Body Composition in Preschool Children

NCT ID: NCT01920724

Last Updated: 2023-02-03

Basic Information

• Recruitment Status: COMPLETED
• Total Enrollment: 137 participants
• Study Classification: OBSERVATIONAL
• Study Start Date: 2010-11-30
• Study Completion Date: 2012-07-31

Brief Summary

Thailand has been facing with the double burden of malnutrition. Many studies in Thailand, which aim to explore the situation, causes, and strategies to prevent obesity, have focused on adults, adolescents, or school-aged children. Few studies have been conducted in preschool children. Obesity or stunting during childhood increases the risk of being obesity in adulthood and leads to chronic diseases. If obesity is established in adulthood, it is difficult to reduce the excess weight. Thus, the prevention of obesity or stunting in young children should be highly considered. Study of dietary pattern and reliable field methods to measure fat mass (FM) in children may partly contribute to primary prevention of childhood obesity. The deuterium dilution technique is an accurate and suitable method for children and population-based studies. However, it has not been widely used in children in Thailand. Hence, this study aimed to utilize the deuterium dilution technique for assessing body composition and to determine the quality and quantity of dietary intake among children 3-5 years of age with different nutritional status. We conducted a cross-sectional study in 15 daycare centers in Nakhon Pathom and Samut Prakarn provinces. 120 preschoolers were purposively selected according to their nutritional status: stunted, thin, normal, and overweight/obese. Anthropometric measurements were conducted. Body composition was determined based on total body water using deuterium dilution technique. Dietary intake data were obtained using 2-day 24 hr recall.We hypothesized that stunted and obese children will have more fat mass compared to the normal children.

Detailed Description

Body composition of the children was assessed using the deuterium technique. Total body water (TBW) content was calculated. Then, fat free mass (FFM) and fat mass (FM) was calculated.

Weight and height of all children were using a standard technique. Body mass index and nutritional status was calculated using World Health Organization (WHO) growth standard for children 0-5 years.

Dietary intake of children was assessed using 2 non-consecutive 24 hour dietary recalls. The 1st and 2nd recall was about 2 weeks apart. Nutrient intake was calculated using the INMUCAL-Nutrients WD. 4.0 (Institute of Nutrition, 2010).

Conditions

Obesity; Wasting

Study Design

• Observational Model Type: OTHER
• Study Time Perspective: CROSS_SECTIONAL

Study Groups

wasting, obesity, stunting, normal

wasting (BMI for age Z-scores \< -2 SD), normal (-1 SD ≤ BMI for age Z-scores ≤ +1 SD), obesity (BMI for age Z-scores \> +2 SD), and stunting (HAZ \< -2 SD).

No interventions assigned to this group

Eligibility Criteria

Inclusion Criteria

• Healthy children
• Aged 3-5 years
• BMI or HAZ fall in the study protocol

Exclusion Criteria

• Chronic diseases
• Ongoing medical treatments likely to affect body composition
• Malformation or muscle diseases

• Minimum Eligible Age: 3 Years
• Maximum Eligible Age: 5 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: Yes

Sponsors

International Atomic Energy Agency

OTHER_GOV

Sponsor Role: collaborator

Mahidol University

OTHER

Sponsor Role: lead

Responsible Party

Responsibility Role: SPONSOR

Principal Investigators

Tippawan Pongcharoen, Ph.D.

Role: PRINCIPAL_INVESTIGATOR

Mahidol University

Locations

Institute of Nutrition, Mahidol University

Salaya, Changwat Nakhon Pathom, Thailand

Countries

Thailand

Related Links

http://www-pub.iaea.org/MTCD/publications/PDF/Pub1451_web.pdf

Introduction to body composition assessment

Other Identifiers

A09/2554

Identifier Type: OTHER_GRANT

Identifier Source: secondary_id

MU-IRB 2010/211.0807

Identifier Type: -

Identifier Source: org_study_id