To study the effect of a new diet in terms of weight gain per day, designed to supplement the calorie and protein requirements in a SAM child
试验速览
- 阶段
- 不适用
- 状态
- 尚未招募
- 发起方
- 入组人数
- 80
- 试验地点
- 1
- 主要终点
- To study the effect of a new diet in terms of weight gain per day, designed to supplement the calorie and protein requirements in a SAM child.
研究概览
简要总结
BACKGROUND:
The cost of F-100, when given at 10ml/kg/2nd hourly amounting to 150ml/kg/day comes to Rupees 6.25/kg/day.
The intervention is called ‘MENOLLI MALT’ which is designed using locally available ingredients which is affordable and culturally acceptable by a poor household ie Rupees 3/kg/day.’
The RDA in a SAM child is as follows:
| FLUID |
200ml/kg/day
|CALORIES
150-220kCal/kg/day
|PROTEIN
4-6g/kg/day
To provide the above mentioned nutrition in the appropriate quantity, I have designed a new diet which contains fourteen ingredients out of which eleven ingredients can be sprouted, dried, powdered(to enhance the nutritive benefits) and stored.
MONITORING is done by daily weight monitoring and the time taken to achieve discharge criteria
| CALORIES 4 (kCal) |
PROTEIN4
(g)
COST *
per 100g (Rupees)
Quantity to be added (g)
ADDITIONAL NUTRITIVE VALUE
|GREEN GRAM
30
3
9.3
100
|FOXTAIL MILLET(KANGNI)
376
12
2.4
100
|MATKI SEED
350
21
4.8
100
|WHEAT
339
14
6
100
|BLACK CHANNA
280
20
6
100
selenium
|JOWAR
376
12
7
100
|PEAS
80
7
7
100
|FENUGREEK SEEDS
333
26
1
10
|PEARL MILLET (BAJRA)
376
12
7
100
Carotene
|SOYA
380
40
9
100
|GROUNDNUT
567
26
16
100
50g healthy fats
|SABU DANA
358
0.2
7
100
|BARLEY
352
9.9
2
100
|MAIZE
96
4.5
5
100
| | 4293
208
90
1310
| | |RDA in SAM
|FLUID
200ml/kg/day
|CALORIES
150-220kCal/kg/day
45g powder/kg/day
9 tsp/kg/day
|PROTEIN
4-6g/kg/day
| |1Tsp=5g Jaggery
17.5kCal
4.4g
|15g Jaggery in 100ml water
*COST is estimated by using the local market prices.
DIET details
Name: MENOLLI MALT
Quantity of each ingredient: 100g (Except Fenugreek= 10g)
Total quantity of the preparation : 1310g
Quantity of the powder required for 1kg child= 45g/day (to provide 150kCal)
Cost of the powder : Rupees 3/kg/day
METHOD OF PREPARATION : 100g of each ingredient is taken, they are sprouted(except Sabu Dana, Barley, Maize), sun dried and ground. Roasting increases the shelf life. Taking 1Tsp=5g, we need about 45g of the powder per kg of the child and hence 9tsp/kg. With fluid requirement being 200ml/kg, we take 250ml water and add 9tsp of the malt powder and 2tsp of Jaggery (for taste and Iron source) and bring to a boil, which will take a maximum of about 10minutes. Then it is cooled and fed at a temperature accepted by the baby.
FREQUENCY OF FEED: The baby can be fed as per demand and the number of feeds titrated according to the quantity of powder required per day.
BENEFITS OF THE MALT:
1. Multinutrient rich including vitamins and trace elements which are mostly deficient in SAM children.
2. Locally available ingredients
3. Easy to prepare, requires maximum of 15-20minutes per day.
4. Good shelf life. Once powder is made, it can b
5. Low cost: Rupees 3/kg/day. Which on an average amounts to Rupees 450 for a 5kg child per month.
Criteria to be fulfilled at the time of discharge- as per NRC protocol
â— return of appetite
â— no episodes of hypoglycaemia (metabolically stable)
â— reduced or disappearance of all oedema
Outcome
â— Discharge
PURPOSE OF THE STUDY
to study if a diet which is prepared using locally available ingredients which is culturally more acceptable is as good as F-100 diet in the management of SAM
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 盲法
- None
入排标准
- 年龄范围
- 6.00 Month(s) 至 5.00 Year(s)（—）
- 性别
- All
入选标准
- •All the children registered in MTC ward, whose complication has been managed and are entering the Rehabilitation phase of SAM management.
排除标准
- •All those who refuse to consent 2) Critically ill patients 3) Secondary SAM 4) History of food allergy(Gluten, Peanut, etc).
结局指标
主要结局
To study the effect of a new diet in terms of weight gain per day, designed to supplement the calorie and protein requirements in a SAM child.
时间窗: Daily monitoring for weight
次要结局
- To look for the development any intolerance in the form of vomiting, loose stool or sepsis upon supplementation of the new diet.(Daily monitoring for intolerance)
研究者
Dr NEHAL ATHREYI R
RNT medical college