Evidence map›Paper›PMID 30718805›Full record

Trial reportEuropean journal of clinical nutrition2019

Effect of antenatal and infant micronutrient supplementation on middle childhood and early adolescent development outcomes in Tanzania.

Christopher R Sudfeld, Karim P Manji, Anne Marie Darling, Rodrick Kisenge, Ingrid Kvestad, Mari Hysing, David C Belinger, Tor A Strand, Christopher P Duggan, Wafaie W Fawzi

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in European journal of clinical nutrition, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 3 pooled it
1.7field-weighted citation impact, top 18% 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

7 citing papers in PubMed, 3 syntheses or guidelines pooled it, 16 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Epidemiology of Underweight among Infants in Rural Burkina Faso.The American journal of tropical medicine and hygiene · 2021
    Article
  5. Article
  6. Article
  7. Review
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 3 countries.

Christopher R Sudfeld *Department of Global Health and Population, Harvard T. H. Chan School of Public Health, Boston, MA, USA. csudfeld@hsph.harvard.edu.
Karim P Manji *Department of Pediatrics and Child Health, Muhimbili University of Health and Allied Sciences, Dar es Salaam, Tanzania.
Anne Marie DarlingDepartment of Global Health and Population, Harvard T. H. Chan School of Public Health, Boston, MA, USA.
Rodrick KisengeDepartment of Pediatrics and Child Health, Muhimbili University of Health and Allied Sciences, Dar es Salaam, Tanzania.
Ingrid KvestadRegional Centre for Child and Youth Mental Health and Child Welfare, NORCE Norwegian Research Center, Bergen, Norway.
Mari HysingDepartment of Psychosocial Science, Faculty of Psychology, University of Bergen, Bergen, Norway.
David C BelingerDepartment of Neurology, Boston Children's Hospital, Boston, MA, USA.
Tor A StrandDepartment of Research, Innlandet Hospital Trust, Lillehammer, Norway.
Christopher P DugganDepartment of Global Health and Population, Harvard T. H. Chan School of Public Health, Boston, MA, USA.
Wafaie W FawziDepartment of Global Health and Population, Harvard T. H. Chan School of Public Health, Boston, MA, USA.
Harvard Global Health Institute · USBoston Children's Hospital · USMuhimbili University of Health and Allied Sciences · TZInnlandet Hospital Trust · NONORCE Norwegian Research Centre · NOUniversity of Bergen · NO

Funding

ROLE OF DIETARY CONSTITUENTS ON GENE EXPRESSION IN INTESTINAL EPITHELIUMP30DK040561 · NIDDK · MASSACHUSETTS GENERAL HOSPITAL · PI CHRISTOPHER P DUGGAN · 1994 to 2026
$31.6M
A TRAIL OF MICRONUTRIENTS AND ADVERSE PREGNANCY OUTCOMESR01HD037701 · NICHD · HARVARD UNIVERSITY (SCH OF PUBLIC HLTH) · PI FAWZI, WAFAIE W · 2000 to 2003
$3.8M
A Trial of Zinc and Micronutrients in Tanzanian ChildrenR01HD048969 · NICHD · HARVARD SCHOOL OF PUBLIC HEALTH · PI DUGGAN, CHRISTOPHER P · 2006 to 2010
$2.0M
Patient-oriented Research in Pediatric Diarrheal DiseasesK24DK104676 · NIDDK · BOSTON CHILDREN'S HOSPITAL · PI DUGGAN, CHRISTOPHER P · 2015 to 2019
$903k
NICHD NIH HHS R01 HD048969NIDDK NIH HHS K24 DK104676NIDDK NIH HHS P30 DK040561U.S. Department of Health & Human Services | NIH | Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD) 37701U.S. Department of Health & Human Services | NIH | Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD) HD048969-01U.S. Department of Health & Human Services | NIH | National Institute of Diabetes and Digestive and Kidney Diseases (National Institute of Diabetes & Digestive & Kidney Diseases) K24DK104676
6 · The paper itself

Abstract

backgroundThere is growing evidence that nutritional interventions in the first 1000 days of life may influence long-term health and development outcomes. Few studies have examined the effect of maternal and infant micronutrient supplementation on development outcomes in sub-Saharan Africa.

methodsWe conducted a follow-up study of two randomized trials of antenatal and infant micronutrient supplementation conducted in Dar es Salaam, Tanzania. We assessed the effect of maternal multiple micronutrient (MMN) supplementation in pregnancy on development of children at 11-14 years of age. We also examined the effect of infant zinc and MMN supplementation on development at 6-8 years of age. We used generalized linear models to assess standardized mean differences (SMDs) in general intelligence, executive function, and mental health scores.

resultsWe followed up 446 children whose mothers were enrolled in the maternal MMN supplementation trial and 365 children who were enrolled in the infant zinc and MMN supplementation trial. We found no effect of maternal MMN supplementation on general intelligence (SMD: -0.03; 95% CI: -0.15, 0.09), executive function (SMD: 0.00; 95% CI: -0.11, 0.11), and mental health scores (SMD: 0.06; 95% CI: 10.10, 0.22). We also found no effect of either infant zinc or MMN supplementation on any of the three development domains (p-values > 0.05).

conclusionsWe found that antenatal MMN supplementation and infant zinc and MMN supplementation did not have a large effect on development outcomes in middle childhood and early adolescence in Tanzania.

Indexed as

Maternal Nutritional Physiological PhenomenaAdolescentAdolescent DevelopmentChildChild DevelopmentChild, PreschoolDietary SupplementsDouble-Blind MethodExecutive FunctionFemaleFollow-Up StudiesHumansInfantInfant, NewbornIntelligenceMental HealthMicronutrientsZinc

Identifiers

PMID30718805
PMCPMC6679819
OpenAlexW2913040137

What OpenQuestion holds

Textmetadata
LicenceTDM
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.