%0 Journal Article %9 ACL : Articles dans des revues avec comité de lecture répertoriées par l'AERES %A Nga, T. T. %A Winichagoon, P. %A Dijkhuizen, M. A. %A Khan, N. C. %A Wasantwisut, E. %A Wieringa, Franck %T Decreased parasite load and improved cognitive outcomes caused by deworming and consumption of multi-micronutrient fortified biscuits in rural Vietnamese schoolchildren %D 2011 %L fdi:010053738 %G ENG %J American Journal of Tropical Medicine and Hygiene %@ 0002-9637 %M ISI:000293613000025 %N 2 %P 333-340 %R 10.4269/ajtmh.2011.10-0651 %U https://www.documentation.ird.fr/hor/fdi:010053738 %> https://horizon.documentation.ird.fr/exl-doc/pleins_textes/divers20-08/010053738.pdf %V 85 %W Horizon (IRD) %X Micronutrient deficiencies are associated with impaired growth and cognitive function. A school-based fortification program might benefit schoolchildren but a high prevalence of parasite infestation might affect effectiveness. A randomized, double-blind, placebo-controlled 2 x 2 factorial trial was conducted to assess the efficacy of multi-micronutrient fortified biscuits with or without de-worming on growth, cognitive function, and parasite load in Vietnamese schoolchildren. Schoolchildren (n = 510), 6-8 years of age were randomly allocated to receive albendazole or placebo at baseline and four months of multi-micronutrient fortified biscuits (FB) or non-fortified biscuits. Children receiving FB for four months scored higher on two cognitive tests: Raven's Colored Progressive Matrices and the Digit Span Forward test. Children receiving albendazole plus FB had the lowest parasite load after four months. In children receiving FB, mid-upper arm circumference was slightly improved (+0.082 cm) but there were no differences in other indexes of anthropometry. Combining multi-micronutrient fortified biscuits with de-worming is an effective strategy. %$ 054