Lubis Anwar, Riyadi Hadi, Khomsan Ali, Rimbawan Rimbawan, Shagti Indhira
Postgraduate in Nutrition Science, Department of Community Nutrition, Faculty of Human Ecology, Institut Pertanian Bogor, Bogor, Indonesia.
Department of Family Welfare Education, Faculty of Engineering, Universitas Negeri Makassar, Makassar, Indonesia.
Narra J. 2024 Aug;4(2):e846. doi: 10.52225/narra.v4i2.846. Epub 2024 Jul 15.
Severe acute malnutrition (SAM) is a global health concern that affects children and leads to delayed growth. The aim of this study was to compare the impact of F100 milk and , a local ready-to-use therapeutic food (RUTF), on SAM children. An unmasked, non-blinded, two-group, and simple randomized controlled trial was conducted. Indonesian children aged 12-59 months with SAM were randomly assigned to receive either F100 milk or . After eight weeks, the increase in the mean weight gain in both groups was assessed. The group (n=19) had a mean weight gain of 1.07±0.09 kg, while the F100 group (n=17) had a mean weight gain of 1.05±0.11 kg. The group had a slightly higher gain of mid-upper arm circumference (MUAC) than the F100 group (0.62±0.34 cm vs 0.50±0.37 cm). The gain of children's height of the group was 0.96±0.42 cm, while the F100 group was shorter at a mean of 0.81±0.44 cm. Statistically significant differences (<0.001) in nutritional status were observed based on weight, MUAC, and height/length after F100 and interventions. The intervention with F100 increased hemoglobin (Hb) levels of 0.71±1.25 mg/dL, while the intervention led to an increase of 0.11±1.39 mg/dL. In conclusion, our study showed that community-based treatment with F100 milk or resulted in nutritional status in children with SAM. These findings suggested that both treatments could be effective in treating SAM in improving nutritional status and child health outcomes.
重度急性营养不良(SAM)是一个影响儿童并导致生长发育迟缓的全球健康问题。本研究的目的是比较F100牛奶和一种当地即用型治疗性食品(RUTF)对重度急性营养不良儿童的影响。开展了一项开放、非盲、两组、简单随机对照试验。将年龄在12至59个月的印度尼西亚重度急性营养不良儿童随机分配接受F100牛奶或[当地即用型治疗性食品名称缺失]。八周后,评估两组平均体重增加情况。[当地即用型治疗性食品组](n = 19)平均体重增加1.07±0.09千克,而F100组(n = 17)平均体重增加1.05±0.11千克。[当地即用型治疗性食品组]的中上臂围(MUAC)增加略高于F100组(0.62±0.34厘米对0.50±0.37厘米)。[当地即用型治疗性食品组]儿童身高增加0.96±0.42厘米,而F100组平均身高增加较短,为0.81±0.44厘米。在F100和[当地即用型治疗性食品]干预后,基于体重、MUAC和身高/身长观察到营养状况存在统计学显著差异(<0.001)。F100干预使血红蛋白(Hb)水平增加0.71±1.25毫克/分升,而[当地即用型治疗性食品]干预导致增加0.11±1.39毫克/分升。总之,我们的研究表明,用F100牛奶或[当地即用型治疗性食品名称缺失]进行社区治疗可改善重度急性营养不良儿童的营养状况。这些发现表明,两种治疗方法在改善营养状况和儿童健康结局方面治疗重度急性营养不良可能都是有效的。