Evidence map›Paper›PMID 24950759›Full record

Trial reportBMC public health2014

Growth effects of exclusive breastfeeding promotion by peer counsellors in sub-Saharan Africa: the cluster-randomised PROMISE EBF trial.

Ingunn Marie Stadskleiv Engebretsen, Debra Jackson, Lars Thore Fadnes, Victoria Nankabirwa, Abdoulaye Hama Diallo, Tanya Doherty, Carl Lombard, Sonja Swanvelder, Jolly Nankunda, Vundli Ramokolo and 10 more

2 registry-linked trialsOpen access · goldAbstract readRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in BMC public health, 2014. 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 29 papers, 8 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed, 8 pooled it
3.2field-weighted citation impact, top 8% 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.

NCT00397150 nacompletednot on this map

PROMISE EBF: Promoting Infant Health and Nutrition in Sub-Saharan Africa: Safety and Efficacy of Exclusive Breastfeeding Promotion in the Era of HIV

TypeinterventionalSponsorCentre For International HealthRan2006 to 2011Enrolled2,579ConditionsDiarrheaArmsPeer-support for exclusive breastfeeding
NCT04025827 completednot on this mapstarted 2019, after this paper: background citation

Weight Patterns in the Month After Birth: Relationship With Dietary Intake

TypeobservationalSponsorUniversity of California, San FranciscoRan2019 to 2021Enrolled741ConditionsStunting, Wasting, Undernutrition, Feeding PatternsArmsDietary intake
3 · Its place in the literature

Who cites it

29 citing papers in PubMed, 8 syntheses or guidelines pooled it, 48 citations in OpenAlex.

  1. Pooled it
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  3. Support for healthy breastfeeding mothers with healthy term babies.The Cochrane database of systematic reviews · 2022
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  7. Support for healthy breastfeeding mothers with healthy term babies.The Cochrane database of systematic reviews · 2017
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  8. Interventions for promoting the initiation of breastfeeding.The Cochrane database of systematic reviews · 2016
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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

20 authors at 8 institutions in 8 countries.

Ingunn Marie Stadskleiv EngebretsenCentre for International Health, Department of Global Public Health and Primary Care, University of Bergen, PO Box 7804, 5020 Bergen, Norway. ingunn.engebretsen@cih.uib.no.
Debra Jackson
Lars Thore Fadnes
Victoria Nankabirwa
Abdoulaye Hama Diallo
Tanya Doherty
Carl Lombard
Sonja Swanvelder
Jolly Nankunda
Vundli Ramokolo
David Sanders
Henry Wamani
Nicolas Meda
James K Tumwine
Eva-Charlotte Ekström
Philippe Van de Perre
Chipepo Kankasa
Halvor Sommerfelt
Thorkild Tylleskär
PROMISE EBF-study group
Makerere University · UGUniversity of Bergen · NOSouth African Medical Research Council · ZAUniversity of the Western Cape · ZACentre Muraz · BFCentre Hospitalier Universitaire de Montpellier · FRUniversity of Zambia · ZMUppsala University · SE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIn this multi-country cluster-randomized behavioural intervention trial promoting exclusive breastfeeding (EBF) in Africa, we compared growth of infants up to 6 months of age living in communities where peer counsellors promoted EBF with growth in those infants living in control communities.

methodsA total of 82 clusters in Burkina Faso, Uganda and South Africa were randomised to either the intervention or the control arm. Feeding data and anthropometric measurements were collected at visits scheduled 3, 6, 12 and 24 weeks post-partum. We calculated weight-for-length (WLZ), length-for-age (LAZ) and weight-for-age (WAZ) z-scores. Country specific adjusted Least Squares Means with 95% confidence intervals (CI) based on a longitudinal analysis are reported. Prevalence ratios (PR) for the association between peer counselling for EBF and wasting (WLZ < -2), stunting (LAZ < -2) and underweight (WAZ < -2) were calculated at each data collection point.

resultsThe study included a total of 2,579 children. Adjusting for socio-economic status, the mean WLZ at 24 weeks were in Burkina Faso -0.20 (95% CI -0.39 to -0.01) and in Uganda -0.23 (95% CI -0.43 to -0.03) lower in the intervention than in the control arm. In South Africa the mean WLZ at 24 weeks was 0.23 (95% CI 0.03 to 0.43) greater in the intervention than in the control arm. Differences in LAZ between the study arms were small and not statistically significant. In Uganda, infants in the intervention arm were more likely to be wasted compared to those in the control arm at 24 weeks (PR 2.36; 95% CI 1.11 to 5.00). Differences in wasting in South Africa and Burkina Faso and stunting and underweight in all three countries were small and not significantly different.

conclusionsThere were small differences in mean anthropometric indicators between the intervention and control arms in the study, but in Uganda and Burkina Faso, a tendency to slightly lower ponderal growth (weight-for-length z-scores) was found in the intervention arms. TRIAL REGISTRATION NUMBER: ClinicalTrials.gov: NCT00397150.

Indexed as

Breast FeedingGrowthHealth PromotionPeer GroupAdultBody WeightBurkina FasoChild, PreschoolCounselingFemaleGrowth DisordersHumansInfantMalePostpartum PeriodPrevalence

Identifiers

PMID24950759
PMCPMC4082276
OpenAlexW2121479129

What OpenQuestion holds

Textmetadata
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.