Evidence map›Paper›PMID 28245571›Full record

ReviewNutrients2017

Vitamin A Supplementation Programs and Country-Level Evidence of Vitamin A Deficiency.

James P Wirth, Nicolai Petry, Sherry A Tanumihardjo, Lisa M Rogers, Erin McLean, Alison Greig, Greg S Garrett, Rolf D W Klemm, Fabian Rohner

Open access · goldAbstract readReview
In one paragraph

Review in Nutrients, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 123 papers, 9 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
123citing papers in PubMed, 9 pooled it
13.7field-weighted citation impact, top 1% 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

123 citing papers in PubMed, 9 syntheses or guidelines pooled it, 221 citations in OpenAlex.

  1. Pooled it
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  8. Drivers of stunting reduction in the Kyrgyz Republic: A country case study.The American journal of clinical nutrition · 2020
    Pooled it
  9. Fortification of staple foods with vitamin A for vitamin A deficiency.The Cochrane database of systematic reviews · 2019
    Pooled it
  10. Trial
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  15. Provitamin A-biofortified maize consumption increases serum xanthophylls andExperimental biology and medicine (Maywood, N.J.) · 2017
    Trial
  16. Article
  17. Article
  18. Review
  19. Article
  20. Article

63 more citing papers are in PubMed but not listed here.

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 6 institutions in 3 countries.

James P WirthGroundWork, 7306 Fläsch, Switzerland. james@groundworkhealth.org.
Nicolai PetryGroundWork, 7306 Fläsch, Switzerland. nico@groundworkhealth.org.
Sherry A TanumihardjoDepartment of Nutritional Sciences, University of Wisconsin-Madison, Madison, WI 53706, USA. sherry@nutrisci.wisc.edu.
Lisa M RogersDepartment of Nutrition for Health and Development, World Health Organization, 1207 Geneva, Switzerland. rogersl@who.int.
Erin McLeanUNICEF Headquarters, New York, NY 10017, USA. emclean@unicef.org.
Alison GreigInfant and Young Child Nutrition, Micronutrient Initiative, Ottawa, ON K2P 2K3, Canada. agreig@micronutrient.org.
Greg S GarrettGlobal Alliance for Improved Nutrition, 1202 Geneva, Switzerland. ggarrett@gainhealth.org.
Rolf D W KlemmHelen Keller International, New York, NY 10010, USA. rklemm@hki.org.
Fabian RohnerGroundWork, 7306 Fläsch, Switzerland. fabian@groundworkhealth.org.
Global Alliance for Improved Nutrition · CHHelen Keller International · USNutrition International · CAUnited Nations Children's Fund · USUniversity of Wisconsin–Madison · USWorld Health Organization · CH

Funding

World Health Organization 001
6 · The paper itself

Abstract

Vitamin A supplementation (VAS) programs targeted at children aged 6-59 months are implemented in many countries. By improving immune function, vitamin A (VA) reduces mortality associated with measles, diarrhea, and other illnesses. There is currently a debate regarding the relevance of VAS, but amidst the debate, researchers acknowledge that the majority of nationally-representative data on VA status is outdated. To address this data gap and contribute to the debate, we examined data from 82 countries implementing VAS programs, identified other VA programs, and assessed the recentness of national VA deficiency (VAD) data. We found that two-thirds of the countries explored either have no VAD data or data that were >10 years old (i.e., measured before 2006), which included twenty countries with VAS coverage ≥70%. Fifty-one VAS programs were implemented in parallel with at least one other VA intervention, and of these, 27 countries either had no VAD data or data collected in 2005 or earlier. To fill these gaps in VAD data, countries implementing VAS and other VA interventions should measure VA status in children at least every 10 years. At the same time, the coverage of VA interventions can also be measured. We identified three countries that have scaled down VAS, but given the lack of VA deficiency data, this would be a premature undertaking in most countries without appropriate status assessment. While the global debate about VAS is important, more attention should be directed towards individual countries where programmatic decisions are made.

Indexed as

Dietary SupplementsFood, FortifiedChild, PreschoolDeveloping CountriesHumansInfantPrevalenceRandomized Controlled Trials as TopicUnited NationsVitamin AVitamin A DeficiencyVitamin AbiofortificationdeficiencyfortificationMNPsprogramssupplementationvitamin A

Identifiers

PMID28245571
PMCPMC5372853
OpenAlexW2589387568

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.