Evidence map›Paper›PMID 25127885›Full record

Trial reportParasites & vectors2014

Does vitamin A supplementation protect schoolchildren from acquiring soil-transmitted helminthiasis? A randomized controlled trial.

Hesham M Al-Mekhlafi, Tengku Shahrul Anuar, Ebtesam M Al-Zabedi, Mohamed T Al-Maktari, Mohammed A K Mahdy, Abdulhamid Ahmed, Atiya A Sallam, Wan Ariffin Abdullah, Norhayati Moktar, Johari Surin

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

Trial report in Parasites & vectors, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00936091 (Effects of Vitamin A Supplementation on Intestinal Parasitic Reinfections, Growth, Iron Status and Educational Achievement Among Orang Asli Schoolchildren in Pos Betau, Pahang, Malaysia), which is not on this map. Cited by 14 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 4 pooled it
1.3field-weighted citation impact, top 23% 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.

NCT00936091 nacompletednot on this map

Effects of Vitamin A Supplementation on Intestinal Parasitic Reinfections, Growth, Iron Status and Educational Achievement Among Orang Asli Schoolchildren in Pos Betau, Pahang, Malaysia

TypeinterventionalSponsorSana'a UniversityRan2007 to 2008Enrolled250ConditionsIntestinal Parasitic Infections, Malnutrition, AnemiaArmsvitamin A supplements, Placebo
3 · Its place in the literature

Who cites it

14 citing papers in PubMed, 4 syntheses or guidelines pooled it, 23 citations in OpenAlex.

  1. Pooled it
  2. Anthelmintic drugs for treating ascariasis.The Cochrane database of systematic reviews · 2020
    Pooled it
  3. Pooled it
  4. Pooled it
  5. Trial
  6. Article
  7. AllCurrent research in immunology · 2022
    Review
  8. Pathogens (Basel, Switzerland) · 2021
    Review
  9. The long and winding road ofParasitology · 2021
    Article
  10. Article
  11. Article
  12. Review
  13. Article
  14. 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

10 authors at 6 institutions in 3 countries.

Hesham M Al-MekhlafiDepartment of Parasitology, Faculty of Medicine, University of Malaya, 50603 Kuala Lumpur, Malaysia. halmekhlafi@yahoo.com.
Tengku Shahrul Anuar
Ebtesam M Al-Zabedi
Mohamed T Al-Maktari
Mohammed A K Mahdy
Abdulhamid Ahmed
Atiya A Sallam
Wan Ariffin Abdullah
Norhayati Moktar
Johari Surin
Sana'a University · YEUniversity of Malaya · MYNational University of Malaysia · MYSEGi University · MYUmaru Musa Yar'adua University · NGUniversiti Teknologi MARA · MY

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDespite the intensive global efforts to control intestinal parasitic infections, the prevalence of soil-transmitted helminth (STH) infections is still very high in many developing countries particularly among children in rural areas.

methodsA randomized, double-blind, placebo-controlled trial was conducted on 250 Aboriginal schoolchildren in Malaysia to investigate the effects of a single high-dose of vitamin A supplementation (200,000 IU) on STH reinfection. The effect of the supplement was assessed at 3 and 6 months after receiving interventions; after a complete 3-day deworming course of 400 mg/daily of albendazole tablets.

resultsAlmost all children (98.6%) were infected with at least one STH species. The overall prevalence of ascariasis, trichuriasis and hookworm infection was 67.8%, 95.5% and 13.4%, respectively. Reinfection rates of Ascaris, Trichuris and hookworm were high; at 6 months, assessment reached 80% of the prevalence reported before treatment. There were no significant differences in the reinfection rates and intensities of STH between vitamin A supplemented-children and those who received placebo at 3 and 6 months (p > 0.05).

conclusionsVitamin A supplementation showed no protective effect against STH reinfection and this could be due to the high endemicity of STH in this community. Long-term interventions to reduce poverty will help significantly in reducing this continuing problem and there is no doubt that reducing intestinal parasitic infection would have a positive impact on the health, nutrition and education of these children.

trial registrationThis trial was registered at clinicaltrials.gov as NCT00936091.

Indexed as

AlbendazoleAnthelminticsChildDietary SupplementsDose-Response Relationship, DrugFemaleHelminthiasisHumansMalaysiaMaleSoilVitamin AAlbendazoleAnthelminticsSoilVitamin A

Identifiers

PMID25127885
PMCPMC4141119
OpenAlexW2147509463

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.