Nutritional StatusAQUAFOODNCT07541742
Health and Nutritional Outcomes Among Young Females and Children in Southwest Bangladesh
An observational study of Nutritional Status and Micronutrient Status, run by University of Copenhagen at 1 site in Bangladesh.
Trial summary
This study aims to examine how societal and climate changes influence the nutritional status and fish consumption of young women over a 10 year period in southern Bangladesh, and how these factors affect their children's health. Read more about this study
- Who is it for?
- Ages 5 months to 27 yearsHealthy volunteers can take part
- Conditions the study is for
- Nutritional Status, Micronutrient Status, Omega 3 Fat Status
- What is being tested?
- The follow-up aims to evaluate natural changes occurring from adolescence to young adulthood with respect to the study objectives due to lifestyle and environmental factors, without any intervention.
- How many people
- 240 participants
- Where
- 1 siteBangladesh
- Study dates
- 15 Apr 2026to 10 Dec 2026
- How long will I take part?
- 2 Years
- Phase
- Observational
- Are there results?
- Not yet: the study is under way
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 5 months to 27 years
- All sexes
- Healthy volunteers accepted
- Child, Adult
Study population: The study population is 240 young women who were studied as adolescents in 2017, now young women aged 22-26 years. If they have child aged 6 months to 5 years, the youngest child is included.
Who may be able to join
- Young women aged 22-27 years who previously participated in the 2017 study. See study description.
- If the women has a child age between 6 months to 5 years, the child child is included to be assessed
Who cannot join
- Participants with serious health conditions that may interfere with study procedures or data collection.
Trial locations and contacts
1 site in 1 country. Contact the study team or a site near you to ask about taking part.
Bangladesh1 site
International Centre for Diarrhoeal Disease Research, Bangladesh (icddr, b)
Dhaka, Capital Region, 1000
Gulshan Ara, MSc, +8802982700110, gulshan.ara@icddrb.org
About this study
Official title: Health and Nutritional Outcomes Among Young Females and Children in Southwest Bangladesh: A Cohort Study
This study aims to examine how societal and climate changes influence the nutritional status and fish consumption of young women over a 10 year period in southern Bangladesh, and how these factors affect their children's health. A cohort of 240 adolescents first studied in 2017 will be followed to assess changes in their dietary patterns, nutritional status, climate perceptions and mitigation practices, as well as the nutritional status of their children aged 6 months to 5 years.
The study in 2017 sampled 60 adolescent girls in each of four rural communities, plus a semi-rural community around a fish processing plant, representing in total 5 communities. Of these 60 X 5 = 300 girls, the current study follows up the individuals in the rural communities representing a cohort of 240.
Bangladesh faces high rates of adolescent malnutrition, with many girls married before 18 and suffering from chronic nutrient deficiencies. These issues have long-term impacts on health, productivity, and intergenerational well-being. By linking the fisheries and aquaculture sector, a key to Bangladesh's economy with public health and nutrition, this research aims to guide targeted policies for vulnerable coastal communities.
Read the detailed description
Aquatic foods are fundamental to the Bangladeshi diet, providing nearly two-thirds of total animal protein. Despite this, malnutrition remains a severe public health crisis with a complex etiology. Bangladesh faces a double burden of malnutrition, marked by persistently high rates of micronutrient deficiencies affecting roughly half of both pregnant and non-pregnant women alongside rising levels of overweight and obesity. These challenges are further exacerbated by substantial intrahousehold inequities in this patriarchal society. Disempowerment and early marriage disproportionately expose adolescent girls and young women to inadequate nutrient intake and poor health outcomes, perpetuating an intergenerational cycle of malnutrition. Furthermore, chronic undernutrition and stunting continue to affect a large proportion of children under five.
The problem is particularly acute in coastal communities, where climate change impacts such as salinity intrusion and extreme weather compromise food production and dietary diversity. Understanding and improving the dietary and nutritional status of adolescent girls and young women is therefore essential to breaking the cycle of poor health and ensuring long-term population well-being. Building on a 2017 study conducted with a cohort of 240 adolescents, this research aims to provide longitudinal insights into how nutritional status, female autonomy, aquatic food consumption, and dietary practices have influenced the health and well-being of these women and their children nearly after 10 years.
Hypotheses
- Nutritional status, fish consumption, and female autonomy during adolescence (2017) influence the nutritional status of young women in 2026 and that of their offspring.
- Fish consumption is positively associated with biological markers (omega-3 fatty acids, vitamin D levels, and stable isotope ratios in hair).
Objectives
- To assess changes in nutritional status, fish intake, socioeconomic factors, and female autonomy among young women from 2017 to 2026, and examine their associations with the nutritional status of their children (6 months-5 years).
