Evidence map›Paper›PMID 28953856›Full record

Trial reportPediatric research2018

Effects of iron supplementation of low-birth-weight infants on cognition and behavior at 7 years: a randomized controlled trial.

Staffan K Berglund, Anna Chmielewska, Josefine Starnberg, Björn Westrup, Bruno Hägglöf, Mikael Norman, Magnus Domellöf

Open access · bronzeAbstract readRandomized Controlled Trial
PubMed Publisher
In one paragraph

Trial report in Pediatric research, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed, 3 pooled it
7.7field-weighted citation impact, top 3% 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

28 citing papers in PubMed, 3 syntheses or guidelines pooled it, 51 citations in OpenAlex.

  1. Pooled it
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  8. Promotion of long-term health in early life.Proceedings of the National Academy of Sciences of the United States of America · 2026
    Article
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  14. Anemia, Iron Supplementation, and the Brain.Clinics in perinatology · 2023
    Review
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  16. The importance of iron deficiency in pregnancy on fetal, neonatal, and infant neurodevelopmental outcomes.International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics · 2023
    Review
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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

7 authors at 2 institutions in 1 country.

Staffan K BerglundDepartment of Clinical Sciences, Pediatrics, Umeå University, Umeå, Sweden.
Anna ChmielewskaDepartment of Clinical Sciences, Pediatrics, Umeå University, Umeå, Sweden.
Josefine StarnbergDepartment of Clinical Sciences, Pediatrics, Umeå University, Umeå, Sweden.
Björn WestrupDivision of Neonatology, Department of Women and Child Health, Karolinska Institutet, Stockholm, Sweden.
Bruno HägglöfDepartment of Clinical Sciences, Child and Adolescent Psychiatry, Umeå University, Umeå, Sweden.
Mikael NormanDivision of Pediatrics, Department of Clinical Science, Intervention and Technology, Karolinska Institutet, Stockholm.
Magnus DomellöfDepartment of Clinical Sciences, Pediatrics, Umeå University, Umeå, Sweden.
Umeå University · SEKarolinska Institutet · SE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BackgroundLow-birth-weight infants (LBW) are at an increased risk of iron deficiency that has been associated with impaired neurodevelopment. We hypothesized that iron supplementation of LBW infants improves cognitive scores and reduces behavioral problems until school age.MethodsWe randomized 285 marginally LBW (2,000-2,500 g) infants to receive 0, 1, or 2 mg/kg/day of iron supplements from 6 weeks to 6 months of age. At 7 years of age, 205 participants were assessed regarding cognition using Wechsler Intelligence Scale for Children (WISC-IV) and behavior using the parental questionnaires Child Behavior Checklist (CBCL) and Five to Fifteen (FTF).ResultsThere were no significant differences between the intervention groups in WISC-IV or FTF. However, the CBCL scores for externalizing problems were significantly different, in favor of supplemented children (P=0.045). When combining the supplemented groups, they had significantly lower scores for externalizing behavior compared with placebo (median (interquartile range): 44 [34;51] vs. 48.5 [41;56] P=0.013), and their risk ratio (95% confidence interval) for a total behavioral score above the cutoff for clinical problems was 0.31 (0.09-1.0), P=0.054.ConclusionLower scores of externalizing behavior in supplemented children support our previous findings at 3 years, and suggest that iron supplementation may have long-lasting effects on behavioral functions.

Indexed as

Dietary SupplementsAnemia, Iron-DeficiencyChildChild BehaviorChild Behavior DisordersCognitionFemaleFollow-Up StudiesHumansInfant, Low Birth WeightInfant, NewbornIronMaleIron

Identifiers

PMID28953856
OpenAlexW2760300698

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.