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HealthyNCT02203890

Normative State and Variation in Growth, Hematology, Hydration, Oxidation, Infection, Inflammation, Guatemalan Children

An observational study of Healthy, run by María José Soto at 1 site in Guatemala.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

This study will provide the researchers with an opportunity for the investigation of the biomarkers and different human biology component variable interactions in children; information that can generate new correlations between markers not known at the moment. Read more about this study

Who is it for?
Ages 23 to 84 monthsHealthy volunteers can take part
Conditions the study is for
Healthy
How many people
91 participants
Where
1 siteGuatemala
Study dates
Jun 2012to Nov 2012
Phase
Observational
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 23 to 84 months
  • All sexes
  • Healthy volunteers accepted
  • Child

Study population: Apparently healthy children who attend 3 daycare centers (one semi-urban, one urban-marginal and one rural) from the Secretariat of Beneficial Works of the First Lady (SOSEP) system in the Western Highlands in Quetzaltenango, Guatemala.

Who may be able to join

  • To be attending one of the SOSEP systems assigned daycare centers
  • To maintain an attendance of 80% during the 8 weeks of the fieldwork
  • Aged 23 to 84 months
  • Being apparently healthy and with no dietary restrictions related to the foods offered with the SOSEP menu.

Who cannot join

  • Children whose parents of caregivers did not sign a consent form
  • Children who refused to participate in the study
  • Children who refused to adhere to the collections routines.

Trial locations and contacts

1 site in 1 country.

Guatemala1 site
  • Center for Studies of Sensory Impairment Aging and Metabolism

    Guatemala, Departamento de Quetzaltenango, 09001

Other trials in Guatemala

About this study

Official title: Study on the Normative State and Inter- and Intra-individual Variation in Growth, Hematology, Hydration and Markers of Oxidation, Infection and Inflammation in Preschool Children With a Similar Dietary Intake

This study will provide the researchers with an opportunity for the investigation of the biomarkers and different human biology component variable interactions in children; information that can generate new correlations between markers not known at the moment.

Regarding their analysis, variation could have multiple connotations. A categorical that refers to a specific state, established with a diagnostic standard. And a numerical, referring to a range or the absolute value limits in a continuous spectrum; this research will allow us to express variability in the distance amplitude of the obtained values level, as well as classifications or categories previously established in the possible cases.

Read more

OBJECTIVES PRINCIPAL OBJECTIVE

To estimate the inter and intra-individual variety in a selected series or biological variables determinant of growth, body composition, infection, oxidation, inflammation and hydration, in preschool children sharing the same institutional-based diet.

SPECIFIC OBJECTIVES

  • To determine the inter and intra-individual variation of growth in preschool children, with a similar diet, who attend Secretariat of Beneficial Works of the First Lady system daycare centers and to compare between semi-urban and rural.
  • To describe the inter-individual variation of the red blood cells circulating mass in preschool children, with a similar diet, who attend day care centers and to compare between semi-urban and rural.
  • To determine the inter-individual variation of systemic and intraintestinal oxidation in preschool children, with a similar diet, who attend daycare centers and to compare between semi-urban and rural.
  • To describe the inter-individual variation of systemic and intraintestinal inflammation in preschool children, with a similar diet, who attend daycare centers and to compare between semi-urban and rural.
  • To determine the inter and/or intra-individual variation of urinary tract infection and gastrointestinal parasite infestation in preschool children, with a similar diet, who attend daycare centers and to compare between semi-urban and rural.
  • To describe the inter and intra-individual variation of the hydration status in preschool children, with a similar diet, who attend daycare centers and to compare between semi-urban and rural.
  • To explore intra-individual associations in variables of the same research component or different component variables.
Read the detailed description

Please note protocol is also available in Spanish.

