NutritionNARNiaNCT06601959
Energy Needs and Nutritional Status of Adolescent Girls
An observational study of Nutrition and Energy Requirement, run by Duke University at 2 sites in 2 countries.
Trial summary
The purpose of this study is to investigate the energy needs and nutritional status of adolescent girls in Abia State, Nigeria Read more about this study
- Who is it for?
- Ages 10 to 19 years, women onlyHealthy volunteers can take part
- Conditions the study is for
- Nutrition, Energy Requirement
- How many people
- 60 participants
- Where
- 2 sitesin 2 countries
- Study dates
- 27 Jun 2023to 15 Dec 2025
- 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 10 to 19 years
- Women only
- Healthy volunteers accepted
- Child, Adult
Study population: The NARN'ia study will be conducted in Ikwuano Local Government Area of Abia State, located in southeast Nigeria. Ikwuano is a rural region primarily inhabited by crop farmers and traders from the Igbo ethnic group. Participants (n=50) will be recruited from four secondary schools in Ikwuano.
Who may be able to join
- female students
- 10 and 19 years old
- provides verbal assent and has parental consent
Who cannot join
- physical disabilities
- illnesses during the study period
- students attending boarding schools
Trial locations and contacts
2 sites in 2 countries.
2 sites in 2 countries
United States1 site
Duke University Evolutionary Anthropology
Durham, North Carolina, 27708
About this study
Official title: Study Protocol for Measuring Energy Needs and Nutritional Status of Adolescent Girls in Abia State, Nigeria: The Nutrition and Adolescence in Rural Nigeria (NARN'ia) Study
The purpose of this study is to investigate the energy needs and nutritional status of adolescent girls in Abia State, Nigeria
Read the detailed description
Adolescents in low and middle-income countries encounter numerous nutritional challenges, including undernutrition, micronutrient deficiencies, poor dietary habits, and food insecurity. These issues significantly impact their growth, development, and long-term health. Despite their increased vulnerability, this demographic is often overlooked in nutritional program planning and implementation. This neglect is due to a lack of accurate data, inadequate delivery platforms for interventions, and underdeveloped policies and programs.
The Nutrition and Adolescence in Rural Nigeria (NARN'ia) study aims to address this gap through a comprehensive assessment of energy requirements in adolescent girls (N=50; ages 10 - 19 years) in Nigeria. NARN'ia will integrate dietary assessments using the 24-hour recall method (INDDEX24 app); physical activity levels using accelerometry; anthropometric evaluations of body composition, and the doubly labeled water method for assessing both body composition and total daily energy expenditure.
This study will provide evidence-based data essential for formulating appropriate nutritional guidelines for adolescent girls in Nigeria. Furthermore, this research initiative will establish a foundational framework for future studies on energy requirements in Nigeria and other low and middle-income countries.
- Conditions
- Nutrition, Energy Requirement
- Keywords
- Nutrition, Energy requirements, female adolescents
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
| Study group | Role | What they receive |
|---|---|---|
| Adolescent female students | Adolescent female students from elementary to secondary schools in the Ikwuano Local Government Area of Abia State, Nigeria |
What is being measured
The primary outcome is the main question the study is designed to answer.
Total Energy Expenditure measured with Doubly Labeled Water (DLW)
The rate of elimination of hydrogen and oxygen isotopes from the DLW through urine will be used to estimate TEE in kilocalories per day (kcal/day).
Measured: 10 days from enrollment
Physical Activity Levels using a wrist-worn accelerometer
Physical activity levels will be categorized under light, moderate, and vigorous and will be expressed as accelerations over each day.
Light Physical Activity: Acceleration: 0.05 g to 0.1 g Moderate Physical Activity:Acceleration: 0.1 g to 0.3 g Vigorous Physical Activity:Acceleration: ≥ 0.3 g
This will be reported as the number of participants at each physical activity level.
Measured: 10 days from enrollment
Dietary Intake using the INDDEX24 app - total energy (kcal/day) content
The INDDEX24 dietary recall app will be used to capture detailed information on all foods and beverages consumed during the recall period. Nutritional intake will be analyzed for total energy (kcal/day).
