Alpha-Tocopherol, Complementary Feeding Recommendation, Linear Programming,, Malondialdehyde, Nutritional Status, Omega-3 Fatty Acids, Overweight
Conditions
Keywords
Complementary Feeding Recommendation, Linear Programming, Nutritional Status, Omega-3 Fatty Acids, Malondialdehyde, alpha-Tocopherol
Brief summary
The epidemic of pediatric obesity has become a public health burden in both developed and developing countries, due to its serious health consequences, including an increased risk of type 2 Diabetes Mellitus and heart disease. Currently, dietary and exercise changes are still the center of preventive and treatment measures of obesity. Recently, the omega-3 group, one of the groups of polyunsaturated fatty acids (PUFAs), has been associated with many positive effects leading to the improvement of many diseases related to obesity. Nevertheless, the consumption of this essential nutrient requires certain ration to optimize its favorable result. Although previous studies have examined the efficacy of dietary counseling approach as treatment for obesity, none of them as explicitly explore the use of linear programming to create a tailored diet containing high omega-3 fatty acid food as a part of dietary counseling in obesity management program among children. Thus, this study is intended to contribute the clinical evidence regarding this area of knowledge, specifically the effects of enhanced counseling containing complementary feeding recommendation on nutritional status, omega-3 fatty acid, malondialdehyde, and alpha Tocopherol among children with risk of overweight aged 12 -23 months in East Jakarta.
Detailed description
Randomized-Controlled-Trial with two arms of intervention: 1. Control group: receive standard counseling with general existing menu recommendation 2. Intervention group: receive enhanced counseling (additional information on omega-3 fatty acids) with population-based menu ganerated from linear programming (LP) There is a protocol on stratified block randomization. 2 blocks, stratified by: area, age, BMI-for-age status. Total sample size for analysis: Overall: 20 control - 18 intervention Blood sample: 18 control - 14 intervention
Interventions
BEHAVIORALEnhanced Counseling using CFR based on Linear Programming
Sponsors
Danone Institute International
Indonesia University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Subject)
Eligibility
Sex/Gender
ALL
Age
12 Months to 24 Months
Healthy volunteers
Yes
Inclusion criteria
* aged 12-23 months old at first counseling * body mass index more than +1 standard deviation in WHO Z-score * parent agree to participate in the study by signing informed consent
Exclusion criteria
* Children with congenital disease and serious diseases * Children with parent/caregiver who is illiterate * Children with parent/caregiver who had communication disability
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Nutritional status | 10 weeks | Body weight and body height will be used to calculate body mass index |
Secondary
| Measure | Time frame |
|---|---|
| Omega-3 Fatty Acid in plasma | 10 weeks |
| Malondialdehyde plasma | 10 weeks |
| alpha-Tocopherol plasma | 10 weeks |
Countries
Indonesia
Outcome results
None listed