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This study will investigate the efficacy of providing one chicken egg per day for a period of 6 months, beginning at the age of 6 to <9 months on the growth, motor development, micronutrient, and morbidity status of infants from a low socioeconomic community in South Africa.
The nutritional benefit of eggs, in particular chicken eggs is well documented. However, there is paucity of evidence regarding including eggs, in particular chicken eggs during the early complementary feeding phase to enhance child growth and development. Thus, this study seeks to determine and to provide evidence on the effectiveness of including chicken eggs as an early complementary food to enhance early child growth and development. This randomised controlled trial will contribute towards building a strong evidence for the promotion and use of eggs as a healthy and nutritious early complementary food, and can be used to inform future programming regarding infant and young child feeding in low- and middle-income countries.
This is a randomised controlled trial with a parallel design (2 groups). Five hundred infants aged 6 to <9 months will be included. Infants with egg allergy or sensitization will be excluded. Data will be collected in three months' interval for six months. At baseline, body measurements of mother and infant will be taken; infant's dietary intake using 24-hour recall methods; breastfeeding and complementary feeding practices; infant and maternal allergy and maternal depression with structured questionnaires. Morbidity symptoms and compliance will be recorded daily and followed up weekly. Developmental milestones will be assessed weekly using Pictorial Gross Motor Milestone Chart. Household food security will be assessed. Capillary blood will be collected by means of finger and/or heal prick. This will be a community driven project. Data will be analysed according to intention to treat.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Intervention group | Experimental | One chicken egg per day |
|
| Control group | No Intervention | True control |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Eggs | Dietary Supplement | Providing 1 egg per day fo 6 months to infants |
|
| Measure | Description | Time Frame |
|---|---|---|
| Linear growth by measuring length | Efficacy of providing one chicken egg per day on linear growth and stunting prevalence compare to a control | 6 months |
| Measure | Description | Time Frame |
|---|---|---|
| Motor development using Pictorial Gross Motor Milestone Chart | Effects of consuming one chicken egg per day on motor development compare to a control | 6 months |
| Biomarkers of anaemia, iron, vitamin A and essential fatty acids |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Marius Smuts, PhD | Director | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Jouberton area in the Matlosana sub-district | Klerksdorp | North West | 2574 | South Africa |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 39648796 | Derived | Nakiranda R, Malan L, Ricci H, Kruger HS, Nienaber A, Visser M, Ricci C, Faber M, Smuts CM. Daily Complementary Feeding With Eggs Improves Fibroblast Growth Factor 21 in Infants. Matern Child Nutr. 2025 Apr;21(2):e13782. doi: 10.1111/mcn.13782. Epub 2024 Dec 9. | |
| 38018158 | Derived | Ricci H, Faber M, Ricci C, Kruger HS, Malan L, Nakiranda R, Visser M, Smuts CM. Effects of egg as an early complementary food on growth of 6- to 9-month-old infants: a randomised controlled trial. Public Health Nutr. 2023 Nov 29;27(1):e1. doi: 10.1017/S1368980023002604. |
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| ID | Term |
|---|---|
| D004531 | Eggs |
| ID | Term |
|---|---|
| D005502 | Food |
| D000066888 | Diet, Food, and Nutrition |
| D010829 | Physiological Phenomena |
| D019602 | Food and Beverages |
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Effects of consuming one chicken egg per day on biochemical biomarkers compare to a control
| 6 months |
| Morbidity status | Effects of consuming one chicken egg per day on morbidity symptoms compare to a control | 6 months |