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

NCT04447209 | Completed

• 1 other identifier: 2020410-8500
• Study Type: interventional
• Target: 350
• Locations: 1 country
• Sites: 1

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.

Conditions

Dietary Diversity

Keywords

Dietary diversity; micro-nutrient adequacy; young children; urban settings; consumption of sugar sweetened foods and beverages

Outcome Measures

Primary Outcomes (4)

• Minimal Dietary Diversity (MDD) of more than 5 food groups in 24 hours

  Number of food groups in 24 hours

  At study completion, an average of 9 months.

• Consumption of fruits and vegetables, pre and post-intervention

  percentage of population consuming fruits and vegetables, pre and post-intervention

  At study completion, an average of 9 months.

• Consumption of sugar-sweetened foods and beverages, pre and post-intervention

  percentage of population consuming sugar-sweetened foods and beverages, pre and post-intervention

  At study completion, an average of 9 months.

• Height and Weight z-scores, pre and post-intervention

  Malnutrition

  At study completion, an average of 9 months.

Secondary Outcomes (2)

• Blood hemoglobin in children at the start of study and 4 months later

  At study completion, an average of 9 months.

• Serum ferritin in children at the start of study and 4 months later

  At study completion, an average of 9 months.

Study Arms (2)

Child Health Clinic (CHC)

NO INTERVENTION

Control arm - Receives dietary counseling but not given food basket.

Community Children

EXPERIMENTAL

2-weekly food basket consisting of fresh or minimally processed foods in addition to dietary counseling

Other: 2-weekly Food baskets

Interventions

2-weekly Food baskets OTHER

2 weekly Food basket containing fresh foods or minimally processed foods.

Community Children

Eligibility Criteria

• Age: 6 Months - 6 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Child (0-17)

You may qualify if:

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

You may not qualify if:

• Children with chronic illnesses

Sponsors & Collaborators

• University of Malaya: lead

Study Sites (1)

University of Malaya Medical Center

Kuala Lumpur, Kuala Lumpur, 59100, Malaysia

Location

Related Publications (6)

• World Health Organization. Indicators for assessing infant and young child feeding practices Part 1: Definitions. Geneva: WHO; 2008

  BACKGROUND

• 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

  BACKGROUND

• Kennedy GL, Pedro MR, Seghieri C, Nantel G, Brouwer I. Dietary diversity score is a useful indicator of micronutrient intake in non-breast-feeding Filipino children. J Nutr. 2007 Feb;137(2):472-7. doi: 10.1093/jn/137.2.472.

  PMID: 17237329 BACKGROUND

• Cusick SE, Georgieff MK. The Role of Nutrition in Brain Development: The Golden Opportunity of the "First 1000 Days". J Pediatr. 2016 Aug;175:16-21. doi: 10.1016/j.jpeds.2016.05.013. Epub 2016 Jun 3. No abstract available.

  PMID: 27266965 BACKGROUND

• Steyn NP, Nel JH, Nantel G, Kennedy G, Labadarios D. Food variety and dietary diversity scores in children: are they good indicators of dietary adequacy? Public Health Nutr. 2006 Aug;9(5):644-50. doi: 10.1079/phn2005912.

  PMID: 16923296 BACKGROUND

• World Health Organization, Geneva. 2017; Global Nutritional Monitoring Framework: Operational guidance for tracking progress in meeting targets for 2025

  BACKGROUND

Study Officials

• Mohammad Y Jalaludin, MBBS MPaeds

  University of Malaya Medical Center

  STUDY DIRECTOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NON RANDOMIZED
• Masking: NONE
• Purpose: PREVENTION
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Professor

Study Record Dates

• First Submitted: June 17, 2020
• First Posted: June 25, 2020
• Study Start: June 6, 2020
• Primary Completion: December 31, 2021
• Study Completion: December 31, 2023
• Last Updated: February 18, 2025

Record last verified: 2025-02

Data Sharing

• IPD Sharing: Will not share

Locations

MY (1)