The Impact of Nutrition Education and Milk Provision in Fueling the Progress of 1 - 3 Years Old Children
- Conditions
- Iron-deficiency
- Interventions
- Behavioral: Nutrition EducationCombination Product: Nutrition Education and Growing Up Milk for 1 - 3 years old
- Registration Number
- NCT05489094
- Lead Sponsor
- Danone Specialized Nutrition Indonesia
- Brief Summary
The study will be conducted by the Indonesia Nutrition Association that led by a Principle Investigator and supported by the study team consisted of Nutritionists.
The aims of the study are to reduce iron deficiency by increasing iron intake in children 1-3 years by providing interventions in the form of increasing iron intake from growing up milk for four months and nutrition education for the intervention group and nutrition education only for the control group.
- Detailed Description
The study will be conducted by the Indonesia Nutrition Association that led by a Principle Investigator and supported by the study team consisted of Nutritionists.
The aim of the study is to reduce iron deficiency by increasing iron intake in children 1-3 years (min 40%) by providing interventions in the form of increasing iron intake from growing up milk and nutrition education for the intervention group and nutrition education only for the control group for four months intervention period.
The subject for the study is 2 x 98 children for a cluster randomization control trial study residing in Kampung Melayu, East Jakarta. After signed informed consent had been obtained from parents/caretakers, baseline characteristics (demographics, medical history, pre-existing conditions, weight, and height) were collected and recorded. Children that have passed the requirements to be included and not to be excluded based on inclusion and exclusion criteria will be collected and recorded their data based on the protocol.
All children in the intervention group will be receiving nutrition education and growing up milk approximately 2-3 servings/day during the intervention period, whereas those who are in the control group will receive only nutrition education. Their data will be collected and recorded for the study.
During the intervention period, in a regular period, children in the study, will be measured on parameters that are stated above. Screening, enrolment, baseline measurements, subsequent assessments at 1, 2, 3, and 4 months of intervention will be done at the community health center in Jakarta. The monitoring to ensure adherent to the intervention will be conducted via home visits by health workers.
Recruitment & Eligibility
- Status
- UNKNOWN
- Sex
- All
- Target Recruitment
- 196
- Apparently healthy Indonesian children
- Age 12 - 32 months at baseline visit
- Willing to take min 2 serving of study product per day
- Daily Iron intake less than 80% of Indonesian RDA (<5.6 mg/day)
- Planning to reside in the study area during the next 4 months
- Written informed consent by parent(s) or legally acceptable representative (in ICF there is statement that both are agree that child participate in the study)
- Having Hb <8 g/dL using Hemocue
- Having cow's milk allergy, galactosemia, conditions needing a special diet, like major renal and hepatic dysfunction, major gastrointestinal intolerance (e.g., severe vomiting, severe diarrhea), investigator's uncertainty about the willingness or ability of the child/carer to comply with the protocol requirements, participation in any other study within two weeks prior to entry into the study
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description Control Group Nutrition Education Second group will be given nutrition education only for four months intervention period Intervention Group Nutrition Education and Growing Up Milk for 1 - 3 years old First group will be given nutrition education and iron intake from growing up milk approximately 2 - 3 servings/day for four months intervention period
- Primary Outcome Measures
Name Time Method Impact of milk provision on change from baseline of daily iron intake at 4 month in intervention group vs control group at baseline and at 4 months after baseline (visit4) To know the impact of milk provision on change of daily iron intake using 24h recall and semi quantitative food frequency questionnaire in intervention group vs control group
- Secondary Outcome Measures
Name Time Method Impact of milk provision on the adequacy of iron intake based on percentage of recommended daily allowance 4 months after baseline (visit4) To know the adequacy of iron intake based on percentage of recommended daily allowance at 4 months in intervention group vs control group
Impact of milk provision on the average daily nutrients intake (Energy in kcal) 4 months after baseline (visit4) To know the average daily nutrients intake (Energy in kcal) at 4 months in intervention group vs control group
Impact of milk provision on the average daily nutrients intake (Fe, Ca, P, Zn, Mg, Vit B6 & Vit E in mg) 4 months after baseline (visit4) To know the average daily nutrients intake (Fe, Ca, P, Zn, Mg, Vit B6 \& Vit E in mg) at 4 months in intervention group vs control group
Impact of milk provision on nutritional status (weight, height - WAZ, HAZ, and WHZ) 4 months after baseline (visit1) To know the nutritional status (weight, height - WAZ, HAZ, and WHZ) at 4 months in intervention group vs control group
Impact of milk provision on the average daily nutrients intake (Folic Acid, Vit A, Vit C, Vit D & Vit B12 in μg) 4 months after baseline (visit4) To know the average daily nutrients intake (Folic Acid, Vit A, Vit C, Vit D \& Vit B12 in μg) at 4 months in intervention group vs control group
Impact of milk provision on the average daily nutrients intake (Protein, Carbohydrate, Fat, Fiber & DHA in g) 4 months after baseline (visit4) To know the average daily nutrients intake (Protein, Carbohydrate, Fat, Fiber \& DHA in g) at 4 months in intervention group vs control group
Impact of milk provision on Total hemoglobin Level (SpHb) level using Masimo device 4 months after baseline (visit4) To know the hemoglobin level at 4 months in intervention group vs control group