Evidence map›Paper›PMID 20211040›Full record

Trial reportThe British journal of nutrition2010

Sex differences in the effects of maternal vitamin supplements on mortality and morbidity among children born to HIV-infected women in Tanzania.

Kosuke Kawai, Gernard Msamanga, Karim Manji, Eduardo Villamor, Ronald J Bosch, Ellen Hertzmark, Wafaie W Fawzi

Open access · bronzeAbstract readRandomized Controlled Trial
In one paragraph

Trial report in The British journal of nutrition, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 8 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 8 pooled it
2.2field-weighted citation impact, top 13% of its field
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

19 citing papers in PubMed, 8 syntheses or guidelines pooled it, 35 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Multiple-micronutrient supplementation for women during pregnancy.The Cochrane database of systematic reviews · 2019
    Pooled it
  4. Vitamin A supplements for reducing mother-to-child HIV transmission.The Cochrane database of systematic reviews · 2017
    Pooled it
  5. Multiple-micronutrient supplementation for women during pregnancy.The Cochrane database of systematic reviews · 2017
    Pooled it
  6. Multiple-micronutrient supplementation for women during pregnancy.The Cochrane database of systematic reviews · 2015
    Pooled it
  7. Pooled it
  8. Pooled it
  9. Trial
  10. Trial
  11. Article
  12. Review
  13. Article
  14. Article
  15. Review
  16. Article
  17. Sex-specific regulation of immune responses by PPARs.Experimental & molecular medicine · 2017
    Review
  18. Sex differences in immune responses.Nature reviews. Immunology · 2016
    Review
  19. Review
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

7 authors at 2 institutions in 2 countries.

Kosuke KawaiDepartment of Epidemiology, Harvard School of Public Health, Boston, MA 02115, USA. kkawai@hsph.harvard.edu
Gernard Msamanga
Karim Manji
Eduardo Villamor
Ronald J Bosch
Ellen Hertzmark
Wafaie W Fawzi
Harvard University · USMuhimbili University of Health and Allied Sciences · TZ

Funding

INTERNATIONAL TRAINING IN AIDS-RELATED EPIDEMIOLOGYD43TW000004 · FIC · HARVARD UNIVERSITY (SCH OF PUBLIC HLTH) · PI ESSEX, MYRON E · 1988 to 2012
$13.4M
TRIALS OF VITAMINS IN HIV PROGRESSION AND TRANSMISSIONR01HD032257 · NICHD · HARVARD UNIVERSITY (SCH OF PUBLIC HLTH) · PI FAWZI, WAFAIE W · 1994 to 2009
$5.5M
FIC NIH HHS D43 TW000004FIC NIH HHS D43 TW00004NICHD NIH HHS R01 HD032257PHS HHS R01 32257
6 · The paper itself

Abstract

We examined whether there are sex differences in the effect of vitamin supplements on birth outcomes, mortality and morbidity by 2 years of age among children born to HIV-infected women in Tanzania. A randomised placebo-controlled trial was conducted among 959 mother-infant pairs. HIV-infected pregnant women were randomly assigned to receive a daily oral dose of one of four regimens: multivitamins (vitamins B-complex, C and E), vitamin A plus beta-carotene, multivitamins including vitamin A plus beta-carotene or placebo. Supplements were administered during pregnancy and continued after delivery. The beneficial effect of multivitamins on decreasing the risk of low birth weight was stronger among girls (relative risks (RR) = 0.39, 95 % CI 0.22, 0.67) than among boys (RR = 0.81, 95 % CI 0.44, 1.49; P for interaction = 0.08). Maternal multivitamin supplements resulted in 32 % reduction in mortality among girls (RR = 0.68, 95 % CI 0.47, 0.97), whereas no effect was found among boys (RR = 1.20, 95 % CI 0.80, 1.78; P for interaction = 0.04). Multivitamins had beneficial effects on the overall risks of diarrhoea that did not differ by sex. Vitamin A plus beta-carotene alone increased the risk of HIV transmission, but had no effects on mortality, and we found no sex differences in these effects. Sex differential effects of multivitamins on mortality may be due to sex-related differences in the immunological or genetic factors. More research is warranted to examine the effect of vitamins by sex and better understand biological mechanisms mediating such effects.

Indexed as

Dietary SupplementsHIV InfectionsInfant MortalityInfectious Disease Transmission, VerticalMaternal Nutritional Physiological PhenomenaPregnancy Complications, InfectiousAdultDiarrheaFemaleHIV-1HumansInfant, Low Birth WeightInfant, NewbornMalePregnancyRisk FactorsVitamins

Identifiers

PMID20211040
PMCPMC3099235
OpenAlexW2141404668

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

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.