lessons learned from ready-to-use therapeutic foods. Food Nutr Bull. 2015 Mar;36(1 Suppl):S53-8.

Hsieh JC, Liu L, Zeilani M et al. High-Oleic Ready-to-Use Therapeutic Food Maintains Docosahexaenoic Acid Status in Severe Malnutrition. J Pediatr Gastroenterol Nutr. 2015 Jul;61(1):138-43.

Brenna JT et al. , Balancing omega-6 and omega-3 fatty acids in ready-to-use therapeutic foods (RUTF). BMC Med. 2015 May 15;13:117. doi: 10.1186/s12916-015-0352-1.

Smith MI et al. Gut microbiomes of Malawian twin pairs discordant for kwashiorkor. Science. 2013 Feb 1;339(6119):548-54. doi: 10.1126/science.1229000. Epub 2013 Jan 30. 

Oakley E. et al. A ready-to-use therapeutic food containing 10% milk is less effective than one with 25% milk in the treatment of severely malnourished children. J Nutr. 2010 Dec;140(12):2248-52.  

Golden MH. Evolution of nutritional management of acute malnutrition. Indian Pediatr. 2010 Aug;47(8):667-78. Review.  

Manary MJ. Et al. Local production and provision of ready-to-use therapeutic food (RUTF) spread for the treatment of severe childhood malnutrition. Food Nutr Bull. 2006 Sep;27(3 Suppl):S83-9. Review.

 

Reference documents

WHO “Updates on management of severe acute malnutrition in infants and children.” (2013)

WHO/WFP/UNICEF/UNSCN. “Community-based management of severe acute malnutrition, A Joint Statement by the World Health Organization, the World Food Programme, the United Nations System Standing Committee on Nutrition and the United Nations Children’s Fund.” (2007, updated in 2011)

WHO "Management of severe malnutrition: a manual for physicians and other senior health workers". (1999)