{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,5]],"date-time":"2026-10-05T21:22:37Z","timestamp":1791235357526,"version":"4.1.0"},"reference-count":59,"publisher":"MDPI AG","issue":"4","license":[{"start":{"date-parts":[[2023,2,10]],"date-time":"2023-02-10T00:00:00Z","timestamp":1675987200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"UNICEF\u2019s national committees (Australia, Korea and Hong Kong)","award":["CA271"],"award-info":[{"award-number":["CA271"]}]},{"name":"Institut de Recherch\u00e9 pour le D\u00e9veloppement, France","award":["CA271"],"award-info":[{"award-number":["CA271"]}]},{"name":"University of Copenhagen, Denmark","award":["CA271"],"award-info":[{"award-number":["CA271"]}]},{"name":"Neys-van Hoogstraten Foundation, The Netherlands","award":["CA271"],"award-info":[{"award-number":["CA271"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Nutrients"],"abstract":"<jats:p>Severe acute malnutrition (SAM) remains a global health concern. Studies on the impact of ready-to-use therapeutic foods (RUTFs) on micronutrient status during SAM treatment are almost nonexistent. The objective was to investigate the impact of RUTFs on the iron and vitamin A status of 6\u201359-month-old children receiving SAM treatment. Biomarkers of vitamin A status (retinol-binding protein, RBP), iron status (ferritin and soluble transferrin receptor, sTfR), and inflammation (C-reactive protein, CRP, and alpha-1 acid glycoprotein, AGP) were collected at admission and discharge (week 8) during an RUTF effectiveness trial. Vitamin A deficiency was defined as RBP &lt;0.70 \u00b5mol\/L, low body iron as body iron (BI) &lt;0 mg\/kg and deficient iron stores as ferritin &lt;12 \u00b5g\/L. Data were available for 110 and 75 children at admission and discharge, respectively. There was no significant difference in haemoglobin, ferritin, sTfR, BI or RBP concentrations between admission and discharge. At discharge, BI was 0.2 mg\/kg lower, and there was a tendency towards a slightly lower RBP concentration, but the prevalence of vitamin A deficiency was low at admission and discharge (6% and 3%, respectively). The small impact of both RUTFs on improving vitamin A and iron status during SAM treatment calls for further research on the bioavailability of micronutrients to enhance the effectiveness of SAM treatment on micronutrient status.<\/jats:p>","DOI":"10.3390\/nu15040905","type":"journal-article","created":{"date-parts":[[2023,2,13]],"date-time":"2023-02-13T05:59:40Z","timestamp":1676267980000},"page":"905","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":12,"title":["Ready-to-Use Therapeutic Foods Fail to Improve Vitamin A and Iron Status Meaningfully during Treatment for Severe Acute Malnutrition in 6\u201359-Month-old Cambodian Children"],"prefix":"10.3390","volume":"15","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8893-3056","authenticated-orcid":false,"given":"Sanne","family":"Sigh","sequence":"first","affiliation":[{"name":"Department of Nutrition, Exercise, and Sports, Faculty of Science, University of Copenhagen, Rolighedsvej 26, 1958 Frederiksberg C, Denmark"},{"name":"Department of Fisheries Post-Harvest Technologies and Quality Control, Fisheries Administration, 186 Preah Norodom Boulevard, Phnom Penh 12101, Cambodia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9733-9523","authenticated-orcid":false,"given":"Nanna","family":"Roos","sequence":"additional","affiliation":[{"name":"Department of Nutrition, Exercise, and Sports, Faculty of Science, University of Copenhagen, Rolighedsvej 26, 1958 Frederiksberg C, Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chamnan","family":"Chhoun","sequence":"additional","affiliation":[{"name":"Department of Fisheries Post-Harvest Technologies and Quality Control, Fisheries Administration, 186 Preah Norodom Boulevard, Phnom Penh 12101, Cambodia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2315-223X","authenticated-orcid":false,"given":"Arnaud","family":"Laillou","sequence":"additional","affiliation":[{"name":"Nutrition Section, UNICEF West and Central Africa Region, Dakar 29720, Senegal"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6010-355X","authenticated-orcid":false,"given":"Frank T.","family":"Wieringa","sequence":"additional","affiliation":[{"name":"UMR QualiSud, Institut de Recherche Pour le D\u00e9veloppement (IRD), 34394 Montpellier, France"},{"name":"Qualisud, University of Montpellier, Avignon University, CIRAD, Institut Agro, IRD, Universit\u00e9 de la R\u00e9union, 34394 Montpellier, France"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2023,2,10]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"427","DOI":"10.1016\/S0140-6736(13)60937-X","article-title":"Maternal and Child Undernutrition and Overweight in Low-Income and Middle-Income Countries","volume":"382","author":"Black","year":"2013","journal-title":"Lancet"},{"key":"ref_2","doi-asserted-by":"crossref","unstructured":"Lapidus, N., Luquero, F.J., Gaboulaud, V., Shepherd, S., and Grais, R.F. 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