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Impact of Trout Fish, Cow Milk With Egg, Vitamin D Supplementation, and Dietary Education on Vitamin D Status, Undernutrition, and Neurocognitive Outcomes Among School Children in Pakistan: An Open-label Individually Randomized Controlled Trial

RecruitingNAAges 6 Years - 12 YearsAllAga Khan University
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In plain words

What the trial is, and whether it could suit you

Vitamin D deficiency and undernutrition are major public health concerns globally, particularly among children in low-resource and high-altitude settings. In Pakistan, the recent national nutrition survey has reported alarmingly high prevalence rates of vitamin D deficiency, especially in Ghizer District of Gilgit-Baltistan, where 85% of children under five years of age are vitamin D deficient, placing them at heightened risk for rickets, impaired growth, weakened immune function, cognitive impairments, and long-term socio-economic consequences. This survey did not provide any information on the vitamin D deficiency status of school-going children in Pakistan. However, a study conducted in Karachi reported that 65% of children aged 6-12 years were deficient in vitamin D. Despite abundant natural resources, such as trout fish and locally available cow's milk and eggs, these nutrient-rich

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๐Ÿ“‹ Eligibility rules (as published)
Inclusion Criteria: Children will be included in the study if they meet all of the following criteria: * Aged 6-12 years * Enrolled in one of the selected AKESP schools * Parent/legal guardian provides written informed consent * Child provides written assent * Willing to participate in the full 4-month study period * Willing to provide a blood sample for a vitamin D test at baseline and after 4 months * Apparently healthy at the time of enrolment Exclusion Criteria: Children will be excluded if they meet any of the following criteria: * Currently enrolled in another research study or regular consumption of nutritional supplements, including vitamin D * Known allergy or intolerance to fish, milk, or eggs * Diagnosed chronic medical conditions affecting growth or vitamin D metabolism (e.g., renal disease, liver disease, malabsorption disorders) * Severe acute illness at the time of enrolment * Physical or developmental conditions that prevent participation in study assessments
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What it tests

  • Vitamin D supplement 4000 IU weekly
  • 200 grams of cooked trout fish
  • 250 milliliters of whole cow milk + whole egg
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Where

1 site
Aga Khan University
Karachi, Pakistan
๐Ÿค Taking part is your choice, and you can leave at any time. Only the trial team can confirm you are eligible โ€” always decide together with your own doctor.
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