Effects of Deworming on Malnourished Preschool Children in India: An Open-Labelled, Cluster-Randomized Trial
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{"title"=>"Effects of deworming on malnourished preschool children in India: An open-labelled, cluster-randomized trial", "type"=>"journal", "authors"=>[{"first_name"=>"Shally", "last_name"=>"Awasthi", "scopus_author_id"=>"7103192942"}, {"first_name"=>"Richard", "last_name"=>"Peto", "scopus_author_id"=>"34572276000"}, {"first_name"=>"Vinod K.", "last_name"=>"Pande", "scopus_author_id"=>"7004966389"}, {"first_name"=>"Robert H.", "last_name"=>"Fletcher", "scopus_author_id"=>"7201875038"}, {"first_name"=>"Simon", "last_name"=>"Read", "scopus_author_id"=>"57190609969"}, {"first_name"=>"Donald A.P.", "last_name"=>"Bundy", "scopus_author_id"=>"7102653368"}], "year"=>2008, "source"=>"PLoS Neglected Tropical Diseases", "identifiers"=>{"issn"=>"1935-2735", "scopus"=>"2-s2.0-48949118042", "sgr"=>"48949118042", "pui"=>"352002919", "isbn"=>"1935-2735 (Electronic)", "pmid"=>"18414647", "doi"=>"10.1371/journal.pntd.0000223"}, "id"=>"02440915-d89e-3816-829d-0b722f3bd11a", "abstract"=>"BACKGROUND: More than a third of the world's children are infected with intestinal nematodes. Current control approaches emphasise treatment of school age children, and there is a lack of information on the effects of deworming preschool children.\\n\\nMETHODOLOGY: We studied the effects on the heights and weights of 3,935 children, initially 1 to 5 years of age, of five rounds of anthelmintic treatment (400 mg albendazole) administered every 6 months over 2 years. The children lived in 50 areas, each defined by precise government boundaries as urban slums, in Lucknow, North India. All children were offered vitamin A every 6 months, and children in 25 randomly assigned slum areas also received 6-monthly albendazole. Treatments were delivered by the State Integrated Child Development Scheme (ICDS), and height and weight were monitored at baseline and every 6 months for 24 months (trial registration number NCT00396500). p Value calculations are based only on the 50 area-specific mean values, as randomization was by area.\\n\\nFINDINGS: The ICDS infrastructure proved able to deliver the interventions. 95% (3,712/3,912) of those alive at the end of the study had received all five interventions and had been measured during all four follow-up surveys, and 99% (3,855/3,912) were measured at the last of these surveys. At this final follow up, the albendazole-treated arm exhibited a similar height gain but a 35 (SE 5) % greater weight gain, equivalent to an extra 1 (SE 0.15) kg over 2 years (99% CI 0.6-1.4 kg, p = 10(-11)).\\n\\nCONCLUSIONS: In such urban slums in the 1990s, five 6-monthly rounds of single dose anthelmintic treatment of malnourished, poor children initially aged 1-5 years results in substantial weight gain. The ICDS system could provide a sustainable, inexpensive approach to the delivery of anthelmintics or micronutrient supplements to such populations. As, however, we do not know the control parasite burden, these results are difficult to generalize.\\n\\nTRIAL REGISTRATION: ClinicalTrials.gov NCT00396500.", "link"=>"http://www.mendeley.com/research/effects-deworming-malnourished-preschool-children-india-openlabelled-clusterrandomized-trial", "reader_count"=>54, "reader_count_by_academic_status"=>{"Unspecified"=>1, "Researcher"=>19, "Student > Doctoral Student"=>3, "Student > Ph. D. Student"=>3, "Student > Postgraduate"=>3, "Other"=>3, "Student > Master"=>9, "Student > Bachelor"=>6, "Lecturer"=>2, "Professor"=>4, "Librarian"=>1}, "reader_count_by_user_role"=>{"Unspecified"=>1, "Researcher"=>19, "Student > Doctoral Student"=>3, "Student > Ph. D. Student"=>3, "Student > Postgraduate"=>3, "Other"=>3, "Student > Master"=>9, "Student > Bachelor"=>6, "Lecturer"=>2, "Professor"=>4, "Librarian"=>1}, "reader_count_by_subject_area"=>{"Unspecified"=>5, "Environmental Science"=>1, "Biochemistry, Genetics and Molecular Biology"=>2, "Nursing and Health Professions"=>1, "Medicine and Dentistry"=>23, "Agricultural and Biological Sciences"=>11, "Business, Management and Accounting"=>2, "Social Sciences"=>6, "Economics, Econometrics and Finance"=>3}, "reader_count_by_subdiscipline"=>{"Medicine and Dentistry"=>{"Medicine and Dentistry"=>23}, "Social Sciences"=>{"Social Sciences"=>6}, "Economics, Econometrics and Finance"=>{"Economics, Econometrics and Finance"=>3}, "Agricultural and Biological Sciences"=>{"Agricultural and Biological Sciences"=>11}, "Nursing and Health Professions"=>{"Nursing and Health Professions"=>1}, "Business, Management and Accounting"=>{"Business, Management and Accounting"=>2}, "Biochemistry, Genetics and Molecular Biology"=>{"Biochemistry, Genetics and Molecular Biology"=>2}, "Unspecified"=>{"Unspecified"=>5}, "Environmental Science"=>{"Environmental Science"=>1}}, "reader_count_by_country"=>{"United Kingdom"=>2}, "group_count"=>8}

