Malnutrition Clinical Trial
Official title:
Short Term Response of Breast Milk Micronutrient Concentrations to a Lipid Based Nutrient Supplement in Guatemalan Women
Research goals include evaluating the relative impact of maternal nutritional status versus recent dietary intake on breast milk micronutrient composition, and evaluating the impact of a maternal lipid based nutrient supplement (LNS) on breast milk micronutrient composition.
The study includes a cross sectional and an interventional component. Maternal dietary
intake and nutritional status will be compared to breast milk micronutrient composition in a
cross sectional manner.
The short term effect of maternal dietary intake on breast milk micronutrient composition
will be examined using an intervention with a controlled diet and LNS. Infants will be
test-weighed during the LNS intervention in order to calculate the infant micronutrient
intake from the control and LNS intervention days.
Mother-infant dyads will be recruited into the study and the order in which they will
receive the 3 treatments will be randomized. All mothers will receive all treatments.
The mothers will be invited to the clinic on 4 separate occasions. During the first study
visit, maternal blood will be collected, anthropometric indices will be assessed, and food
frequency and demographic characteristic surveys will be administered. During the 2-4
visits, the LNS intervention will take place. Mothers will arrive at the clinic fasted, and
a fasted milk collection will occur. Subsequently, mothers will be provided 3 meals based on
local foods with low-nutrient density. Milk will be collected for 8 hours at each infant
feed (ad libitum). A 24 hour dietary recall will be conducted. Mothers will receive 1) no
LNS, 2) A single dose of LNS with breakfast, or 3) A single dose of LNS split into 3 parts
with their meals throughout the day. Infants will be test weighed before and after each feed
to calculate their nutrient intake from breast milk and the impact of the different
supplementation schemes on their nutrient intake.
;
Allocation: Randomized, Endpoint Classification: Bio-availability Study, Intervention Model: Crossover Assignment, Masking: Open Label, Primary Purpose: Basic Science
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