ω3 LCPUFAs for Healthy Growth and Development of Infants and Young Children in Southwest Ethiopia

NCT ID: NCT01817634

Last Updated: 2017-05-08

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

720 participants

Study Classification

INTERVENTIONAL

Study Start Date

2013-11-30

Study Completion Date

2016-09-30

Brief Summary

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New approaches are needed to prevent growth failure in children from low- and middle-income countries (LMIC). To date, nutrition intervention studies have focused on micronutrient and energy content of complementary foods and have yielded only small to moderate effects on growth and development. There appears to be a missing link that mediates and reduces the expected beneficial effect. Child populations in LMIC show an asymptomatic environmental enteropathy that is characterized by a reduced size of the small intestinal villi, decreased gut integrity and a chronic inflammatory response in the gut. Results from studies in industrialized countries suggest that ω3 long-chain polyunsaturated fatty acids (ω3 LCPUFAs) improve immune response and gut integrity. These reported beneficial effects could result in even more important physiological implications for children from LMIC and will ultimately contribute to their healthy growth and development.

The hypothesis of the OME³Jim study is that an increased intake of ω3 LCPUFAs through complementary foods and human milk has an effect on infant growth and development in a context of high malnutrition rates and low ω3 LCPUFAs intake. This study will identify whether intake by either or both mother and infant is more effective.

The specific objectives of the OME³Jim study are:

1. To test the effect of supplementing infants with an ω3 LCPUFAs fortified food supplement on infant growth, morbidity, nutritional status and development;
2. To test the effect of supplementing lactating mothers with an ω3 LCPUFAs oil capsule on infant growth, nutritional status and development;
3. To test the combined effect (dose response) of supplementing ω3 LCPUFAs to lactating mothers and infant on infant growth, morbidity, nutritional status and development:
4. To test the effect of ω3 LCPUFAs supplementation on ω3 LCPUFA status in infants and human milk.

Detailed Description

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Conditions

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Child Malnutrition

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

PREVENTION

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

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Food supplement Intervention - Capsule Intervention

Omega 3 food supplement + Omega 3 capsule.

Group Type EXPERIMENTAL

Fish powder corn-soy blend'+ Fish oil capsule.

Intervention Type DIETARY_SUPPLEMENT

Omega 3 food supplement: 500 mg DHA + EPA, daily for 12 months. Omega 3 capsule: 500 mg DHA + EPA, daily for 12 months.

Food Supplement Intervention - Capsule Control

Omega 3 food supplement + Control Capsule.

Group Type EXPERIMENTAL

Fish powder corn-soy blend + corn oil capsule.

Intervention Type DIETARY_SUPPLEMENT

Omega 3 food supplement: 500 mg DHA + EPA, daily for 12 months. Control capsule: 0 mg DHA + EPA, daily for 12 months.

Food Supplement Control - Capusle Intervention

Food supplement control + Omega 3 Capsule.

Group Type EXPERIMENTAL

Corn-soy blend + fish oil capsule.

Intervention Type DIETARY_SUPPLEMENT

control food supplement: 0 mg DHA + EPA, daily for 12 months. Omega 3 capsule: 500 mg DHA + EPA, daily for 12 months.

Food Supplement Control - Capsule Control

Food supplement control + Control Capsule.

Group Type ACTIVE_COMPARATOR

Corn-soy blend + corn oil capsule.

Intervention Type DIETARY_SUPPLEMENT

control food supplement: 0 mg DHA + EPA, daily for 12 months. Control capsule: 0 mg DHA + EPA, daily for 12 months.

Interventions

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Fish powder corn-soy blend'+ Fish oil capsule.

Omega 3 food supplement: 500 mg DHA + EPA, daily for 12 months. Omega 3 capsule: 500 mg DHA + EPA, daily for 12 months.

Intervention Type DIETARY_SUPPLEMENT

Fish powder corn-soy blend + corn oil capsule.

Omega 3 food supplement: 500 mg DHA + EPA, daily for 12 months. Control capsule: 0 mg DHA + EPA, daily for 12 months.

Intervention Type DIETARY_SUPPLEMENT

Corn-soy blend + fish oil capsule.

control food supplement: 0 mg DHA + EPA, daily for 12 months. Omega 3 capsule: 500 mg DHA + EPA, daily for 12 months.

Intervention Type DIETARY_SUPPLEMENT

Corn-soy blend + corn oil capsule.

control food supplement: 0 mg DHA + EPA, daily for 12 months. Control capsule: 0 mg DHA + EPA, daily for 12 months.

Intervention Type DIETARY_SUPPLEMENT

Eligibility Criteria

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Inclusion Criteria

* Singleton infants
* 6-12 months old
* Not suffering from acute malnutrition (wasting): WHZ \> -2 , no edema
* Infants currently being breastfed
* Anticipated local residence for the study duration
* Not planning to leave the study area for more than 1 month

Exclusion Criteria

* Current supplement use or medical treatment of infant and/or mother
* Infants developing severe anemia (\<70 g/L) or edema are referred to the nearby health institution for evaluation and treatment, and are omitted from the trial
* Presence of congenital abnormalities
Minimum Eligible Age

6 Months

Maximum Eligible Age

12 Months

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Jimma University

OTHER

Sponsor Role collaborator

VLIR Institutional University Collaboration Programme

UNKNOWN

Sponsor Role collaborator

Nutrition Tiers Monde

UNKNOWN

Sponsor Role collaborator

Nutricia Research Fundation

OTHER

Sponsor Role collaborator

University Ghent

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Patrick Kolsteren, MD, PhD

Role: PRINCIPAL_INVESTIGATOR

University Ghent

Locations

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Jimma University

Jimma, , Ethiopia

Site Status

Countries

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Ethiopia

References

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Argaw A, Bouckaert KP, Wondafrash M, Kolsteren P, Lachat C, De Meulenaer B, Hanley-Cook G, Huybregts L. Effect of fish-oil supplementation on breastmilk long-chain polyunsaturated fatty acid concentration: a randomized controlled trial in rural Ethiopia. Eur J Clin Nutr. 2021 May;75(5):809-816. doi: 10.1038/s41430-020-00798-x. Epub 2020 Nov 6.

Reference Type DERIVED
PMID: 33159163 (View on PubMed)

Argaw A, Huybregts L, Wondafrash M, Kolsteren P, Belachew T, Worku BN, Abessa TG, Bouckaert KP. Neither n-3 Long-Chain PUFA Supplementation of Mothers through Lactation nor of Offspring in a Complementary Food Affects Child Overall or Social-Emotional Development: A 2 x 2 Factorial Randomized Controlled Trial in Rural Ethiopia. J Nutr. 2019 Mar 1;149(3):505-512. doi: 10.1093/jn/nxy202.

Reference Type DERIVED
PMID: 30544211 (View on PubMed)

Argaw A, Wondafrash M, Bouckaert KP, Kolsteren P, Lachat C, Belachew T, De Meulenaer B, Huybregts L. Effects of n-3 long-chain PUFA supplementation to lactating mothers and their breastfed children on child growth and morbidity: a 2 x 2 factorial randomized controlled trial in rural Ethiopia. Am J Clin Nutr. 2018 Mar 1;107(3):454-464. doi: 10.1093/ajcn/nqx057.

Reference Type DERIVED
PMID: 29566189 (View on PubMed)

Other Identifiers

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2012/334

Identifier Type: -

Identifier Source: org_study_id

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