Lipid

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Lipid based Nutrient Supplements

• Heidi Sandige, MD

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LNS Lipid-based Nutrient Supplements

• A family of products designed to deliver
  nutrients to vulnerable people. The majority of
  the energy provided is lipid based.
• All LNS provide a range of vitamins and minerals,
  as well as energy, protein, and essential fatty
  acids.
• LNS formulations can be tailored to meet the
  nutrient needs of specific groups and to fit in
  particular programmatic contexts.

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Why LNS?

• Simplicity (home use)
• Ease of Use (no cooking)
• Good storage
• Safety
• Effectiveness

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How much LNS?
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LNS Family
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RUTF

• Ready-to-Use Therapeutic Food
• Universal Formulation
• Peanut Paste
• Milk Powder
• Oil
• Sugar
• Vitamin/Mineral Mix

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RUTF

• For Severely Malnourished Children
• 100 of dietary needs
• Distributed according to a medical model

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RUTF

• Evidence Based
• Validated
• Advocated
• Programmatic Guidance exists

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RUSF (s)

• Ready-to-Use Supplementary Foods
• Many Different Formulations
• Many Different applications

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RUSF

• Complement to the diet
• Designed to Purpose
• Micronutrient needs
• Caloric needs

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RUSF

• Active area of research
• Evidence is accumulating

http//ilins.org/
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LNS to treat Moderate Acute Malnutrition

• 10 Years of Evidence
• 75 kcal/kg day
• Reduced presentation of children with SAM
• Becoming standard part of CMAM guidelines

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LNS to Prevent Malnutrition

• MSF in Niger 2010 critical and significant
  effect on mortality
• Columbia reduced GAM
• South Darfur significantly higher
  anthropometric indexes
• UNHCR is developing operational guidance for
  refugee use

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LNS to prevent Linear Stunting

• Multiple ongoing studies Malawi, Burkina Faso,
  Ghana, Bangladesh
• Target
• Amount
• Key research finding LNS does NOT decrease
  breast milk intake

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LNS as part of HIV programming

• Treatment of Wasting
• Improve nutritional status of non-wasted
  individuals
• Medication adherence

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Weve heard a lot about Sharing. . .
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Weve hear a lot about quality control . . .
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Weve heard a lot about promoting local
agriculture and local capacity. . .
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Weve heard a lot about cost-effectiveness . . .
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Thank you