FAZ-4

F-100 is a therapeutic milk formula used in the treatment of severe acute malnutrition (SAM) in children. It is designed to provide high energy and nutrient density to facilitate rapid weight gain and recovery in malnourished individuals. F-100 is typically used in the rehabilitation phase of malnutrition treatment, following initial stabilization with F-75, another therapeutic milk.

Composition

F-100 is formulated to provide a high-calorie diet with a balanced composition of macronutrients and micronutrients. The standard composition per 100 ml of reconstituted F-100 is as follows:

• Energy: 100 kcal
• Protein: 2.9 g
• Fat: 5.4 g
• Carbohydrates: 13.8 g
• Vitamins and minerals: Adequate amounts to meet the daily requirements of a malnourished child

The formula is designed to be lactose-free to accommodate children who may have developed lactose intolerance due to malnutrition.

Usage

F-100 is used in the rehabilitation phase of treating severe acute malnutrition. After initial stabilization with F-75, which is lower in calories and fat, children are transitioned to F-100 to promote rapid weight gain. The transition typically occurs once the child is stabilized, has a good appetite, and is free from medical complications.

The recommended dosage of F-100 is based on the child's weight and nutritional needs. It is usually administered in small, frequent feeds to ensure adequate intake and minimize the risk of refeeding syndrome.

Preparation

F-100 is usually provided in a powdered form and must be reconstituted with clean, safe water before use. The preparation involves mixing the powder with water according to the manufacturer's instructions to achieve the desired concentration.

Efficacy

Studies have shown that F-100 is effective in promoting weight gain and recovery in children with severe acute malnutrition. It is a critical component of the Community-based Management of Acute Malnutrition (CMAM) programs implemented in many countries.

Challenges

While F-100 is effective, there are challenges associated with its use, including:

• Availability and cost in resource-limited settings
• Need for clean water and proper preparation facilities
• Risk of contamination if not prepared and stored correctly

Also see

• Severe acute malnutrition
• Therapeutic food
• F-75
• Ready-to-use therapeutic food
• Community-based Management of Acute Malnutrition

References

• World Health Organization. "Management of severe malnutrition: a manual for physicians and other senior health workers." WHO, 1999.
• Collins, S. "Changing the way we address severe malnutrition during famine." The Lancet, 2001.

Nutrition information of FAZ-4

• USDA on FAZ-4