- To investigate associations between assessed fish consumption and biological markers (omega-3, vitamin D, and stable isotope ratios in hair).
The study will be conducted in four distinct saline gradient agro-ecological zones across the shrimp-prawn farming regions of southwest Bangladesh, specifically in Fakirhat (Bagerhat District), Dumuria and Paikgacha (Khulna District), and Shyamnagor (Satkhira District).
- Conditions
- Nutritional Status, Micronutrient Status, Omega 3 Fat Status, Diet Diversity, Markers of Inflammation, Climate Adaptation
- Being tested
- The follow-up aims to evaluate natural changes occurring from adolescence to young adulthood with respect to the study objectives due to lifestyle and environmental factors, without any intervention.
- Keywords
- Aquatic foods, adolescent nutrition, fish intake assessment, dietary biomarkers, climate adaptation, intergenerational nutrition, Bangladesh
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
The follow-up aims to evaluate natural changes occurring from adolescence to young adulthood with respect to the study objectives due to lifestyle and environmental factors, without any intervention.Other
There is no intervention
| Study group | Role | What they receive |
|---|---|---|
| Follow-up of adolescent girls from 2017 to 2026 | The cohort of adolescent girls enrolled in 2017 at ages 12-16 will be followed up in 2026 to assess changes in their socioeconomic status, nutritional status, dietary intake, and women empowerment, and to examine how these factors are associated with the nutritional status of their children aged 6 months-5 years. Receives: Other: The follow-up aims to evaluate natural changes occurring from adolescence to young adulthood with respect to the study objectives due to lifestyle and environmental factors, without any intervention. |
What is being measured
The primary outcome is the main question the study is designed to answer.
Omega-3 status
Eicosapentaenoic acid (EPA) in whole blood (% of total fatty acid)
Measured: One sampling point between April and August 2026
Omega-3 status
Docosahexaenoic acid (DHA) in whole blood (% of total fatty acid)
Measured: One sampling point between April and August 2026
Micronutrient status
Vitamin D (total 25-hydroxyvitamin D) concentration in blood, nmol/L
Measured: One sampling point between April and August 2026
Micronutrient status
Hemoglobin concentration in blood (g/dL)
Measured: One sampling point between April and August 2026
Micronutrient status
Ferritin concentration in blood (µg/L)
Measured: One sampling point between April and August 2026
Inflammation status
C-reactive protein concentration in blood (mg/L)
Measured: One sampling point between April and August 2026
Inflammation status
Alpha-1-acid glycoprotein concentration in blood (g/L)
Measured: One sampling point between April and August 2026
Secondary outcomes (6)
Nutritional status
Height (cm)
Measured: One measurement between April and August 2026
Nutritional status
Weight (kg)
Measured: One measurement between April and August 2026
Nutritional status
Mid-upper arm circumference (cm)
Measured: One measurement between April and August 2026
Nutritional status
Body mass index (kg/m^2)
Measured: Between April and August 2026
Hair stable isotopes ratio
Isotope ratios of δ13C and δ15N in hair sample
Measured: Between April 2026 to August 2026
Fish consumption
7 days recall, questionnaire
Measured: Between April and August 2026
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted21 Apr 2026
- Study start15 Apr 2026 (estimated)
- Primary completion5 Aug 2026 (estimated)
- Study completion10 Dec 2026 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (2)Papers the sponsor has linked to this study.
- Other trials for Nutritional StatusStudies of the same condition, open and under way.
- More trials run by University of CopenhagenThe 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
- 240 participants (estimated)
- Target duration
- 2 Years
Sponsor and investigators
- Lead sponsor
- University of Copenhagen
- Sponsor type
- University, hospital or other
- Collaborators
- Noakhali Science and Technology University, Bangladesh Agricultural University (BAU), University of Stirling, University of Aberdeen, International Centre for Diarrhoeal Disease Research, Bangladesh
- Responsible party
- Sponsor
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT07541742
- Sponsor's protocol ID
- PR-25044
- Acronym
- AQUAFOOD
- Status last verified
- Aug 2025
- First submitted
- 27 Mar 2026
- Last updated
- 6 May 2026
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- No: According to the ethical approval, individual participant data cannot be shared with external parties and may only be obtained from the study coordinators upon reasonable request.
Publications
Ara G, Little DC, Mamun AA, de Roos B, Grieve E, Khanam M, Hasan SMT, Ireen S, Ali SD, Boitchi AB, Dijkhuizen MA, Ahmed T, Roos N. Factors affecting the micronutrient status of adolescent girls living in complex agro-aquatic ecological zones of Bangladesh. Sci Rep. 2023 Apr 24;13(1):6631. doi: 10.1038/s41598-023-33636-8.
