Protein quality in ready‐to‐use supplementary foods for moderate wasting
Bibliographic Data
| ID | 15536665 |
|---|---|
| Authors | Rebecca Roediger (0000-0001-8175-2703, Washington University in St. Louis), Hans H Stein (0000-0002-4855-661X, University of Illinois Urbana-Champaign), Meghan Callaghan‐Gillespie (0000-0002-5307-8616, Washington University in St. Louis), Jeffrey Kahn Blackman (Washington University in St. Louis), Kristin Kohlmann (0000-0003-0959-563X, Washington University in St. Louis), Kenneth Maleta (0000-0002-2536-3938, University of Malawi), Mark J Manary (0000-0003-2733-9568, University of Malawi, corresponding author) |
| Year | 2020 |
| Volume | 16 |
| Issue | 4 |
| Pages | e13019-e13019 |
| Publication date | 2020-05-19 |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | Maternal and Child Nutrition (JOURNAL) |
| Journal identifiers | ISSN: 1740-8695 • E-ISSN: 1740-8709 |
| Publisher | Wiley (PUBLISHER • GB) |
| DOI | 10.1111/mcn.13019 |
| PMID | 32426949 |
| OpenAlex | W3027935880 |
| Language | EN |
| Citations received | 1 |
| References cited | 23 |
There are no guidelines for the optimal protein quality of ready-to-supplementary food (RUSF) for moderate acute malnutrition (MAM). This randomized, controlled, double-blinded, clinical effectiveness trial evaluated two RUSFs in the treatment of MAM. Both foods contained greater than 7% dairy protein, but the protein-optimized RUSF had a calculated digestible indispensable amino acid score (DIAAS) of 95%, whereas the control RUSF had a calculated DIAAS of 63%. There were 1,737 rural Malawian children 6-59 months of age treated with 75 kcal/kg/day of either control or protein quality-optimized RUSF for up to 12 weeks. There was no difference in the proportion of children who recovered from MAM between the group that received protein-optimized RUSF (759/860, 88%) and the group that received control RUSF (766/877, 87%, difference 1%, 95% CI, -2.1 to 4.1, p = 0.61). There were no differences in time to recovery or average weight gain; nor were adverse effects reported. Both RUSFs showed indistinguishable clinical outcomes, with recovery rates higher than typically seen in treatment for MAM. The DIAAS of these two RUSFs was measured using a pig model. Unexpectedly, the protein quality of the optimized RUSF was inferior to the control RUSF: DIAAS = 82% for the protein quality optimized RUSF and 96% for control RUSF. The controlled conditions of this trial suggest that in supplementary food products for MAM, protein quality is not an independent predictor of clinical effectiveness
Adverse effect · Animal science · Biology · Pathology · Protein quality · Randomized controlled trial · Wasting · Child Nutrition and Feeding Issues · Child Nutrition and Water Access · Food Security and Health in Diverse Populations · Medicine · Internal Medicine
| Citations per year | 0.17 |
|---|---|
| Citation span | 2020 - 2020 (1) |
| Highly cited | No |