F-100 and F-75 (foods)
F-100 and F-75 are therapeutic milk formulas designed for the dietary management of severe acute malnutrition (SAM) in children. These formulas are part of a broader approach to treat malnutrition, which can include initial stabilization, transition feeding, and rehabilitation. F-100 and F-75 play crucial roles in the initial phases of treatment, providing malnourished children with essential nutrients in a digestible form.
Overview
Severe acute malnutrition is a life-threatening condition characterized by extremely low weight for height, visible severe wasting, or the presence of nutritional edema. The World Health Organization (WHO) and other international health bodies recommend the use of therapeutic milk formulas, such as F-100 and F-75, as part of the treatment protocol for SAM.
F-75
F-75 is the initial therapeutic milk used in the stabilization phase of SAM treatment. It is designed to meet the basic nutritional needs of malnourished children without overloading their compromised systems. F-75 has a lower energy density compared to F-100, with approximately 75 kcal per 100 ml. This formula supports the gradual recovery of the child's metabolism and prepares the body for the more nutrient-dense F-100.
F-100
F-100 therapeutic milk is introduced during the transition and rehabilitation phases of SAM treatment. It has a higher energy density, providing 100 kcal per 100 ml, and is rich in proteins and essential nutrients. F-100 supports rapid weight gain and recovery, helping children to overcome malnutrition.
Composition
Both F-75 and F-100 are carefully formulated to address the specific nutritional needs of severely malnourished children. They contain a balance of carbohydrates, fats, proteins, vitamins, and minerals. The composition is designed to be easily digestible and to promote recovery and weight gain.
Preparation and Use
F-75 and F-100 are usually supplied as powders that need to be reconstituted with clean, boiled water. It is crucial to follow the preparation instructions accurately to ensure the safety and effectiveness of the treatment. Health workers and caregivers must be trained in the correct preparation methods and hygiene practices to prevent contamination.
Challenges and Considerations
While F-75 and F-100 are effective in treating SAM, their success depends on careful monitoring and management of the child's progress. Transitioning from F-75 to F-100 must be done cautiously to avoid digestive issues or metabolic complications. Additionally, the availability of these therapeutic milks in resource-limited settings can be a challenge.
Conclusion
F-100 and F-75 therapeutic milks are essential components of the treatment protocol for severe acute malnutrition. Their careful formulation and strategic use in different phases of treatment enable the recovery of malnourished children, saving lives and promoting health.
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Contributors: Prab R. Tumpati, MD