Preparation of F-75 and F-100 diets used in the treatment of malnutrition in children

WHO: World Health Organization.
* To prepare the F-75 diet, add the dried skim milk, sugar, cereal flour, and oil to some water and mix. Boil for 5 to 7 minutes. Allow to cool, then add the mineral mix and vitamin mix and mix again. Make up the volume to 1000 mL with water. A comparable formula can be made from 35 g of whole dried milk, 70 g of sugar, 35 g of cereal flour, 17 g of oil, 20 mL of mineral mix, 140 mg of vitamin mix, and water to make 1000 mL.
¶ If cereal flour is not available or there are no cooking facilities, a comparable formula can be made from 25 g of dried skim milk, 100 g of sugar, 27 g of oil, 20 mL of mineral mix, 140 mg of vitamin mix, and water to make 1000 mL. However, this formula has a high osmolarity (415 mOsmol/L) and may not be well tolerated by all children, especially those with diarrhea.
Δ Isotonic versions of F-75 (280 mOsmol/L), which contain maltodextrins instead of cereal flour and some of the sugar and include all the necessary micronutrients, are available commercially.
◊ To prepare the F-100 diet, add the dried skim milk, sugar, and oil to some warm boiled water and mix. Add the mineral mix and vitamin mix and mix again. Make up the volume to 1000 mL with water.
§ See related tables describing the WHO vitamin mix and WHO mineral mix. If only small amounts of feed are being prepared, it will not be feasible to prepare the vitamin mix, because of the small amounts involved. In this case, give a proprietary multivitamin supplement. Alternatively, a combined mineral and vitamin mix for malnourished children is available commercially and can be used in the above diets.