Evidence map›Paper›PMID 16015266›Full record

Trial reportEuropean journal of clinical nutrition2005

Effects of prenatal multimicronutrient supplements on birth weight and perinatal mortality: a randomised, controlled trial in Guinea-Bissau.

P Kaestel, K F Michaelsen, P Aaby, H Friis

2 registry-linked trialsAbstract readRandomized Controlled Trial
PubMed Publisher
In one paragraph

Trial report in European journal of clinical nutrition, 2005. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 71 papers, 27 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
71citing papers in PubMed, 27 pooled it
–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.

NCT00168688 phase1completednot on this map

The Effects of Prenatal Multi-micronutrient Supplements on Pregnancy Outcome, Peri- and Neonatal Mortality on Maternal and Infant Nutritional Status: A Randomised, Controlled Trial Among Women in Guinea-Bissau

TypeinterventionalSponsorBandim Health ProjectRan2001 to 2002Enrolled2,100ConditionsPregnancy, Birth WeightArmsmulti micronutrient supplement, MN1, MN2
NCT00970866 nacompletednot on this mapstarted 2009, after this paper: background citation

Efficacy of Lipid-based Nutrient Supplements (LNS) for Pregnant and Lactating Women and Their Infants

TypeinterventionalSponsorUniversity of California, DavisRan2009 to 2017Enrolled3,499ConditionsAnemia, Malnutrition, StuntingArmsIron and Folic Acid (IFA), Multiple Micronutrient (MMN) group, Lipid-based Nutrient Supplements (LNS) group
3 · Its place in the literature

Who cites it

71 citing papers in PubMed, 27 syntheses or guidelines pooled it.

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  7. Daily oral iron supplementation during pregnancy.The Cochrane database of systematic reviews · 2024
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  13. Multiple-micronutrient supplementation for women during pregnancy.The Cochrane database of systematic reviews · 2019
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  14. Multiple-micronutrient supplementation for women during pregnancy.The Cochrane database of systematic reviews · 2017
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  16. Vitamin supplementation for preventing miscarriage.The Cochrane database of systematic reviews · 2016
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  17. Multiple-micronutrient supplementation for women during pregnancy.The Cochrane database of systematic reviews · 2015
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  18. Intermittent oral iron supplementation during pregnancy.The Cochrane database of systematic reviews · 2015
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  19. Daily oral iron supplementation during pregnancy.The Cochrane database of systematic reviews · 2015
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  20. Daily oral iron supplementation during pregnancy.The Cochrane database of systematic reviews · 2012
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11 more citing papers are in PubMed but not listed here.

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

4 authors.

P KaestelDepartment of Human Nutrition, The Royal Veterinary and Agricultural University, Frederiksberg, Denmark. pern@kvl.dk
K F Michaelsen
P Aaby
H Friis

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo assess the effects of daily prenatal multimicronutrient supplementation on birth weight (BW) and perinatal mortality.

designRandomised, controlled, double masked trial.

settingUrban Guinea-Bissau, West Africa. SUBJECTS: A total of 2100 pregnant women (22+/-7 weeks pregnant at entry) were recruited through antenatal clinics, of which 1670 (79.5%) completed the trial. BW was available for 1100 live born babies.

interventionsIdentical-looking supplements containing one (MN-1) or two (MN-2) Recommended Dietary Allowances (RDA) of 15 micronutrients, or iron and folic acid (control).

resultsMean BW among 1100 live born infants was 3050+/-498 g with 11.9% being low birth weight (LBW, BW < 2500 g). Perinatal mortality was 82 per 1000 deliveries (N = 1670), and neonatal mortality 45 per 1000 live births (N = 1599). Mean BW in MN-1 (n = 360) and MN-2 (n = 374) groups were 53 [-19; 125] and 95 [24; 166] g higher than controls (n = 366). Proportion of LBW was 13.6% in control, and 12.0 and 10.1% in the MN-1 and MN-2 groups, respectively (P = 0.33). Among anaemic women (30%), MN-2 increased BW with 218 [81; 354] g compared to controls, with a decreased risk of LBW of 69 [27; 87]%. There were apparently no differences in perinatal mortality between groups.

conclusionsPrenatal micronutrient supplementation increased BW but did not reduce perinatal mortality in this study. Multimicronutrient supplementation with two RDA should be considered in future programmes to reduce the proportion of LBW.

Indexed as

Infant, Low Birth WeightInfant MortalityAdultBirth WeightDietary SupplementsDouble-Blind MethodFemaleFolic AcidGuinea-BissauHumansInfant, NewbornIronMicronutrientsPregnancyPregnancy ComplicationsPrenatal CareFolic AcidIronMicronutrients

Identifiers

What OpenQuestion holds

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Registered trials

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 OpenQuestion graph.