Measured: 10 days from enrollment
Dietary Intake using the INDDEX24 app - macronutrient content
The INDDEX24 app will be used to assess the macronutrient consumed by each individual per day over the course of the enrollment period.
Measured: 10 days from enrollment
Dietary Intake using the INDDEX24 app - micronutrient content
The INDDEX24 app will be used to access the micronutrient content of the diets of the participants for the duration of enrollment.
Measured: 10 days from enrollment
Body composition - BMI
Body composition will be assessed by recording the heights and weights of the participants with a tape measure and body scale respectively to calculate their body mass indices (BMI) in kg/m^2
Measured: 10 days from enrollment
Body composition - skinfold thickness (biceps)
Body composition will be assessed by recording biceps skinfold thickness of the participants using skinfold calipers in mm.
Measured: 10 days from enrollment
Body composition - skinfold thickness (triceps)
Body composition will be assessed by recording triceps skinfold thickness of the participants using skinfold calipers in mm.
Measured: 10 days from enrollment
Body composition - skinfold thickness (subscapular)
Body composition will be assessed by recording subscapular skinfold thickness of the participants using skinfold calipers in mm.
Measured: 10 days from enrollment
Body composition - skinfold thickness (suprailiac)
Body composition will be assessed by recording suprailiac skinfold thickness of the participants using skinfold calipers in mm.
Measured: 10 days from enrollment
Body composition - waist circumference
Body composition will be assessed by recording the waist circumference of the participants using a tape measure in cm.
Measured: 10 days from enrollment
Body composition - hip circumference
Body composition will be assessed by recording the hip circumference of the participants using a tape measure in cm.
Measured: 10 days from enrollment
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted19 Sep 2024
- Study start27 Jun 2023
- Primary completion15 Dec 2025
- Study completion15 Dec 2025
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (11)Papers the sponsor has linked to this study.
- Other trials for NutritionStudies of the same condition, open and under way.
- More trials run by Duke UniversityThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
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
- 60 participants (actual)
Sponsor and investigators
- Lead sponsor
- Duke University
- Sponsor type
- University, hospital or other
- Collaborators
- Bill and Melinda Gates Foundation
- Responsible party
- Sponsor
- Investigators
- Herman Pontzer, Principal investigator, Duke University Evolutionary Anthropology
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT06601959
- Sponsor's protocol ID
- Pro00114378
- Other IDs
- INV-061141
- Acronym
- NARNia
- Status last verified
- Oct 2025
- First submitted
- 16 Sep 2024
- Last updated
- 30 Jan 2026
- Results posted
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- Yes: Anonymized individual participant data (IPD) from this study, including measurements of body composition (height, waist circumference, hip circumference, skinfold thickness, body weight, and bioelectrical impedance results), physical activity levels (accelerometry data), total energy expenditure (DLW data), and dietary intake (INDDEX24 app data), will be made available upon reasonable request. All personal identifiers will be removed to ensure participants' privacy and confidentiality.
Publications
Fomon SJ, Haschke F, Ziegler EE, Nelson SE. Body composition of reference children from birth to age 10 years. Am J Clin Nutr. 1982 May;35(5 Suppl):1169-75. doi: 10.1093/ajcn/35.5.1169. No abstract available.
PubMed 7081099Oyeyemi AL, Umar M, Oguche F, Aliyu SU, Oyeyemi AY. Accelerometer-determined physical activity and its comparison with the International Physical Activity Questionnaire in a sample of Nigerian adults. PLoS One. 2014 Jan 28;9(1):e87233. doi: 10.1371/journal.pone.0087233. eCollection 2014.
PubMed 24489876Boreham C, Riddoch C. The physical activity, fitness and health of children. J Sports Sci. 2001 Dec;19(12):915-29. doi: 10.1080/026404101317108426.
PubMed 11820686Coates J, Bell W, Bakun P, Adams KP, Some JW, Colaiezzi B, Do HTP, Rogers B. Accuracy and cost-effectiveness of the INDDEX24 Dietary Assessment Platform in Viet Nam. Br J Nutr. 2023 May 28;129(10):1751-1764. doi: 10.1017/S0007114522001507. Epub 2022 May 19.
