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Dietary Diversity of Young Children During CoVID-19 Outbreak: A Longitudinal Study (CoDDYC)

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ClinicalTrials.gov Identifier: NCT04447209
Recruitment Status : Recruiting
First Posted : June 25, 2020
Last Update Posted : June 25, 2020
Sponsor:
Information provided by (Responsible Party):
Lucy Lum Chai See, University of Malaya

Brief Summary:
The 2019-2020 coronavirus pandemic has had far-reaching consequences beyond the spread of the disease. Quarantine measures during a public health pandemic can be particularly detrimental to urban poor families and affect the dietary diversity and food security. This can disproportionately affect young children aged 6 and below, and severely impact those <2 years. Sudden unemployment may result in an unexpected reduction in income that will place pressure on daily budgets for food. Children of families may not have access to foods of adequate diversity that will enable them to meet their macro and micronutrient requirements for growth and development, especially during the Movement Control Order (MCO). The study plans to monitor and evaluate dietary diversity in young children's food intake after the MCO and use the collected information to direct targeted food aid to address observed macro- and micronutrient deficiencies among the urban vulnerable group.

Condition or disease Intervention/treatment
Dietary Diversity Other: Dietary counselling on Food Groups according to IYC Feeding practices, WHO

Detailed Description:

Children are the future to our society. The first thousand days of life, starting from conception till one's second birthday is a critical period of cognitive and physical development. It is the most sensitive period where brain development is most receptive to positive nutrition. Any form of malnutrition, especially during this golden time frame, can lead to irreversible effects to growth, health, education and future career attainment to our potential leaders, which in turn can be a barrier to human development.

The CoVID outbreak is a unique period in recent human history where drastic public health measures such as MCO for an extended period of time has to be implemented nation-wide. These measures have untold severe consequences on the food security of the vulnerable urban group, in particular the young children whose brains require diverse micronutrients to support the rapid growth. These micronutrients can only be obtained from a daily diet that is equally diverse, especially from fresh vegetables and fruits which will be short in supplies. These perishable food items are not usually included in food aids, thus the child may have to subsist on staple-rich diet which are energy-dense but nutrient-poor. These dietary practices are associated with negative health outcomes. Thus by monitoring dietary diversity of the children, we hope to better inform food aid organisations to consider the inclusion of healthier food options to prevent micronutrient deficiencies.

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Study Type : Observational
Estimated Enrollment : 300 participants
Observational Model: Cohort
Time Perspective: Prospective
Official Title: Dietary Diversity of Young Children During CoVID-19 Outbreak: A Longitudinal Study
Actual Study Start Date : June 6, 2020
Estimated Primary Completion Date : December 31, 2020
Estimated Study Completion Date : May 31, 2021

Group/Cohort Intervention/treatment
Child Health Clinic (CHC)

Children attending CHC for routine vaccinations and follow-up in a tertiary center Parents will be counselled on food groups based on Infant and Young Children feeding practices.

Monthly telephone calls to collect data on dietary diversity - 4 telephone calls in total.

Anthropometric measurements and Blood investigations for hemoglobin and iron status at the start and end of study - optional

Other: Dietary counselling on Food Groups according to IYC Feeding practices, WHO
Monitoring of Dietary diversity and growth
Other Names:
  • Monthly telephone calls to collect data on dietary diversity - 4 telephone calls in total.
  • Anthropometric measurements and Blood investigations for hemoglobin and iron status (optional)

Community Children

Children of urban poor families living in low-cost flats around Kuala Lumpur. Parents will be counselled on food groups based on Infant and Young Children feeding practices.

Monthly telephone calls to collect data on dietary diversity - 4 telephone calls in total.

Anthropometric measurements and Blood investigations for hemoglobin and iron status at the start and end of study - optional

Other: Dietary counselling on Food Groups according to IYC Feeding practices, WHO
Monitoring of Dietary diversity and growth
Other Names:
  • Monthly telephone calls to collect data on dietary diversity - 4 telephone calls in total.
  • Anthropometric measurements and Blood investigations for hemoglobin and iron status (optional)




Primary Outcome Measures :
  1. Minimal Dietary Diversity (MDD) of more than 5 food groups in 24 hours [ Time Frame: 24 hours ]
    Number of food groups in 24 hours

  2. Height [ Time Frame: 4 months ]
    Height increase in centimetres

  3. Weight [ Time Frame: 4 months ]
    Weight increase in kilogram

  4. Meal frequencies in past 24 hours [ Time Frame: 24 hours ]
    Number of meal frequencies


Secondary Outcome Measures :
  1. Blood hemoglobin in children at the start of study and 4 months later [ Time Frame: 4 months ]
    Change in gram/L

  2. Serum ferritin in children at the start of study and 4 months later [ Time Frame: 4 months ]
    Change in microgram/L

  3. Consumption of sugar and processed foods [ Time Frame: 1 month ]
    Number of types

  4. Food Aids received [ Time Frame: 1 month ]
    Types of food groups



Information from the National Library of Medicine

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Ages Eligible for Study:   6 Months to 6 Years   (Child)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   Yes
Sampling Method:   Non-Probability Sample
Study Population

Children who participated in the Children of Urban Poverty Iron Project (CUPIP), PPR Lembah Subang 1, Selangor

Children in PPR Kota Damansara, Selangor

Children who attend the Child Health Clinic, UMMC

Criteria

Inclusion Criteria:

  • All well-children aged between 6 months and 6 years

Exclusion Criteria:

  • Children with chronic illnesses

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT04447209


Contacts
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Contact: Lucy CS Lum, MBBS, MRCP +60133907898 lumcs@ummc.edu.my
Contact: Yin M Choo, MBBS +60122003583 choominnyin@gmail.com

Locations
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Malaysia
University of Malaya Medical Center Recruiting
Kuala Lumpur, Wilayah Persekutuan Kuala Lumpur, Malaysia, 59100
Contact: Lucy Lum, MBBS, MRCP       lumcs@ummc.edu.my   
Sub-Investigator: Yin M Choo, MBBS         
Sub-Investigator: Mohamad Y Jalaludin, MBBS, MPaeds         
Sub-Investigator: Hazreen A Majid, BSc MND PhD         
Sponsors and Collaborators
University of Malaya
Investigators
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Study Director: Mohammad Y Jalaludin, MBBS MPaeds University of Malaya Medical Center
Publications:
World Health Organization. Indicators for assessing infant and young child feeding practices Part 1: Definitions. Geneva: WHO; 2008
Working Group on Infant and Young Child Feeding Indicators. Developing and validating simple indicators of dietary quality of infants and young children in developing countries: Additional analysis of 10 data sets. Report submitted to: the Food and Nutrition Technical Assistance (FANTA) Project/Academy for Educational Development (AED), July 2007
World Health Organization, Geneva. 2017; Global Nutritional Monitoring Framework: Operational guidance for tracking progress in meeting targets for 2025

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Responsible Party: Lucy Lum Chai See, Professor, University of Malaya
ClinicalTrials.gov Identifier: NCT04447209    
Other Study ID Numbers: 2020410-8500
First Posted: June 25, 2020    Key Record Dates
Last Update Posted: June 25, 2020
Last Verified: June 2020
Individual Participant Data (IPD) Sharing Statement:
Plan to Share IPD: No
Plan Description: We will share demographic data of subject and family, baseline anthropometric measurements as well as dietary diversity of children in various locales

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Studies a U.S. FDA-regulated Drug Product: No
Studies a U.S. FDA-regulated Device Product: No
Keywords provided by Lucy Lum Chai See, University of Malaya:
Dietary diversity
micro-nutrient adequacy
young children
urban settings