Therapeutic spread,sachet 92g/CAR-150

General Description:
Therapeutic spread, sachet 92g/CAR-150 Ready-to-Use Therapeutic Food (RUTF) paste, is a high-energy fortified food used for the treatment of Severe Acute Malnutrition (SAM.) Each 92 g sachet contains approximately 500 calories, vitamins, and minerals.

Intended Use:
During the period of SAM treatment, RUTF paste is the sole source of food, except for breast milk in the case of breast-fed infants, during the period of SAM treatment. RUTF paste is ready to eat, directly from the sachet without prior cooking, mixing or dilution. RUTF paste is portion controlled: each unit has the same nutritional value for control and monitoring of dietary intake.

Target Population
Children identified as having Severe Acute Malnutrition (SAM), for children aged 6 to 59 months with severe wasting without medical complications and with appetite, or as advised by a qualified physician.

Product Description
RUTF is a smooth, homogeneous, thick paste containing ground peanuts, sugar, oil, milk powder and vitamin and mineral premix. It is squeezed out of sachet and given to the infant or child directly.

Nutritional composition per 100 g of RUTF paste
Moisture content: 2.5% maximum
Water activity:0.6 maximum
Energy: 2176-2301kJ
520-550 kcal
Proteins*: 10-12% total energy
13-17g/100g
2.5-3g/100kcal
Lipids (total fats): 45-60% total energy
26g-37g/100g
5-7 g/100kcal
n-6 fatty acids: 3-7 % total energy
1.7g -4.3g/100g
330mg-780mg/100kcal
n-3 fatty acids: 1-2.5% total energy
580-1530mg/100g
110-280mg/100kcal
Trans-fatty acids: <3% total fat
1.1g/100g
0.20g/100kcal
Free (added) Sugar:<20% of total energy
<28g/100g
<5g/100kcal

Minerals per 100g
Sodium: 290 mg maximum
Potassium: 1100-1600 mg
Calcium: 300-785 mg
Phosphorus*: 300-785 mg
Magnesium: 80-235 mg
Iron: 10-14 mg
Zinc: 11-14 mg
Copper:1.4-1.8 mg
Selenium:20-40 µg
Iodine:70-140 µg
*Expressed in terms of non-phytate Phosphorus

Minerals per 100 kcal
Sodium:56 mg
Potassium:200-308 mg
Calcium: 55-151 mg
Phosphorus*: 55-151 mg
Magnesium: 15-45 mg
Iron:1.8-2.7 mg
Zinc:2.0-2.7 mg
Copper:0.25-0.35 mg
Selenium:3.6-8 µg
Iodine:13-27µg
*Expressed in terms of non-phytate Phosphorus

Vitamins per 100g
Vitamin A (Retinol Equivalent):> 0.8-1.6mg
Vitamin B1 (Thiamine):> 0.5 mg
Vitamin B2 (Riboflavin):>1.6 mg
Vitamin B3 (Niacin): >5 mg
Vitamin B5 (Pantothenic acid) :> 3 mg
Vitamin B6 (Pyridoxine): >0.6 mg
Vitamin B7 (Biotin):>60µg
Vitamin B9 (Folic acid): >200 µg
Vitamin B12 (Cyanocobalamin): >1.6 µg
Vitamin C (Ascorbic acid): > 50 mg
Vitamin D (Cholecalciferol):15-22 µg
Vitamin E (α-Tocopherol): >20 mg
Vitamin K (Phytonadione):15-30 µg

Vitamins per 100 kcal
Vitamin A (Retinol Equivalent): 145-308µg
Vitamin B1 (Thiamine): 0.09 mg
Vitamin B2 (Riboflavin): 0.29 mg
Vitamin B3 (Niacin):0.91 mg
Vitamin B5 (Pantothenic acid): 0.55 mg
Vitamin B6 (Pyridoxine): 0.11 mg
Vitamin B7 (Biotin):11µg
Vitamin B9 (Folic acid):36 µg
Vitamin B12 (Cyanocobalamin): 0.29 µg
Vitamin C (Ascorbic acid): 9 mg
Vitamin D (Cholecalciferol): 2.7-4.2 µg
Vitamin E (α-Tocopherol): 3.6 mg
Vitamin K (Phytonadione):2.7-6 µg

1µg RE = 3.33 IU Vitamin A = 1 µg trans retinol. Retinol contents shall be provided by preformed retinol, while any contents of carotenoids should not be included in the calculation and declaration of vitamin A activity.
1 µg calciferol = 40 IU vitamin D. Two forms of Vitamin D allowed in RUTF formulation are cholecalciferol (D3) and ergocalciferol (D2).
1 mg α tocopherol = 1 mg RRR α tocopherol (d α tocopherol) 4 1 mg RRR α tocopherol =2.00 mg all rac α tocopherol (d l α tocopherol)

Applicable Codex Alimentarius standards reference
1.CXG 95-2022 Guidelines for Ready-To-Use Therapeutic Foods (RUTF)

Directions for Use
Knead the sachet prior to opening, wash the hands of the caregiver and child, open sachet at the tear notch at the side of the sachet, squeeze out the RUTF and feed the child directly from the sachet. Provide clean water to the child as needed. Feeding must always be supervised by a caregiver.
For dosage recommendations see the latest WHO Guidelines.


Shelf Life:
Shelf life 24 months from date of manufacture.
Opened sachet: use within 24 hours after opening, keep in original packaging.

Storage and transport conditions:
Follow manufacturer instructions on the package, no refrigeration required.
Do not store above 30 °C, protect from direct sunlight.

Logistics Information:
Material safety data sheet information (MSDS): N/A
Packaging and labelling: preparation instructions included on the label and leaflet
Component of a Kit: no

Related products:
S0000242 RUTF biscuit,packs,510g./CAR-24;
S0000237 F-100 Therap milk CAN 400g/CAR 24;
S0000248 Supplementary spread sachet 100g/CAR-150;

Alternative products:
S0000237 F-100 Therap milk CAN 400g/CAR 24;
S0000242 RUTF biscuit,packs,510g./CAR-24;

Useful links:
Guideline: updates on the management of severe acute malnutrition in infants and children. http://apps.who.int/iris/bitstream/handle/10665/95 584/9789241506328_eng.pdf;jsessionid=673BDD42B8B21488E1CA79F21C8493C0?sequence=1

WHO/WFP/SCN and UNICEF Joint Statement on Community-Based Management of Severe Acute Malnutrition. https://www.unicef.org/publications/index_39468.html