IJMSRT foster a global community of researchers and provide them with a platform to publish and access high-quality scientific content. We strive to be at the forefront of scientific communication, enabling the rapid dissemination of cutting-edge research and driving advancements in various fields.
Read moreSevere Acute Malnutrition (SAM) remains a major contributor to under-five mortality in Nigeria, with Zamfara State among the most affected. Standard Ready-to-Use Therapeutic Food (RUTF) is effective but reliance on imported milk based RUTF poses sustainability challenges due to high cost, stock-outs and insecurity. Edible insects such as desert locust Schistocerca gregaria offer sustainable, protein and mineral-rich alternatives with date fruits (Phoenix dactylifera) as an alternative natural sweetener. In global conflicts, war, pandemic and security disadvantaged regions where accesses to Ready-to-Use Therapeutic Foods (RUTF) are limited, locally formulated RUTF, may be a crucial intervention for the treatment of severe acute malnutrition and hidden hunger among under-five. This study aimed to formulate, evaluate nutrient composition and assess acceptability of insect protein-based RUTF for community management of SAM among children under five in Zamfara State, Nigeria. This study formulated RUTF using local ingredients, dried grounded groundnut (Arachis hypogaea L.), grasshopper (Schistocerca gregaria), Date fruit (Phoenix dactylifera), and vegetable oil were sourced from Gusau new market, Zamfara State. Materials were sorted, washed with clean water, dried at room temperature, roasted (180oC for 46 minutes), airing for 30minutes @28oC, milled into powder and mixed at different ratios for RUTF formulation. FMS1 (30% insect, 25% peanut, 15% vegetable oil, 28% date fruit), FMS2 (25%, 30%, 20%, 23%) and FMS3 (20%, 35%, 25%, 18%) and compared with commercial RUTF (CNS) as control in the Home Economics Department laboratory. Proximate, mineral (Fe, Zn, Ca, I), anti-nutrient (tannin, oxalate, phytate) and sensory properties were evaluated using AOAC standard methods and 9-point hedonic scale with 20 semi-trained panelists (mothers). Data were analyzed using ANOVA and Duncan Multiple Range Test at p<0.05 using SPSS v27. Moisture was significantly lower in formulated samples (2.90-4.33%) than CNS (11.39%), meeting WHO <5% requirement for RUTF stability. Protein (14.33-21.68%) and lipid (19.50-22.77%) were significantly higher in formulated samples than CNS (14.10% protein, 11.47% lipid), with FMS1 having highest protein (21.68%). Iron (56.04 mg/100g), zinc (up to 25.93 mg/100g in FMS1) and calcium (up to 137.34 mg/100g in FMS3) were significantly higher than CNS, while iodine was higher in CNS (9.84 mg/100g). Anti-nutrients were low and within safe limits, with FMS2 having lowest oxalate (0.41 mg/100g) and phytate (0.08 mg/100g). CNS was significantly more acceptable (8.67), but among formulated samples, FMS2 had highest overall acceptability (7.47). Insect-based RUTF is nutritionally superior, shelf-stable and generally acceptable. FMS2 presented the most balanced nutritional, anti-nutrient and sensory profile and is recommended as optimal low-cost alternative for community-based SAM management in Zamfara State.
REFERENCES
[1]. ACF International. (2011). Guidelines for the integrated management of severe acute malnutrition: In- and out-patient treatment. ACF Action Against Hunger.
[2]. Adebayo, A. B., Musa, S., and Bello, A. (2023). Supply chain disruptions of ready-to-use therapeutic foods in conflict affected North-West Nigeria. Journal of Humanitarian Logistics, 12(2), 45-58. https://doi.org/10.1108/JHL-01-2023-0012
[3]. Akande, O. A., Olorunnisola, K. S., and Adeyeye, S. A. (2023). Oxalate content and calcium bioavailability in Nigerian complementary foods. Food Chemistry Advances, 2, 100201. https://doi.org/10.1016/j.focha.2023.100201
[4]. Amegovu, A. K., Ogwok, P., and Ochola, S. (2024). Development and acceptability of locally produced ready-to-use therapeutic foods in sub-Saharan Africa: A systematic review. Maternal and Child Nutrition, 20(1), e13542. https://doi.org/10.1111/mcn.13542
[5]. Anigo, K. M., Ameh, D. A., Ibrahim, S., and Danbauchi, S. S. (2021). Nutrient composition of sorghum-based complementary foods fortified with soybean and groundnut. Nigerian Journal of Nutritional Sciences, 42(1), 78-86.
[6]. Association of Official Analytical Chemists. (1990). Official methods of analysis of the Association of Official Analytical Chemists (15th ed.). AOAC.
[7]. Association of Official Analytical Chemists. (2010). Official methods of analysis of AOAC International (18th ed.). AOAC International.
