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Lipid – based Nutrient Supplements

Lipid – based Nutrient Supplements. Heidi Sandige, MD. 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.

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Lipid – based Nutrient Supplements

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  1. Lipid – based Nutrient Supplements Heidi Sandige, MD

  2. 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.

  3. Why LNS? • Simplicity (home use) • Ease of Use (no cooking) • Good storage • Safety • Effectiveness

  4. How much LNS?

  5. LNS Family

  6. RUTF Ready-to-Use Therapeutic Food Universal Formulation: Peanut Paste Milk Powder Oil Sugar Vitamin/Mineral Mix

  7. RUTF For Severely Malnourished Children 100% of dietary needs Distributed according to a medical model

  8. RUTF Evidence Based Validated Advocated Programmatic Guidance exists

  9. RUSF (s) Ready-to-Use Supplementary Foods Many Different Formulations Many Different applications

  10. RUSF Complement to the diet Designed to Purpose • Micronutrient needs • Caloric needs

  11. RUSF Active area of research Evidence is accumulating http://ilins.org/

  12. 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

  13. 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

  14. 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

  15. LNS as part of HIV programming Treatment of Wasting Improve nutritional status of non-wasted individuals Medication adherence

  16. We’ve heard a lot about Sharing. . .

  17. We’ve hear a lot about quality control . . .

  18. We’ve heard a lot about promoting local agriculture and local capacity. . .

  19. We’ve heard a lot about cost-effectiveness . . .

  20. Thank you

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