None listed
Conditions
Brief summary
Globally there are millions of under-five who are stunted (162M), underweight (99M), wasted (51M) or overweight (44M). The timing of child malnutrition reveals a 1,000 day period for meaningful intervention – before/during pregnancy, immediately following birth and up to 2 years of age - if the immediate effects on health and child mortality and the life-long impact of early onset adult disease are to be prevented. Assessment of body composition is vital to deliver improved nutritional management of under and over nourished infants & children. However, there is a lack of convenient, accurate and low cost devices for direct monitoring of nutritional status. This leads to difficulties for health workers to identify undernourished and overnourished infants and children and in monitoring changes in nutritional status following interventions. Our aim is to produce a suitable low-cost portable device using Near-Infrared (NIR) light reflection for direct monitoring of nutritional status from birth to two years of age. Using a cross-sectional design this study aims to validate Near-Infrared (NIR) light reflection against a range of criteria with reference to a gold standard from birth up to 2 years.
Interventions
This study is a cross-sectional validation study recruiting infants and children from birth up to 2 years of age. The intervention device is using: Near-Infrared (NIR) light reflection. The NIR hand held device will be measured through the skin's surface on 4 anatomical locations; triceps, subscapular, mid-thigh and flank for approximately 30 seconds performed by a research assistant or nurse. The infants / children will be seen at one single point in time at either birth (within 48 hours), 3 months, 6 months, 12 months, 18 months or 24 months of age following recruitment.
Sponsors
Study design
Eligibility
Inclusion criteria
INCLUSION CRITERIA 1. Written parental informed consent 2. Term gestational age (GA) (=>37+0 – 41+6 weeks GA) 3. =<2 years (24 months) of age 4. Black African or Indian ethnicity 5. Mother >18 years old age 6. Singleton pregnancy 7. Mother lives within the study area 8. Can read and understand English
Exclusion criteria
EXCLUSION CRITERIA 1. Any maternal condition or impairment with inability to give parental informed consent 2. Neonates: Prematurity (=<36+6 weeks GA) and/ or the presence of any major congenital anomalies or morbidity that may contraindicate the neonatal body composition measurements 3. Infants and/or children: Birth defect (congenital anomalies, preterm birth (=<36+6 weeks GA) 4. Physical or intellectual disability in infants and /or children, influencing physical activity or food habits 5. Chronic health problem in infants and / or children, influencing weight and length 6. If currently enrolled in any other research / clinical study 7. If any DXA scans completed in the past 12 months