Evidence map›Paper›PMID 25527666›Full record

Trial reportThe Journal of nutrition2015

Vitamin D status is associated with mortality, morbidity, and growth failure among a prospective cohort of HIV-infected and HIV-exposed Tanzanian infants.

Christopher R Sudfeld, Christopher Duggan, Said Aboud, Roland Kupka, Karim P Manji, Rodrick Kisenge, Wafaie W Fawzi

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

Trial report in The Journal of nutrition, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00197730 (Trial of Vitamins Among Children of HIV-infected Women), which is not on this map. Cited by 24 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed, 5 pooled it
1.3field-weighted citation impact, top 20% 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.

NCT00197730 phase3completednot on this map

Trial of Vitamins Among Children of HIV-infected Women

TypeinterventionalSponsorHarvard School of Public Health (HSPH)Ran2004 to 2008Enrolled2,387ConditionsHIV Infections, Pregnancy ComplicationsArmsMultivitamins - vitamins B complex, C and E, Placebo
3 · Its place in the literature

Who cites it

24 citing papers in PubMed, 5 syntheses or guidelines pooled it, 62 citations in OpenAlex.

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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

7 authors at 5 institutions in 3 countries.

Christopher R SudfeldDepartments of Global Health and Population, csudfeld@hsph.harvard.edu.
Christopher DugganNutrition, and Division of Gastroenterology and Nutrition, Boston Children's Hospital and Harvard Medical School, Boston, MA; Departments of.
Said AboudMicrobiology and Immunology and.
Roland KupkaNutrition, and UNICEF Headquarters, New York, NY.
Karim P ManjiPaediatrics and Child Health, Muhimbili University of Health and Allied Sciences, Dar es Salaam, Tanzania; and.
Rodrick KisengePaediatrics and Child Health, Muhimbili University of Health and Allied Sciences, Dar es Salaam, Tanzania; and.
Wafaie W FawziDepartments of Global Health and Population, Nutrition, and Epidemiology, Harvard School of Public Health, Boston, MA;
Muhimbili University of Health and Allied Sciences · TZBoston Children's Hospital · USHarvard Global Health Institute · USMassachusetts Department of Public Health · USUnited Nations Children's Fund · US

Funding

ROLE OF DIETARY CONSTITUENTS ON GENE EXPRESSION IN INTESTINAL EPITHELIUMP30DK040561 · NIDDK · MASSACHUSETTS GENERAL HOSPITAL · PI MARTIN TORRIANI · 1994 to 2026
$31.6M
BIOSTATISTICS/EPIDEMIOLOGY TRAINING GRANTS IN AIDST32AI007358 · NIAID · HARVARD UNIVERSITY (SCH OF PUBLIC HLTH) · PI Michael David Hughes · 1989 to 2026
$12.4M
Trial of Vitamins among Children of HIV-infected MothersR01HD043688 · NICHD · HARVARD UNIVERSITY (SCH OF PUBLIC HLTH) · PI FAWZI, WAFAIE W · 2003 to 2007
$2.7M
Patient-oriented Research in Pediatric Diarrheal DiseasesK24HD058795 · NICHD · BOSTON CHILDREN'S HOSPITAL · PI DUGGAN, CHRISTOPHER P · 2010 to 2014
$956k
Patient-oriented Research in Pediatric Diarrheal DiseasesK24DK104676 · NIDDK · BOSTON CHILDREN'S HOSPITAL · PI DUGGAN, CHRISTOPHER P · 2015 to 2019
$903k
NIAID NIH HHS T32AI007358NICHD NIH HHS K24 HD058795NICHD NIH HHS K24HD058795NICHD NIH HHS R01 HD043688-01NIDDK NIH HHS K24 DK104676NIDDK NIH HHS P30 DK040561
6 · The paper itself

Abstract

backgroundVitamin D is a potent immunomodulator, but its impact on morbidity and mortality among infants remains unclear.

objectiveThe objective of the study was to prospectively assess the association of vitamin D status with mortality, morbidity, and growth during the first 2 y of life.

methodsA prospective cohort of 253 HIV-infected and 948 HIV-exposed Tanzanian infants enrolled in a randomized trial of multivitamins (not including vitamin D) was studied. Serum 25-hydroxyvitamin D [25(OH)D] concentrations were measured at 5-7 wk of age and infants were followed at monthly clinic visits until 24 mo. Physicians performed a clinical exam every 3 mo or when an illness was noted.

resultsSerum 25(OH)D concentrations were (means ± SDs) 18.6 ± 10.3 ng/mL and 18.1 ± 9.2 ng/mL for HIV-infected and HIV-exposed infants, respectively. Unexpectedly, serum 25(OH)D concentrations ≥30 ng/mL were significantly associated with higher mortality as compared to the 20-29.9 ng/mL reference for HIV-infected (HR: 2.47; 95% CI: 1.13, 5.44; P = 0.02) and HIV-exposed (HR: 4.00; 95% CI: 1.67, 9.58; P < 0.01) infants after multivariate adjustment. We found no statistically significant association between 25(OH)D concentrations <10 ng/mL and mortality for HIV-infected (HR: 1.43; 95% CI: 0.74, 2.78; P = 0.29) and HIV-exposed (HR: 1.56; 95% CI: 0.60, 4.03; P = 0.36) infants. Among HIV-exposed infants, 25(OH)D concentrations ≥30 ng/mL were significantly associated with clinical [incidence ratio rate (IRR): 1.34; 95% CI: 1.06,1.70; P = 0.02] and confirmed (IRR: 1.71; 95% CI: 1.71; 1.15, 2.54; P < 0.01) malaria diagnoses, whereas concentrations of <10 ng/mL were associated with oral candidiasis (IRR: 1.47; 95% CI: 1.00-2.15; P = 0.046) and wasting (HR: 1.71; 95% CI: 1.20, 2.43; P < 0.01).

conclusionThe observational design of this study does not allow for causal interpretation; however, the results indicate a strong need for additional studies of vitamin D among HIV-infected and -exposed children, particularly in malaria-endemic settings. The parent trial was registered at clinicaltrials.gov as NCT00197730.

Indexed as

Nutritional StatusAdultBody HeightBody WeightCohort StudiesDietary SupplementsEndemic DiseasesFemaleGrowth DisordersHIV InfectionsHumansInfantInfant, NewbornMalariaMaleMorbidity25-hydroxyvitamin DVitamin DVitaminschild nutrition sciencescohort studiesHIVinfantmalariamicronutrientsvitamin D

Identifiers

PMID25527666
PMCPMC4264018
OpenAlexW2157680428

What OpenQuestion holds

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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.