Evidence map›Paper›PMID 25700386›Full record

Trial reportThe European respiratory journal2015

Effects of antenatal multiple micronutrient supplementation on lung function in mid-childhood: follow-up of a double-blind randomised controlled trial in Nepal.

Delan Devakumar, Janet Stocks, Jon G Ayres, Jane Kirkby, Sushil K Yadav, Naomi M Saville, Graham Devereux, Jonathan C K Wells, Dharma S Manandhar, Anthony Costello and 1 more

Open access · bronzeAbstract readRandomized Controlled Trial
In one paragraph

Trial report in The European respiratory journal, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 6 pooled it
3.8field-weighted citation impact, top 6% 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

20 citing papers in PubMed, 6 syntheses or guidelines pooled it, 30 citations in OpenAlex.

  1. Multiple-micronutrient supplementation for women during pregnancy.The Cochrane database of systematic reviews · 2019
    Pooled it
  2. Pooled it
  3. Multiple-micronutrient supplementation for women during pregnancy.The Cochrane database of systematic reviews · 2017
    Pooled it
  4. Pooled it
  5. Vitamin supplementation for preventing miscarriage.The Cochrane database of systematic reviews · 2016
    Pooled it
  6. Multiple-micronutrient supplementation for women during pregnancy.The Cochrane database of systematic reviews · 2015
    Pooled it
  7. Article
  8. Observational
  9. Review
  10. Observational
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Chronic respiratory disease - the acceptable epidemic?Clinical medicine (London, England) · 2017
    Review
  19. Article
  20. 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

11 authors at 4 institutions in 2 countries.

Delan DevakumarInstitute for Global Health, University College London, London, UK. d.devakumar@ucl.ac.uk.
Janet StocksRespiratory, Critical Care and Anaesthesia Section (Portex Unit), Institute of Child Health, University College London, London, UK.
Jon G AyresInstitute of Occupational and Environmental Medicine, University of Birmingham, Birmingham, UK.
Jane KirkbyRespiratory, Critical Care and Anaesthesia Section (Portex Unit), Institute of Child Health, University College London, London, UK. Great Ormond Street Hospital for Children NHS Foundation Trust, London, UK.
Sushil K YadavMother and Infant Research Activities, Kathmandu, Nepal.
Naomi M SavilleInstitute for Global Health, University College London, London, UK.
Graham DevereuxChild Health Dept, University of Aberdeen, Royal Aberdeen Children's Hospital, Aberdeen, UK.
Jonathan C K WellsChildhood Nutrition Research Centre, Institute of Child Health, University College London, London, UK.
Dharma S ManandharMother and Infant Research Activities, Kathmandu, Nepal.
Anthony CostelloInstitute for Global Health, University College London, London, UK.
David OsrinInstitute for Global Health, University College London, London, UK.
University College London · GBMother and Infant Research Activities · NPGreat Ormond Street Hospital for Children NHS Foundation Trust · GBUniversity of Birmingham · GB

Funding

Wellcome Trust 091561Wellcome Trust 092121Wellcome Trust 092121/Z/10/ZWellcome Trust 100714
6 · The paper itself

Abstract

A randomised trial of prenatal multiple micronutrient supplementation in Nepalese women increased birthweight and weight at 2 years of age in offspring, compared to those born to mothers who only received iron and folic acid supplements. Further follow-up of this cohort provided an opportunity to investigate the effect of antenatal multiple micronutrients on subsequent lung function by measuring spirometry at 7-9 years of age in C: hildren born during the trial. 841 children (80% of the cohort) were seen at mean±sd 8.5±0.4 years. Technically successful spirometry results were obtained in 793 (94.3%) children, 50% of whom had been randomised to micronutrient supplementation. Background characteristics, including anthropometry, were similar in the two allocation groups. Lung function was also similar, mean (95% CI) difference in z-scores (supplementation minus control) was -0.08 (-0.19-0.04), -0.05 (-0.17-0.06) and -0.04 (-0.15-0.07) for forced expiratory volume in 1 s (FEV1), forced vital capacity and FEV1/FVC, respectively. Compared with healthy white children, FEV1 and FVC in the "healthy" Nepalese children were ∼1 (∼13%) z-score lower, with no difference in FEV1/FVC. We conclude that, compared with routine iron and folic acid, multiple micronutrient supplementation during pregnancy has no effect on spirometric lung function in Nepalese children at 8.5 years of age.

Indexed as

Birth WeightDietary SupplementsAir PollutionBody WeightChildCohort StudiesDouble-Blind MethodFemaleFolic AcidFollow-Up StudiesForced Expiratory VolumeHumansIronLogistic ModelsLungMaleFolic AcidIronMicronutrientsTrace ElementsVitamins

Identifiers

PMID25700386
PMCPMC4636045
OpenAlexW2086934744

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

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.