PubMed 37095307Grieve E, Mamun AA, de Roos B, Barman BK, Ara G, Roos N, Pounds A, Sneddon AA, Murray F, Ahmed T, Little DC. Adolescent girls in aquaculture ecozones at risk of nutrient deficiency in Bangladesh development and validation of an integrated metric. BMC Public Health. 2023 Feb 28;23(1):405. doi: 10.1186/s12889-023-15175-z.
PubMed 36855076
Study at a glance
From the registry record, last updated by the sponsor on 6 May 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Health and Nutritional Outcomes Among Young Females and Children in Southwest Bangladesh: A Cohort Study
- ClinicalTrials.gov ID
- NCT07541742
- Acronym / sponsor ID
- AQUAFOOD / PR-25044
- Conditions
- Nutritional Status, Micronutrient Status, Omega 3 Fat Status, Diet Diversity, Markers of Inflammation, Climate Adaptation
- Keywords
- Aquatic foods, adolescent nutrition, fish intake assessment, dietary biomarkers, climate adaptation, intergenerational nutrition, Bangladesh
- Study type
- Observational
- Recruitment status
- Not yet recruiting
- Enrolment
- 240 participants (estimated)
- Lead sponsor
- University of CopenhagenUniversity, hospital or other
- Collaborators
- Noakhali Science and Technology University, Bangladesh Agricultural University (BAU), University of Stirling, University of Aberdeen, International Centre for Diarrhoeal Disease Research, Bangladesh
- Study start
- 15 Apr 2026 (estimated)
- Primary completion
- 5 Aug 2026 (estimated)
- Study completion
- 10 Dec 2026 (estimated)
- First posted
- 21 Apr 2026 (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.
This study aims to examine how societal and climate changes influence the nutritional status and fish consumption of young women over a 10 year period in southern Bangladesh, and how these factors affect their children's health. A cohort of 240 adolescents first studied in 2017 will be followed to assess changes in their dietary patterns, nutritional status, climate perceptions and mitigation practices, as well as the nutritional status of their children aged 6 months to 5 years.
The study in 2017 sampled 60 adolescent girls in each of four rural communities, plus a semi-rural community around a fish processing plant, representing in total 5 communities. Of these 60 X 5 = 300 girls, the current study follows up the individuals in the rural communities representing a cohort of 240.
Bangladesh faces high rates of adolescent malnutrition, with many girls married before 18 and suffering from chronic nutrient deficiencies. These issues have long-term impacts on health, productivity, and intergenerational well-being. By linking the fisheries and aquaculture sector, a key to Bangladesh's economy with public health and nutrition, this research aims to guide targeted policies for vulnerable coastal communities.
Detailed description
Aquatic foods are fundamental to the Bangladeshi diet, providing nearly two-thirds of total animal protein. Despite this, malnutrition remains a severe public health crisis with a complex etiology. Bangladesh faces a double burden of malnutrition, marked by persistently high rates of micronutrient deficiencies affecting roughly half of both pregnant and non-pregnant women alongside rising levels of overweight and obesity. These challenges are further exacerbated by substantial intrahousehold inequities in this patriarchal society. Disempowerment and early marriage disproportionately expose adolescent girls and young women to inadequate nutrient intake and poor health outcomes, perpetuating an intergenerational cycle of malnutrition. Furthermore, chronic undernutrition and stunting continue to affect a large proportion of children under five.
The problem is particularly acute in coastal communities, where climate change impacts such as salinity intrusion and extreme weather compromise food production and dietary diversity. Understanding and improving the dietary and nutritional status of adolescent girls and young women is therefore essential to breaking the cycle of poor health and ensuring long-term population well-being. Building on a 2017 study conducted with a cohort of 240 adolescents, this research aims to provide longitudinal insights into how nutritional status, female autonomy, aquatic food consumption, and dietary practices have influenced the health and well-being of these women and their children nearly after 10 years.
Hypotheses
- Nutritional status, fish consumption, and female autonomy during adolescence (2017) influence the nutritional status of young women in 2026 and that of their offspring.
- Fish consumption is positively associated with biological markers (omega-3 fatty acids, vitamin D levels, and stable isotope ratios in hair).
Objectives
- To assess changes in nutritional status, fish intake, socioeconomic factors, and female autonomy among young women from 2017 to 2026, and examine their associations with the nutritional status of their children (6 months-5 years).
- To investigate associations between assessed fish consumption and biological markers (omega-3, vitamin D, and stable isotope ratios in hair).
The study will be conducted in four distinct saline gradient agro-ecological zones across the shrimp-prawn farming regions of southwest Bangladesh, specifically in Fakirhat (Bagerhat District), Dumuria and Paikgacha (Khulna District), and Shyamnagor (Satkhira District).
