e-Library of Evidence for Nutrition Actions (eLENA)

Micronutrient supplementation in children with severe acute malnutrition

Severe acute malnutrition (SAM) is defined by a very low weight for height, by visible severe wasting, or by the presence of nutritional oedema. It affects about 20 million children under the age of five. Children with SAM often have micronutrient deficiencies, and these need to be corrected for a successful and complete nutritional recovery.

WHO recommends that severely malnourished children receive a routine supplement cocktail of minerals and vitamins. For this reason, commercially available therapeutic milks, ready-to-use therapeutic foods, and rehydration solutions for malnourished children contain a mix of minerals and vitamins. Ready-made vitamin and mineral mixes can also be used in the preparation of local therapeutic foods and rehydration solutions.

WHO documents

GRC-approved guidelines

Status: not currently available

Other guidance documents


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Clinical trials

Last update:

25 March 2014 13:31 CET

Category 2 intervention

Systematic review(s) have been conducted but no recent guidelines yet available that have been approved by the WHO Guidelines Review Committee