PubMed 35587720Gibson RS, Charrondiere UR, Bell W. Measurement Errors in Dietary Assessment Using Self-Reported 24-Hour Recalls in Low-Income Countries and Strategies for Their Prevention. Adv Nutr. 2017 Nov 15;8(6):980-991. doi: 10.3945/an.117.016980. Print 2017 Nov.
PubMed 29141979Schutz Y. The basis of direct and indirect calorimetry and their potentials. Diabetes Metab Rev. 1995 Dec;11(4):383-408. doi: 10.1002/dmr.5610110406. No abstract available.
PubMed 8718497Murgatroyd PR, Shetty PS, Prentice AM. Techniques for the measurement of human energy expenditure: a practical guide. Int J Obes Relat Metab Disord. 1993 Oct;17(10):549-68.
PubMed 8242125Torun B. Energy requirements of children and adolescents. Public Health Nutr. 2005 Oct;8(7A):968-93. doi: 10.1079/phn2005791.
PubMed 16277815Burrows TL, Martin RJ, Collins CE. A systematic review of the validity of dietary assessment methods in children when compared with the method of doubly labeled water. J Am Diet Assoc. 2010 Oct;110(10):1501-10. doi: 10.1016/j.jada.2010.07.008.
PubMed 20869489Ukegbu PO. Energy intake, expenditure and body composition of adolescent boys and girls in public boarding secondary schools in Umuahia, Nigeria. J Biol Agric Healthc. 2012;2(8):33-9. Available from: https://iiste.org/Journals/index.php/JBAH/article/view/2860
Adegboyega MT, Amaeze CA, Uche CP, Ukegbu PO, Pontzer H. Study protocol for measuring energy needs and nutritional status of adolescent girls in Abia state, Nigeria: The nutrition and adolescence in rural Nigeria (NARN'ia) Study. PLoS One. 2025 Oct 7;20(10):e0333889. doi: 10.1371/journal.pone.0333889. eCollection 2025.
PubMed 41056327
Study at a glance
From the registry record, last updated by the sponsor on 30 Jan 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Study Protocol for Measuring Energy Needs and Nutritional Status of Adolescent Girls in Abia State, Nigeria: The Nutrition and Adolescence in Rural Nigeria (NARN'ia) Study
- ClinicalTrials.gov ID
- NCT06601959
- Acronym / sponsor ID
- NARNia / Pro00114378
- Conditions
- Nutrition, Energy Requirement
- Keywords
- Nutrition, Energy requirements, female adolescents
- Study type
- Observational
- Recruitment status
- Completed
- Enrolment
- 60 participants (actual)
- Lead sponsor
- Duke UniversityUniversity, hospital or other
- Collaborators
- Bill and Melinda Gates Foundation
- Study start
- 27 Jun 2023 (actual)
- Primary completion
- 15 Dec 2025 (actual)
- Study completion
- 15 Dec 2025 (actual)
- First posted
- 19 Sep 2024 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The purpose of this study is to investigate the energy needs and nutritional status of adolescent girls in Abia State, Nigeria
Detailed description
Adolescents in low and middle-income countries encounter numerous nutritional challenges, including undernutrition, micronutrient deficiencies, poor dietary habits, and food insecurity. These issues significantly impact their growth, development, and long-term health. Despite their increased vulnerability, this demographic is often overlooked in nutritional program planning and implementation. This neglect is due to a lack of accurate data, inadequate delivery platforms for interventions, and underdeveloped policies and programs.
The Nutrition and Adolescence in Rural Nigeria (NARN'ia) study aims to address this gap through a comprehensive assessment of energy requirements in adolescent girls (N=50; ages 10 - 19 years) in Nigeria. NARN'ia will integrate dietary assessments using the 24-hour recall method (INDDEX24 app); physical activity levels using accelerometry; anthropometric evaluations of body composition, and the doubly labeled water method for assessing both body composition and total daily energy expenditure.
