Milk Supplementation and Bone Health in Children
Effects of Yili Child Formula Milk on Bone Health in 4-6 Year Children: a 12-month Randomized Controlled Trial
Objectives: to examine the effects of a Yili child formula milk and regular milk on bone health and growth in young children.
Study design: cluster randomized controlled trial.
Setting: kindergartens in Hui-ning County of Gansu Province, China (north west).
Participants: >=246 apparent healthy children aged 4-6 years old.
Interventions:
(I) Yili child formula milk (QQ star formula, SCI-PRO NUTR5+6TM), 195 ml *2 /day; (II) Yili regular milk (pure milk), 195ml*2 /day; (III) Controls: about 50g/d grain foods (containing 20-30 g carbohydrates), e.g. bread.
Interventional Duration: 12 months.
Outcome measures: determined at 0, 6 and 12 months post treatments. Primary outcomes: bone density and bone mineral contents at the forearm and heel, bone biomarkers.
Secondary outcomes: (1) anthropometric indices: weight, height, waist circumference, etc.; (2) immune status.
Other measures: dietary intakes, physical activities, general information, medical information, adverse of side effects.
Data Analyses: The one-year changes and percent changes in the primary and secondary outcomes will be compared among the 3 groups.
Studienübersicht
Status
Status
Bedingungen
Bedingungen
Intervention / Behandlung
Intervention / Behandlung
Studientyp
Studientyp
Einschreibung (Voraussichtlich)
Einschreibung
Phase
Phase
- Unzutreffend
Kontakte und Standorte
Studienorte
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Gangshu
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Lanzhou, Gangshu, China, 730000
- LanZhou University
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-
Teilnahmekriterien
Zulassungskriterien
Zulassungskriterien
Studienberechtigtes Alter
Akzeptiert gesunde Freiwillige
Studienberechtigte Geschlechter
Beschreibung
Inclusion Criteria:
- Aged between 4-6 years;
- female and male
- Can be enrolled into kindergarten/school as a normal child.
- Be willing to drinking milk daily.
Exclusion Criteria:
- Milk allergy or intolerance, did not to be used to drinking milk;
- Had the following diseases/conditions confirmed by a hospital: serious diseases of heart, liver, kidney, brain, hematopoietic system, immunity, thyroid or cancer that need to be hospitalization for more than 1 week or take medication(s) for more than 1 month with the past two years.
- having infectious diseases, e.g., tuberculosis, hepatitis, etc.
- Taking vitamin D, calcium tables or nutrient package;
- Consumed more than 3 times (>600ml) milk each week in the previous month.
- Be not willing to provide informed consent, or have other conditions that were considered to be unsuitable for the study by the investigators.
- Increases of body health were out of the range between 5-8 cm in the last year.
Studienplan
Wie ist die Studie aufgebaut?
Designdetails
- Hauptzweck: Verhütung
- Zuteilung: Zufällig
- Interventionsmodell: Parallele Zuordnung
- Maskierung: Single
Anzahl der Arme
Waffen und Interventionen
Teilnehmergruppe / ArmTeilnehmergruppe / Arm |
Intervention / BehandlungIntervention / Behandlung |
|---|---|
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Experimental: Formula Milk
Formula milk designed for young children aged over 3 years; Dosage: 195 ml/time; Frequence: 2 times /day; Duration: 12 months |
Brand name: Yili (QQ star formula milk); Type: SCI-PRO NUTRI 5+6TM formula milk designed for young children aged over 3 years; Dosage: 195ml*2/d; Intervention duration: 12 months |
|
Aktiver Komparator: Regular milk
Regular milk (pure milk); Dosage: 195 ml/time; Frequence: 2 times /day; Duration: 12 months |
Brand name: Yili; Type: regular milk (pure milk); Dosage: 195ml*2/d; Intervention duration: 12 months |
|
Sonstiges: Control foods
Grain foods: e.g., bread; Dosage: 20-40 g/time; Frequence: 2 times /day; Duration: 12 months |
Brand: N/A; Food type: grain foods (e.g., bread); Dosage: 20-40g * 2/d grain foods Intervention duration: 12 months |
Was misst die Studie?
