513
23.3.2 Ready-to-Use Supplementary Foods
Ready-to-use supplementary foods (RUSF) are similar in design to RUTF but are
less nutrient-dense and only provide part of the body’s daily energy and nutrient
requirements. The milk powder in RUTF has been replaced by whey protein and soy
protein isolates thus reducing the energy content and cost of RUSF (ACF 2011).
RUSFs are commonly formulated in the form of pastes (e.g. Plumpy’sup
®
and
the locally produced peanut/soy spreads in Malawi). Plumpy’sup
®
comes in packets
of 92 g and provide 500 kcal of energy. Supplementation with RUSF is not to substitute the normal diet but rather patients are expected to eat normal meals in addition to the product (ACF 2011).
23.3.2.1 Indication and Dosage
RUSF is used in the treatment of moderate acute malnutrition (MAM). The recommended dosage is much lower than with RUTF, at 75 kcal/kg/day (ACF 2011).
23.3.3 Ready-to-Use Complementary Foods (RUCFs)
Ready-to-use Complementary foods (RUCFs) contain an ingredient mix similar to
RUTF and RUSF. Examples of products; Plumpy’doz
®
and Nutributter
®
. RUCFs are
primarily used for prevention of acute malnutrition (ACF 2011).
When the goal of treatment is to avoid deterioration of nutritional status, RUCFs
are administered in doses around 50 g per day (e.g. Plumpy’doz
®
) specifically targeting the general population of young children (6–23 months). Doses of around
20 g a day tend to be used for the prevention of micronutrient deficiencies e.g.
Nutributter
®
(ACF 2011).
23.3.4 Fortified Blended Foods (FBF)
These are often used in the treatment and prevention of moderate acute malnutrition, and used as a supplementary food for pregnant and lactating mothers and certain other patients e.g. those with HIV/AIDS and TB (ACF 2011). The common
base for these foods is a blend of milled cereals and soya, to which a micronutrient
mix, milk powder, oil or sugar may be added e.g. Corn Soy Blend (CSB) CSB+,
CSB++, wheat soy blend.
The ingredients in FBF are pre-mixed and the product can be made into a porridge for serving. Fortified blended foods can be availed to patients either as ‘wet
rations’ or ‘dry rations’. Programs utilizing the approach of ‘wet rations’ usually
23 Medical Foods and Infant Formulas
23.3.2 Ready-to-Use Supplementary Foods
Ready-to-use supplementary foods (RUSF) are similar in design to RUTF but are
less nutrient-dense and only provide part of the body’s daily energy and nutrient
requirements. The milk powder in RUTF has been replaced by whey protein and soy
protein isolates thus reducing the energy content and cost of RUSF (ACF 2011).
RUSFs are commonly formulated in the form of pastes (e.g. Plumpy’sup
®
and
the locally produced peanut/soy spreads in Malawi). Plumpy’sup
®
comes in packets
of 92 g and provide 500 kcal of energy. Supplementation with RUSF is not to substitute the normal diet but rather patients are expected to eat normal meals in addition to the product (ACF 2011).
23.3.2.1 Indication and Dosage
RUSF is used in the treatment of moderate acute malnutrition (MAM). The recommended dosage is much lower than with RUTF, at 75 kcal/kg/day (ACF 2011).
23.3.3 Ready-to-Use Complementary Foods (RUCFs)
Ready-to-use Complementary foods (RUCFs) contain an ingredient mix similar to
RUTF and RUSF. Examples of products; Plumpy’doz
®
and Nutributter
®
. RUCFs are
primarily used for prevention of acute malnutrition (ACF 2011).
When the goal of treatment is to avoid deterioration of nutritional status, RUCFs
are administered in doses around 50 g per day (e.g. Plumpy’doz
®
) specifically targeting the general population of young children (6–23 months). Doses of around
20 g a day tend to be used for the prevention of micronutrient deficiencies e.g.
Nutributter
®
(ACF 2011).
23.3.4 Fortified Blended Foods (FBF)
These are often used in the treatment and prevention of moderate acute malnutrition, and used as a supplementary food for pregnant and lactating mothers and certain other patients e.g. those with HIV/AIDS and TB (ACF 2011). The common
base for these foods is a blend of milled cereals and soya, to which a micronutrient
mix, milk powder, oil or sugar may be added e.g. Corn Soy Blend (CSB) CSB+,
CSB++, wheat soy blend.
The ingredients in FBF are pre-mixed and the product can be made into a porridge for serving. Fortified blended foods can be availed to patients either as ‘wet
rations’ or ‘dry rations’. Programs utilizing the approach of ‘wet rations’ usually
23 Medical Foods and Infant Formulas