This study will provide evidence-based data essential for formulating appropriate nutritional guidelines for adolescent girls in Nigeria. Furthermore, this research initiative will establish a foundational framework for future studies on energy requirements in Nigeria and other low and middle-income countries.
Study design
- Observational model
- Cohort
- Time perspective
- Cross-sectional
- Number of arms
- 1
| Arm | Type | Receives |
|---|---|---|
| Adolescent female students | – | –Adolescent female students from elementary to secondary schools in the Ikwuano Local Government Area of Abia State, Nigeria |
Who may qualify
- Ages
- 10 to 19 years
- Sex
- Female only
- Healthy volunteers
- Accepted
- Age groups
- Child, Adult
- Study population
- The NARN'ia study will be conducted in Ikwuano Local Government Area of Abia State, located in southeast Nigeria. Ikwuano is a rural region primarily inhabited by crop farmers and traders from the Igbo ethnic group. Participants (n=50) will be recruited from four secondary schools in Ikwuano.
Key inclusion criteria (3 listed)
- female students
- 10 and 19 years old
- provides verbal assent and has parental consent
Key exclusion criteria (3 listed)
- physical disabilities
- illnesses during the study period
- students attending boarding schools
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Primary outcome
Total Energy Expenditure measured with Doubly Labeled Water (DLW)
Time frame: 10 days from enrollment
The rate of elimination of hydrogen and oxygen isotopes from the DLW through urine will be used to estimate TEE in kilocalories per day (kcal/day).
Physical Activity Levels using a wrist-worn accelerometer
Time frame: 10 days from enrollment
Physical activity levels will be categorized under light, moderate, and vigorous and will be expressed as accelerations over each day. Light Physical Activity: Acceleration: 0.05 g to 0.1 g Moderate Physical Activity:Acceleration: 0.1 g to 0.3 g Vigorous Physical Activity:Acceleration: ≥ 0.3 g This will be reported as the number of participants at each physical activity level.
Dietary Intake using the INDDEX24 app - total energy (kcal/day) content
Time frame: 10 days from enrollment
The INDDEX24 dietary recall app will be used to capture detailed information on all foods and beverages consumed during the recall period. Nutritional intake will be analyzed for total energy (kcal/day).
Dietary Intake using the INDDEX24 app - macronutrient content
Time frame: 10 days from enrollment
The INDDEX24 app will be used to assess the macronutrient consumed by each individual per day over the course of the enrollment period.
Dietary Intake using the INDDEX24 app - micronutrient content
Time frame: 10 days from enrollment
The INDDEX24 app will be used to access the micronutrient content of the diets of the participants for the duration of enrollment.
Body composition - BMI
Time frame: 10 days from enrollment
Body composition will be assessed by recording the heights and weights of the participants with a tape measure and body scale respectively to calculate their body mass indices (BMI) in kg/m^2
Body composition - skinfold thickness (biceps)
Time frame: 10 days from enrollment
Body composition will be assessed by recording biceps skinfold thickness of the participants using skinfold calipers in mm.
Body composition - skinfold thickness (triceps)
Time frame: 10 days from enrollment
Body composition will be assessed by recording triceps skinfold thickness of the participants using skinfold calipers in mm.
Body composition - skinfold thickness (subscapular)
Time frame: 10 days from enrollment
Body composition will be assessed by recording subscapular skinfold thickness of the participants using skinfold calipers in mm.
Body composition - skinfold thickness (suprailiac)
Time frame: 10 days from enrollment
Body composition will be assessed by recording suprailiac skinfold thickness of the participants using skinfold calipers in mm.
Body composition - waist circumference
Time frame: 10 days from enrollment
Body composition will be assessed by recording the waist circumference of the participants using a tape measure in cm.
Body composition - hip circumference
Time frame: 10 days from enrollment
Body composition will be assessed by recording the hip circumference of the participants using a tape measure in cm.
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 30 Jan 2026.
