Nutributter®
Complementary food fortifier
Recommendations for use
- One 20 gram sachet of Nutributter® corresponds to the recommended daily dose for a child.
NB: in areas where malaria is endemic, it is recommended to divide the consumption of the product into two, so as to avoid the risks associated with the iron supplement contained in Nutributter®.
- One carton is sufficient to provide the necessary nutritional supplements for 5 children for 4 months.
Packaging and conservation
- Primary packaging : individual 20 g sachets.
- Secondary packaging : cartons of 546 sachets (gross weight : 11.95 kg ; net weight : 10.92 kg).
- Palletisation : pallets with 48 cartons (gross weight : 574 kg) or with 64 cartons (gross weight : 830 kg).
- Where possible, to be stored in a dry, cool area, at a temperature of less than 30°C.
Nutributter® is a nutritional supplement (LNS = Lipid-based Nutrient Supplement) in the form of a ready-to-use paste, intended to fortify the food supplements of young children, aged between 6 and 24 months, and aid in their motor and cognitive development.
Main characteristics, target population and benefits obtained
Ideally, babies should be exclusively breast-fed up to the age of 6 months. After this, mother's milk no longer provides all the energy and nutrients the infant needs in order to grow. A high quality food supplement then becomes indispensable to compensate for this deficit, but this is sometimes unavailable or inaccessible in a large number of developing countries.
Originally developed for children aged between 6 and 12 months at risk of malnutrition, Nutributter® is now also used as an addition to continued breast-feeding (up to 24 months) and supplementary foods.
Daily consumption of Nutributter® over a period of at least four months helps to compensate for any deficiencies in the supplementary food. It provides all the micronutrients (minerals and vitamins) required for growth in children of that age group. Nutributter® is also recommended as a fortifier for feeding children aged between 12 and 24 months, a key period for growth and intellectual development.
Nutributter® belongs to the LNS (Lipid-based Nutrient Supplement) group. It is delivered in individual, 20 g sachets.
Nutributter® is a paste based on peanuts, sugar, vegetable fat, skimmed milk powder, maltodextrin and whey, enriched with a vitamin and mineral complex.
Nutributter® is ready-to-use and requires no preparation (neither dilution nor cooking). It can be used alone or mixed with the food supplement, after this has been cooked.
Nutributter® is reserved for use with young children and must not be shared with the other members of the family, as its micronutrient content is especially calculated to meet the needs of a child.
Several studies have shown that Nutributter® is accepted and appreciated by children and their families.
References
- Worldwide timing of growth faltering: implications for nutritional interventions; Shrimpton R. et al.; Pediatrics, 2001;107(5):e75.
http://pediatrics.aappublications.org/cgi/content/full/107/5/e75 - Update on technical issues concerning complementary feeding of young children in developing countries and implications for intervention programs, Kathryn G. Dewey and Kenneth H. Brown, Food and Nutrition Bulletin, 2003, Special Issue Based on a World Health Organization Expert Consultation on Complementary Feeding.
http://www.ennonline.net/resources/403 - Randomized comparison of 3 types of micronutrient supplements for home fortification of complementary foods in Ghana: effects on growth and motor development, Adu-Afarwuah, Seth, Lartey, Anna, Brown, Kenneth H, Zlotkin, Stanley, Briend, Andre, Dewey, Kathryn G, American Journal of Clinical Nutrition, 2007 86: 412-420
http://www.ajcn.org/cgi/content/abstract/86/2/412 - Home fortification of complementary foods with micronutrient supplements is well accepted and has positive effects on infant iron status in Ghana, Adu-Afarwuah, S., Lartey, A., Brown, K. H., Zlotkin, S., Briend, A. and Dewey, K. G. American Journal of Clinical Nutrition, 2008.
http://www.ncbi.nlm.nih.gov/pubmed/18400716 - Strengthening action to improve feeding of infants and young children 6-23 months of age in nutrition and child health programmes, UNICEF & WHO, October 2008.
http://www.who.int/nutrition/publications/infantfeeding/9789241597890/en/index.html - Systematic review of the efficacy and effectiveness of complementary feeding interventions in developing countries, Kathryn G. Dewey and Seth Adu-Afarwuah, Maternal & Child Nutrition, 2008, DOI: 10.1111/j.1740-8709.2007.00124.x
http://www3.interscience.wiley.com/journal/119424906/abstract - Formulations for fortified complementary foods and supplements: Review of successful products for improving the nutritional status of infants and young children, K.G. Dewey, J.Berger, J.Chen, C. Chen, S. Pee, S. Huffman, A. Lartey, C. Lutter, K.Maleta, E. Turner, M. Zeilani, S.Zlotkin, Food and Nutrition Bulletin, 2009 (vol. 30, no. 2, supplément), the United Nations University.
http://foodandnutritionbulletin.org/FNB/index.php/FNB/issue/view/165 - Use of Lipid-based Nutrient Supplements (LNS) to Improve the Nutrient Adequacy of General Food Distribution Rations for Vulnerable Sub-groups in Emergency Settings Camilla M. Chaparro & K.G. Dewey, Maternal and Child Nutrition, 2010
http://www3.interscience.wiley.com/journal/123226049/issue - Using the Code of Marketing of Breast-milk Substitutes to Guide the Marketing of Complementary Foods to Protect Optimal Infant feeding Practices, V. Quinn, S. Huffman et al. (MIYCN (Maternal, Infant and Young Child Nutrition) Working Group), GAIN Working Paper Series, n°3, mars 2010
https://www.gainhealth.org/sites/default/files/WP3LR.pdf - Guiding principles for complementary feeding of the breastfed child Kathryn Dewey, Chessa Lutter, Pan American Health Organization, 2004.
http://www.paho.org/English/AD/FCH/NU/Guiding_Principles_CF.htm - Guiding principles for feeding non-breastfed children 6-24 months of age. World Health Organization, 2005.
http://www.who.int/nutrition/publications/infantfeeding/WHO_FCH_CAH_04.13/en/index.html - Normes de croissance de l’enfant, Organisation mondiale de la Santé, 2006, Child Growth Standards, World Health Organization, 2006
http://www.who.int/childgrowth/fr/index.html - Indicators for assessing infant and young child feeding practices: Conclusions of a consensus meeting held 6–8 November 2007 in Washington D.C., World Health Organization, 2008
http://www.who.int/child_adolescent_health/documents/9789241596664/en/index.html - Infant and young child feeding Model Chapter for textbooks for medical students and allied health professionals, World Health Organization, 2008
http://www.who.int/nutrition/publications/infantfeeding/9789241597494/en/index.html