Primäre Ergebnismessungen
Primäre Ergebnismessungen
Ergebnis Maßnahme |
Maßnahmenbeschreibung |
Zeitfenster |
|---|---|---|
|
Change from baseline bone mineral density (BMD) at 12 months
Zeitfenster: 0 and 12 months
|
BMD (g/cm2) determined by a dual energy x-ray absorptiometry (DXA) at the left forearm and heel
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0 and 12 months
|
|
Change from baseline bone mineral density (BMD) at 6 months
Zeitfenster: 0 and 6 months
|
BMD (g/cm2) determined by DXA at the left forearm and heel
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0 and 6 months
|
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Change from baseline bone mineral contents (BMC) at 12 months
Zeitfenster: 0 and 12 months
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BMC (g) determined by DXA at the left forearm and heel.
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0 and 12 months
|
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Change from baseline bone mineral contents (BMC) at 6 months
Zeitfenster: 0 and 6 months
|
BMC (g) determined by DXA at the left forearm and heel.
|
0 and 6 months
|
|
Change from baseline of bone-specific alkaline phosphatase at 12 months
Zeitfenster: 0 and 12 months
|
Bone turnover marker 1: Bone-specific alkaline phosphatase
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0 and 12 months
|
|
Change from baseline of bone-specific alkaline phosphatase at 6 months
Zeitfenster: 0 and 6 months
|
Bone turnover marker 1: Bone-specific alkaline phosphatase
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0 and 6 months
|
|
Change from baseline of osteocalcin at 12 months
Zeitfenster: 0 and 12 months
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Bone turnover marker 2: osteocalcin
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0 and 12 months
|
|
Change from baseline of osteocalcin at 6 months
Zeitfenster: 0 and 6 months
|
Bone turnover marker 2: osteocalcin
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0 and 6 months
|
|
Change from baseline of C-terminal telopeptide of type I collagen at 12 months
Zeitfenster: 0 and 12 months
|
Bone turnover marker 3: C-terminal telopeptide of type I collagen
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0 and 12 months
|
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Change from baseline of C-terminal telopeptide of type I collagen at 6 months
Zeitfenster: 0 and 6 months
|
Bone turnover marker 3: C-terminal telopeptide of type I collagen
|
0 and 6 months
|
|
Change from baseline of tartrate resistant acid phosphatase at 12 months
Zeitfenster: 0 and 12 months
|
Bone turnover marker 4: tartrate resistant acid phosphatase
|
0 and 12 months
|
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Change from baseline of tartrate resistant acid phosphatase at 6 months
Zeitfenster: 0 and 6 months
|
Bone turnover marker 4: tartrate resistant acid phosphatase
|
0 and 6 months
|
Sekundäre Ergebnismessungen
Sekundäre Ergebnismessungen
Ergebnis Maßnahme |
Maßnahmenbeschreibung |
Zeitfenster |
|---|---|---|
|
Change from baseline body weight at 12 months
Zeitfenster: 0 and 12 months
|
Anthropometric indices: body weight
|
0 and 12 months
|
|
Change from baseline body height at 12 months
Zeitfenster: 0 and 12 months
|
Anthropometric indices: body height
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0 and 12 months
|
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Change from baseline biomarker of body growth at 12 months
Zeitfenster: 0 and 12 months
|
Biomarker of body growth: insulin-like growth factor 1
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0 and 12 months
|
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Change from baseline immune globulin M (Ig M)at 12 months
Zeitfenster: 0 and 12 months
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Immune status: Blood Ig M
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0 and 12 months
|
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Change from baseline immune globulin G (Ig G)at 12 months
Zeitfenster: 0 and 12 months
|
Immune status: Blood Ig G
|
0 and 12 months
|
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Change from baseline immune globulin G (Ig A)at 12 months
Zeitfenster: 0 and 12 months
|
Immune status: Blood Ig A
|
0 and 12 months
