Randomized Controlled Trial in South Africa Comparing the Efficacy of Complementary Food Products on Child Growth

NCT ID: NCT01845610

Last Updated: 2017-11-30

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

750 participants

Study Classification

INTERVENTIONAL

Study Start Date

2013-09-30

Study Completion Date

2016-12-31

Brief Summary

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Complementary food supplements (CFS), fortified products that are mixed with the infant's usual complementary foods, have the potential to improve nutrition among infants. In Africa, maize is a major staple food used for complementary feeding. Compared to rice or wheat, maize has higher levels of phytates, which bind trace elements such as iron and zinc, and inhibit their absorption. The impact of CFS products in the context of a maize-based diet has not been well investigated. This study will test two newly developed fat-based CFS products made from soy.

The first product is a fortified fat-based spread that contains essential fatty acids with added docosahexaenoic acid (DHA) and arachidonic acid (ARA), and phytase to improve iron and zinc bioavailability. The second product is a fortified fat-based product containing essential fatty acids. Both products contain soy. The enrichment of the products with essential fatty acids is of particular interest in the South African context, as consumers are exposed to higher linoleic acid (LA) diets due to the inclusion of mostly high LA-containing sunflower oil during food preparation. The CFS products could contribute towards restoring the balance between LA and alpha-linolenic acid (ALA) intake.

The results of this study will provide evidence on whether or not two types of fortified CFS have the potential to address malnutrition (linear growth) and improve psychomotor development in infants. If proven effective, this approach of providing multiple nutrients can be made available to infants in the developing world and may lead to sustainable actions.

Detailed Description

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Conditions

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Malnutrition

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

SINGLE

Outcome Assessors

Study Groups

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Fortified fat-based paste with EFAs, DHA, ARA and phytase

Complementary food supplement providing micronutrients and both essential fatty acids, DHA, ARA, phytase and L-lysine, potassium, phosphorous, magnesium and manganese

Group Type EXPERIMENTAL

Fortified fat-based paste with essential fatty acids, DHA, ARA, phytase, L-lysine, potassium, phosphorous, magnesium and manganese

Intervention Type DIETARY_SUPPLEMENT

Complementary food supplement providing micronutrients, essential fatty acids, DHA and ARA, phytase, L-lysine, potassium, phosphorous, magnesium and manganese

Fortified fat-based paste with essential fatty acids

Complementary food supplement providing micronutrients and essential fatty acids (EFAs)

Group Type EXPERIMENTAL

Fortified fat-based paste with essential fatty acids

Intervention Type DIETARY_SUPPLEMENT

Complementary food supplement fortified with micronutrients and essential fatty acids

Control group

The control group will receive a delayed intervention

Group Type NO_INTERVENTION

No interventions assigned to this group

Interventions

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Fortified fat-based paste with essential fatty acids, DHA, ARA, phytase, L-lysine, potassium, phosphorous, magnesium and manganese

Complementary food supplement providing micronutrients, essential fatty acids, DHA and ARA, phytase, L-lysine, potassium, phosphorous, magnesium and manganese

Intervention Type DIETARY_SUPPLEMENT

Fortified fat-based paste with essential fatty acids

Complementary food supplement fortified with micronutrients and essential fatty acids

Intervention Type DIETARY_SUPPLEMENT

Eligibility Criteria

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Inclusion Criteria

* Infants resident in the study area
* Aged 6 months

Exclusion Criteria

* Severe obvious congenital abnormalities
* Severe anaemia (haemoglobin \< 70 g/L)
* Severe malnutrition (weight-for-length Z-score \<-3.00)
* Other diseases referred for hospitalization by clinic staff
* Plans to move out of the study area in the next 7 months
* Known food allergies/intolerances e.g. to peanuts, milk and fish
* Infants given special nutritional supplements
* Infants known to be HIV+
* Not been borne as a singleton
Minimum Eligible Age

6 Months

Maximum Eligible Age

6 Months

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Global Alliance for Improved Nutrition

OTHER

Sponsor Role collaborator

DSM Ltd

INDUSTRY

Sponsor Role collaborator

Unilever R&D

INDUSTRY

Sponsor Role collaborator

North-West University, South Africa

OTHER

Sponsor Role lead

Responsible Party

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Marius Smuts

Professor

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Cornelius M Smuts, PhD

Role: PRINCIPAL_INVESTIGATOR

North-West University, South Africa

Locations

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Jouberton area of the greater Matlosana Municipality

Jouberton, North West, South Africa

Site Status

Countries

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South Africa

References

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Smuts CM, Matsungo TM, Malan L, Kruger HS, Rothman M, Kvalsvig JD, Covic N, Joosten K, Osendarp SJM, Bruins MJ, Frenken LGJ, Lombard CJ, Faber M. Effect of small-quantity lipid-based nutrient supplements on growth, psychomotor development, iron status, and morbidity among 6- to 12-mo-old infants in South Africa: a randomized controlled trial. Am J Clin Nutr. 2019 Jan 1;109(1):55-68. doi: 10.1093/ajcn/nqy282.

Reference Type DERIVED
PMID: 30649163 (View on PubMed)

Other Identifiers

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TSWAKA

Identifier Type: -

Identifier Source: org_study_id