Evidence map›Paper›PMID 22970149›Full record

Trial reportPloS one2012

Docosahexaenoic acid for reading, cognition and behavior in children aged 7-9 years: a randomized, controlled trial (the DOLAB Study).

Alexandra J Richardson, Jennifer R Burton, Richard P Sewell, Thees F Spreckelsen, Paul Montgomery

Registry-linked trialOpen access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in PloS one, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01066182 (A Randomised Controlled Trial of DHA), which is not on this map. Cited by 60 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
60citing papers in PubMed, 4 pooled it
13.0field-weighted citation impact, top 1% 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.

NCT01066182 phase2completednot on this map

A Randomised Controlled Trial of DHA (Docosahexaenoic Acid)for Learning and Behaviour in Children Aged 7 - 9 Years

TypeinterventionalSponsorUniversity of OxfordRan2009 to 2011Enrolled360ConditionsLearning, BehaviourArmsDHA (docosahexaenoic acid), Sunflower oil capsules
3 · Its place in the literature

Who cites it

60 citing papers in PubMed, 4 syntheses or guidelines pooled it, 164 citations in OpenAlex.

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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

5 authors at 1 institution in 1 country.

Alexandra J RichardsonCentre for Evidence-Based Intervention, University of Oxford, Oxford, United Kingdom. alex.richardson@spi.ox.ac.uk
Jennifer R Burton
Richard P Sewell
Thees F Spreckelsen
Paul Montgomery
University of Oxford · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundOmega-3 fatty acids are dietary essentials, and the current low intakes in most modern developed countries are believed to contribute to a wide variety of physical and mental health problems. Evidence from clinical trials indicates that dietary supplementation with long-chain omega-3 may improve child behavior and learning, although most previous trials have involved children with neurodevelopmental disorders such as attention-deficit/hyperactivity disorder (ADHD) or developmental coordination disorder (DCD). Here we investigated whether such benefits might extend to the general child population.

objectivesTo determine the effects of dietary supplementation with the long-chain omega-3 docosahexaenoic acid (DHA) on the reading, working memory, and behavior of healthy schoolchildren.

designParallel group, fixed-dose, randomized, double-blind, placebo-controlled trial (RCT).

settingMainstream primary schools in Oxfordshire, UK (n = 74).

participantsHealthy children aged 7-9 years initially underperforming in reading (≤ 33(rd) centile). 1376 invited, 362 met study criteria.

intervention600 mg/day DHA (from algal oil), or taste/color matched corn/soybean oil placebo.

main outcome measuresAge-standardized measures of reading, working memory, and parent- and teacher-rated behavior.

resultsITT analyses showed no effect of DHA on reading in the full sample, but significant effects in the pre-planned subgroup of 224 children whose initial reading performance was ≤ 20(th) centile (the target population in our original study design). Parent-rated behavior problems (ADHD-type symptoms) were significantly reduced by active treatment, but little or no effects were seen for either teacher-rated behaviour or working memory.

conclusionsDHA supplementation appears to offer a safe and effective way to improve reading and behavior in healthy but underperforming children from mainstream schools. Replication studies are clearly warranted, as such children are known to be at risk of low educational and occupational outcomes in later life.

trial registrationClinicalTrials.gov NCT01066182 and Controlled-Trials.com ISRCTN99771026.

Indexed as

ReadingBehaviorChildCognitionDemographyDocosahexaenoic AcidsDouble-Blind MethodFacultyFemaleFollow-Up StudiesHumansMaleMedication AdherenceMemory, Short-TermParentsTreatment OutcomeDocosahexaenoic Acids

Identifiers

PMID22970149
PMCPMC3435388
OpenAlexW2120549104

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

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.