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BEP Supplementation Research in Bangladesh (JiVitA-BEP-IR)
Sponsor: Johns Hopkins Bloomberg School of Public Health
Summary
The primary aim of the study is to evaluate the effect of fortified balanced energy and protein (BEP) supplementation vs. control (multiple micronutrient supplement, MMS) without targeting and with targeting (either by low prepregnancy BMI or low prepregnancy BMI and inadequate gestational weight gain) on birth weight and adverse birth outcomes of low birth weight (LBW \< 2500 g) and small-for-gestational age (SGA). To do this we are proposing a cluster-randomized, open labeled effectiveness trial with four arms The main question\[s\] it aims to answer are: • Does mean birth weight and rate of LBW and SGA differ among mothers randomized to four arms that include targeted or untargeted BEP supplementation vs. MMS differ. Participants will be recruited in early pregnancy and be enrolled in the trial and randomly receive: 1. A daily BEP supplement from enrollment until birth 2. A daily BEP supplement from enrollment until birth, if they have low pre-pregnancy BMI with the rest receiving a MMS supplement 3. A daily BEP supplement from enrollment until birth, if they have low pre-pregnancy BMI with the rest receiving a MMS supplement or get switched to a BEP supplement based on inadequate gestational weight gain. Researchers will compare the above groups to women receiving a MMS daily to see if birth weight is higher in the intervention arms. Other adverse outcomes such as low birth weight, small-for-gestational age and preterm birth will also be compared between groups and relative to the control.
Official title: Balanced Energy and Protein (BEP) Supplementation Research in Bangladesh (JiVitA-BEP IR)
Key Details
Gender
FEMALE
Age Range
15 Years - 35 Years
Study Type
INTERVENTIONAL
Enrollment
3390
Start Date
2022-10-15
Completion Date
2026-05-31
Last Updated
2025-12-03
Healthy Volunteers
Yes
Conditions
Interventions
Balanced energy and protein supplement for pregnant women
A fortified balanced energy and protein supplement providing both macro and micronutrients recommended for use during pregnancy in undernourished contexts.
Multiple Micronutrient Supplement for pregnant women
Prenatal supplements containing vitamins and minerals - also called "multiple micronutrient" supplements will be used in the control group.
Locations (1)
JiVitA Project
Rangpur City, Bangladesh