Nutrition of Urban-poor Children

Not Applicable

Completed

• Conditions: Dietary Assessment; Nutritional Assessment; Growth

• Registration Number: NCT06921135
• Lead Sponsor: University of Malaya

Brief Summary

The investigators undertook a program to promote the consumption of healthy foods and reduce the prevalence of malnutrition of children below the age of 5 years in an urban-poor community, by 10% year-on-year through nutrition education and the provision of healthy food. The main purpose of the study is to determine the impact of these nutrition intervention programs on the nutritional status of children under-5 in Selangor.

This retrospective pre-post intervention study will use data collected from 2 previous studies that were carried out between July 2020 to May 2021 (Eat Healthy Project 1.0) and March 2022 to December 2023 (Eat Healthy Project 2.0). The 2 studies had been approved by the Medical Research and Ethics Committees of University Malaya Medical Centre (UMMC) and the Ministry of Health, Malaysia and registered with the National Medical Research Registry (NMRR).

The main outcome measures were:

1. Improved dietary practices, in particular, an increase in the proportion of children who meet the minimum dietary diversity score of 5 food groups, post-intervention.

2. An increase in proportion of children consuming fruits and vegetables and a decrease in proportion of children consuming sugar-sweetened foods and beverages post-intervention.

3. A decrease in prevalence of malnutrition - underweight, wasting and stunting. The comparator will be urban-poor children attending a Child Health clinic who had received nutritional education but no provision of food supplementation.

Detailed Description

The primary objectives:

1. To compare dietary diversity practices of children, based on the WHO 8 food groups and 24-hour dietary recall, pre- and post-intervention.

2. To compare consumption of fresh foods, sugar-sweetened foods and beverages pre- and post-intervention.

The secondary objectives:

3. To compare the weight-for-age z-scores of children pre- and post-intervention.

4. To compare the height-for-age z-scores of children pre- and post-intervention.

5. To compare the prevalence of malnutrition: underweight, stunting and wasting pre- and post-intervention.

Study Timeline

• Study Start: 2020-07-04
• Primary Completion: 2023-12-31
• Study Completion: 2023-12-31
• Study First Submitted: 2025-03-25
• Status Verified: 2025-04
• Study First Submitted QC: 2025-04-07
• Last Update Submitted: 2025-04-07
• Study First Posted: 2025-04-10
• Last Update Posted: 2025-04-10

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 320

Inclusion Criteria

• children aged under 5 years enrolled at PPR Lembah Subang 1 or
• children aged under 5 years enrolled at the Child Health Clinic, Universiti Malaya Medical Center

Exclusion Criteria

• Children with low birth weight (<2.5 kg)
• Children born pre-term (<37 weeks gestation) and
• Children with chronic illnesses or severe malnutrition.

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Primary Outcome Measures

Name	Time	Method
Minimum Dietary diversity score	Pre and post intervention, at least 4 months interval	The percentage of children who achieved the minimum dietary diversity score of 5 food groups, based on WHO 8 food groups and 24-hour dietary recall.
Consumption of healthy foods	Pre and post intervention, at least 4 months interval	The percentage of children who consume fresh fruits and/or vegetables pre- and post-intervention.
Consumption of unhealthy foods	Pre and post intervention, at least 4 months interval	The percentage of children who consume sugar-sweetened foods or beverages.

Secondary Outcome Measures

Name	Time	Method
Child's weight z-scores	Pre and post intervention, at least 4 months interval	Weight is measured in kilograms Weight will be adjusted for age and sex, i.e., Weight for age Z-score
Child's Height z-scores	Pre and post intervention, at least 4 months interval	Height is measured centimeters, adjusted for age and sex: Height-for-age Z-score

Trial Locations

Locations (1)

Universiti of Malaya Medical Center; 🇲🇾 Kuala Lumpur, Wilayah Persekutuan Kuala Lumpur, Malaysia