Inclusion Criteria:  Severe acute malnutrition defined as Weight-for-Height Z-score (WHZ) <- 3 SD AND / OR MUAC <115 mm AND / OR with edema With complications Who are admitted and treated in the refeeding center (CREN) of the CHUSS Aged between 6 and 59 Months Parental Signed informed consent form  Exclusion Criteria:  Children younger than 6 months or older than 59 months of age Moderate Acute Malnutrition (MAM)