Evidence map›Paper›PMID 30552064›Full record

Trial reportEBioMedicine2019

Randomized trial of three doses of vitamin D to reduce deficiency in pregnant Mongolian women.

D Enkhmaa, L Tanz, D Ganmaa, Sh Enkhtur, B Oyun-Erdene, J Stuart, G Chen, A Carr, E W Seely, G Fitzmaurice and 4 more

Open access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in EBioMedicine, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 3 pooled it
2.5field-weighted citation impact, top 11% 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

17 citing papers in PubMed, 3 syntheses or guidelines pooled it, 33 citations in OpenAlex.

  1. Pooled it
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  3. Vitamin D supplementation for women during pregnancy.The Cochrane database of systematic reviews · 2024
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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

14 authors at 4 institutions in 2 countries.

D EnkhmaaNational Center for Maternal and Child Health, Mongolia.
L TanzDepartment of Medicine, Brigham and Women's Hospital and Harvard Medical School, Boston, MA, United States; Department of Epidemiology, Harvard T.H. Chan School of Public Health, Boston, USA.
D GanmaaDepartment of Medicine, Brigham and Women's Hospital and Harvard Medical School, Boston, MA, United States; Department of Nutrition, Harvard T.H. Chan School of Public Health, Boston, USA; Mongolian Health Initiative, Ulaanbaatar, Mongolia.
Sh EnkhturNational Center for Maternal and Child Health, Mongolia.
B Oyun-ErdeneMandal Soum Hospital, Selenge Aimag, Mongolia.
J StuartDepartment of Medicine, Brigham and Women's Hospital and Harvard Medical School, Boston, MA, United States; Department of Epidemiology, Harvard T.H. Chan School of Public Health, Boston, USA.
G ChenDepartment of Medicine, Brigham and Women's Hospital and Harvard Medical School, Boston, MA, United States.
A CarrDepartment of Medicine, Brigham and Women's Hospital and Harvard Medical School, Boston, MA, United States.
E W SeelyDepartment of Medicine, Brigham and Women's Hospital and Harvard Medical School, Boston, MA, United States; Connors Center for Women's Health and Gender Biology, Brigham and Women's Hospital, Boston, USA.
G FitzmauriceLaboratory for Psychiatric Biostatistics, McLean Hospital, Belmont, Massachusetts and Harvard Medical School, Boston, MA, United States; Department of Biostatistics, Harvard T.H. Chan School of Public Health, Boston, MA, United States.
Yo BuyandelgerMandal Soum Hospital, Selenge Aimag, Mongolia.
B SarantsetsegNational Center for Maternal and Child Health, Mongolia.
G GantsetsegMongolian Health Initiative, Ulaanbaatar, Mongolia; Mandal Soum Hospital, Selenge Aimag, Mongolia.
J Rich-EdwardsDepartment of Medicine, Brigham and Women's Hospital and Harvard Medical School, Boston, MA, United States; Department of Epidemiology, Harvard T.H. Chan School of Public Health, Boston, USA; Connors Center for Women's Health and Gender Biology, Brigham and Women's Hospital, Boston, USA. Electronic address: jr33@partners.org.
Brigham and Women's Hospital · USNational Center for Communicable Diseases · MNHarvard University · USMongolian University of Life Sciences · MN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIn winter in Mongolia, 80% of adults have 25-hydroxyvitamin D (25(OH)D) concentrations <25 nmol/l (<10 ng/ml) and 99% have <50 nmol/l (<20 ng/ml). The vitamin D dose to avert deficiency during pregnancy in this population is unknown.

methodsWe conducted a randomized, controlled, double-blind trial of daily 600, 2000, or 4000 IU vitamin D

findings119 pregnant women were assigned 600 IU, 121 assigned 2000 IU and 120 assigned 4000 IU from February 2015 through December 2016. Eighty-eight percent of participants took ≥80% of assigned supplements. At baseline, 25(OH)D concentrations were similar across arms; overall mean ± standard deviation concentration was 19 ± 22 nmol/l; 91% were < 50 nmol/l. At 36-40 weeks, 25(OH)D concentrations increased to 46 ± 21, 70 ± 23, and 81 ± 29 nmol/l for women assigned 600, 2000, and 4000 IU, respectively (p < 0.0001 across arms; p = 0.002 for 2000 vs. 4000 IU). Mean umbilical cord 25(OH)D concentrations differed by study arm (p < 0.0001 across arms; p < 0.0001 for 2000 vs. 4000 IU) and were proportional to maternal concentrations. There were no adverse events, including hypercalcemia, attributable to vitamin D supplementation.

interpretationDaily supplementation of 4000 IU during pregnancy is safe and achieved higher maternal and neonatal 25(OH)D concentrations than 2000 IU. Daily 600 IU supplements are insufficient to prevent vitamin D deficiency in Mongolia. FUND: Anonymous foundation and Brigham and Women's Hospital.

Indexed as

AdultDietary SupplementsDose-Response Relationship, DrugDouble-Blind MethodFemaleFetal BloodHumansPregnancyPregnancy Trimester, FirstPregnancy TrimestersPregnancy Trimester, ThirdTreatment OutcomeVitamin DVitamin D DeficiencyYoung Adult25-hydroxyvitamin DVitamin DDosingPregnancyTrialVitamin D deficiency

Identifiers

PMID30552064
PMCPMC6354654
OpenAlexW2904113646

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.