Evidence map›Paper›PMID 25989719›Full record

SynthesisPublic health nutrition2016

Health effects of cow's milk consumption in infants up to 3 years of age: a systematic review and meta-analysis.

Ursula Griebler, Melanie U Bruckmüller, Christina Kien, Birgit Dieminger, Bettina Meidlinger, Katrin Seper, Ariane Hitthaller, Robert Emprechtinger, Alexandra Wolf, Gerald Gartlehner

Abstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Public health nutrition, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed, 4 pooled it
–field-weighted citation impact
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

25 citing papers in PubMed, 4 syntheses or guidelines pooled it.

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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

10 authors.

Ursula Griebler1Department for Evidence-based Medicine and Clinical Epidemiology,Danube University Krems,Karl-Dorrek-Strasse 30,3500 Krems,Austria.
Melanie U Bruckmüller2AGES (Austrian Agency for Health and Food Safety),Data,Statistics & Risk Assessment - Centre for Nutrition & Prevention,Vienna,Austria.
Christina Kien1Department for Evidence-based Medicine and Clinical Epidemiology,Danube University Krems,Karl-Dorrek-Strasse 30,3500 Krems,Austria.
Birgit Dieminger2AGES (Austrian Agency for Health and Food Safety),Data,Statistics & Risk Assessment - Centre for Nutrition & Prevention,Vienna,Austria.
Bettina Meidlinger2AGES (Austrian Agency for Health and Food Safety),Data,Statistics & Risk Assessment - Centre for Nutrition & Prevention,Vienna,Austria.
Katrin Seper2AGES (Austrian Agency for Health and Food Safety),Data,Statistics & Risk Assessment - Centre for Nutrition & Prevention,Vienna,Austria.
Ariane Hitthaller2AGES (Austrian Agency for Health and Food Safety),Data,Statistics & Risk Assessment - Centre for Nutrition & Prevention,Vienna,Austria.
Robert Emprechtinger1Department for Evidence-based Medicine and Clinical Epidemiology,Danube University Krems,Karl-Dorrek-Strasse 30,3500 Krems,Austria.
Alexandra Wolf2AGES (Austrian Agency for Health and Food Safety),Data,Statistics & Risk Assessment - Centre for Nutrition & Prevention,Vienna,Austria.
Gerald Gartlehner1Department for Evidence-based Medicine and Clinical Epidemiology,Danube University Krems,Karl-Dorrek-Strasse 30,3500 Krems,Austria.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo summarize the best available evidence regarding the short- and long-term health effects of cow's milk intake in healthy, full-term infants up to 3 years of age.

designWe conducted a systematic review and meta-analysis.

settingWe searched MEDLINE (via PubMed), EMBASE and the Cochrane Library between 1960 and July 2013 and manually reviewed reference lists of pertinent articles. Two researchers independently reviewed abstracts and full-text articles and extracted relevant data. SUBJECTS: We included (randomized/non-randomized) controlled trials and observational studies.

resultsWe included data from twenty-three studies (one randomized controlled trial, four non-randomized controlled trials, eight case-control studies and ten cohort studies) for the evidence synthesis. Pooled results of four studies revealed a higher risk of Fe-deficiency anaemia for infants consuming cow's milk compared with those consuming follow-on formula (relative risk=3·76; 95 % CI 2·73, 5·19). For type 1 diabetes mellitus, six out of seven case-control studies did not show a difference in the risk of developing this disease based on the age of introduction of cow's milk. We did not find negative associations for other health effects.

conclusionsCow's milk consumption in infancy is associated with an increased risk of developing Fe-deficiency anaemia. Limiting cow's milk consumption may be important to ensure an adequate Fe intake for infants and toddlers. High-quality patient information for caregivers is needed on how infants' Fe requirements can be met.

Indexed as

Anemia, Iron-DeficiencyAnimalsChild, PreschoolDiabetes Mellitus, Type 1DietFemaleHumansInfantInfant FormulaInfant, NewbornMaleMilkCow’s milk consumptionInfantsSystematic review

Identifiers

PMID25989719
PMCPMC10271170

What OpenQuestion holds

Textmetadata
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.