Evidence map›Paper›PMID 27334138›Full record

Trial reportTrials2016

Vitamin D and omega-3 fatty acid supplements in children with autism spectrum disorder: a study protocol for a factorial randomised, double-blind, placebo-controlled trial.

Hajar Mazahery, Cathryn Conlon, Kathryn L Beck, Marlena C Kruger, Welma Stonehouse, Carlos A Camargo, Barbara J Meyer, Bobby Tsang, Owen Mugridge, Pamela R von Hurst

Open access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Trials, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 2 pooled it
1.4field-weighted citation impact, top 19% 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

8 citing papers in PubMed, 2 syntheses or guidelines pooled it, 20 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Trial
  5. Article
  6. Review
  7. Review
  8. 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

10 authors at 5 institutions in 3 countries.

Hajar MazaheryInstitute of Food Science and Technology - School of Food and Nutrition, Massey University, Auckland, New Zealand.
Cathryn ConlonInstitute of Food Science and Technology - School of Food and Nutrition, Massey University, Auckland, New Zealand.
Kathryn L BeckInstitute of Food Science and Technology - School of Food and Nutrition, Massey University, Auckland, New Zealand.
Marlena C KrugerInstitute of Food Science and Technology - School of Food and Nutrition, Massey University, Auckland, New Zealand.
Welma StonehouseCommonwealth Scientific Industrial Research Organisation (CSIRO) Food, Nutrition and Bioproducts, Adelaide, SA, Australia.
Carlos A CamargoDepartment of Emergency Medicine, Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA.
Barbara J MeyerSchool of Medicine, University of Wollongong, Illawarra, NSW, 2522, Australia.
Bobby TsangNorth Shore Hospital, Waitemata District Health Board, Auckland, New Zealand.
Owen MugridgeInstitute of Food Science and Technology - School of Food and Nutrition, Massey University, Auckland, New Zealand.
Pamela R von HurstInstitute of Food Science and Technology - School of Food and Nutrition, Massey University, Auckland, New Zealand. p.r.vonhurst@massey.ac.nz.
Massey University · NZHealth Sciences and Nutrition · AUMassachusetts General Hospital · USUniversity of Wollongong · AUWaitemata District Health Board · NZ

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThere is strong mechanistic evidence to suggest that vitamin D and omega-3 long chain polyunsaturated fatty acids (n-3 LCPUFAs), specifically docosahexaenoic acid (DHA), have the potential to significantly improve the symptoms of autism spectrum disorder (ASD). However, there are no trials that have measured the effect of both vitamin D and n-3 LCPUFA supplementation on autism severity symptoms. The objective of this 2 × 2 factorial trial is to investigate the effect of vitamin D, n-3 LCPUFAs or a combination of both on core symptoms of ASD. METHODS/

designChildren with ASD living in New Zealand (n = 168 children) will be randomised to one of four treatments daily: vitamin D (2000 IU), n-3 LCPUFAs (722 mg DHA), vitamin D (2000 IU) + n-3 LCPUFAs (722 mg DHA) or placebo for 12 months. All researchers, participants and their caregivers will be blinded until the data analysis is completed, and randomisation of the active/placebo capsules and allocation will be fully concealed from all mentioned parties. The primary outcome measures are the change in social-communicative functioning, sensory processing issues and problem behaviours between baseline and 12 months. A secondary outcome measure is the effect on gastrointestinal symptoms. Baseline data will be used to assess and correct basic nutritional deficiencies prior to treatment allocation. For safety measures, serum 25-hydroxyvitamin D 25(OH)D and calcium will be monitored at baseline, 6 and 12 months, and weekly compliance and gastrointestinal symptom diaries will be completed by caregivers throughout the study period. DISCUSSION: To our knowledge there are no randomised controlled trials assessing the effects of both vitamin D and DHA supplementation on core symptoms of ASD. If it is shown that either vitamin D, DHA or both are effective, the trial would reveal a non-invasive approach to managing ASD symptoms.

trial registrationAustralian New Zealand Clinical Trial Registry, ACTRN12615000144516 . Registered on 16 February 2015.

Indexed as

Clinical ProtocolsDietary SupplementsAutism Spectrum DisorderChildData Interpretation, StatisticalDouble-Blind MethodFatty Acids, Omega-3HumansMedication AdherenceOutcome Assessment, Health CareVitamin DFatty Acids, Omega-3Vitamin DASDAutismOmega-3 fatty acidsSupplementsVitamin D

Identifiers

PMID27334138
PMCPMC4917935
OpenAlexW2472822745

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.