An observational study in Food Insecurity, Stunting and Wasting, sponsored by National Institute of Nutrition, Vietnam. Completed. Open to participants aged 6 Months to 2 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2019-02-20.
Sponsored by National Institute of Nutrition, Vietnam · Observational
This repeated measures, cluster randomized, cohort trial design was carried out in three provinces in the northern mountainous area of Vietnam. Communes here were randomly selected for community based interventions with local production complimentary foods and marketing and distribution of fortified complimentary foods.
In rural northern Vietnam, childhood stunting rates are high. In Lào Cai province, female subsistence farmers grow crops, but face barriers sending produce to markets. The present intervention purchases local crops from local women subsistence farmers which are processed in local small-scale food processing facilities to produce instant fortified complementary foods for weaning.
Methods: A repeated measures survey was conducted from October to November 2016, with Caregiver-Child(\<2y) pairs (n=800) in the provinces of Lai Chau, Lao Cai and Ha Giang. Anthropometric data of mother/child dyads was assessed and logistic regression analysis of stunted and underweight children explored associated factors. These included: core infant and young child feeding practices indicators, food insecurity, antenatal care check-ups, core water/sanitation, anemia and hygiene indicators.
This project leveraged the experience of the National Institute of Nutrition of Vietnam to ensure HACCP standards during manufacture. Locally grown rice was combined with a Zn/Fe premix before extrusion and hammer-milling. Local vegetables such as: "Sweet leaf" (Sauropus androgynous), pumpkin, Shiitake mushrooms (Lentinula edodes) and carrots were made into complimentary foods and sold locally.
227 studies on the registry are indexed under Growth Disorders; 25 are open to participants now.
This study's enrollment of 799 is above the median of 231 across 78 observational studies indexed under Growth Disorders.
Browse Growth Disorders studies →National Institute of Nutrition, Vietnam is the lead sponsor of 3 studies on the registry; none are open to participants now.
Counted across the registry records on this site, refreshed daily.
Perspective participants from these 9 communes, were invited to participate based on the inclusion criteria of the project and randomization lists will be made from the lists of children (\< 2y) from the commune health centers. From these lists, 800 children will be randomly selected and categorized by age into different groups: 100 infants of 0-5 months, 400 infants of 6-12 months, and 200 children of 12-23 months will be selected.
A initial cross-sectional Baseline survey with a was conducted from October to November 2016, with Caregiver-Child(\<2y) pairs (n=799) in the provinces of Lai Chau, Lao Cai and Ha Giang.
Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.
Exclusion Criteria:
Nine communes were randomly selected with the cluster inclusion criteria as having high levels of; agricultural production, childhood under-nutrition and food security. This was carried out in the three rural mountainous provinces of Lao Cai, Lai Chau, and Ha Giang. In each of these provinces, one district and three subsequent communes were selected, for a total of 9 communes. The districts of Bat Xat, Tam Duong, and Vi Xuyen were selected in Lao Cai, Lai Chau and Ha Giang province respectively. This second stage district sampling selected sites with similar characteristic of population density, area, number of women of reproductive age(15-35y), percentage of children(\<2y), income primarily from agricultural production, poverty and climate data. Changes were observed on food security and nutritional status with exposure to community based self reported purchasing local agricultural products and access to locally produced fortified complimentary foods.
Household Food Insecurity Access Scale
Score from 1-27 indicating household food Insecurity. Where higher scores indicate greater food insecurity. This was taken at the beginning of intervention in Nov 2016 till completion in June 2018.
Time frame: Nov 2016-June 2018
Weight in kilograms
Stunting (Height-for-age Z score \<-2SD), Underweight (Weight-for-age Z score\<-2SD), Wasting (Weight-for-height Z score\<-2SD) compared with World Health Organization's growth charts.
Time frame: Nov 2016-June 2018
Height in Meters
Stunting (Height-for-age Z score \<-2SD), Underweight (Weight-for-age Z score\<-2SD), Wasting (Weight-for-height Z score\<-2SD) compared with World Health Organization's growth charts.
Time frame: Nov 2016-June 2018
Age in Months
Stunting (Height-for-age Z score \<-2SD), Underweight (Weight-for-age Z score\<-2SD), Wasting (Weight-for-height Z score\<-2SD) compared with World Health Organization's growth charts.
Time frame: Nov 2016-June 2018
Hemoglobin Levels of Children (<2y)
Hemoglobin levels among Children participants assessed by finger prick blood sampling.
Time frame: Nov 2016-June 2018
No study locations are listed for this record.
Plan to share: Undecided — It is not yet known if there will be a plan to make individual participant data available.
Ran from Nov 2016 to primary completion in Jun 2018, 19 months.
Of 42 observational studies under Growth Disorders, half reached primary completion within 43 months of starting (the median), counting those still running; a quarter within 21 and three quarters within 55. This study's 19 months is below that.
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This study is completed, as verified in Feb 2019. You cannot join it, but the record below documents what was studied.
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National Institute of Nutrition, Vietnam