Department of Nutrition, Faculty of Health Sciences, University of Venda, Private Bag X5050, Thohoyandou, 0950, South Africa.
Department of Nutrition and Dietetics, College of Agriculture, Food Science and Technology, Wesley University, PMB 507 Ondo, Ondo State, Nigeria.
Curr Nutr Rep. 2023 Dec;12(4):603-616. doi: 10.1007/s13668-023-00505-9. Epub 2023 Oct 28.
This review provides information on the prospect and effectiveness of ready-to-use therapeutic foods (RUTFs) produced locally without the addition of milk and peanut.
The foods used in fighting malnutrition in the past decades contributed little to the success of the alleviation program due to their non-effectiveness. Hence, RUTFs are introduced to fight malnutrition. The peanut allergies, the high cost of milk, and the high production cost of peanut RUTF have made its distribution, treatment spread, and accessibility very slow, especially in areas where it is highly needed. There is a need, therefore, for a low-cost RUTF that is acceptable and effective in treating severe acute malnutrition among under-5 children. This review shows both the success and failure of reported studies on the use of non-peanut and non-milk RUTF, including their cost of production as compared to the standard milk and peanut-based RUTF. It was hypothesised that replacing the milk ingredient component with legumes like soybeans can reduce the cost of production of RUTFs while also delivering an effective product in managing and treating severe acute malnutrition (SAM). Consumers generally accept them better because of their familiarity with the raw materials.
本文提供了关于本地生产的无需添加牛奶和花生的即食治疗食品（RUTF）的前景和有效性的信息。
过去几十年用于对抗营养不良的食品由于其效果不佳，对缓解计划的成功贡献甚微。因此，引入 RUTF 来对抗营养不良。花生过敏、牛奶成本高以及花生 RUTF 生产成本高，导致其分布、治疗传播和可及性非常缓慢，尤其是在非常需要的地区。因此，需要一种低成本的 RUTF，它在治疗 5 岁以下儿童严重急性营养不良方面是可接受且有效的。本综述展示了报告的关于使用非花生和非牛奶 RUTF 的研究的成功和失败，包括其生产成本与标准牛奶和花生基 RUTF 的比较。研究假设用大豆等豆类替代牛奶成分可以降低 RUTF 的生产成本，同时在治疗严重急性营养不良（SAM）方面提供有效的产品。由于消费者对原材料比较熟悉，因此他们通常更容易接受这些产品。