Study design
- Observational model
- Cohort
- Time perspective
- Cross-sectional
- Target follow-up
- 2 Years
- Number of arms
- 1
| Arm | Type | Receives |
|---|---|---|
| Follow-up of adolescent girls from 2017 to 2026 | – | Other: The follow-up aims to evaluate natural changes occurring from adolescence to young adulthood with respect to the study objectives due to lifestyle and environmental factors, without any intervention.The cohort of adolescent girls enrolled in 2017 at ages 12-16 will be followed up in 2026 to assess changes in their socioeconomic status, nutritional status, dietary intake, and women empowerment, and to examine how these factors are associated with the nutritional status of their children aged 6 months-5 years. |
Who may qualify
- Ages
- 5 months to 27 years
- Sex
- All
- Healthy volunteers
- Accepted
- Age groups
- Child, Adult
- Study population
- The study population is 240 young women who were studied as adolescents in 2017, now young women aged 22-26 years. If they have child aged 6 months to 5 years, the youngest child is included.
Key inclusion criteria (2 listed)
- Young women aged 22-27 years who previously participated in the 2017 study. See study description.
- If the women has a child age between 6 months to 5 years, the child child is included to be assessed
Key exclusion criteria (1 listed)
- Participants with serious health conditions that may interfere with study procedures or data collection.
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| The follow-up aims to evaluate natural changes occurring from adolescence to young adulthood with respect to the study objectives due to lifestyle and environmental factors, without any intervention.There is no intervention | Other | Follow-up of adolescent girls from 2017 to 2026 |
Primary outcome
Omega-3 status
Time frame: One sampling point between April and August 2026
Eicosapentaenoic acid (EPA) in whole blood (% of total fatty acid)
Omega-3 status
Time frame: One sampling point between April and August 2026
Docosahexaenoic acid (DHA) in whole blood (% of total fatty acid)
Micronutrient status
Time frame: One sampling point between April and August 2026
Vitamin D (total 25-hydroxyvitamin D) concentration in blood, nmol/L
Micronutrient status
Time frame: One sampling point between April and August 2026
Hemoglobin concentration in blood (g/dL)
Micronutrient status
Time frame: One sampling point between April and August 2026
Ferritin concentration in blood (µg/L)
Inflammation status
Time frame: One sampling point between April and August 2026
C-reactive protein concentration in blood (mg/L)
Inflammation status
Time frame: One sampling point between April and August 2026
Alpha-1-acid glycoprotein concentration in blood (g/L)
6 secondary outcomes
Nutritional status
Time frame: One measurement between April and August 2026
Nutritional status
Time frame: One measurement between April and August 2026
Nutritional status
Time frame: One measurement between April and August 2026
Nutritional status
Time frame: Between April and August 2026
Hair stable isotopes ratio
Time frame: Between April 2026 to August 2026
Fish consumption
Time frame: Between April and August 2026
Results and safety
This study is still under way. Results are not available in the source record yet.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 6 May 2026.
- Background: PubMed 37095307Ara G, Little DC, Mamun AA, de Roos B, Grieve E, Khanam M, Hasan SMT, Ireen S, Ali SD, Boitchi AB, Dijkhuizen MA, Ahmed T, Roos N. Factors affecting the micronutrient status of adolescent girls living in complex agro-aquatic ecological zones of Bangladesh. Sci Rep. 2023 Apr 24;13(1):6631. doi: 10.1038/s41598-023-33636-8.
- Background: PubMed 36855076Grieve E, Mamun AA, de Roos B, Barman BK, Ara G, Roos N, Pounds A, Sneddon AA, Murray F, Ahmed T, Little DC. Adolescent girls in aquaculture ecozones at risk of nutrient deficiency in Bangladesh development and validation of an integrated metric. BMC Public Health. 2023 Feb 28;23(1):405. doi: 10.1186/s12889-023-15175-z.
- Description of the AQUAFOOD project, available on the University of Copenhagen, Department of Nutrition, Exercise and Sports website.Link provided by the sponsor.
- Individual participant dataSharing planned: No. According to the ethical approval, individual participant data cannot be shared with external parties and may only be obtained from the study coordinators upon reasonable request.
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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.
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
An observational study of Nutritional Status and Micronutrient Status, run by University of Copenhagen at 1 site in Bangladesh.
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 2 inclusion and 1 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: opening soon, as of the sponsor's last update on 6 May 2026. 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 Bangladesh. 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?
This study is still under way. Results are not available in the source record yet.
How can a doctor refer a patient or contact the research team?
Contact Nanna Roos, PhD (+45 3532 0829, nexs@nexs.ku.dk), or a site near the patient. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Omega-3 status (time frame: One sampling point between April and August 2026). The study lists 7 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 NCT07541742, which also lists 2 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 6 May 2026.