Evidence map›Paper›PMID 28196533›Full record

Trial reportBMC pediatrics2017

Assessment of complementary feeding of Canadian infants: effects on microbiome & oxidative stress, a randomized controlled trial.

Wafaa Qasem, Meghan B Azad, Zakir Hossain, Elnaz Azad, Sarah Jorgensen, Sandra Castillo San Juan, Chenxi Cai, Ehsan Khafipour, Trust Beta, L Jackson Roberts and 1 more

Registry-linked trialOpen access · goldAbstract readComparative StudyRandomized Controlled Trial
In one paragraph

Trial report in BMC pediatrics, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01790542 (Assessment of Complementary Feeding of Canadian Infants), which is not on this map. Cited by 38 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
38citing papers in PubMed, 2 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.

NCT01790542 nacompletednot on this map

Assessment of Complementary Feeding of Canadian Infants

TypeinterventionalSponsorUniversity of ManitobaRan2012 to 2014Enrolled87ConditionsGeneration of Reactive Oxygen Species, Intestinal InflammationArmsIron fortified cereal, Iron fortified cereal with fruit, Meat
3 · Its place in the literature

Who cites it

38 citing papers in PubMed, 2 syntheses or guidelines pooled it, 62 citations in OpenAlex.

  1. Pooled it
  2. Diet, adiposity, and the gut microbiota from infancy to adolescence: A systematic review.Obesity reviews : an official journal of the International Association for the Study of Obesity · 2021
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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

11 authors at 3 institutions in 2 countries.

Wafaa QasemDepartement of Human Nutritional Sciences, University of Manitoba, Winnipeg, MB, Canada. qasemw@myumanitoba.ca.ORCID 0000-0002-4555-5371
Meghan B AzadDepartment of Pediatrics & Child Health, University of Manitoba, Winnipeg, MB, Canada.
Zakir HossainDepartement of Human Nutritional Sciences, University of Manitoba, Winnipeg, MB, Canada.
Elnaz AzadDepartment of Animal Science, University of Manitoba, Winnipeg, MB, Canada.
Sarah JorgensenRichardson Centre for Functional Foods and Nutraceuticals, 196 Innovation drive, University of Manitoba, Winnipeg, MB, Canada, R3T 6C5.
Sandra Castillo San JuanDepartement of Human Nutritional Sciences, University of Manitoba, Winnipeg, MB, Canada.
Chenxi CaiDepartement of Human Nutritional Sciences, University of Manitoba, Winnipeg, MB, Canada.
Ehsan KhafipourChildren's Hospital Research Institute of Manitoba, Winnipeg, MB, Canada.
Trust BetaDepartment of Food Science, University of Manitoba, Winnipeg, MB, Canada.
L Jackson RobertsDepartment of Pharmacology, Vanderbilt University School of Medicine, Nashville, TN, USA.
James FrielDepartement of Human Nutritional Sciences, University of Manitoba, Winnipeg, MB, Canada.
University of Manitoba · CAChildren's Hospital Research Institute of Manitoba · CAVanderbilt University · US

Funding

CIHR
6 · The paper itself

Abstract

backgroundThe World Health Organization recommends exclusive breastfeeding until 6 months followed by introduction of iron-rich complementary foods (CFs). The aim of this study was to determine the impact of different iron-rich CFs on infant gut inflammation and microbiota.

methodsEighty-seven exclusively breastfed infants were randomly assigned to receive one of the following as their first CF: iron-fortified cereal (Cer), iron-fortified cereal with fruit (Cer + Fr), or meat (M). Urine and stool samples were collected to assess reactive oxygen species (ROS) generation, gut microbiota and inflammation.

resultsFecal iron differed across feeding groups (p < 0.001); levels were highest in the Cer group and lowest in M group. A significant increase of fecal ROS formation (p < 0.002) after the introduction of CFs was observed, but did not differ across feeding groups. Fecal calprotectin increased within all groups after the introduction of CFs (p = 0.004). Gut microbiota richness increased after introduction of M or Cer + Fr. Regardless of feeding group, Coriobacteriaceae were positively correlated with ROS and Staphylococcaceae were negatively correlated with calprotectin.

conclusionsChoice of first CF may influence gut inflammation and microbiota, potentially due to variations in iron absorption from different foods. Further research is warranted to fully characterize these associations and to establish implications for infant health. This study was registered in the ClinicalTrial.gov registry (Identifier No. NCT01790542 ).

trial registrationThis study was registered in the ClinicalTrial.gov registry under the name "Assessment of Complementary Feeding of Canadian Infants" (Identifier No. NCT01790542 ) February 6, 2013.

Indexed as

Food, FortifiedInfant FoodIronMicrobiotaOxidative StressBiomarkersCanadaEdible GrainFecesFemaleFruitHumansInfantInfant CareInfant Nutritional Physiological PhenomenaMaleBiomarkersIronReactive Oxygen SpeciesBreastfed infantsComplementary feedingIron fortified cerealMeatMicrobiome

Identifiers

PMID28196533
PMCPMC5310014
OpenAlexW2588260557

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.