Effect of de-worming on physical fitness of school-aged children in Yunnan, China

ISRCTN ISRCTN25371788
DOI https://doi.org/10.1186/ISRCTN25371788
Secondary identifying numbers N/A
Submission date
14/09/2011
Registration date
15/11/2011
Last edited
17/09/2013
Recruitment status
No longer recruiting
Overall study status
Completed
Condition category
Infections and Infestations
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data

Plain English summary of protocol

Background and study aims:
The most common parasitic worms that affect humans are the roundworm, whipworm and hookworm. Humans can be infected by eating food contaminated with the eggs of these parasitic worms or if the worms penetrate the skin. Parasitic worm infections can cause reduced growth rate (stunting) and wasting in school-aged children, and it is also possible that these parasitic worms reduce their physical fitness and strength.
The aim of this study is to determine whether de-worming has an effect on the physical fitness and strength of school-aged children in south-western Yunnan, China.

Who can participate?
Primary school children, aged 9-12 years, who are infected with one or more species of parasitic worms, but do not have major systemic illnesses.

What does the study involve?
The participants were subjected to tests to see if they are infected by parasitic worms, and were required to provide stool samples for analysis. Measurements of the participants’ weight, height and skinfolds were taken, as well as assessments on their performance in a 20m shuttle run, grip strength and standing broad jump tests. The participants randomly allocated to two groups to receive either albendazole or placebo (a dummy drug). The examinations were carried out before, during and after the participants were given treatment with albendazole or placebo.

What are the possible benefits and risks of participating?
Those in the albendazole group will no longer be infected with parasitic worms. Those who were not, would still benefit as all participants were given a single dose of albendazole free of charge at the end of the study. There were no known risks associated with taking part in this study.

Where is the study run from?
Rural primary schools in Menghai County, Xishuangbanna Dai, Yunnan province, China.

When is the study starting and how long is it expected to run for?
The study started in October 2011 and ran for approximately 8 months.

Who is funding the study?
Swiss Tropical and Public Health Institute, Switzerland.

Who is the main contact?
Prof Jürg Utzinger
juerg.utzinger@unibas.ch

Contact information

Prof Juerg Utzinger
Scientific

Department of Epidemiology and Public Health
Swiss Tropical and Public Health Institute
Basel
4002
Switzerland

Phone +41 (0)61 284 8129
Email juerg.utzinger@unibas.ch

Study information

Study designDouble-blind randomised placebo-controlled trial
Primary study designInterventional
Secondary study designRandomised controlled trial
Study setting(s)Other
Study typeTreatment
Participant information sheet Not available in web format, please use the contact details below to request a patient information sheet
Scientific titleEffect of de-worming on physical fitness of school-aged children in Yunnan, China: a double-blind, randomised, placebo-controlled trial
Study objectivesDe-worming can improve the physical fitness and strength of school-aged children
Ethics approval(s)1. Ethics Committee of Basel (Ethikkommission beider Basel) (EKBB, Switzerland; reference no. 144/11) approved on 9 May 2011 (original proposal) and 16 August 2011 (amendment)
2. Academic Board of the National Institute of Parasitic Diseases, Chinese Center for Disease Control and Prevention (IPD/China CDC) approved on 25 April 2011
Health condition(s) or problem(s) studiedSoil-transmitted helminth infections
InterventionParticipants who were diagnosed with soil-transmitted helminths at the baseline parasitological examination will be randomly allocated to the following treatment arms:
Treatment arm 1: triple-dose albendazole (400 mg daily for 3 consecutive days)
Treatment arm 2: triple-dose placebo (single dose daily for 3 consecutive days)
Intervention typeOther
Primary outcome measureChanges in physical fitness and strength
Secondary outcome measures1. Reduction of infection prevalence and intensity of soil-transmitted helminths and subsequent re-infection pattern
2. Changes in anthropometric and haemoglobin measurements
Overall study start date17/10/2011
Completion date25/06/2012

Eligibility

Participant type(s)Patient
Age groupChild
Lower age limit9 Years
Upper age limit12 Years
SexBoth
Target number of participants250
Key inclusion criteria1. Primary school child, aged 9-12 years, male or female
2. Written informed consent by a parent / guardian on behalf of the child
3. Submission of two stool samples at baseline
4. Completion of anthropometric and haemoglobin measurements at baseline
5. Completion of 20 m shuttle run test at baseline
6. Completion of grip strength test and standing broad jump test at baseline
7. Infected with one or more common soil-transmitted helminths (Ascaris lumbricoides, Trichuris trichuria, hookworm)
8. Absence of major systemic illnesses, as assessed by a medical doctor at baseline
9. No known or reported drug allergy to albendazole
10. Treatment with albendazole (or matching placebo)
11. Anticipated residence in the study area for at least 1 year
Key exclusion criteria1. Children below the age of 9 years or above 12 years
2. No written informed consent
3. Less than 2 stool samples submitted at baseline
4. Presence of medical condition that prevents child from completing the physical fitness and strength tests
5. Known or reported drug allergy to albendazole
6. Absence/refusal of albendazole treatment (or matching placebo)
7. Attending other clinical trials during the study period
Date of first enrolment17/10/2011
Date of final enrolment25/06/2012

Locations

Countries of recruitment

  • China
  • Switzerland

Study participating centre

Department of Epidemiology and Public Health
Basel
4002
Switzerland

Sponsor information

Swiss Tropical and Public Health Institute (Switzerland)
Government

Socinstrasse 57
Basel
4002
Switzerland

Website http://www.swisstph.ch/
ROR logo "ROR" https://ror.org/03adhka07

Funders

Funder type

Government

Swiss Tropical and Public Health Institute (Switzerland)

No information available

Results and Publications

Intention to publish date
Individual participant data (IPD) Intention to shareNo
IPD sharing plan summaryNot provided at time of registration
Publication and dissemination planNot provided at time of registration
IPD sharing plan

Study outputs

Output type Details Date created Date added Peer reviewed? Patient-facing?
Results article results 01/07/2013 Yes No