Inclusion Criteria:  Severe acute malnutrition defined as the presence of edema Who are admitted and treated in the refeeding center (CREN) of the CHUSS Aged between 6 and 59 Months Parental Signed informed consent form Recruited in the first phase of the treatment and successfully admitted to the transition phase  Exclusion Criteria:  SAM without edema Moderate acute malnutrition (MAM) Did not improve during the stabilization phase