|
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Change from baseline whit blood cell at 12 months
Zeitfenster: 0 and 12 months
|
Immune status: whit blood cell
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0 and 12 months
|
Andere Ergebnismessungen
Andere Ergebnismessungen
Ergebnis Maßnahme |
Maßnahmenbeschreibung |
Zeitfenster |
|---|---|---|
|
Concentrations of blood total 25-hydroxide-vitamin D (25-OH-VD)
Zeitfenster: 0, 6 and 12 months
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Serum 25-OH-VD
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0, 6 and 12 months
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Concentrations of blood parathyroid Hormone (PTH)
Zeitfenster: 0, 6 and 12 months
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Serum PTH
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0, 6 and 12 months
|
|
Nutritional status 1: Body weight
Zeitfenster: 0, 4, 8 and 12 months
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Body weight (in kg)
|
0, 4, 8 and 12 months
|
|
Nutritional status 2: waist circumference
Zeitfenster: 0, 4, 8 and 12 months
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Waist circumference (in cm)
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0, 4, 8 and 12 months
|
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Nutritional status 3: middle-arm circumference
Zeitfenster: 0, 4, 8 and 12 months
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Middle-arm circumference (in cm)
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0, 4, 8 and 12 months
|
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Nutritional status 4: skinfold thickness
Zeitfenster: 0, 4, 8 and 12 months
|
Skinfold thickness (in mm)
|
0, 4, 8 and 12 months
|
|
Total consumption of milk and dairy food
Zeitfenster: 0, 4, 8 and 12 months
|
Total consumption of milk and dairy food (in ml/d)
|
0, 4, 8 and 12 months
|
|
Consumption of dietary energy
Zeitfenster: 0, 4, 8 and 12 months
|
Consumption of dietary energy (in kcal/d)
|
0, 4, 8 and 12 months
|
|
Consumption of dietary protein
Zeitfenster: 0, 4, 8 and 12 months
|
Consumption of dietary protein (in g/d)
|
0, 4, 8 and 12 months
|
|
Consumption of dietary calcium
Zeitfenster: 0, 4, 8 and 12 months
|
Consumption of dietary calcium (in mg/d)
|
0, 4, 8 and 12 months
|
|
Number of participants with treatment-related adverse events
Zeitfenster: 0, 4, 8 and 12 months
|
Adverse events : assessed by using questionnaires of medical conditions, medications related to milk intake
|
0, 4, 8 and 12 months
|
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Child behaviors
Zeitfenster: 0 and 12 months
|
Child behaviours: assessed by using a Child behavior Questionnaire-- parent version.
The minimum and maximum values: 26-78; higher scores mean worse outcome.
|
0 and 12 months
|
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Physical activity
Zeitfenster: 0, 4, 8 and 12 months
|
Physical activity (in MET, h/week): assessed by a Child Physical Activity Questionnaire
|
0, 4, 8 and 12 months
|
|
Concentrations of serum calcium
Zeitfenster: 0, 6 and 12 months
|
Serum calcium (mmol/L)
|
0, 6 and 12 months
|
Mitarbeiter und Ermittler
Sponsor
Sponsor
Mitarbeiter
Mitarbeiter
Ermittler
Ermittler
- Hauptermittler: Yuming Chen, Ph.D., Sun Yat-sen University
- Studienstuhl: Zhifu Zhao, M. Phil, Inner Mongolia Dairy Technology Research Institute Co., Ltd.
Studienaufzeichnungsdaten
Haupttermine studieren
Studienbeginn (Tatsächlich)
Studienbeginn
Primärer Abschluss (Voraussichtlich)
Primärer Abschluss
Studienabschluss (Voraussichtlich)
Studienabschluss
Studienanmeldedaten
Zuerst eingereicht
Zuerst eingereicht
Zuerst eingereicht, das die QC-Kriterien erfüllt hat
Zuerst eingereicht, das die QC-Kriterien erfüllt hat
Zuerst gepostet (Tatsächlich)
Zuerst gepostet
Studienaufzeichnungsaktualisierungen
Letztes Update gepostet (Tatsächlich)
Letztes Update gepostet
Letztes eingereichtes Update, das die QC-Kriterien erfüllt
Letztes eingereichtes Update, das die QC-Kriterien erfüllt
Zuletzt verifiziert
Zuletzt verifiziert
Mehr Informationen
Begriffe im Zusammenhang mit dieser Studie
Schlüsselwörter
Zusätzliche relevante MeSH-Bedingungen
Andere Studien-ID-Nummern
Andere Studien-ID-Nummern
- SYSU-51000-20210723-0001
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