Nutritional status including growth parameters, biomedical measures, and dietary intakes Nutritional, Metabolic, Endocrine
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Male or female infants 2. Aged 5 months + 2 weeks 3. Have normal z scores (>-2 to <+2 SD) of Wt/age, Lt/age and Hc/age 4. Have birth weight = 2.5 to = 4 kg 5. Have appropriate for gestational age (between the 10th and 90th percentile) 6. Have blood level of hemoglobin = 11 gram per deciliter 7. Breastfed for at least 4 months 8. Visited the UNRWA clinics for vaccination and/or routine child's growth follow up
Exclusion criteria
Exclusion criteria: 1. Preterm infants (?37 weeks) 2. Infants who have a history of chronic diseases (e.g. failure to thrive and metabolic or endocrine disorders) 3. Infants of diabetic mothers 4. Have a history of complications during delivery (aspiration, trauma) 5. Have a history of congenital and/or acquired neurological diagnosis (e.g., Down syndrome or cerebral palsy)
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| 1. Anthropometric measures, including body weight, length, circumferences of the head, waist, and mid-upper arm, and triceps and subscapular skinfold thickness, measured at baseline and throughout the study period (every 3 to 6 months). Z scores of these measures calculated by the WHO Anthro software, version 3.2.2, waist circumference z scores calculated based on the reference data obtained from Turkish under-six years children 2. Hemoglobin concentration: finger or heel prick blood obtained by the lab technician of the UNRWA clinic and analyzed for hemoglobin level using spectrophotometer (colorimeter) at baseline, end of the intervention, and 3 months after the end of intervention period | — |
Secondary
| Measure | Time frame |
|---|---|
| Calorie and nutrient intakes, including energy, carbohydrate, fat, protein, iron, vitamin A, and vitamin D, assessed using one day of 24-hour diet recall at baseline, 6 months of intervention, and at the end of the intervention period | — |
Countries
Palestinian Territory