A comparison of diets to treat moderate childhood malnutrition

ISRCTN ISRCTN47598408
DOI https://doi.org/10.1186/ISRCTN47598408
Secondary identifying numbers 2620-22-0-00-P-0089
Submission date
01/05/2008
Registration date
12/05/2008
Last edited
12/05/2008
Recruitment status
No longer recruiting
Overall study status
Completed
Condition category
Nutritional, Metabolic, Endocrine
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data
Record updated in last year

Plain English Summary

Not provided at time of registration

Contact information

Prof Mark Manary
Scientific

Department of Pediatrics
St. Louis Children's Hospital
One Children's Place
NWT 9109
St. Louis, MO
63110
United States of America

Email manary@kids.wustl.edu

Study information

Study designRandomised, investigator blinded clinical effectiveness trial
Primary study designInterventional
Secondary study designRandomised controlled trial
Study setting(s)Not specified
Study typeTreatment
Scientific titleRandomised controlled trial comparing the impacts of feeding with milk/peanut ready-to-use therapeutic food (RUTF), soy/peanut RUTF, and corn-soy blend (CSB) among children with moderate acute malnutrition in Malawi
Study hypothesis12 - 60 month-old children with moderate acute malnutrition (weight-for-height z score [WHZ] greater than -3 and less than -2) whose caretakers are provided with supplements and counseling to feed the child with 75 kcal/kg/day of either milk/peanut ready-to-use therapeutic food (MP-RUTF) or soy/peanut ready-to-use therapeutic food (SP-RUTF) are more likely to recover from moderate acute malnutrition during an eight-week intervention than comparable children receiving isoenergetic rations of corn-soy blend (CSB); in addition among children receiving MP-RUTF or SP-RUTF, the recovery rate will not differ by more than 10%.
Ethics approval(s)Ethics approval received from:
1. College of Medicine Research and Ethics Committee (Malawi) on the 17th July 2007 (ref: P.06/07/564)
2. Washington University Human Studies Committee on the 18th July 2007 (ref: 07-0642)
ConditionModerate malnutrition
InterventionFeeding with one of three foods:
1. Ready-to-use milk/peanut fortified spread
2. Ready-to-use soy/peanut fortified spread
3. Corn soy blend

Children will receive isoenergetic amounts of one of the above three foods for up to eight weeks. The amount of food given is sufficient to provide 75 kcal/kg/d. The children will be followed biweekly, having weight, length, and mid-upper arm circumference measured; and the number of days of fever, cough and diarrhoea recorded from caretaker's report. Follow-up is for eight weeks.
Intervention typeSupplement
Primary outcome measureRecovery, measured at the completion of the feeding period, usually eight weeks.
Secondary outcome measures1. Weight gain, measured after four weeks
2. Height gain, measured after four weeks
3. Mid-upper arm circumference gain, measured after four weeks
Overall study start date01/08/2007
Overall study end date30/06/2008

Eligibility

Participant type(s)Patient
Age groupChild
Lower age limit12 Months
Upper age limit60 Months
SexBoth
Target number of participants1400
Participant inclusion criteria1. Children aged 12 - 60 months
2. Moderate acute malnutrition using the World Health Organization (WHO) criteria (WHZ greater than -3 and less than -2)
3. Reside within 7 km
4. Present to one of seven supplementary feeding sites in southern Malawi during the study recruitment period
Participant exclusion criteria1. Children who are not permanent residents in the vicinity of the local health centre (distance from home to health centre greater than 7 km)
2. Have severe chronic illnesses such as cerebral palsy
3. Have a history of peanut allergy or anaphylaxis resulting from any food
4. Receive other supplementary food from a government or charitable agency
5. Participating in another research study
Recruitment start date01/08/2007
Recruitment end date30/06/2008

Locations

Countries of recruitment

  • Malawi
  • United States of America

Study participating centre

Department of Pediatrics
St. Louis, MO
63110
United States of America

Sponsor information

Academy for Educational Development (AED) (USA)
Research organisation

1825 Connecticut Ave NW
Washington, DC
20009-5721
United States of America

Website http://www.aed.org/index.cfm
ROR logo "ROR" https://ror.org/034s15752

Funders

Funder type

Research organisation

Academy for Educational Development (AED) (USA)

No information available

Allen Foundation Inc. (USA)

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