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STUDY PROTOCOL article
Front. Public Health
Sec. Public Health and Nutrition
Volume 13 - 2025 |
doi: 10.3389/fpubh.2025.1505780
Microbiota, parasitic infections and its relationship with nutritional status and neurocognitive functioning in children from Ecuador -Proyecto Guagua: Research protocol for a crosssectional study
Provisionally accepted- 1 University of Cuenca, Cuenca, Azuay, Ecuador
- 2 Escuela Superior Politécnica del Chimborazo, Riobamba, Ecuador
- 3 Ohio University, Athens, West Virginia, United States
- 4 Universidad Estatal Amazónica, Puyo, Pastaza, Ecuador
- 5 Princeton University, Princeton, New Jersey, United States
- 6 University of Oslo, Oslo, Oslo, Norway
Introduction: This protocol outlines the Proyecto Guagua, which aims to explore the relationship between the characteristics of the gut microbiota, parasitic infections, nutritional status, and neurocognitive functioning in school-age children in Ecuador.Proyecto Guagua is a cross-sectional observational study funded by the Escuela Superior Politécnica de Chimborazo. It is being carried out in several counties across different geographical regions in Ecuador, including Galápagos. The study targets children regularly attending school, aged 6 to 12. We aim to recruit 450 children, with data already collected from nearly 300 participants (67%). Enrolled children undergo comprehensive evaluations assessing nutritional status, body composition, motor learning, social skills, cognitive ability, sleep habits, and physical activity. Caretakers and school teachers are interviewed regarding hygiene, eating habits, and food handling. Stool samples are collected to analyse the gut microbiota and determine the presence of parasites. In the analysis phase, we aim to describe differences in microbiota population structure and diversity among undernourished and obese/overweight children and children with parasitosis compared to their peers. We also plan to test the hypothesis that an altered microbiota mediates the influence of malnutrition on neurocognitive functioning and parasitosis.Ethics and dissemination: Proyecto Guagua received ethical approval from the Ethics Committee of Universidad de Cuenca in July 2022. Following the pilot phase, an addendum and minor changes to the study design were approved in October 2022. Written consent was obtained from parents before enrolling their children in the study. Parents and children were informed of their right to withdraw from the study at any time. The findings of "Proyecto Guagua" will be disseminated through open-access, peer-reviewed publications and presented at local and international scientific events.
Keywords: Malnutrition, Ecuador, Children, Neurocognitive abilities, Parasitic Infection, Motor Learnin, Social Skills, microbiota
Received: 03 Oct 2024; Accepted: 09 Jan 2025.
Copyright: © 2025 Abril-Ulloa, Carpio-Arias, Alvarado-Barba, Ríos-Romero, Vinueza-Veloz, Lima-dos-Santos, Astudillo-Skliarova, Arias-Gutiérrez, Pérez-Quintana, Boele and Vinueza-Veloz. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
* Correspondence:
Tannia Valeria Carpio-Arias, Escuela Superior Politécnica del Chimborazo, Riobamba, Ecuador
Maria Fernanda Vinueza-Veloz, University of Oslo, Oslo, 0316, Oslo, Norway
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