Convalescence, Malaria, Weight Gain, Weight Loss
Conditions
Keywords
weight loss, weight gain, malnutrition, convalescence, malaria, RUTF, RUF, supplementation, nutrition
Brief summary
The primary objective of this study is to determine to what extent provision with RUTF will promote catch up growth in children following an acute uncomplicated episode of P. falciparum malaria.
Detailed description
Anorexia due to infection might lead to weight loss. In many settings total recovery is problematic what might result in a permanent lower weight. A short period high quality food supplementation could improve weight gain after an infection. Children aged 6-59 months presenting with malaria caused by P. falciparum who are provided with a RUTF supplement (Plumpynut®) of 500 kcal/day for 2 weeks will show significantly better catch up growth compared to a similar patient group not provided with RUTF (at 2 weeks and 4 weeks post-intervention).
Interventions
Intervention group receives 500 kcal/day of RUTF for 2 weeks Control group receives no food supplement
Sponsors
Study design
Eligibility
Inclusion criteria
* Age 6 to 59 months, and * Positive rapid diagnostic test (Paracheck®) and * Thick smear showing infection with P. falciparum and * Informed consent from parents or guardian aged at least 18 years.
Exclusion criteria
* Children who are exclusively breast fed or * Children who are severely malnourished (MUAC \<110 mm and/or bilateral oedema, or WHO weight-for-Height criteria \<3 Z-scores) or * Presence of general danger signs or signs of severe malaria as defined by the WHO criteria, or * Known history of allergy to malaria drugs, or * Having a sibling enrolled in the study.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| weight gain | 14 days |
Secondary
| Measure | Time frame |
|---|---|
| weight gain | 28 days |
Countries
Republic of the Congo