- Background: PubMed 7081099Fomon SJ, Haschke F, Ziegler EE, Nelson SE. Body composition of reference children from birth to age 10 years. Am J Clin Nutr. 1982 May;35(5 Suppl):1169-75. doi: 10.1093/ajcn/35.5.1169. No abstract available.
- Background: PubMed 24489876Oyeyemi AL, Umar M, Oguche F, Aliyu SU, Oyeyemi AY. Accelerometer-determined physical activity and its comparison with the International Physical Activity Questionnaire in a sample of Nigerian adults. PLoS One. 2014 Jan 28;9(1):e87233. doi: 10.1371/journal.pone.0087233. eCollection 2014.
- Background: PubMed 11820686Boreham C, Riddoch C. The physical activity, fitness and health of children. J Sports Sci. 2001 Dec;19(12):915-29. doi: 10.1080/026404101317108426.
- Background: PubMed 35587720Coates J, Bell W, Bakun P, Adams KP, Some JW, Colaiezzi B, Do HTP, Rogers B. Accuracy and cost-effectiveness of the INDDEX24 Dietary Assessment Platform in Viet Nam. Br J Nutr. 2023 May 28;129(10):1751-1764. doi: 10.1017/S0007114522001507. Epub 2022 May 19.
- Background: PubMed 29141979Gibson RS, Charrondiere UR, Bell W. Measurement Errors in Dietary Assessment Using Self-Reported 24-Hour Recalls in Low-Income Countries and Strategies for Their Prevention. Adv Nutr. 2017 Nov 15;8(6):980-991. doi: 10.3945/an.117.016980. Print 2017 Nov.
- Background: PubMed 8718497Schutz Y. The basis of direct and indirect calorimetry and their potentials. Diabetes Metab Rev. 1995 Dec;11(4):383-408. doi: 10.1002/dmr.5610110406. No abstract available.
- Background: PubMed 8242125Murgatroyd PR, Shetty PS, Prentice AM. Techniques for the measurement of human energy expenditure: a practical guide. Int J Obes Relat Metab Disord. 1993 Oct;17(10):549-68.
- Background: PubMed 16277815Torun B. Energy requirements of children and adolescents. Public Health Nutr. 2005 Oct;8(7A):968-93. doi: 10.1079/phn2005791.
- Background: PubMed 20869489Burrows TL, Martin RJ, Collins CE. A systematic review of the validity of dietary assessment methods in children when compared with the method of doubly labeled water. J Am Diet Assoc. 2010 Oct;110(10):1501-10. doi: 10.1016/j.jada.2010.07.008.
- BackgroundUkegbu PO. Energy intake, expenditure and body composition of adolescent boys and girls in public boarding secondary schools in Umuahia, Nigeria. J Biol Agric Healthc. 2012;2(8):33-9. Available from: https://iiste.org/Journals/index.php/JBAH/article/view/2860
- Derived from this study: PubMed 41056327Adegboyega MT, Amaeze CA, Uche CP, Ukegbu PO, Pontzer H. Study protocol for measuring energy needs and nutritional status of adolescent girls in Abia state, Nigeria: The nutrition and adolescence in rural Nigeria (NARN'ia) Study. PLoS One. 2025 Oct 7;20(10):e0333889. doi: 10.1371/journal.pone.0333889. eCollection 2025.
- Individual participant dataSharing planned: Yes. Anonymized individual participant data (IPD) from this study, including measurements of body composition (height, waist circumference, hip circumference, skinfold thickness, body weight, and bioelectrical impedance results), physical activity levels (accelerometry data), total energy expenditure (DLW data), and dietary intake (INDDEX24 app data), will be made available upon reasonable request. All personal identifiers will be removed to ensure participants' privacy and confidentiality.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Herman Pontzer principal investigator
Duke University Evolutionary Anthropology
2 sites in 2 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
An observational study of Nutrition and Energy Requirement, run by Duke University at 2 sites in 2 countries.
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 3 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 Jan 2026. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 2 sites in United States, Nigeria. 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?
Total Energy Expenditure measured with Doubly Labeled Water (DLW) (time frame: 10 days from enrollment). The study lists 12 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 NCT06601959, which also lists 11 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 Jan 2026.