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2015 ; 9
(10
): e0004020
Nephropedia Template TP
gab.com Text
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English Wikipedia
The Effect of Deworming on Growth in One-Year-Old Children Living in a
Soil-Transmitted Helminth-Endemic Area of Peru: A Randomized Controlled Trial
#MMPMID26426270
Joseph SA
; Casapía M
; Montresor A
; Rahme E
; Ward BJ
; Marquis GS
; Pezo L
; Blouin B
; Maheu-Giroux M
; Gyorkos TW
PLoS Negl Trop Dis
2015[]; 9
(10
): e0004020
PMID26426270
show ga
BACKGROUND: Appropriate health and nutrition interventions to prevent long-term
adverse effects in children are necessary before two years of age. One such
intervention may include population-based deworming, recommended as of 12 months
of age by the World Health Organization in soil-transmitted helminth
(STH)-endemic areas; however, the benefit of deworming has been understudied in
early preschool-age children. METHODOLOGY/PRINCIPAL FINDINGS: A randomized,
double-blind, placebo-controlled trial was conducted to determine the effect of
deworming (500 mg single-dose crushed mebendazole tablet) on growth in
one-year-old children in Iquitos, Peru. Children were enrolled during their
routine 12-month growth and development clinic visit and followed up at their 18
and 24-month visits. Children were randomly allocated to: Group 1: deworming at
12 months and placebo at 18 months; Group 2: placebo at 12 months and deworming
at 18 months; Group 3: deworming at both 12 and 18 months; or Group 4: placebo at
both 12 and 18 months (i.e. control group). The primary outcome was weight gain
at the 24-month visit. An intention-to-treat approach was used. A total of 1760
children were enrolled between September 2011 and June 2012. Follow-up of 1563
children (88.8%) was completed by July 2013. STH infection was of low prevalence
and predominantly light intensity in the study population. All groups gained
between 1.93 and 2.05 kg on average over 12 months; the average difference in
weight gain (kg) compared to placebo was: 0.05 (95% CI: -0.05, 0.17) in Group 1;
-0.07 (95%CI: -0.17, 0.04) in Group 2; and 0.04 (95%CI: -0.06, 0.14) in Group 3.
There was no statistically significant difference in weight gain in any of the
deworming intervention groups compared to the control group. CONCLUSIONS:
Overall, with one year of follow-up, no effect of deworming on growth could be
detected in this population of preschool-age children. Low baseline STH
prevalence and intensity and/or access to deworming drugs outside of the trial
may have diluted the potential effect of the intervention. Additional research is
required to overcome these challenges and to contribute to strengthening the
evidence base on deworming. TRIAL REGISTRATION: ClinicalTrials.gov (NCT01314937).