Sub Regional Micronutrient Survey in Ethiopia
Study Details
Study Description
Brief Summary
To conduct a sub-regional micronutrient survey (SRMNS) assessing the prevalence of vitamin A, Zn, and Fe status in the country
| Condition or Disease | Intervention/Treatment | Phase |
|---|---|---|
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Detailed Description
Background: In Ethiopia, biofortified staple crops, such as high vitamin A maize, high zinc (Zn) maize, high Zn wheat and high iron (Fe) common bean could have a beneficial impact on micronutrient status, as the regular varieties of these crops are eaten in significant amounts in some of the administrative regions. It is however, unknown in which region people would most benefit as data on vitamin A, Zn and Fe status in the different regions is too limited to efficiently target specific biofortification approaches.
Objective: The overall objective of the project is to generate data to target and tailor bio fortification approaches in Ethiopia. Therefore, it is planned to conduct a sub-regional micronutrient surveys (SRMNS) assessing the prevalence of vitamin A, Zn, and Fe status in the country.
Study design: The sub regional micronutrient survey (SRMNS) will have a cross-sectional design with one measuring point.
Study population: The SRMNS will be conducted in 600 children < 5 years of age and 600 women of reproductive age (18-45 years) living in the regions of Kamashi in Benishangul Gumuz, West Gojjam in Amhara, and Goma Gofa in Southern Nations, Nationalities and People's Regions (SNNP).
Main study parameters/endpoints: The prevalence of Fe, Zn and vitamin A deficiency will be assessed by measuring hemoglobin (Hb), plasma ferritin (PF), soluble transferrin receptor (sTfR), C-reactive protocol (CRP), alpha-1-acid glycoprotein (AGP), plasma Zn (PZn), plasma retinol and retinol binding protein (RBP), respectively.
Significance: The study will generate important data on the vitamin A, Zn and Fe status of children and women for sub-regions in Ethiopia. Such sub-regional data will be more specific than common survey data and therefore be helpful to target bio fortification and identify the populations in Ethiopia who will benefit most from high nutrient crops.
Study Design
Arms and Interventions
| Arm | Intervention/Treatment |
|---|---|
| Women of Gamo Gofa The prevalence of Fe, Zn and vitamin A deficiency will be assessed in the women of Gamo Gofa between 15-49 years |
Other: Women of Gamo Gofa
The prevalence of Fe, Zn and vitamin A deficiency will be assessed in the women of Gamo Gofa between 15-49 years by measuring hemoglobin (Hb), plasma ferritin (PF), soluble transferrin receptor (sTfR), C-reactive protocol (CRP), alpha-1-acid glycoprotein (AGP), plasma Zn (PZn), plasma retinol and retinol binding protein (RBP), respectively.
|
| Children of Gamo Gofa The prevalence of Fe, Zn and vitamin A deficiency will be assessed in the children of Gamo Gofa between 6 - 59 months |
Other: Children of Gamo Gofa
The prevalence of Fe, Zn and vitamin A deficiency will be assessed in the children of Gamo Gofa between 6-59 months by measuring hemoglobin (Hb), plasma ferritin (PF), soluble transferrin receptor (sTfR), C-reactive protocol (CRP), alpha-1-acid glycoprotein (AGP), plasma Zn (PZn), plasma retinol and retinol binding protein (RBP), respectively.
|
| Women of West Gojjam The prevalence of Fe, Zn and vitamin A deficiency will be assessed in the women of West Gojjam between 15-49 years |
Other: Women of West Gojjam
The prevalence of Fe, Zn and vitamin A deficiency will be assessed in the women of West Gojjam between 15-49 years by measuring hemoglobin (Hb), plasma ferritin (PF), soluble transferrin receptor (sTfR), C-reactive protocol (CRP), alpha-1-acid glycoprotein (AGP), plasma Zn (PZn), plasma retinol and retinol binding protein (RBP), respectively.
