Is Plumpy Doz safe to give to SAM children?

This question was posted the Prevention and treatment of moderate acute malnutrition forum area and has 5 replies. You can also reply via email – be sure to leave the subject unchanged.

» Post a reply

Anonymous 411

Nutritionist

Normal user

9 Jun 2010, 18:04

We are planning to integrate MUAC measurement into Child Health Week. Our aim is to identify as many SAM as possible who will be referred to the closest CMAM site and to get a sense of the nutritional situation in war torn difficult to reach districts. An organization has some expiring Plumpy Doz and wants to distribute it to those children who attend the CHW. My concern is for those who are SAM and the Nutritional content of Plumpy Doz. I am not sure its iron and or soduim content and am hesitating if we could accept it being distributed to all. We are planning to send a message to the field instructing the health workers who and how much of the Plumpy Doz should be given. We don't know the content of Plumpy Doz as it is not in our hands at present and was wondering if anyone had an experience of using Plumpy Doz in such settings.

Pascale Delchevalerie

Nutrition advisor

Normal user

11 Jun 2010, 09:01

dear anonymous,

Please find below the composition of Plumpy-doz:

For 46.3 g (recommended daily dose)
Energy 247 kcal Selenium 17 ?g
Proteins 5.9 g Manganese 0.17 mg
Proteins (% kcal) 10 % Vitamin A 400 ?g
Lipids 16.0 g Vitamin E 6 mg
Lipids (% kcal) 58 % Vitamin C 30 mg
Calcium 387 mg Vitamin B1 0.5 mg
Phosphorus 275 mg Vitamin B2 0.5 mg
Potassium 310 mg Vitamin B6 0.5 mg
Magnesium 60 mg Vitamin B12 0.9 ?g
Zinc 9 mg Folic acid 160 ?g
Copper 0.3 mg Pantothenic acid 2 mg
Iron 9 mg Niacin 6 mg
Iodine 90 ?g

We have used it as preventive blanket distribution in Niger (were SAM is also prevalent) without reports of adverse effects (I 'm not sure there are risks of over dosage as we observed, at the contrary, that often the ration was shared in the family.

Good luck

Dr Ijaz Habib

Normal user

11 Jun 2010, 10:38

Hi ...

Plumpy doz is basically RUSF (Ready to Use Supplementary Food)...lacking enough quantity of macro nutrients. I see no harm in giving it to the SAM, But it will not address the actual needs of the SAM group.

Other details are as Under:

General information

As a supplement to traditional food, a daily intake of the product Plumpy'doz can satisfy the nutritional needs of children aged 6 to 36 months.

The product Plumpy'doz is also recommended for use in programmes aiming at preventing moderate malnutrition.

Plumpy'doz is a ready to use supplementary food (RUSF); hence it does not need to be mixed with another food before consumption.

Recommended daily dose: 46.3 g (about 3 teaspoons, 3 times a day).

Recommended weekly dose: 325 g.

Pallet of 60 boxes:

Net weight 702kg

Gross weight 783kg

Dimensions:1x 1.2x 1.58m

Volume:2.02m³

Specifications

Product from NUTRISET

For 100g of plumpy'doz :

Kcal (534), of which 9.5% protein calories and 58.2% lipidic calories.

Calcium 836.8 mg, Phosphorus594 mg, Potassium670.6 mg, Magnesium129.6 mg, Zinc 19.4 mg, Copper 0.6 mg, Iron 19.4 mg.

Iodine 194.4 µg, Selenium 36.7 µg.Manganese 0.37 mg.Vitamin A 863.9 µg.Vitamin E 12.9 mg.Vitamin C 64.8 mg.Vitamin B1 1.1 mg. Vitamin B2 1.1 mg.Vitamin B6 1.1 mg.Vitamin B12 1.9 µg. Folic Acid 345.6 µg. Pantothenic Acid 4.3 mg. Niacin 12.9 mg.

Best wishes

Dr. Ijaz habib
Peshawar Pakistan.

Anonymous 411

Nutritionist

Normal user

11 Jun 2010, 15:50

Thanks for both of you for quick response. It is appreciated. But I notice in both responses the there is not mention of Soduim. Why is that? Does this mean we should not worry about the the Soduim content of Plumpy Doz even for SAM children?

Dr Ijaz Habib

Normal user

17 Jun 2010, 11:58

Almost no Sodium in Plumpy Doz.....Being an oral supplement its safe......

Detailed table for sodium levels can be provided via mail, if u need it......
(courtesy of : aAuthor for correspondence: Saskia de Pee, Policy, Strategy and Programme Support
Division, World Food Programme, Via Cesare Giulio, 68/70 Parco de'Medici, Rome
00148, Italy.)

regards
ijaz

Torben Bruhn

Health & Nutrition Expert / EC (ECHO)

Normal user

18 Aug 2010, 08:32

Dear all.
If someone could please point to references of controlled studies as to the safety and efficiency of the use of PlumpyDoz and other RUSF's, this would be greatly appreciated.
Regards - Torben

» Post a reply