ReviewThe Lancet regional health. Southeast Asia2024
The recent WHO guideline on acute malnutrition overestimates therapeutic energy requirement.
Review in The Lancet regional health. Southeast Asia, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.
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Who cites it
7 citing papers in PubMed.
- Trial
- Cost-effectiveness of decentralising acute malnutrition treatment with a standard or simplified treatment protocol: an economic evaluation in the region of Gao, Mali.BMC public health · 2025Trial
- Comparative Effectiveness of Fixed and Standard RUTF Dosing Protocols for Treatment of Uncomplicated Severe Acute Malnutrition in Afghanistan.Maternal & child nutrition · 2026Article
- Optimizing management of uncomplicated acute malnutrition in children in rural Niger: a 3-arm individually randomized, controlled, noninferiority trial.The American journal of clinical nutrition · 2025Article
- The Effect of Oral Nutritional Supplements in Improving the Condition of Children with Diarrhea: A Systematic Review.Pediatric gastroenterology, hepatology & nutrition · 2025Review
- Weight gain among children under five with severe malnutrition in therapeutic feeding programmes: a systematic review and meta-analysis.EClinicalMedicine · 2025Article
- The Impact of WHO-2023 Malnutrition Criteria on Caseload of Infants Aged Under Six Months: Secondary Data Analysis.Children (Basel, Switzerland) · 2025Article
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2 authors.
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Abstract
The World Health Organization has recently updated the guideline on the prevention and management of wasting and nutritional oedema (acute malnutrition) in infants and children under 5 years. Apart from differences with regard to the nutritional framework that defines the quantity of energy required as Ready-to-Use Therapeutic Food (RUTF) for the outpatient treatment of severe wasting and/or nutritional oedema, there are also important gaps in the practical guidance. Instead of the recommended energy intake of 150-185 kcal/kg/day, our alternative calculations indicate the requirement to be only 105-120 kcal/kg/day. If true, the implementation of such caloric overfeeding can have adverse consequences. Gaps in practical guidance also need to be addressed, including the timing of transition to home-based diets, maximal duration of therapeutic feeding, especially in non-responders (∼50% in South Asia), and the role of augmented home foods as the primary therapeutic food option.
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