Scopus | Further Information

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Figshare

  • {"files"=>["https://ndownloader.figshare.com/files/459971", "https://ndownloader.figshare.com/files/460057"], "description"=>"<div><h3>Background</h3><p>More than a third of the world's children are infected with intestinal nematodes. Current control approaches emphasise treatment of school age children, and there is a lack of information on the effects of deworming preschool children.</p><h3>Methodology</h3><p>We studied the effects on the heights and weights of 3,935 children, initially 1 to 5 years of age, of five rounds of anthelmintic treatment (400 mg albendazole) administered every 6 months over 2 years. The children lived in 50 areas, each defined by precise government boundaries as urban slums, in Lucknow, North India. All children were offered vitamin A every 6 months, and children in 25 randomly assigned slum areas also received 6-monthly albendazole. Treatments were delivered by the State Integrated Child Development Scheme (ICDS), and height and weight were monitored at baseline and every 6 months for 24 months (trial registration number NCT00396500). p Value calculations are based only on the 50 area-specific mean values, as randomization was by area.</p><h3>Findings</h3><p>The ICDS infrastructure proved able to deliver the interventions. 95% (3,712/3,912) of those alive at the end of the study had received all five interventions and had been measured during all four follow-up surveys, and 99% (3,855/3,912) were measured at the last of these surveys. At this final follow up, the albendazole-treated arm exhibited a similar height gain but a 35 (SE 5) % greater weight gain, equivalent to an extra 1 (SE 0.15) kg over 2 years (99% CI 0.6–1.4 kg, p = 10<sup>−11</sup>).</p><h3>Conclusions</h3><p>In such urban slums in the 1990s, five 6-monthly rounds of single dose anthelmintic treatment of malnourished, poor children initially aged 1–5 years results in substantial weight gain. The ICDS system could provide a sustainable, inexpensive approach to the delivery of anthelmintics or micronutrient supplements to such populations. As, however, we do not know the control parasite burden, these results are difficult to generalize.</p><h3>Trial Registration</h3><p>ClinicalTrials.gov <a href=\"http://www.clinicaltrials.gov/ct2/show/NCT00396500?term=NCT00396500&rank=1\">NCT00396500</a></p></div>", "links"=>[], "tags"=>["effects", "deworming", "malnourished", "preschool", "children", "cluster-randomized"], "article_id"=>150625, "categories"=>["Medicine"], "users"=>["Shally Awasthi", "Richard Peto", "Vinod K. Pande", "Robert H. Fletcher", "Simon Read", "Donald A. P. Bundy"], "doi"=>["https://dx.doi.org/10.1371/journal.pntd.0000223.s001", "https://dx.doi.org/10.1371/journal.pntd.0000223.s002"], "stats"=>{"downloads"=>22, "page_views"=>7, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/Effects_of_Deworming_on_Malnourished_Preschool_Children_in_India_An_Open_Labelled_Cluster_Randomized_Trial/150625", "title"=>"Effects of Deworming on Malnourished Preschool Children in India: An Open-Labelled, Cluster-Randomized Trial", "pos_in_sequence"=>0, "defined_type"=>4, "published_date"=>"2008-04-16 00:10:25"}
  • {"files"=>["https://ndownloader.figshare.com/files/933345"], "description"=>"<p>Mean Weights by Visit and Treatment</p>", "links"=>[], "tags"=>["weights"], "article_id"=>603794, "categories"=>["Medicine"], "users"=>["Shally Awasthi", "Richard Peto", "Vinod K. Pande", "Robert H. Fletcher", "Simon Read", "Donald A. P. Bundy"], "doi"=>"https://dx.doi.org/10.1371/journal.pntd.0000223.g003", "stats"=>{"downloads"=>1, "page_views"=>5, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Mean_Weights_by_Visit_and_Treatment_/603794", "title"=>"Mean Weights by Visit and Treatment", "pos_in_sequence"=>0, "defined_type"=>1, "published_date"=>"2008-04-16 01:03:14"}
