Evidence map›Paper›PMID 23298972›Full record

Trial reportNutrition (Burbank, Los Angeles County, Calif.)2013

Effects of zinc and iron supplementation fail to improve motor and language milestone scores of infants and toddlers.

Pamela J Surkan, Emily H Siegel, Shivani A Patel, Joanne Katz, Subarna K Khatry, Rebecca J Stoltzfus, Steven C Leclerq, James M Tielsch

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

Trial report in Nutrition (Burbank, Los Angeles County, Calif.), 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00109551 (Zinc Supplementation Impact on Child Mortality--Nepal), which is not on this map. Cited by 6 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 2 pooled it
2.5field-weighted citation impact, top 11% 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.

NCT00109551 phase3completednot on this map

Zinc Supplementation Impact on Child Mortality--Nepal

TypeinterventionalSponsorEunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD)Ran2001 to 2006Enrolled58,000ConditionsNutritionArmszinc sulphate dietary supplement, iron sulphate-folic acid dietary supplement
3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 2 syntheses or guidelines pooled it, 27 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Trial
  5. Review
  6. Article
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

8 authors at 2 institutions in 1 country.

Pamela J SurkanDepartment of International Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, USA. psurkan@jhsph.edu
Emily H Siegel
Shivani A Patel
Joanne Katz
Subarna K Khatry
Rebecca J Stoltzfus
Steven C Leclerq
James M Tielsch
Johns Hopkins University · USCornell University · US

Funding

ZINC SUPPLEMENTATION IMPACT ON CHILD MORTALITY--NEPALR01HD038753 · NICHD · JOHNS HOPKINS UNIVERSITY · PI TIELSCH, JAMES M · 2000 to 2003
$3.5M
NICHD NIH HHS HD 38753NICHD NIH HHS R01 HD038753
6 · The paper itself

Abstract

objectiveTo assess the effects of zinc and iron-folic acid supplementation on motor and language milestones in Nepali children.

methodsFive hundred forty-four children 4 to 17 mo old residing in Ishwarpur, Nepal were randomized to receive placebo, iron-folic acid, zinc, or zinc plus iron-folic acid daily. Data were collected at baseline and at 3-mo intervals for 1 y. The main effects of zinc and iron folic-acid supplementation were estimated for motor and language milestones. Crude and adjusted mean cumulative changes in scores from visits 1 to 5 and adjusted rates of change were modeled.

resultsAdjusted differences in motor milestone scores from visits 1 to 5 and rates of change were not significantly different for the zinc and non-zinc groups (adjusted β = -0.7, 95% confidence interval [CI] -1.4 to 0.01; adjusted β = -0.1, 95% CI -0.5 to 0.3, respectively). Motor milestones in children receiving and not receiving iron supplements were not significantly different (adjusted β = 0.1, 95% CI -0.7 to 0.8, from visits 1 to 5; adjusted β = 0.1, 95% CI -0.3 to 0.5, for rate of change). Children receiving zinc had a 0.8 lower mean crude change in language score from visits 1 to 5 compared with children not receiving zinc (95% CI -1.3 to -0.3), but the significance was lost after adjustment (adjusted β = -0.2, 95% CI -0.6 to 0.2, for visits 1 to 5; β = -0.1, 95% CI -0.3 to 0.2, for rate of change). No significant difference in motor or language milestone scores from iron supplementation was observed.

conclusionAfter 1 y, neither zinc nor iron-folic acid supplementation in Nepali children improved the attainment of motor or language milestones.

Indexed as

DietLanguage DevelopmentBrainDietary SupplementsFemaleFolic AcidHumansInfantInfant Nutritional Physiological PhenomenaIron, DietaryMaleMotor SkillsNepalPlacebosZincFolic AcidIron, DietaryPlacebosZinc

Identifiers

PMID23298972
PMCPMC3761420
OpenAlexW2126820830

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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.