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    Jan 19, 2021
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    Peanut-based ready-to-use therapeutic food: how acceptable and tolerated is it among malnourished pregnant and lactating women in Bangladesh?

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    Authors
    Ali, E
    Zachariah, R
    Shams, Z
    Manzi, M
    Akter, T
    Alders, P
    Allaouna, M
    Delchevalerie, P
    Harries, A D
    Issue Date
    2013-05-06
    
    Metadata
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    Journal
    Maternal & Child Nutrition
    Abstract
    Within a Medecins Sans Frontieres's nutrition programme in Kamrangirchar slum, Dhaka, Bangladesh this study was conducted to assess the acceptability of a peanut-based ready-to-use therapeutic food (RUTF) - Plumpy'nut(®) (PPN) among malnourished pregnant and lactating women (PLW). This was a cross-sectional survey using semi-structure questionnaire that included all PLW admitted in the nutrition programme, who were either malnourished or at risk of malnutrition and who had received PPN for at least 4 weeks. A total of 248 women were interviewed of whom 99.6% were at risk of malnutrition. Overall, 212 (85%) perceived a therapeutic benefit. Despite this finding, 193 (78%) women found PPN unacceptable, of whom 12 (5%) completely rejected it after 4 weeks of intake. Reasons for unacceptability included undesirable taste (60%) and unwelcome smell (43%) - more than half of the latter was due to the peanut-based smell. Overall, 39% attributed side effects to PPN intake including nausea, vomiting, diarrhoea, abdominal distension and pain. Nearly 80% of women felt a need to improve PPN - 82% desiring a change in taste and 48% desiring a change in smell. Overall, only 146 (59%) understood the illustrated instructions on the package. Despite a perceived beneficial therapeutic effect, only two in 10 women found PPN acceptable for nutritional rehabilitation. We urge nutritional agencies and manufacturers to intensify their efforts towards developing more RUTF alternatives that have improved palatability and smell for adults and that have adequate therapeutic contents for treating malnourished PLW in Bangladesh.
    Publisher
    John Wiley & Sons Ltd
    URI
    http://hdl.handle.net/10144/312149
    DOI
    10.1111/mcn.12050
    PubMed ID
    23647821
    Additional Links
    http://onlinelibrary.wiley.com/doi/10.1111/mcn.12050/abstract
    Language
    en
    Description
    To access this article, click on "Additional Links".
    ISSN
    1740-8709
    ae974a485f413a2113503eed53cd6c53
    10.1111/mcn.12050
    Scopus Count
    Collections
    Nutrition

    entitlement

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