Evidence map›Paper›PMID 31756911›Full record

Trial reportNutrients2019

Multi-Micronutrient Fortified Rice Improved Serum Zinc and Folate Concentrations of Cambodian School Children. A Double-Blinded Cluster-Randomized Controlled Trial.

Khov Kuong, Pety Tor, Marlene Perignon, Marion Fiorentino, Chhoun Chamnan, Jacques Berger, Kurt Burja, Marjoleine A Dijkhuizen, Megan Parker, Nanna Roos and 1 more

Open access · goldAbstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in Nutrients, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
0.6field-weighted citation impact, top 32% 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, 1 synthesis or guideline pooled it, 9 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Trial
  4. Article
  5. Observational
  6. Review of dietary assessment studies conducted among Khmer populations living in Cambodia.Journal of human nutrition and dietetics : the official journal of the British Dietetic Association · 2022
    Review
  7. The Role of Micronutrients and Toxic Metals in the Management of Epidemics in Cambodia.International journal of environmental research and public health · 2021
    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

11 authors at 5 institutions in 4 countries.

Khov KuongDepartment of Fisheries Post-Harvest Technologies and Quality control (DFPTQ), Fisheries Administration, Ministry of Agriculture, Forestry and Fisheries, Phnom Penh, Cambodia.
Pety TorInstitut Pasteur du Cambodge, Phnom Penh, Cambodia.
Marlene PerignonUMR-204 Nutripass, Institut de Recherche pour le Développement (IRD), IRD/Université de Montpellier/SupAgro, 34394 Montpellier, France.
Marion FiorentinoUMR-204 Nutripass, Institut de Recherche pour le Développement (IRD), IRD/Université de Montpellier/SupAgro, 34394 Montpellier, France.
Chhoun ChamnanDepartment of Fisheries Post-Harvest Technologies and Quality control (DFPTQ), Fisheries Administration, Ministry of Agriculture, Forestry and Fisheries, Phnom Penh, Cambodia.
Jacques BergerUMR-204 Nutripass, Institut de Recherche pour le Développement (IRD), IRD/Université de Montpellier/SupAgro, 34394 Montpellier, France.
Kurt BurjaWorld Food Programme (WFP), Phnom Penh, Cambodia.
Marjoleine A DijkhuizenDepartment of Nutrition, Exercise and Sports (NEXS), University of Copenhagen, Rolighedsvej 26, 1958 Frederiksberg, Denmark.
Megan ParkerPATH (Program for Appropriate Technology in Health), 2201 Westlake Avenue, Suite 200, Seattle, WA 98121, USA.
Nanna RoosDepartment of Nutrition, Exercise and Sports (NEXS), University of Copenhagen, Rolighedsvej 26, 1958 Frederiksberg, Denmark.
Frank T WieringaUMR-204 Nutripass, Institut de Recherche pour le Développement (IRD), IRD/Université de Montpellier/SupAgro, 34394 Montpellier, France.
Université de Montpellier · FRUniversity of Copenhagen · DKInstitut Pasteur du Cambodge · KHMinistry of Agriculture Forestry and Fisheries · KHProgram for Appropriate Technology in Health · US

Funding

USDA/PATH 00WFP/DSM consortium 00
6 · The paper itself

Abstract

backgroundWithin Cambodia, micronutrient deficiencies continue to be prevalent in vulnerable groups, such as women and children. Fortification of staple foods such as rice could be a promising strategy for Cambodia to improve micronutrient status.

objectiveOur objective was to investigate the impact of multiple-micronutrient fortified rice (MMFR), distributed through a World Food Program school-meals program (WFP-SMP) on serum zinc concentrations and folate status in a double-blind, cluster-randomized, placebo-controlled trial.

methodsSixteen schools were randomly assigned to receive one of three different types of extruded-fortified rice (UltraRice Original (URO), UltraRice New (URN), or NutriRice) or unfortified rice (placebo) six days a week for six months. A total of 1950 schoolchildren (6-16 years old) participated in the study. Serum zinc (all groups) and folate (only in NutriRice and placebo group) concentrations were assessed from morning non-fasting antecubital blood samples and were measured at three time points (baseline and after three and six months).

resultsAfter six months of intervention, serum zinc concentrations were significantly increased in all fortified rice group compared to placebo and baseline (0.98, 0.85 and 1.40 µmol/L for URO, URN and NutriRice, respectively) (interaction effect:

conclusionsThis study showed that the high prevalence of zinc and folate deficiency in Cambodia can be improved through the provision of MMFR. As rice is the staple diet for Cambodia, MMFR should be considered to be included in the school meal program and possibilities should be explored to introduce MMFR to the general population.

Indexed as

Adolescent Nutritional Physiological PhenomenaChild Nutritional Physiological PhenomenaNutritional StatusNutritive ValueAdolescentAge FactorsBiomarkersCambodiaChildDouble-Blind MethodFemaleFolic AcidFolic Acid DeficiencyFood, FortifiedHumansMaleBiomarkersFolic AcidZincCambodiadeficiencyfortified ricemicronutrientschool childrenzinc

Identifiers

PMID31756911
PMCPMC6949998
OpenAlexW2991522060

What OpenQuestion holds

Textmetadata
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.