Long Term Effect of Early Iron Supplementation and Psychosocial Stimulation on Growth and Development of Iron-deficient Anaemic Infants
1 other identifier
interventional
349
0 countries
N/A
Brief Summary
- WASI: The Wechsler Abbreviated Scale of Intelligence - Second Edition (WASI-II)
- School achievement
- Number Stroop
- SDQ (strength and difficulties):The Strengths and Difficulties Questionnaire (SDQ)
- Memory test of NEPSY (neuropsychological test)
- Digit span forward and backward
- Middle childhood HOME
- Fine motor skills using the Purdue peg board or Movement Assessment Battery Children- 2 (age -band 2 for 7-10 years)
- SES Anthropometric measurement: Children's height, weight and head circumference
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for not_applicable
Started Jul 2015
Shorter than P25 for not_applicable
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
July 1, 2015
CompletedPrimary Completion
Last participant's last visit for primary outcome
March 1, 2016
CompletedStudy Completion
Last participant's last visit for all outcomes
March 1, 2016
CompletedFirst Submitted
Initial submission to the registry
June 5, 2016
CompletedFirst Posted
Study publicly available on registry
June 16, 2016
CompletedJune 30, 2016
June 1, 2016
8 months
June 5, 2016
June 29, 2016
Conditions
Outcome Measures
Primary Outcomes (1)
Cognitive ability
We will use The Wechsler Abbreviated Scale of Intelligence (WASI) for measuring the cognitive ability. It consists of four subtests: Vocabulary, Block Design, Similarities and Matrix Reasoning. Scores of these subtests lead to calculate performance IQ (PIQ), verbal IQ (VIQ) as well as a full scale IQ (FSIQ). FSIQ will measure the cognitive ability.
single time point at follow up after an average of 6 years of the original study
Secondary Outcomes (15)
School achievement
single time point at follow up after an average of 6 years of the original study
Number Stroop
single time point at follow up after an average of 6 years of the original study
Strength and difficulties questionnaire (SDQ)
single time point at follow up after an average of 6 years of the original study
Memory subtests of NEuroPSYchological (NEPSY) Assessment
single time point at follow up after an average of 6 years of the original study
Digit span
single time point at follow up after an average of 6 years of the original study
- +10 more secondary outcomes
Study Arms (2)
Stimulation
ACTIVE COMPARATORStimulation group received psycho social stimulation. In the stimulation there were anemic and non anemic children. All anemic children received iron(syrup) supplementation.
No stimulation
NO INTERVENTIONNo stimulation group did not receive any stimulation. In the no stimulation group there were anemic and non anemic children. All anemic children received iron (syrup) supplementation
Interventions
The psychosocial intervention lasted for 9 months and included play demonstrations at home by a play leader (PL) who was trained to visit homes and teach the mothers about child development and care practices. They also showed the mothers how to play with children using toys in a way to promote good child development. In the original study all anemic children in early childhood received 30 mg ferrous sulphate daily based on recommendations from both the WHO (2003) and IOM reports (2001) for 6 months.
Eligibility Criteria
You may qualify if:
- All non anaemic children
- Anaemic children (Haemoglobin concentration .80g/L and ,110g/L) and
- Serum transferrin receptor concentration ≥ 5.0mg/L
You may not qualify if:
- Twin Baby
- Children with known hematological diseases
- Children with known chronic diseases
- Refused concent
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Related Publications (17)
Bodnar LM, Cogswell ME, McDonald T. Have we forgotten the significance of postpartum iron deficiency? Am J Obstet Gynecol. 2005 Jul;193(1):36-44. doi: 10.1016/j.ajog.2004.12.009.
PMID: 16021056RESULTBenton D; ILSI Europe a.i.s.b.l. Micronutrient status, cognition and behavioral problems in childhood. Eur J Nutr. 2008 Aug;47 Suppl 3:38-50. doi: 10.1007/s00394-008-3004-9.
PMID: 18683028RESULTBlack MM, Baqui AH, Zaman K, Ake Persson L, El Arifeen S, Le K, McNary SW, Parveen M, Hamadani JD, Black RE. Iron and zinc supplementation promote motor development and exploratory behavior among Bangladeshi infants. Am J Clin Nutr. 2004 Oct;80(4):903-10. doi: 10.1093/ajcn/80.4.903.
PMID: 15447897RESULTBryan J, Osendarp S, Hughes D, Calvaresi E, Baghurst K, van Klinken JW. Nutrients for cognitive development in school-aged children. Nutr Rev. 2004 Aug;62(8):295-306. doi: 10.1111/j.1753-4887.2004.tb00055.x.
