Whey-Based Partially Hydrolyzed Formula Versus Polymeric Formula On Undernourished Neurologically Impaired Children: Open-labelled Randomized Study

NCT ID: NCT06356103

Last Updated: 2024-08-19

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

100 participants

Study Classification

INTERVENTIONAL

Study Start Date

2022-06-01

Study Completion Date

2023-07-15

Brief Summary

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Purpose: Undernutrition is common in neurologically impaired children. It increases the burden of comorbidities and affects the quality of life of these children. This study aimed primarily to compare the efficacy of whey-based partially hydrolyzed formula (WPHF) versus isocaloric polymeric formula on the nutritional status reflected by growth parameters and feeding tolerance in undernourished children with neurological impairment (NI). The secondary aim was to follow up on the changes in these parameters after using WPHF for 3 and 6 months

Detailed Description

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This prospective open-label randomized study was conducted over 6 months on children with NI aged 2- 6 years. Patients were divided into two groups: one group received 50% of their caloric requirements as isocaloric polymeric formula (standard ) and 50% standard nutritional feeding according to ESPGHAN guidelines (group I), the second group received 50% of their caloric requirements as WPHF, and the other 50% standard nutritional feeding according to ESPGHAN guidelines (group II). At the start of the study, detailed clinical and nutritional history was recorded for all children in the two groups. Anthropometric measurements were measured, and the Z score was calculated for all parameters. Symptoms of feeding intolerance and frequency of chest infections were assessed and reported. These parameters were reassessed after 3 months and 6 months of nutritional intervention and compared between the two groups.

Conditions

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Nutrition Disorder, Child Neurologic Disorder

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

A Randomized Controlled Study
Primary Study Purpose

SUPPORTIVE_CARE

Blinding Strategy

NONE

Study Groups

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Group I

received 50% of their caloric requirements as isocaloric polymeric formula (standard ) and 50% standard nutritional feeding according to ESPGHAN guidelines

Group Type ACTIVE_COMPARATOR

received 50% of their caloric requirements as isocaloric polymeric formula (standard ) and 50% standard nutritional feeding according to ESPGHAN guidelines

Intervention Type DIETARY_SUPPLEMENT

protein and micronutrient requirements according to the recommended dietary allowance (RDA)

Group II

received 50% of their caloric requirements as WPHF and the other 50% as standard nutritional feeding

Group Type ACTIVE_COMPARATOR

Whey-Based Partially Hydrolyzed Formula

Intervention Type DIETARY_SUPPLEMENT

Peptamen junior, 100 kcal/100 ml (Nestlé Health Science, Vevey, Switzerland).

Interventions

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Whey-Based Partially Hydrolyzed Formula

Peptamen junior, 100 kcal/100 ml (Nestlé Health Science, Vevey, Switzerland).

Intervention Type DIETARY_SUPPLEMENT

received 50% of their caloric requirements as isocaloric polymeric formula (standard ) and 50% standard nutritional feeding according to ESPGHAN guidelines

protein and micronutrient requirements according to the recommended dietary allowance (RDA)

Intervention Type DIETARY_SUPPLEMENT

Eligibility Criteria

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Inclusion Criteria

1. Children aged from 2-6 years
2. undernourished children with NI (1 or more of the following signs for identification of undernutrition in the studied children:

* weight for age z score \<-2,
* triceps skinfold thickness \<10th centile for age,
* mid-upper arm fat or muscle area \<10th percentile for age,
* faltering weight
* failure to thrive.
* physical signs of undernutrition such as decubitus skin problems and poor peripheral circulation

Exclusion Criteria

* NI due to metabolic diseases
Minimum Eligible Age

2 Years

Maximum Eligible Age

6 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Alexandria University

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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Alexandria University Children Hospital

Alexandria, , Egypt

Site Status

Countries

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Egypt

Other Identifiers

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0107060

Identifier Type: -

Identifier Source: org_study_id

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