[8]. Bahwere, P., Balaluka, B., Wells, J. C., Mbiribindi, C. N., Sadler, K., Akomo, P., Dramaix-Wilmet, M., and Collins, S. (2016). Cereals and pulse-based ready-to-use therapeutic food as an alternative to the standard milk-and peanut paste-based formulation for treating severe acute malnutrition: A noninferiority, individually randomized controlled efficacy clinical trial. American Journal of Clinical Nutrition, 103(4), 1145-1161. https://doi.org/10.3945/ajcn.115.119370
[9]. Bahwere, P., Banda, T., Sadler, K., Nyirenda, G., Owino, V., Shaba, B., and Collins, S. (2014). Effectiveness of milk whey protein-based ready-to-use therapeutic food in treatment of severe acute malnutrition in Malawian under-5 children: A randomised, double-blind, controlled non-inferiority clinical trial. Maternal and Child Nutrition, 10(3), 436-451. https://doi.org/10.1111/mcn.12112
[10]. Bhatt, S., Shrestha, S., and Gupta, S. (2024). Stability and microbiological safety of lipid-based ready-to-use therapeutic foods: A review. Foods, 13(3), 412. https://doi.org/10.3390/foods13030412
[11]. Eloho, O. P., Okoro, C. C., and Nwosu, C. E. (2017). Evaluation of locally formulated ready-to-use therapeutic food from indigenous crops in Nigeria. African Journal of Food Science, 11(8), 234-241. https://doi.org/10.5897/AJFS2017.1621
[12]. Gatchell, V., Forsythe, V., and Thomas, P. R. (2006). The sustainability of community-based therapeutic care (CTC) in nonemergency contexts. Food and Nutrition Bulletin, 27(3 Suppl), S90-S98. https://doi.org/10.1177/15648265060273S304
[13]. Gemede, H. F., and Ratta, N. (2014). Antinutritional factors in plant foods: Potential health benefits and adverse effects. International Journal of Nutrition and Food Sciences, 3(4), 284-289. https://doi.org/10.11648/j.ijnfs.20140304.18
[14]. Headey, D. D., Alderman, H. H., and Bundy, D. A. P. (2017). The economic costs of malnutrition in Africa. Journal of Nutrition, 147(12), 2241-2248. https://doi.org/10.3945/jn.117.248882
[15]. Ibrahim, M. K., Yusuf, A. A., and Lawal, U. (2021). Comorbidities and clinical outcomes of severe acute malnutrition in children under five in North-West https://doi.org/10.1093/tropej/fmab068
[16]. Iombor, T. T., Umoh, E. J., and Olaleye, H. T. (2023). Micronutrient enrichment of millet-soybean blends for complementary feeding. Journal of Food Science and Technology, 60(5), 1567-1575. https://doi.org/10.1007/s13197-023 05712-3
[17]. Isanaka, S., Langendorf, C., Berthé, F., and Grais, R. F. (2021). Routine amoxicillin for uncomplicated severe acute malnutrition in children. New England Journal of Medicine, 384, 2137-2147. https://doi.org/10.1056/NEJMoa2024449
[18]. Iwe, M. O. (2002). Handbook of sensory methods and analysis. Rojoint Communication Services Ltd.
[19]. Kinyuru, J. N., Kenji, G. M., and Njoroge, M. S. (2022). Locally produced RUTF using alternative proteins: Potential for edible insects. Food Science and Nutrition, 10(2), 445-458. https://doi.org/10.1002/fsn3.2678
[20]. Latham, M. C., McGandy, R. (2011). Therapeutic feeding: A practical guide for management of severe malnutrition. Food and Nutrition Bulletin, 32(3), S1-S5.
[21]. Manary, M. J., Ndekha, M. J., Ashorn, P., Maleta, K., and Briend, A. (2004). Home based therapy for severe malnutrition with ready-to-use food. Archives of Disease in Childhood, 89(6), 557-561. https://doi.org/10.1136/adc.2003.034306
[22]. Manary, M. (2015). Alternative RUTF formulas. UNICEF Supply Division. https://www.unicef.org/supply/files/9_Mark_Manary_Alternative_RUTF_Formulas.pdf
[23]. Micha, R., Mannar, V., and Afshin, A. (2023). Global nutrition and micronutrient deficiencies: Trends and implications. Nature Food, 4, 15-27. https://doi.org/10.1038/s43016-022-00675-x
[24]. National Population Commission (NPC) and ICF. (2019). Nigeria Demographic and Health Survey 2018. NPC and ICF.
[25]. National Population Commission (NPC) and ICF. (2024). Nigeria Demographic and Health Survey 2023-24 Key Indicators Report. NPC and ICF.