PMID: 15478684RESULTFriel JK, Aziz K, Andrews WL, Harding SV, Courage ML, Adams RJ. A double-masked, randomized control trial of iron supplementation in early infancy in healthy term breast-fed infants. J Pediatr. 2003 Nov;143(5):582-6. doi: 10.1067/S0022-3476(03)00301-9.
PMID: 14615726RESULTGoodman R. Psychometric properties of the strengths and difficulties questionnaire. J Am Acad Child Adolesc Psychiatry. 2001 Nov;40(11):1337-45. doi: 10.1097/00004583-200111000-00015.
PMID: 11699809RESULTGrantham-McGregor SM, Lira PI, Ashworth A, Morris SS, Assuncao AM. The development of low birth weight term infants and the effects of the environment in northeast Brazil. J Pediatr. 1998 Apr;132(4):661-6. doi: 10.1016/s0022-3476(98)70357-9.
PMID: 9580767RESULTHuda SN, Grantham-McGregor SM, Rahman KM, Tomkins A. Biochemical hypothyroidism secondary to iodine deficiency is associated with poor school achievement and cognition in Bangladeshi children. J Nutr. 1999 May;129(5):980-7. doi: 10.1093/jn/129.5.980.
PMID: 10222389RESULTHuda SN, Grantham-McGregor SM, Tomkins A. Cognitive and motor functions of iodine-deficient but euthyroid children in Bangladesh do not benefit from iodized poppy seed oil (Lipiodol). J Nutr. 2001 Jan;131(1):72-7. doi: 10.1093/jn/131.1.72.
PMID: 11208941RESULTLind T, Lonnerdal B, Stenlund H, Gamayanti IL, Ismail D, Seswandhana R, Persson LA. A community-based randomized controlled trial of iron and zinc supplementation in Indonesian infants: effects on growth and development. Am J Clin Nutr. 2004 Sep;80(3):729-36. doi: 10.1093/ajcn/80.3.729.
PMID: 15321815RESULTLozoff B, Jimenez E, Wolf AW. Long-term developmental outcome of infants with iron deficiency. N Engl J Med. 1991 Sep 5;325(10):687-94. doi: 10.1056/NEJM199109053251004.
PMID: 1870641RESULTLow M, Farrell A, Biggs BA, Pasricha SR. Effects of daily iron supplementation in primary-school-aged children: systematic review and meta-analysis of randomized controlled trials. CMAJ. 2013 Nov 19;185(17):E791-802. doi: 10.1503/cmaj.130628. Epub 2013 Oct 15.
PMID: 24130243RESULTRuel MT, Alderman H; Maternal and Child Nutrition Study Group. Nutrition-sensitive interventions and programmes: how can they help to accelerate progress in improving maternal and child nutrition? Lancet. 2013 Aug 10;382(9891):536-51. doi: 10.1016/S0140-6736(13)60843-0. Epub 2013 Jun 6.
PMID: 23746780RESULTThompson J, Biggs BA, Pasricha SR. Effects of daily iron supplementation in 2- to 5-year-old children: systematic review and meta-analysis. Pediatrics. 2013 Apr;131(4):739-53. doi: 10.1542/peds.2012-2256. Epub 2013 Mar 11.
PMID: 23478873RESULTTofail F, Hamadani JD, Mehrin F, Ridout DA, Huda SN, Grantham-McGregor SM. Psychosocial stimulation benefits development in nonanemic children but not in anemic, iron-deficient children. J Nutr. 2013 Jun;143(6):885-93. doi: 10.3945/jn.112.160473. Epub 2013 Apr 24.
PMID: 23616511RESULTWalker SP, Wachs TD, Grantham-McGregor S, Black MM, Nelson CA, Huffman SL, Baker-Henningham H, Chang SM, Hamadani JD, Lozoff B, Gardner JM, Powell CA, Rahman A, Richter L. Inequality in early childhood: risk and protective factors for early child development. Lancet. 2011 Oct 8;378(9799):1325-38. doi: 10.1016/S0140-6736(11)60555-2. Epub 2011 Sep 22.
PMID: 21944375RESULTHossain SJ, Tofail F, Mehrin SF, Hamadani JD. Six-Year Follow-up of Childhood Stimulation on Development of Children With and Without Anemia. Pediatrics. 2023 May 1;151(Suppl 2):e2023060221E. doi: 10.1542/peds.2023-060221E.
PMID: 37125884DERIVED
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- NONE
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
June 5, 2016
First Posted
June 16, 2016
Study Start
July 1, 2015
Primary Completion
March 1, 2016
Study Completion
March 1, 2016
Last Updated
June 30, 2016
Record last verified: 2016-06
Data Sharing
- IPD Sharing
- Will share
if required we will share data with our expert