Health and Nutritional Outcomes Among Young Females and Children in Southwest Bangladesh: A Cohort Study
| Registry | NCT07541742, acronym AQUAFOOD |
|---|---|
| Status | Not yet recruiting |
| Study type | Observational |
| Enrollment | 240 (Estimated) |
| Sponsor | University of Copenhagen (Other); collaborators: Noakhali Science and Technology University, Bangladesh Agricultural University (BAU), University of Stirling, University of Aberdeen, International Centre for Diarrhoeal Disease Research, Bangladesh |
| Conditions | Nutritional Status, Micronutrient Status, Omega 3 Fat Status, Diet Diversity, Markers of Inflammation, Climate Adaptation, Climate Change Awareness |
| Interventions | The follow-up aims to evaluate natural changes occurring from adolescence to young adulthood with respect to the study objectives due to lifestyle and environmental factors, without any intervention. (Other) |
| Dates | start 2026-04-15 (estimated), primary completion 2026-08-05 (estimated), completion 2026-12-10 (estimated), first posted 2026-04-21, last updated 2026-05-06 |
| Locations | 1 site in Bangladesh |
Related Papers Related Patents Related Grants Related Experts
All trials for Nutritional Status All trials for Micronutrient Status All trials of The follow-up aims to evaluate natural changes occurring from adolescence to young adulthood with respect to the study objectives due to lifestyle and environmental factors, without any intervention.
This study aims to examine how societal and climate changes influence the nutritional status and fish consumption of young women over a 10 year period in southern Bangladesh, and how these factors affect their children's health. A cohort of 240 adolescents first studied in 2017 will be followed to assess changes in their dietary patterns, nutritional status, climate perceptions and mitigation practices, as well as the nutritional status of their children aged 6 months to 5 years.
The study in 2017 sampled 60 adolescent girls in each of four rural communities, plus a semi-rural community around a fish processing plant, representing in total 5 communities. Of these 60 X 5 = 300 girls, the current study follows up the individuals in the rural communities representing a cohort of 240.
Bangladesh faces high rates of adolescent malnutrition, with many girls married before 18 and suffering from chronic nutrient deficiencies. These issues have long-term impacts on health, productivity, and intergenerational well-being. By linking the fisheries and aquaculture sector, a key to Bangladesh's economy with public health and nutrition, this research aims to guide targeted policies for vulnerable coastal communities.
Aquatic foods are fundamental to the Bangladeshi diet, providing nearly two-thirds of total animal protein. Despite this, malnutrition remains a severe public health crisis with a complex etiology. Bangladesh faces a double burden of malnutrition, marked by persistently high rates of micronutrient deficiencies affecting roughly half of both pregnant and non-pregnant women alongside rising levels of overweight and obesity. These challenges are further exacerbated by substantial intrahousehold inequities in this patriarchal society. Disempowerment and early marriage disproportionately expose adolescent girls and young women to inadequate nutrient intake and poor health outcomes, perpetuating an intergenerational cycle of malnutrition. Furthermore, chronic undernutrition and stunting continue to affect a large proportion of children under five.
The problem is particularly acute in coastal communities, where climate change impacts such as salinity intrusion and extreme weather compromise food production and dietary diversity. Understanding and improving the dietary and nutritional status of adolescent girls and young women is therefore essential to breaking the cycle of poor health and ensuring long-term population well-being. Building on a 2017 study conducted with a cohort of 240 adolescents, this research aims to provide longitudinal insights into how nutritional status, female autonomy, aquatic food consumption, and dietary practices have influenced the health and well-being of these women and their children nearly after 10 years.
Hypotheses
1. Nutritional status, fish consumption, and female autonomy during adolescence (2017) influence the nutritional status of young women in 2026 and that of their offspring.
2. Fish consumption is positively associated with biological markers (omega-3 fatty acids, vitamin D levels, and stable isotope ratios in hair).
Objectives
1. To assess changes in nutritional status, fish intake, socioeconomic factors, and female autonomy among young women from 2017 to 2026, and examine their associations with the nutritional status of their children (6 months-5 years).
2. To investigate associations between assessed fish consumption and biological markers (omega-3, vitamin D, and stable isotope ratios in hair).
The study will be conducted in four distinct saline gradient agro-ecological zones across the shrimp-prawn farming regions of southwest Bangladesh, specifically in Fakirhat (Bagerhat District), Dumuria and Paikgacha (Khulna District), and Shyamnagor (Satkhira District).
| Arm | Type | Interventions | Description |
|---|---|---|---|
| Follow-up of adolescent girls from 2017 to 2026 | Other: The follow-up aims to evaluate natural changes occurring from adolescence to young adulthood with respect to the study objectives due to lifestyle and environmental factors, without any intervention. | The cohort of adolescent girls enrolled in 2017 at ages 12-16 will be followed up in 2026 to assess changes in their socioeconomic status, nutritional status, dietary intake, and women empowerment, and to examine how these factors are associated with the nutritional status of their children aged 6 months-5 years. |
Sex: All, ages: 5 Months to 27 Years, accepts healthy volunteers
Inclusion Criteria: * Young women aged 22-27 years who previously participated in the 2017 study. See study description. * If the women has a child age between 6 months to 5 years, the child child is included to be assessed Exclusion Criteria: * Participants with serious health conditions that may interfere with study procedures or data collection.
| Facility | City | Country | Status |
|---|---|---|---|
| International Centre for Diarrhoeal Disease Research, Bangladesh (icddr, b) | Dhaka, Capital Region | Bangladesh |