Conditions
Healthy
Keywords
Growth, Hematology, Hydration, Oxidation, Infection, Inflammation, Guatemalan children
Medical subject headings
Infections, Inflammation

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

Study groups in NCT02203890
Study groupRoleWhat they receive
Apparently HealthyApparently healthy preschool children who attend 3 daycare centers of the Secretariat of Beneficials Works of the First Lady in Guatemalan Western Highlands

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Weight

    Growth, measured trough weight (kg)

    Measured: 7th week of observation

  2. Hemoglobin

    Hemoglobin (mg/dl) measured in Biochemistry Laboratory in La Democracia Hospital, Quetzaltenango, Guatemala.

    Measured: 8th week of observation

  3. Urine Osmolality-1

    Hydration Status= measured in 24-h urine through urine volume and osmolality in osmometer Model Löser 815. Results in mOsm/kg.

    Measured: 6th week of observation

  4. Height

    Growth, measured trough height (cm).

    Measured: 7th week of observation

  5. Urine Osmolality-2

    Hydration Status= measured in 24-h urine through urine volume and osmolality Osmometer Model Löser 815. Results in mOsm/kg.

    Measured: 7th week of observation

  6. Urine Osmolality-3

    Hydration Status= measured in 24-h urine through urine volume and osmolality in two different osmometers (Löser 815 and Osmomat 030). Results in mOsm/kg.

    Measured: 8th week of observation

  7. Urine Urea

    Urine solutes measured by the Scientific Instrumentation Center from the Granada University, Spain:

    urea (mg/l)

    Measured: 8th week of oservation

  8. Urine Uric Acid

    Urine solutes measured by the Scientific Instrumentation Center from the Granada University, Spain:

    uric acid (mg/l)

    Measured: 8th week of oservation

  9. Urine Sodium

    Urine solutes measured by the Scientific Instrumentation Center from the Granada University, Spain:

    sodium (mg/l)

    Measured: 8th week of oservation

  10. Urine Potassium

    Urine solutes measured by the Scientific Instrumentation Center from the Granada University, Spain:

    potassium (mg/l)

    Measured: 8th week of oservation

  11. Urine Calcium

    Urine solutes measured by the Scientific Instrumentation Center from the Granada University, Spain:

    calcium (mg/l)

    Measured: 8th week of oservation

  12. Urine Magnesium

    Urine solutes measured by the Scientific Instrumentation Center from the Granada University, Spain:

    magnesium (mg/l)

    Measured: 8th week of oservation

  13. Urine Phosphorus

    Urine solutes measured by the Scientific Instrumentation Center from the Granada University, Spain:

    inorganic phosphorus (mg/l)

    Measured: 8th week of oservation

  14. Urine 15-f2t-Isoprostanes

    Urine Oxidation biomarkers:

    15-f2t-Isoprostanes (ng/mL) Measured at the Institute of Nutrition and Food Technology, Center of Biomedical Research, University of Granada using ELISA assay kit (Oxford Biomedical Research, Inc., Catalog # EA84.102606, Michigan, USA)

    Measured: 8th week of observation

  15. Urine 8-Hydroxydeoxyguanosine

    Urine Oxidation biomarkers:

    8-Hydroxydeoxyguanosine (ng/mL) Measured at the Institute of Nutrition and Food Technology, Center of Biomedical Research, University of Granada using ELISA assay kits (JaICA, Nikken SEIL Co., Ltd, Catalog# IM-KOGHS 040914E, Shizouka, Japan).

    Measured: 8th week of observation

  16. Catalase Activity

    Activity of antioxidant enzymes in red blood cells; measured at the Institute of Nutrition and Food Technology, Center of Biomedical Research, University of Granada, using ELISA system:

    Catalase Activity (nmol/seg/g Hb)

    Measured: 8th week of observation

  17. Superoxide Dismutase Activity

    Activity of antioxidant enzymes in red blood cells; measured at the Institute of Nutrition and Food Technology, Center of Biomedical Research, University of Granada, using ELISA system Superoxide Dismutase Activity (U/g Hb)

