Evidence map›Paper›PMID 29018582›Full record

ArticleBMJ global health2017

Effect of low-dose versus higher-dose antenatal iron supplementation on child health outcomes at 36 months of age in Viet Nam: longitudinal follow-up of a cluster randomised controlled trial.

Sarah Hanieh, Tran T Ha, Julie A Simpson, Sabine Braat, Tran T Thuy, Thach D Tran, Janet King, Tran Tuan, Jane Fisher, Beverley-Ann Biggs

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in BMJ global health, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03564756 (Effect of Ascorbic Acid Supplementation in Pregnancy on Anemia), which is not on this map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
0.9field-weighted citation impact, top 24% 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.

NCT03564756 nawithdrawnnot on this mapstarted 2019, after this paper: background citation

Effect of Ascorbic Acid Supplementation in Pregnancy on Anemia (AAA)

TypeinterventionalSponsorFetal Medicine FoundationRan2019 to 2022Enrolled0ConditionsAnemia in PregnancyArmsVitamin C
3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 11 citations in OpenAlex.

  1. Trial
  2. Article
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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

10 authors at 6 institutions in 2 countries.

Sarah HaniehDepartment of Medicine, University of Melbourne, Peter Doherty Institute for Immunity and Infection, Parkville, Victoria, Australia.
Tran T HaResearch and Training Centre for Community Development, Hanoi, Viet Nam.
Julie A SimpsonCentre for Epidemiology and Biostatistics, Melbourne School of Population and Global Health, University of Melbourne, Melbourne, Victoria, Australia.
Sabine BraatCentre for Epidemiology and Biostatistics, Melbourne School of Population and Global Health, University of Melbourne, Melbourne, Victoria, Australia.
Tran T ThuyResearch and Training Centre for Community Development, Hanoi, Viet Nam.
Thach D TranResearch and Training Centre for Community Development, Hanoi, Viet Nam.
Janet KingChildren's Hospital Oakland Research Institute, Oakland, California, USA.
Tran TuanResearch and Training Centre for Community Development, Hanoi, Viet Nam.
Jane FisherThe Jean Hailes Research Unit, School of Public Health and Preventive Medicine, Monash University, Melbourne, Victoria, Australia.
Beverley-Ann BiggsDepartment of Medicine, University of Melbourne, Peter Doherty Institute for Immunity and Infection, Parkville, Victoria, Australia.
Center for Environment and Community Assets Development · VNUniversity of Melbourne · AUJean Hailes · AUMonash University · AUPeter Doherty Institute · AUThe Royal Melbourne Hospital · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionIntermittent iron-folic acid supplementation (IFA) is currently recommended for pregnant women in populations where anaemia prevalence among pregnant women is <20% or if daily iron is not acceptable. The effect of providing lower doses of antenatal elemental iron through intermittent regimes on longer-term health outcomes in childhood is unclear.

methodsA prospective cohort study conducted between May 2012 and May 2014 in Viet Nam among children of 36 months of age, born to women previously enrolled in a cluster randomised controlled trial of antenatal micronutrient supplementation (daily IFA (60 mg elemental iron) vs twice-weekly IFA (60 mg elemental iron) vs twice-weekly multiple micronutrient (MMN) supplementation (60 mg elemental iron)). Primary outcomes were height-for-age z-scores (HAZ), according to WHO growth standards and cognitive composite scores (Bayley Scales of Infant and Toddler Development, third edition) at 36 months of age.

resultsA total of 1017 children born to mothers enrolled in the cluster randomised trial were assessed at 36 months of age. Adjusted mean differences (MDs) in HAZ were -0.14 (95% CI -0.28 to -0.01) and -0.15 (95% CI -0.29 to -0.01) in children born to mothers who received twice-weekly IFA or MMN compared with those who received daily IFA. Children born to mothers who received twice-weekly MMN had lower composite motor scores compared with those who received daily IFA (MD -2.07, 95% CI -4.11 to -0.03). There were no differences in composite cognitive scores in the twice-weekly compared with daily regimens.

conclusionsLow-dose antenatal IFA supplementation (120 mg elemental iron per week) resulted in lower HAZ and motor composite scores in children compared with higher-dose antenatal IFA supplementation (420 mg elemental iron per week). This highlights the importance of adequate iron stores during pregnancy and the need for careful monitoring when lower-dose antenatal iron regimens are used. TRIAL REGISTRATION NUMBER: Australia New Zealand Clinical Trials Registry: 12610000944033.

Indexed as

child healthMaternal healthnutritionpublic health

Identifiers

PMID29018582
PMCPMC5623322
OpenAlexW2758263519

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.