Evidence map›Paper›PMID 25493942›Full record

Trial reportNutrients2014

Zinc absorption from micronutrient powder is low but is not affected by iron in Kenyan infants.

Fabian Esamai, Edward Liechty, Justus Ikemeri, Jamie Westcott, Jennifer Kemp, Diana Culbertson, Leland V Miller, K Michael Hambidge, Nancy F Krebs

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

Trial report in Nutrients, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02101723 (Effects of Sprinkles With and Without Iron on Zinc Absorption From Local Foods in Kenyan Toddlers, Including the Gut Microbiome), which is not on this map. Cited by 20 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 4 pooled it
2.6field-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.

NCT02101723 nacompletednot on this map

Effects of Sprinkles With and Without Iron on Zinc Absorption From Local Foods in Kenyan Toddlers, Including the Gut Microbiome

TypeinterventionalSponsorUniversity of Colorado, DenverRan2011 to 2016Enrolled63ConditionsMicronutrient DeficienciesArmsMNP + Zn/Fe, MNP + Zn, Placebo
3 · Its place in the literature

Who cites it

20 citing papers in PubMed, 4 syntheses or guidelines pooled it, 30 citations in OpenAlex.

  1. Pooled it
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  5. Trial
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  11. Review
  12. Scientific opinion on the tolerable upper intake level for iron.EFSA journal. European Food Safety Authority · 2024
    Article
  13. The Molecular Basis for Zinc Bioavailability.International journal of molecular sciences · 2023
    Review
  14. Review
  15. Review
  16. Article
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  20. Review
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

9 authors at 4 institutions in 3 countries.

Fabian EsamaiMoi University School of Medicine, PO Box 4606, Eldoret 30100, Kenya. fesamai2007@gmail.com
Edward Liechty
Justus Ikemeri
Jamie Westcott
Jennifer Kemp
Diana Culbertson
Leland V Miller
K Michael Hambidge
Nancy F Krebs
University of Colorado Denver · USMoi University · KEUniversity of Colorado Boulder · USIndiana University School of Medicine

Funding

Colorado Clinical and Translational Sciences InstituteUL1TR001082 · NCATS · UNIVERSITY OF COLORADO DENVER · PI SOKOL, RONALD J. · 2013 to 2017
$48.0M
Nutrition-specific interventions to improve long-term maternal-child health outcomesUG1HD076474 · NICHD · UNIVERSITY OF COLORADO DENVER · PI Edwin Jose Asturias, NANCY F KREBS · 2018 to 2026
$5.4M
The Global Network and Preconception Maternal NutritionU10HD076474 · NICHD · UNIVERSITY OF COLORADO DENVER · PI HAMBIDGE, K MICHAEL, KREBS, NANCY F · 2013 to 2017
$5.1M
Global Network for Women's and Children's Health ResearchU10HD076461 · NICHD · INDIANA UNIVERSITY INDIANAPOLIS · PI LIECHTY, EDWARD A. · 2013 to 2017
$4.1M
Global Network for Women's and Children's Health ResearchUG1HD076461 · NICHD · INDIANA UNIVERSITY INDIANAPOLIS · PI BUCHER, SHERRI LYNN, SZYLD, EDGARDO GABRIEL · 2018 to 2023
$3.2M
FOSTERING PATIENT ORIENTED RESEARCH IN PEDIATRIC NUTRITIONK24DK083772 · NIDDK · UNIVERSITY OF COLORADO DENVER · PI KREBS, NANCY F · 2009 to 2013
$753k
NCATS NIH HHS UL1 TR001082NICHD NIH HHS U10 HD076461NICHD NIH HHS U10 HD076474NICHD NIH HHS UG1 HD076461NICHD NIH HHS UG1 HD076474NIDDK NIH HHS K24 DK083772NIDDK NIH HHS NIH K24 DK083772
6 · The paper itself

Abstract

Interference with zinc absorption is a proposed explanation for adverse effects of supplemental iron in iron-replete children in malaria endemic settings. We examined the effects of iron in micronutrient powder (MNP) on zinc absorption after three months of home fortification with MNP in maize-based diets in rural Kenyan infants. In a double blind design, six-month-old, non-anemic infants were randomized to MNP containing 5 mg zinc, with or without 12.5 mg of iron (MNP + Fe and MNP − Fe, respectively); a control (C) group received placebo powder. After three months, duplicate diet collections and zinc stable isotopes were used to measure intake from MNP + non-breast milk foods and fractional absorption of zinc (FAZ) by dual isotope ratio method; total absorbed zinc (TAZ, mg/day) was calculated from intake × FAZ. Mean (SEM) TAZ was not different between MNP + Fe (n = 10) and MNP - Fe (n = 9) groups: 0.85 (0.22) and 0.72 (0.19), respectively, but both were higher than C (n = 9): 0.24 (0.03) (p = 0.04). Iron in MNP did not significantly alter zinc absorption, but despite intakes over double estimated dietary requirement, both MNP groups' mean TAZ barely approximated the physiologic requirement for age. Impaired zinc absorption may dictate need for higher zinc doses in vulnerable populations.

Indexed as

Dietary SupplementsGastrointestinal AbsorptionAdministration, OralChild DevelopmentDouble-Blind MethodHumansInfantInfant Nutritional Physiological PhenomenaIronKenyaMicronutrientsNutritional StatusNutrition AssessmentPowdersRecommended Dietary AllowancesTime FactorsIronMicronutrientsPowdersZinc

Identifiers

PMID25493942
PMCPMC4276989
OpenAlexW2059096315

What OpenQuestion holds

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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.