    Measured: 8th week of observation

  18. Gluthathione Reductase

    Activity of antioxidant enzymes in red blood cells; measured at the Institute of Nutrition and Food Technology, Center of Biomedical Research, University of Granada, using ELISA system Gluthathione Reductase Activity (umol/min/g Hb)

    Measured: 8th week of observation

  19. Gluthathione Peroxidase

    Activity of antioxidant enzymes in red blood cells; measured at the Institute of Nutrition and Food Technology, Center of Biomedical Research, University of Granada, using ELISA system Gluthathione Peroxidase Activity (uU/g Hb)

    Measured: 8th week of observation

  20. Retinol

    Content of antioxidant compounds in plasma; Scientific Instrumentation Center, University of Granada.

    Retinol (mg/dl)

    Measured: 8th week of observation

  21. Alpha-tocopherol

    Content of antioxidant compounds in plasma; Scientific Instrumentation Center, University of Granada.

    Alpha-tocopherol (mg/l)

    Measured: 8th week of observation

  22. Beta-Carotenes

    Content of antioxidant compounds in plasma; Scientific Instrumentation Center, University of Granada.

    Beta-carotenes (mg/l)

    Measured: 8th week of observation

  23. Coenzyme Q9

    Content of antioxidant compounds in plasma; Scientific Instrumentation Center, University of Granada.

    Coenzyme Q9 (mg/l)

    Measured: 8th week of observation

  24. Coenzyme Q10

    Content of antioxidant compounds in plasma; Scientific Instrumentation Center, University of Granada.

    Coenzyme Q10 (mg/l)

    Measured: 8th week of observation

  25. Plasma Interleukin-1B

    Plasma Interleukines; measured at the Institute of Nutrition and Food Technology, Center of Biomedical Research, University of Granada, using the Luminex system:

    Plasma IL-1B (pg/ml)

    Measured: 8th week of observation

  26. Plasma Interleukin-6

    Plasma Interleukines; measured at the Institute of Nutrition and Food Technology, Center of Biomedical Research, University of Granada, using the Luminex system:

    Plasma IL-6 (pg/ml)

    Measured: 8th week of observation

  27. Plasma Interleukin-8

    Plasma Interleukines; measured at the Institute of Nutrition and Food Technology, Center of Biomedical Research, University of Granada, using the Luminex system:

    Plasma IL-8 (pg/ml)

    Measured: 8th week of observation

  28. Plasma Interleukin-10

    Plasma Interleukines; measured at the Institute of Nutrition and Food Technology, Center of Biomedical Research, University of Granada, using the Luminex system:

    Plasma IL-10 (pg/ml)

    Measured: 8th week of observation

  29. Plasma Tumor Necrosis Factor-Alpha

    Plasma Interleukines; measured at the Institute of Nutrition and Food Technology, Center of Biomedical Research, University of Granada, using the Luminex system:

    Plasma Tumor Necrosis Factor-Alpha (pg/ml)

    Measured: 8th week of observation

  30. Saliva Interleukin-1B

    Saliva Interleukines; measured at the Institute of Nutrition and Food Technology, Center of Biomedical Research, University of Granada, using the Luminex system: Saliva IL-1B (pg/ml)

    Measured: 8th week of observation

  31. Saliva Interleukin-6

    Saliva Interleukines; measured at the Institute of Nutrition and Food Technology, Center of Biomedical Research, University of Granada, using the Luminex system: Saliva IL-6 (pg/ml)

    Measured: 8th week of observation

  32. Saliva Interleukin-8

    Saliva Interleukines; measured at the Institute of Nutrition and Food Technology, Center of Biomedical Research, University of Granada, using the Luminex system: Saliva IL-8 (pg/ml)

    Measured: 8th week of observation

  33. Saliva Interleukin-10

    Saliva Interleukines; measured at the Institute of Nutrition and Food Technology, Center of Biomedical Research, University of Granada, using the Luminex system Saliva IL-10 (pg/ml)

    Measured: 8th week of observation

  34. Saliva Tumor Necrosis Factor-Alpha

    Saliva Interleukines; measured at the Institute of Nutrition and Food Technology, Center of Biomedical Research, University of Granada, using the Luminex system:

    Saliva Tumor Necrosis Factor-Alpha (pg/ml)

    Measured: 8th week of observation

  35. Fecal Calprotectin

    Fecal Calprotectin (mg/kg) measured using the ELISA assay kit from Calpro-Lab (Catalog # CAL0100).

