Evidence map›Paper›PMID 27925426›Full record

Trial reportMaternal & child nutrition2017

The impact of home fortification with multiple micronutrient powder on vitamin A status in young children: A multicenter pragmatic controlled trial in Brazil.

Lara Livia Santos Silva, Rosângela Aparecida Augusto, Daniela Cardoso Tietzmann, Leopoldina Augusta Souza Sequeira, Maria Claret Costa Monteiro Hadler, Pascoal Torres Muniz, Pedro Israel Cabral de Lira, Marly Augusto Cardoso, ENFAC Working Group

Open access · greenAbstract readMulticenter StudyPragmatic Clinical Trial
In one paragraph

Trial report in Maternal & child nutrition, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 2 pooled it
1.2field-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.

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

5 citing papers in PubMed, 2 syntheses or guidelines pooled it, 9 citations in OpenAlex.

  1. Pooled it
  2. Fortification of staple foods with vitamin A for vitamin A deficiency.The Cochrane database of systematic reviews · 2019
    Pooled it
  3. Trial
  4. Article
  5. 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

9 authors at 5 institutions in 1 country.

Lara Livia Santos SilvaDepartment of Nutrition, School of Public Health, University of São Paulo, São Paulo, Brazil.
Rosângela Aparecida AugustoDepartment of Nutrition, School of Public Health, University of São Paulo, São Paulo, Brazil.
Daniela Cardoso TietzmannDepartment of Nutrition, Universidade Federal de Ciências da Saúde de Porto Alegre, Porto Alegre, Brazil.
Leopoldina Augusta Souza SequeiraDepartment of Nutrition, Universidade Federal de Pernambuco, Recife, Brazil.
Maria Claret Costa Monteiro HadlerSchool of Nutrition, Federal University of Goiás, Goiânia, Brazil.
Pascoal Torres MunizDepartment of Health Sciences, Federal University of Acre, Rio Branco, Brazil.
Pedro Israel Cabral de LiraDepartment of Nutrition, Universidade Federal de Pernambuco, Recife, Brazil.
Marly Augusto CardosoDepartment of Nutrition, School of Public Health, University of São Paulo, São Paulo, Brazil.
ENFAC Working Group
Universidade de São Paulo · BRUniversidade Federal de Pernambuco · BRUniversidade Federal de Ciências da Saúde de Porto Alegre · BRUniversidade Federal de Goiás · BRUniversidade Federal do Acre · BR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Home fortification with multiple micronutrient powder (MNP) is effective in the prevention of anemia in young children. However, the impact on their vitamin A status remains controversial. This study aimed to evaluate the effect of MNP on vitamin A status in young Brazilian children. A multicenter pragmatic, controlled trial was carried out in primary health centers in four Brazilian cities. In the beginning of the study, the control group (CG) consisted of children 11-14 months old (n = 395) attending in routine pediatric health care. In parallel, the intervention group (IG) was composed of children 6-8 months old (n = 399), in the same health centers, who followed the intervention with MNP for 2-3 months. The analysis of the effect of MNP on vitamin A status was performed by comparing the IG with the CG after a 4- to 6-month follow-up when IG children had reached the age of the controls. The prevalence of vitamin A deficiency (VAD; serum retinol <0.70 μmol/L) in the CG was 16.2%, while in the IG was 7.5%-a 55% reduction in the VAD [prevalence ratio (95% confidence interval) = 0.45 (0.28; 0.72)]. This reduction was also significant when stratifying the study centers by coverage of the Brazilian Vitamin A Supplementation Program. The adjusted mean of vitamin A serum concentrations improved in the IG compared with CG children, with a shift to the right in the vitamin A distribution. Home fortification with MNP was effective in reducing VAD among young Brazilian children.

Indexed as

Food, FortifiedAdultAnemia, Iron-DeficiencyBiomarkersBrazilFemaleHealth ServicesHemoglobinsHumansInfantMaleMicronutrientsNutritional StatusPowdersPrevalenceVitamin ABiomarkersHemoglobinsMicronutrientsPowdersVitamin Ahome fortificationmicronutrientsmultiple micronutrient powderprimary health carevitamin Ayoung children

Identifiers

PMID27925426
PMCPMC6866117
OpenAlexW2563888935

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.