  • {"files"=>["https://ndownloader.figshare.com/files/933478"], "description"=>"*<p>Each mean value is an average of one value per slum area, and its standard error (SE) reflects this appropriately.</p>", "links"=>[], "tags"=>["pediatrics and child health", "pediatrics and child health/child development"], "article_id"=>603926, "categories"=>["Medicine"], "users"=>["Shally Awasthi", "Richard Peto", "Vinod K. Pande", "Robert H. Fletcher", "Simon Read", "Donald A. P. Bundy"], "doi"=>"https://dx.doi.org/10.1371/journal.pntd.0000223.t001", "stats"=>{"downloads"=>1, "page_views"=>4, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Age_specific_changes_in_weight_kg_/603926", "title"=>"Age-specific changes in weight (kg).", "pos_in_sequence"=>0, "defined_type"=>3, "published_date"=>"2008-04-16 01:05:26"}
  • {"files"=>["https://ndownloader.figshare.com/files/933449"], "description"=>"<p>All means and standard errors in the table are derived appropriately from the 50 slum area means, as befits the cluster-randomization scheme. Numbers of children are given in brackets.</p>*<p>More than 2 standard deviations below WHO nutritional standards (given sex) for weight-for-age, height-for-age and weight-for-height.</p>", "links"=>[], "tags"=>["stratified", "nutritional"], "article_id"=>603897, "categories"=>["Medicine"], "users"=>["Shally Awasthi", "Richard Peto", "Vinod K. Pande", "Robert H. Fletcher", "Simon Read", "Donald A. P. Bundy"], "doi"=>"https://dx.doi.org/10.1371/journal.pntd.0000223.t002", "stats"=>{"downloads"=>1, "page_views"=>16, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Weight_gain_kg_over_two_years_usual_care_versus_albendazole_stratified_by_nutritional_status_at_baseline_/603897", "title"=>"Weight gain (kg) over two years, usual care versus albendazole, stratified by nutritional status at baseline.", "pos_in_sequence"=>0, "defined_type"=>3, "published_date"=>"2008-04-16 01:04:57"}
  • {"files"=>["https://ndownloader.figshare.com/files/933142"], "description"=>"<p>CONSORT Flow Chart</p>", "links"=>[], "tags"=>["pediatrics and child health", "pediatrics and child health/child development"], "article_id"=>603594, "categories"=>["Medicine"], "users"=>["Shally Awasthi", "Richard Peto", "Vinod K. Pande", "Robert H. Fletcher", "Simon Read", "Donald A. P. Bundy"], "doi"=>"https://dx.doi.org/10.1371/journal.pntd.0000223.g001", "stats"=>{"downloads"=>1, "page_views"=>9, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_CONSORT_Flow_Chart_/603594", "title"=>"CONSORT Flow Chart", "pos_in_sequence"=>0, "defined_type"=>1, "published_date"=>"2008-04-16 00:59:54"}
  • {"files"=>["https://ndownloader.figshare.com/files/933227"], "description"=>"<p>Mean Heights by Visit and Treatment</p>", "links"=>[], "tags"=>["heights"], "article_id"=>603679, "categories"=>["Medicine"], "users"=>["Shally Awasthi", "Richard Peto", "Vinod K. Pande", "Robert H. Fletcher", "Simon Read", "Donald A. P. Bundy"], "doi"=>"https://dx.doi.org/10.1371/journal.pntd.0000223.g002", "stats"=>{"downloads"=>0, "page_views"=>0, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Mean_Heights_by_Visit_and_Treatment_/603679", "title"=>"Mean Heights by Visit and Treatment", "pos_in_sequence"=>0, "defined_type"=>1, "published_date"=>"2008-04-16 01:01:19"}

PMC Usage Stats | Further Information

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Relative Metric

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