|
| Children of West Gojjam The prevalence of Fe, Zn and vitamin A deficiency will be assessed in the children of West Gojjam between 6 - 59 months |
Other: Children of West Gojjam
The prevalence of Fe, Zn and vitamin A deficiency will be assessed in the children of West Gojjam between the age of 6-59 months by measuring hemoglobin (Hb), plasma ferritin (PF), soluble transferrin receptor (sTfR), C-reactive protocol (CRP), alpha-1-acid glycoprotein (AGP), plasma Zn (PZn), plasma retinol and retinol binding protein (RBP), respectively.
|
| Women of Kamashi The prevalence of Fe, Zn and vitamin A deficiency will be assessed in the women of Kamashi between 15-49 years |
Other: Women of Kamashi
The prevalence of Fe, Zn and vitamin A deficiency will be assessed in the women of Kamashi between 15-49 years by measuring hemoglobin (Hb), plasma ferritin (PF), soluble transferrin receptor (sTfR), C-reactive protocol (CRP), alpha-1-acid glycoprotein (AGP), plasma Zn (PZn), plasma retinol and retinol binding protein (RBP), respectively.
|
| Children of Kamashi The prevalence of Fe, Zn and vitamin A deficiency will be assessed in the children of Kamashi between 6 - 59 months |
Other: Children of Kamashi
The prevalence of Fe, Zn and vitamin A deficiency will be assessed in the children of Kamashi between 6-59 months by measuring hemoglobin (Hb), plasma ferritin (PF), soluble transferrin receptor (sTfR), C-reactive protocol (CRP), alpha-1-acid glycoprotein (AGP), plasma Zn (PZn), plasma retinol and retinol binding protein (RBP), respectively.
|
Outcome Measures
Primary Outcome Measures
- Prevalence of Anaemia [March 2018]
Prevalence of iron deficiency with or without anemia
- Prevalence of Zinc deficiency [March 2018]
Based on plasma Zinc concentration
- Prevalence of Vitamin A deficiency [March 2018]
Measuring Vitamin A biomarkers
Secondary Outcome Measures
- Inflammation biomarkers [March 2018]
C reactive protein (CRP)
- Anthropometric measurement - Height [March 2018]
height in cm
- Anthropometric measurement - Weight [March 2018]
weight in Kg
- Inflammation Biomarker [March 2018]
Alpha 1-acid glycoprotein (AGP)
Eligibility Criteria
Criteria
Inclusion Criteria:
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5-59 months of age for children
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15-49 years for women of reproductive age.
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The informed consent form has been read and signed by the caregiver (or has been read out to the caregiver in case of illiteracy)
Exclusion Criteria:
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Severely wasted and underweight children (weight for height and weight for age Z score < -3, respectively)
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Chronic or acute illness or other conditions that in the opinion of the Principle Investigator (PI) or co-researchers would jeopardize the safety or rights of a participant in the trial or would render the participant unable to comply with the protocol
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Participants taking part in other studies requiring the drawing of blood
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Long-term medication (except contraceptives for women of reproductive age)
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Any severe metabolic, gastrointestinal kidney or chronic disease such as diabetes, hepatitis, hypertension, cancer or cardiovascular diseases (according to the participants own statement or examination of study doctor). Health records to be checked for the same.
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Blood losses (surgery, accident), donations or transfusions during the past 4 months before study start.
Contacts and Locations
Locations
| Site | City | State | Country | Postal Code | |
|---|---|---|---|---|---|
| 1 | Center for Food Science and Nutrition, Addis Ababa University | Addis Ababa | Ethiopia | 150201 | |
| 2 | Swiss Federal Institute of Technology (ETH) | Zurich | Switzerland | 9092 |
Sponsors and Collaborators
- Swiss Federal Institute of Technology
- HarvestPlus
- Addis Ababa University
Investigators
- Principal Investigator: Michael Zimmermann, PhD, Professor and Head, Human Nutrition, Swiss Federal Institute of Technology (ETH) Zurich, Switzerland
- Principal Investigator: Kaleab Baye, PhD, Assistant Professor and Head, Center for Food Science and Nutrition, Addis Ababa Univeristy, Ethiopia
Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- Ethiopia_SRMNS