Micronutrient Status in Children Aged 1-3 Years Consuming Their Habitual Diet With or Without Young Children's Milk
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Detailed Description
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Not Applicable
Contacts and Locations
Study Locations
-
-
Jakarta
-
Jakarta Pusat, Jakarta, Indonesia, 10430
- Indonesian Nutrition Association
-
-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Written informed consent has been obtained from the parent.
- Full-term gestational birth (≥ 37 completed weeks of gestation), with a birth weight of ≥ 2.5 kg and ≤ 4.5 kg.
- Child is age 12 - 32 months at enrolment.
- Child is no longer being breastfed (neither exclusively nor partially)
- Child's parent is of legal age of consent, must understand the informed consent form and other study documents, and is willing and able to fulfill the requirements of the study protocol.
Exclusion Criteria:
Child has consumed micronutrient supplements or micronutrient fortified foods or beverages in amounts greater than the thresholds below:
- Micronutrient supplements (except for vitamin A): zero in the past 4 weeks
- Micronutrient-fortified foods or beverages: zero servings in the past 2 weeks
- Chronic infectious illness, helminthiasis, or other acute disease/disorder potentially affecting feeding or growth (mild infectious illness, such as acute viral rhinopharyngitis, is acceptable).
- Any congenital malformation (e.g., gastrointestinal tract atresia) or surgery sequelae (e.g. short bowel syndrome) potentially affecting feeding, growth, or nutrient absorption.
- Child exhibits any clinical signs of potential micronutrient deficiencies (e.g., hemoglobin < 100 g/L based on screening assessment, rickets based on physical exam).
- Known or suspected cows' milk protein intolerance / allergy, lactose intolerance, soy intolerance / allergy, fish oil intolerance / allergy, or other food allergies that affect diet.
- Child fed vegan, vegetarian, or vegetarian plus fish diets in which milk products are excluded.
- Weight-for-age value < -2 or > 2 standard deviations from the WHO(world health organization) Child Growth Standards median at enrollment.
- Height-for-age < -2 or > 2 standard deviations from the WHO(world health organization) Child Growth Standards median at enrollment.
- Child has participated in another clinical trial within 4 weeks prior to enrollment.
- Child of any investigational site staff member or Nestle employee directly involved in the conduct of the trial.
- Other medical or psychiatric condition that, in the judgement of the investigator, would make the child inappropriate for entry into the study.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Other
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Experimental: YCM Group (1- <3) Years old
2 servings / day of the investigational (test) young children's milk (YCM) for 16 weeks
|
young children's milk containing protein, energy and fat and micronutrients, in accordance with global and local nutritional recommendations for ages 1-3.
Other Names:
|
|
No Intervention: Observation Group (1-<3) Years old
Habitual diet, consume the same regular foods and drinks as the children would normally
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
change in Vitamin D and Iron status
Time Frame: 16 weeks
|
measure blood vitamin D and Iron value
|
16 weeks
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
change in Zinc status
Time Frame: 16 weeks
|
measure blood Zinc value
|
16 weeks
|
|
Assess micronutrient intake
Time Frame: 16 weeks
|
Using 24 hour dietary recall
|
16 weeks
|
Other Outcome Measures
Other Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
assess other nutrient biomarkers
Time Frame: 16 weeks
|
measure changes by blood measurement for CRP in mg/L
|
16 weeks
|
|
assess other nutrient biomarkers
Time Frame: 16 weeks
|
measure changes by blood measurement for serum retinol in μmol/L
|
16 weeks
|
|
assess other nutrient biomarkers
Time Frame: 16 weeks
|
measure changes by blood measurement for alpha(1)-acid glycoprotein in absolute value
|
16 weeks
|
|
assess muscular fitness
Time Frame: 16 weeks
|
measure changes by blood measurement for serum niacin
|
16 weeks
|
|
assess muscular fitness
Time Frame: 16 weeks
|
measure changes by blood measurement for plasma vitamin B6
|
16 weeks
|
|
assess child developmental milestones
Time Frame: 16 weeks
|
measure Ages & Stages Questionnaires, Third Edition; Minimum 0, Maximum 60, higher scores indicate more positive outcomes
|
16 weeks
|
|
assess child developmental milestones
Time Frame: 16 weeks
|
measure Ages & Stages Questionnaires: Social-Emotional, Second Edition, Minimum 0, Maximum 180, lower scores indicate more positive outcomes
|
16 weeks
|
|
assess bone mass index
Time Frame: 16 weeks
|
measure the development of bone mass
|
16 weeks
|
|
assess muscular fitness
Time Frame: 16 weeks
|
measure handgrip strength using a portable dynamometer
|
16 weeks
|
|
assess stool microbiota composition and metabolism and gut biomarkers
Time Frame: 16 weeks
|
measure stool microbiota composition and metabolism, plus biomarkers of gut function (e.g., calprotectin, alpha-1 antitrypsin, albumin) and short-chain fatty acids.
|
16 weeks
|
|
assess genetic markers of vitamin D metabolism / status
Time Frame: baseline
|
measure genetic variants isolated from blood draw
|
baseline
|
|
assess gastrointestinal (GI) tolerance
Time Frame: 16 weeks
|
measure changes in gut comfort level min 10, max 60.
Lower score indicate more positive outcomes
|
16 weeks
|
|
assess YCM acceptability in children consuming GUM.
Time Frame: 16 weeks
|
measure how well acceptable is YCM for interventional group, minimum score 5 max score 33.
higher score indicate positive outcome
|
16 weeks
|
|
To monitor growth and development
Time Frame: 16 weeks
|
Anthropometry Assessment based on BMI in (kg/m^2) by weight (Kilograms), height (Metres)
|
16 weeks
|
|
To monitor standard adverse events (AE)
Time Frame: 16 weeks
|
safety assessment by monitoring the AEs linked with participation in study
|
16 weeks
|
|
To monitor absenteeism from day care or pre-school due to illness
Time Frame: 16 weeks
|
safety assessment by monitoring the days of absenteeism linked with participation in study
|
16 weeks
|
|
To monitor concomitant medication (CM) reporting
Time Frame: 16 weeks
|
safety assessment by monitoring the concomitant medication linked with participation in study
|
16 weeks
|
Collaborators and Investigators
Sponsor
Sponsor
Investigators
Investigators
- Principal Investigator: Sudigdo Sastroasmoro, MD, Department of Child Health, Medical School, University of Indonesia
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Actual)
Primary Completion
Study Completion (Actual)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Actual)
First Posted
Study Record Updates
Last Update Posted (Actual)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Other Study ID Numbers
Other Study ID Numbers
- 19.08.INF
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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