[26]. Nga, T. T., Nguyen, M., and Hop, T. (2013). Acceptability of locally produced ready-to-use therapeutic foods in Vietnam. Food and Nutrition Bulletin, 34(2 Suppl), S184-S191. https://doi.org/10.1177/15648265130342S210
[27]. Oakley, E., Reinking, J., Sandige, H., Trehan, I., Kennedy, G., Kenneth, M., and Manary, M. (2010). A ready-to-use therapeutic food containing 10% milk is less effective than one with 25% milk in the treatment of severely malnourished children. Journal of Nutrition, 140(12), 2248-2252. https://doi.org/10.3945/jn.110.123828
[28]. Obasohan, P. E., Adebayo, S. K., and Umar, A. M. (2023). Prevalence and predictors of complications among children with severe acute malnutrition in Zamfara, Nigeria. Frontiers in Public Health, 11, 1087651. https://doi.org/10.3389/fpubh.2023.1087651
[29]. Oibiokpa, F. I., Akanya, H. O., and Jibril, A. (2022). Nutritional composition of desert locust (Schistocerca gregaria) and its potential for fortification of complementary foods. Food Chemistry, 373, 131458. https://doi.org/10.1016/j.foodchem.2021.131458
[30]. Okoye, J. I., and Ene, G. I. (2018). Tannin and phytate contents of cereal-based complementary foods in Nigeria. Journal of Food Processing and Preservation, 42(6), e13623. https://doi.org/10.1111/jfpp.13623
[31]. Owino, V. O., Irena, A. H., Dibari, F., and Collins, S. (2014). Development and acceptability of a novel milk-free soybean maize-sorghum ready-to-use therapeutic food (SMS-RUTF) based on industrial extrusion cooking process. Maternal and Child Nutrition, 10(1), 126-134. https://doi.org/10.1111/j.1740-8709.2012.00444.x
[32]. Owino, V., Irena, A. H., Dibari, F., and Collins, S. (2023). Alternative ingredients for RUTF production. Food and Nutrition Bulletin, 44(2), 112-128. https://doi.org/10.1177/03795721231170785 [33]. Patel, S., Suleria, H. A., and Rauf, A. (2024). Insects as sustainable protein for therapeutic foods. Trends in Food Science and Technology, 144, 104312. https://doi.org/10.1016/j.tifs.2024.104312
[34]. Popova, A., and Mihaylova, D. (2019). Anti-nutrients in plant foods and their impact on mineral bioavailability. Acta Scientific Nutritional Health, 3(10), 123-128.
[35]. Prudhon, C., Weise Prinzo, Z., Briend, A., Daelmans, B. M. E. G., and Mason, J. B. (2006). Proceedings of the WHO, UNICEF, and SCN informal consultation on community-based management of severe malnutrition in children. Food and Nutrition Bulletin, 27(3 Suppl), S99-S104. https://doi.org/10.1177/15648265060273S305
[36]. Thapa, B. R., Shrestha, S., and Shrestha, L. (2017). Impact of locally produced ready-to-use therapeutic food on growth and health outcomes of children with severe acute malnutrition. Journal of Nepal Paediatric Society, 37(2), 117-122. https://doi.org/10.3126/jnps.v37i2.16985
[37]. UNICEF. (2022). Ready-to-use therapeutic food: Market and supply update. UNICEF Supply Division. https://www.unicef.org/supply/media/15271/file/RUTF-Supply-Update-October-2022.pdf
[38]. UNICEF, World Health Organization, and World Bank Group. (2023). Levels and trends in child malnutrition: UNICEF/WHO/World Bank Group joint child malnutrition estimates 2023. World Health Organization.
[39]. Weber, J. M., Ryan, K. N., and Tandon, R. (2017). Acceptability of peanut-based ready-to-use therapeutic food among caretakers and children in sub-Saharan Africa. Field Exchange, 54, 21-23.
[40]. Wells, J. C., Sawaya, A. L., Wibaek, R., Mwangome, M., Poullas, M. S., Yajnik, C. S., and Demaio, A. (2020). The double burden of malnutrition: Aetiological pathways and consequences for health. The Lancet, 395(10217), 75-88. https://doi.org/10.1016/S0140-6736(19)32472-9
[41]. Wieringa, F. T., Tran, N. T., Hoang, M., Brown, M., Maalouf-Manasseh, Z., Luu, M., Nguyen, H., Berger, J. (2013). Acceptability of two ready-to-use therapeutic foods among HIV-positive patients in Vietnam. Food and Nutrition Bulletin, 34(2), S196-S201.
[42]. World Health Organization. (2013). Guideline: Updates on the management of severe acute malnutrition in infants and children. WHO. https://www.who.int/publications/i/item/9789241506328
[43]. World Health Organization. (2023). Malnutrition: Fact sheet. https://www.who.int/news-room/fact sheets/detail/malnutritionWorld Health Organization, and UNICEF. (2007). Community-based management of severe acute malnutrition: A joint statement by WHO, WFP, UN/SCN and UNICEF. WHO. [44]. World Health Organization and Food and Agriculture Organization. (2004). Vitamin and mineral requirements in human nutrition (2nd ed.). WHO.
RUTF, SAM, Edible-Insect, Schistocerca-Gregaria, Proximate, Mineral, Acceptability, Formulation.
Note : A published paper may take 4-5 working days from the publication date to appear in Rode, Semantic Scholar, and open alex.