    Measured: 8th week of observation

  36. Intestinal Parasitosis

    Intestinal Parasitosis, measured by Biochemistry Laboratory, La Democracia Hospital, Quetzaltenango, Guatemala. Parasite cysts presence in feces.

    Measured: 8th week of observation

  37. Giardiasis Infection Presence-1

    Analyses done by ELISA assay kit (ProSpecT Giardia EZ, catalog #R2458596), absorbance (O.D)

    Measured: 7th week of observation

  38. Giardiasis Infection Presence-2

    Analyses done by ELISA assay kit (ProSpecT Giardia EZ, catalog #R2458596), absorbance (O.D)

    Measured: 8th week of observation

  39. White Urine Cell Count

    White urine cell count (per field), to be determined in Biochemistry Laboratory in La Democracia Hospital, Quetzaltenango Guatemala.

    Measured: 8th week of observation

  40. White Blood Cell Count

    White blood cell count (cells/ul), to be determined in Biochemistry Laboratory in La Democracia Hospital, Quetzaltenango Guatemala.

    Measured: 8th week of observation

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted30 Jul 2014 (estimated)
  2. Study startJun 2012
  3. Primary completionNov 2012
  4. Study completionNov 2012

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Observational
Observational model
Cohort
Time perspective
Cross-sectional
Enrolment
91 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT02203890
Sponsor's protocol ID
CeSSIAM_02
Status last verified
Jul 2014
First submitted
25 Jul 2014
Last updated
30 Jul 2014
Results posted
No
Data monitoring committee
No

Publications

  • Soto-Méndez M, Campos-Oliva R, Aguilera C, Solomons N, Schümann K, Gil A. Urinary osmolality of preschool children with a largely common weekday meal offering, from the western highlands of Guatemala. Spanish J Community Nutr. 20:13-9, 2014.

  • Soto-Mendez MJ, Romero-Abal ME, Schumann K, Gil A, Solomons NW. Normative Fecal Calprotectin Concentrations in Guatemalan Preschoolers Are High Relative to Children Reported Elsewhere. J Pediatr Gastroenterol Nutr. 2017 Feb;64(2):238-244. doi: 10.1097/MPG.0000000000001241.

    PubMed 27101538
  • Soto-Mendez MJ, Aguilera CM, Campana-Martin L, Martin-Laguna V, Schumann K, Solomons NW, Gil A. Variation in hydration status within the normative range is associated with urinary biomarkers of systemic oxidative stress in Guatemalan preschool children. Am J Clin Nutr. 2015 Oct;102(4):865-72. doi: 10.3945/ajcn.114.105429. Epub 2015 Aug 12.

    PubMed 26269363
  • Soto-Mendez MJ, Aguilera CM, Mesa MD, Campana-Martin L, Martin-Laguna V, Solomons NW, Schumann K, Gil A. Interaction of Giardia intestinalis and Systemic Oxidation in Preschool Children in the Western Highlands of Guatemala. J Pediatr Gastroenterol Nutr. 2016 Jul;63(1):118-22. doi: 10.1097/MPG.0000000000000891.

    PubMed 26111297

Questions about this trial

What is this clinical trial studying?

An observational study of Healthy, run by María José Soto at 1 site in Guatemala.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 4 inclusion and 3 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 30 Jul 2014. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in Guatemala. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Weight (time frame: 7th week of observation). The study lists 40 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT02203890, which also lists 4 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 30 Jul 2014.

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