Background: Ready-to-use therapeutic foods (RUTF) are designed to cover the daily nutrient requirements of children
with severe acute malnutrition (SAM). However, with the transfer of uncomplicated SAM care from the hospital environment to the community level, children will be able to consume complementary and family foods (CFF) in addition to RUTF, and this might decrease the quantity of RUTF needed for recovery.
Objectives: Using an individually randomized clinical trial, we investigated the effects of a reduced RUTF dose on the
dailyenergyandmacronutrientintakes,theproportionofenergycomingfromCFF,andthemeanprobabilityofadequacy
(MPA) of intake in 11 micronutrients of 516 children aged 6–59 mo who were treated for SAM in Burkina Faso.
Methods: The data were collected using a single 24-h multipass dietary recall, 1 mo after starting treatment, from
December 2016 to August 2018, repeated on a subsample of 66 children. Differences between children receiving the
reducedRUTF(interventionarm)andthosereceivingstandardRUTF(controlarm)wereassessedbylinearmixedmodels.
Results: Daily energy intake was lower (P

children with severe acute malnutrition ready-to-use therapeutic food complementary feeding energy and micronutrient adequacy