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ArticleJMIR research protocols2026

Ayush Bala Rakshak Leham for Moderate Malnutrition in Children Aged 3 to 5 Years: Protocol for a Pilot Randomized Controlled Trial.

Karthika Asokan Prabha, Kishor Gavali, Binitha P, Saniya Ck, Suhas Chaudhary, Monika Kumari, Remya E, Prashant Shinde, Swati Sharma, Arunabh Tripathi and 7 more

Abstract readClinical Trial Protocol
In one paragraph

Article in JMIR research protocols, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

17 authors.

Karthika Asokan PrabhaNational Ayurveda Research Institute for Panchakarma, Central Council for Research in Ayurvedic Sciences, Thrissur, Kerala, India.ORCID 0000-0001-9491-4409
Kishor GavaliMaharao Shekhaji Regional Ayurveda Research Institute, Central Council for Research in Ayurvedic Sciences, Jaipur, Rajasthan, India.ORCID 0000-0002-0255-8521
Binitha PNational Ayurveda Research Institute for Panchakarma, Central Council for Research in Ayurvedic Sciences, Thrissur, Kerala, India.ORCID 0000-0002-9406-4886
Saniya CkRegional Ayurveda Research Institute, Central Council for Research in Ayurvedic Sciences, Thiruvananthapuram, Kerala, India.ORCID 0000-0002-8572-7158
Suhas ChaudharyMaharao Shekhaji Regional Ayurveda Research Institute, Central Council for Research in Ayurvedic Sciences, Jaipur, Rajasthan, India.ORCID 0000-0002-6557-1221
Monika KumariMaharao Shekhaji Regional Ayurveda Research Institute, Central Council for Research in Ayurvedic Sciences, Jaipur, Rajasthan, India.ORCID 0000-0003-1424-5423
Remya ECentral Ayurveda Research Institute, Central Council for Research in Ayurvedic Sciences, Bhubaneswar, Odisha, India.ORCID 0000-0002-7638-3584
Prashant ShindeCentral Council for Research in Ayurvedic Sciences, Janakpuri, New Delhi, India.ORCID 0000-0002-2527-1152
Swati SharmaCentral Ayurveda Research Institute, Central Council for Research in Ayurvedic Science, Punjabi Bagh, New Delhi, Delhi, India.ORCID 0000-0002-0360-9052
Arunabh TripathiCentral Council for Research in Ayurvedic Sciences, Janakpuri, New Delhi, India.ORCID 0000-0001-7235-4236
Sophia JameelaCentral Council for Research in Ayurvedic Sciences, Janakpuri, New Delhi, India.ORCID 0000-0001-6685-3610
Richa SinghalCentral Council for Research in Ayurvedic Sciences, Janakpuri, New Delhi, India.ORCID 0000-0002-3407-4900
Babita YadavCentral Ayurveda Research Institute, Central Council for Research in Ayurvedic Science, Punjabi Bagh, New Delhi, Delhi, India.ORCID 0000-0002-9827-4119
Sarada OtaCentral Ayurveda Research Institute, Central Council for Research in Ayurvedic Sciences, Bhubaneswar, Odisha, India.ORCID 0000-0002-6900-9869
Bhogavalli Chandra Sekhara RaoCentral Council for Research in Ayurvedic Sciences, Janakpuri, New Delhi, India.ORCID 0000-0001-5408-3225
Narayanam SrikanthCentral Council for Research in Ayurvedic Sciences, Janakpuri, New Delhi, India.ORCID 0000-0002-3976-4978
Rabinarayan AcharyaCentral Council for Research in Ayurvedic Sciences, Janakpuri, New Delhi, India.ORCID 0000-0003-4413-1937

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMalnutrition, a leading cause of mortality and morbidity in children aged <5 years, requires early detection and intervention. In Ayurveda, "Kumarasosha" closely corresponds to childhood malnutrition, with its pathophysiology and treatment principles offering a more precise and effective approach to management.

objectiveThis study is designed to evaluate the efficacy and safety of Ayush Bala Rakshak (BR) Leham in moderately malnourished children aged 3 to 5 years.

methodsThis is a multicenter, open-label, randomized controlled, 2-group pilot study designed to enroll 200 moderately malnourished children, 100 from each participating study center of the Central Council for Research in Ayurvedic Sciences. The children will be screened for moderate malnutrition using the World Health Organization weight-for-age Z score through the AnthroCal app developed by the All India Institute of Medical Sciences, New Delhi. After obtaining consent from parents, the participants will be randomized and allocated to 2 groups. The study group will receive Aravindasava, 5 mL twice daily after food for 4 weeks, followed by Ayush BR Leham, a nutritional supplement, 5 g twice daily before food from weeks 5 to 12. The control group will receive Aravindasava for 4 weeks and thereafter receive no intervention for 8 weeks. Both groups will be advised to follow a home-prepared diet during the study period. A follow-up assessment will be conducted after 4 weeks. The primary outcome is a change of ≥0.5 in the World Health Organization weight-for-age Z scores, and the secondary outcomes are changes in anthropometric measurements, the frequency of illnesses assessed using a predesigned table, and safety parameters assessed using biochemical measures.

resultsThe study received funding in March 2023. Participant enrolment commenced on December 16, 2023 and has been completed. After data analysis, the study findings are expected to be submitted for publication in December 2026.

conclusionsThe study will investigate the efficacy and safety of Ayush BR Leham in moderately malnourished children aged 3 to 5 years. If the intervention is found to be effective, the findings may help incorporate Ayurvedic guidelines into standard treatment protocols for children with moderate malnutrition.

trial registrationClinical Trials Registry of India CTRI/2023/07/055188; https://tinyurl.com/3arpbecm. INTERNATIONAL REGISTERED REPORT IDENTIFIER (IRRID): DERR1-10.2196/93718.

Indexed as

Child Nutrition DisordersMalnutritionMedicine, AyurvedicChild, PreschoolDietary SupplementsFemaleHumansIndiaMaleMulticenter Studies as TopicPilot ProjectsRandomized Controlled Trials as TopicAyurvedaAyush-BR Lehammalnutritionmortalityunder-five childrenWHO Z scoreWorld Health Organization Z score

Identifiers

PMID42407057
PMCPMC13386115

What Socratic holds

Textmetadata
LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.