Evidence map›Paper›PMID 25173342›Full record

Trial reportInternational health2014

Maternal multivitamin supplementation reduces the risk of diarrhoea among HIV-exposed children through age 5 years.

Nasim Khavari, Hongyu Jiang, Karim Manji, Gernard Msamanga, Donna Spiegelman, Wafaie Fawzi, Christopher Duggan

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

Trial report in International health, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00197743 (Trial of Vitamins in HIV Progression and Transmission), which is not on this map. Cited by 6 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 3 pooled it
0.7field-weighted citation impact, top 28% 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.

NCT00197743 phase3completednot on this map

Trial of Vitamins in HIV Progression and Transmission

TypeinterventionalSponsorHarvard School of Public Health (HSPH)Ran1995 to 2003Enrolled1,085ConditionsHIV Infections, Disease Transmission, VerticalArmsVitamin A + Beta Carotene, Multivitamins, Placebo
3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 3 syntheses or guidelines pooled it, 6 citations in OpenAlex.

  1. Multiple-micronutrient supplementation for women during pregnancy.The Cochrane database of systematic reviews · 2019
    Pooled it
  2. Multiple-micronutrient supplementation for women during pregnancy.The Cochrane database of systematic reviews · 2017
    Pooled it
  3. Multiple-micronutrient supplementation for women during pregnancy.The Cochrane database of systematic reviews · 2015
    Pooled it
  4. Article
  5. Article
  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

7 authors at 2 institutions in 2 countries.

Nasim KhavariDivision of GI/Nutrition, Boston Children's Hospital, Harvard Medical School, Boston, MA 02115, USA Department of Pediatrics, Stanford University, Palo Alto, CA 94306, USA.
Hongyu JiangDivision of GI/Nutrition, Boston Children's Hospital, Harvard Medical School, Boston, MA 02115, USA.
Karim ManjiDepartments of Community Medicine and Pediatrics, Muhimbili University of Health and Allied Sciences, United Nations Road, Dar es Salaam, Tanzania.
Gernard MsamangaDepartments of Community Medicine and Pediatrics, Muhimbili University of Health and Allied Sciences, United Nations Road, Dar es Salaam, Tanzania.
Donna SpiegelmanDepartments of Nutrition, Epidemiology, Biostatistics, Global Health and Population, Harvard School of Public Health, Boston, MA 02115, USA.
Wafaie FawziDepartments of Nutrition, Epidemiology, Biostatistics, Global Health and Population, Harvard School of Public Health, Boston, MA 02115, USA.
Christopher DugganDivision of GI/Nutrition, Boston Children's Hospital, Harvard Medical School, Boston, MA 02115, USA Christopher.Duggan@childrens.harvard.edu.
Harvard Global Health Institute · USMuhimbili University of Health and Allied Sciences · TZ

Funding

ROLE OF DIETARY CONSTITUENTS ON GENE EXPRESSION IN INTESTINAL EPITHELIUMP30DK040561 · NIDDK · MASSACHUSETTS GENERAL HOSPITAL · PI Elizabeth Austen Lawson, Takara Leah Stanley · 1994 to 2026
$31.6M
INTERNATIONAL TRAINING IN AIDS-RELATED EPIDEMIOLOGYD43TW000004 · FIC · HARVARD UNIVERSITY (SCH OF PUBLIC HLTH) · PI ESSEX, MYRON E · 1988 to 2012
$13.4M
TRAINING GRANT IN ACADEMIC NUTRITIONT32DK007703 · NIDDK · HARVARD UNIVERSITY (SCH OF PUBLIC HLTH) · PI CHRISTOPHER P DUGGAN, Frank B Hu · 1994 to 2026
$7.8M
Patient-oriented Research in Pediatric Diarrheal DiseasesK24HD058795 · NICHD · BOSTON CHILDREN'S HOSPITAL · PI DUGGAN, CHRISTOPHER P · 2010 to 2014
$956k
FIC NIH HHS D43 TW000004FIC NIH HHS D43 TW 00004NICHD NIH HHS K24 HD058795NICHD NIH HHS K24HD058795NIDDK NIH HHS P30 DK040561NIDDK NIH HHS T32 DK007703NIDDK NIH HHS T32 DK07703PHS HHS R0132257
6 · The paper itself

Abstract

backgroundThe aim of this study was to determine whether maternal vitamin supplementation affects long-term mortality and morbidity of children born to HIV-infected mothers.

methodsIn total, 1078 HIV-infected pregnant woman were enrolled in a double-blind, 2×2 factorial, randomised, placebo-controlled trial in Tanzania. Data were collected for 874 children at monthly clinic visits through a median age of 51 months.

resultsMaternal receipt of multivitamins (HR=0.93; 95% CI: 0.70-1.22) or vitamin A (HR=1.00; 95% CI: 0.76-1.32) did not affect all-cause child mortality through age 5 years. Among HIV-negative children, maternal multivitamin supplementation was associated with a lower mortality rate up to 5 years (HR=0.60; 95% CI: 0.38-0.95), primarily in children <2 years of age. Maternal vitamin A supplementation did not significantly affect child mortality up to 5 years (HR=0.76; 95% CI: 0.48-1.20). Children born to mothers who received multivitamins had a lower risk of all types of diarrhoea (RR=0.86; 95% CI: 0.75-0.98) through 5 years of age. The reduced risk of watery diarrhoea persisted in children from 2-5 years of age (RR=0.71; 95% CI: 0.54-0.95).

conclusionsMaternal vitamin supplementation during pregnancy and lactation may be associated with long-lasting affects in HIV-exposed children [ClinicalTrials.gov Identifier: NCT00197743].

Indexed as

Child MortalityDietary SupplementsHIV InfectionsInfant MortalityMaternal Nutritional Physiological PhenomenaChild, PreschoolDiarrheaDouble-Blind MethodFemaleHumansIncidenceInfantInfant, NewbornMalePregnancyTanzaniaVitaminsChild mortalityDiarrhoeaHIVInfectionMaternal nutritionRespiratory tract

Identifiers

PMID25173342
PMCPMC4311151
OpenAlexW2109499774

What OpenQuestion holds

Textmetadata
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.