Evidence map›Paper›PMID 29868936›Full record

ReviewMaternal and child health journal2019

What Approaches are Most Effective at Addressing Micronutrient Deficiency in Children 0-5 Years? A Review of Systematic Reviews.

M Campos Ponce, K Polman, N Roos, F T Wieringa, J Berger, C M Doak

Open access · hybridAbstract readReview
In one paragraph

Review in Maternal and child health journal, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 1 pooled it
2.1field-weighted citation impact, top 14% 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

11 citing papers in PubMed, 1 synthesis or guideline pooled it, 28 citations in OpenAlex.

  1. Pooled it
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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

6 authors at 4 institutions in 4 countries.

M Campos PonceDepartment of Health Sciences, VU University Amsterdam, Amsterdam, The Netherlands. m.camposponce@vu.nl.ORCID http://orcid.org/0000-0003-1700-4756
K PolmanDepartment of Health Sciences, VU University Amsterdam, Amsterdam, The Netherlands.
N RoosDepartment of Human Nutrition, University of Copenhagen, Copenhagen, Denmark.
F T WieringaFrench National Research Institute for Sustainable Development (IRD), Montpellier, France.
J BergerFrench National Research Institute for Sustainable Development (IRD), Montpellier, France.
C M DoakDepartment of Health Sciences, VU University Amsterdam, Amsterdam, The Netherlands.
Institut de Recherche pour le Développement · FRAmsterdam UMC Location Vrije Universiteit Amsterdam · NLInstituut voor Tropische Geneeskunde · BEUniversity of Copenhagen · DK

Funding

Seventh Framework Programme GA 289616
6 · The paper itself

Abstract

Introduction Even though micronutrient deficiency is still a major public health problem, it is still unclear which interventions are most effective in improving micronutrient status. This review therefore aims to summarize the evidence published in systematic reviews on intervention strategies that aim at improving micronutrient status in children under the age of five. Methods We searched the literature and included systematic reviews that reported on micronutrient status as a primary outcome for children of 0-5 years old, had a focus on low or middle income countries. Subsequently, papers were reviewed and selected by two authors. Results We included 4235 reviews in this systematic review. We found that (single or multiple) micronutrient deficiencies in pre-school children improved after providing (single or multiple) micronutrients. However home fortification did not always lead to significant increase in serum vitamin A, serum ferritin, hemoglobin or zinc. Commercial fortification did improve iron status. Cord clamping reduced the risk of anemia in infants up to 6 months and, in helminth endemic areas, anthelminthic treatment increased serum ferritin levels, hemoglobin and improved height for age z-scores. Anti-malaria treatment improved ferritin levels. Discussion Based on our results the clearest recommendations are: delayed cord clamping is an effective intervention for reducing anemia in early life. In helminth endemic areas iron status can be improved by anthelminthic treatment. Anti-malaria treatment can improve ferritin. In deficient populations, single iron, vitamin A and multimicronutrient supplementation can improve iron, vitamin A and multimicronutrient status respectively. While the impact of home-fortification on multimicronutrient status remains questionable, commercial iron fortification may improve iron status.

Indexed as

Dietary SupplementsFood, FortifiedAnemiaAnemia, Iron-DeficiencyAnthelminticsAntimalarialsChild, PreschoolFemaleHelminthiasisHumansInfant, NewbornMalariaMaleMicronutrientsAnthelminticsAntimalarialsMicronutrientsAnthelminticsAnti-malaria treatmentCord clampingDeficiencyFortificationMicronutrient

Identifiers

PMID29868936
PMCPMC6373288
OpenAlexW2805194613

What OpenQuestion holds

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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.