Malnutrition Clinical Trial
Official title:
Effect of a Randomized Trial of Multivitamin-Mineral Supplementation on Standardized Assessment of Academic Performance in Elementary School Children
The purpose of this clinical trial is to determine if administration of a daily chewable multivitamin-mineral supplement (Monday - Friday when school is in session) given to children (third through sixth graders) during the academic school year will lead to improved academic performance.
SUMMARY OF PROPOSED PROJECT IN LAY TERMS:
The purpose of this clinical trial is to determine if administration of a daily chewable
multivitamin-mineral supplement (Monday - Friday when school is in session) given to
children (third through sixth graders) during the academic school year will lead to improved
academic performance.
Letters will be mailed to parents of all entering third through sixth graders in the Newark
School System in August, explaining the study and containing a self-addressed stamped
postcard. The postcard will allow parents to express whether or not they wish to be invited
to an informational meeting. Location of the meeting will be determined in consultation with
the school system. During the meetings, dinner will be served and further information about
the study will be disseminated. At the end of the meetings, the informed consent/assent
process will be undertaken by the PI and study personnel. Children who are currently taking
multivitamins at least five days per week or did not take the Assessment of Skills and
Knowledge exam at the completion of the third (3rd) grade will be excluded. Children taking
a multivitamin less than five days per week will be eligible if they discontinue its use
during the study period. Presentations at the Parent/Teacher Conferences at the beginning of
the academic year by Investigators will also be utilized to help answer questions about
participation and identify potential volunteers.
Once informed consent and assent have been received, all children will be randomly assigned
to receive either 2 tablets of a multivitamin-mineral supplement or 2 tablets of an inactive
placebo daily (Monday – Friday when school is in session) in school. The
multivitamin-mineral supplement will be analyzed by the United States Pharmacopeial
Convention, Inc. (USP) to assure the supplement (1) contains the declared vitamin and
mineral ingredients on the product label, (2) contains the amount or strength of ingredients
declared on the product label, (3) meets requirements for limits on known contaminants, and
(4) otherwise conforms to the USP monograph for the article (Appendix F). Children will
receive these tablets in ID numbered envelopes distributed by teachers or study personnel
with the morning snacks during the school week for a seven (7) to eight (8) month period in
the school year. Pill counts and attendance records will help assess treatment compliance.
Participants will receive $10 and free vitamins for one year following the completion of the
study.
In order to assess academic performance, information on grade point average, missed days of
school and performance on the State of New Jersey’s standardized Assessment of Skills and
Knowledge (ASK) exam for grades 3, 4, 5 and 6 for each participating child will be obtained
from the student record. Demographic information including height, weight, body mass index,
age, race and gender will be collected on all children. Height and weight will be measured
in the schools by study personnel at the beginning and end of the study period. On a subset
of children (n=250, the Block Food Frequency Questionnaire for children will be administered
by study personnel at the beginning of the study period to ascertain a record of nutritional
intake.
;
Allocation: Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Parallel Assignment, Masking: Double-Blind, Primary Purpose: Treatment
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