Nutrition rehabilitation of undernourished children utilizing Spiruline and Misola

Jacques Simpore, Fatoumata Kabore, Frederic Zongo, Deleli Dansou, Augustin Bere, Salvatore Pignatelli, Daniela M Biondi, Giuseppe Ruberto, Salvatore Musumeci, Jacques Simpore, Fatoumata Kabore, Frederic Zongo, Deleli Dansou, Augustin Bere, Salvatore Pignatelli, Daniela M Biondi, Giuseppe Ruberto, Salvatore Musumeci

Abstract

Background: Malnutrition constitutes a public health problem throughout the world and particularly in developing countries.

Aims: The objective of the study is to assess the impact of an elementary integrator composed of Spiruline (Spirulina platensis) and Misola (millet, soja, peanut) produced at the Centre Medical St Camille (CMSC) of Ouagadougou, Burkina Faso, on the nutritional status of undernourished children.

Materials and methods: 550 undernourished children of less than 5 years old were enrolled in this study, 455 showed severe marasma, 57 marasma of medium severity and 38 kwashiorkor plus marasma. We divided the children randomly into four groups: 170 were given Misola (731 +/- 7 kcal/day), 170 were given Spiruline plus traditional meals (748 +/- 6 kcal/day), 170 were given Spiruline plus Misola (767 +/- 5 kcal/day). Forty children received only traditional meals (722 +/- 8 kcal/day) and functioned as the control group. The duration of this study was eight weeks.

Results and discussion: Anthropometrics and haematological parameters allowed us to appreciate both the nutritional and biological evolution of these children. The rehabilitation with Spiruline plus Misola (this association gave an energy intake of 767 +/- 5 kcal/day with a protein assumption of 33.3 +/- 1.2 g a day), both greater than Misola or Spiruline alone, seems to correct weight loss more quickly.

Conclusion: Our results indicate that Misola, Spiruline plus traditional meals or Spiruline plus Misola are all a good food supplement for undernourished children, but the rehabilitation by Spiruline plus Misola seems synergically favour the nutrition rehabilitation better than the simple addition of protein and energy intake.

Figures

Figure 1
Figure 1
Particular of bacins for Spiruline cultivation.

References

    1. ONUSIDA/OMS: Le point de l'épidémie de sida. 2000.
    1. WHO Projected budget for 1' exercise 2000–2003.
    1. Some JF. Itinéraire des enfants admis pour malnutrition dans les centres de réhabilitation et d'éducation nutritionnelle de Ouagadougou. Thèse de doctorat, Université de Ouagadougou. 1999.
    1. Boulet M. Micronutrient deficiencies. Reports from the field – Africa. Glob Impacts. 1997;13
    1. Ashworth A, Chopra M, McCoy D, Sanders D, Jackson D, Karaolis N, Sogaula N, Schofield C. WHO guidelines for management of severe malnutrition in rural South African hospitals: effect on case fatality and the influence of operational factors. Lancet. 2004;363:1110–5. doi: 10.1016/S0140-6736(04)15894-7.
    1. Pignatelli S, Simpore J, Musumeci S. Effectiveness of forced rehydratation and early re-feeding in the treatment of acute diarrhoea in a tropical area. Minerva Pediat. 2000;52:714–7.
    1. Blinkova LP, Gorobets OB, Baturo AP. Biological activity of Spirulina. Zh Mikrobiol Epidemiol Immunobiol. 2001;2:114–8.
    1. Altman DG, Schulz KF, Moher D. The revised CONSORT statement for reporting randomized trials:Explanation and elaboration. Ann Intern Med. 2001;134:663–694.
    1. Shiveley LR, Thuluvath PJ. Assessment of nutritional status via anthropometry. Nutrition. 1997;13:714–7. doi: 10.1016/S0899-9007(97)83028-6.
    1. Stevenson RD. Feeding and nutrition in children with developmental disabilities. Pediatr Ann. 1995;24:255–60.
    1. Flamant Vert. Produire de la Spiruline en systèmes autonomes. La Spiruline une algue pour l'Homme et la Planèt. Georg Editeur SA, Geneve; 1988.
    1. Sautier C, Tremolieres J. Food value of the Spiruline algae to man. Ann Nutr Aliment. 1975;29:517–34.
    1. Bucaille P, editor. Effectiveness of spirulina algae as food for children with protein-energy malnutrition in a tropical environment. University Paul Sabatier, Toulouse, France; 1990.
    1. Kapoor R, Mehta U. Iron bioavailability from Spirulina platensis, whole egg and whole wheat. Indian J Exp Biol. 1992;30:904–7.
    1. Decsi T, Koletzko B. Effects of protein-energy malnutrition and human immunodeficiency virus-1 infection on essential fatty acid metabolism in children. Nutrititon. 2000;16:447–53.
    1. Koletzko B, Abiodun PO, Laryea MD, Bremer HJ. Fatty acid composition of plasma lipids in Nigerian children with protein-energy malnutrition. Eur J Pediatr. 1986;145:109–15. doi: 10.1007/BF00441868.
    1. Leandro-Merhi VA, Vilela MM, Silva MN, Lopez FA, Barros Filho A. Evolution of nutritional status of infants infected with the human immunodeficiency virus. San Paulo Med J. 2000;118:148–53.
    1. Branger B, Cadudal JL, Delobel M, Ouoba H, Yameogo P, Ouedraogo D, Guerin D, Valea A, les personnels des CREN, Zombre C, Ancel P. La Spiruline comme complément alimentaire dans la malnutrition du nourrisson au Burkina Faso. Archives de Pédiatrie. 2003;10:424–431. doi: 10.1016/S0929-693X(03)00091-5.
    1. Sall MG, Dankako B, Badiane M, Ehua E, Kuakuwi N. Resultats d'un essai de rehabilitation nutritionelle avec la Spiruline a Dakar (A propos de 59 cas) Medécine d'Afrique noire. 1996;46:143–146.
    1. Kelly P, Musuku J, Kafwembe E, Libby G, Zulu I, Murphy J, Farthing MJ. Impaired bioavailability of vitamin A in adults and children with persistent diarrhoea in Zambia. Aliment Pharmacol Ther. 2001;15:973–9. doi: 10.1046/j.1365-2036.2001.01021.x.
    1. Sammon AM. Dietary linoleic acid, immune inhibition and disease. Postgrad Med J. 1999;75:129–32.

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