Evidence map›Paper›PMID 32244279›Full record

ArticleNutrients2020

Vitamin B12 is Low in Milk of Early Postpartum Women in Urban Tanzania, and was not Significantly Increased by High dose Supplementation.

Omar N Lweno, Christopher R Sudfeld, Ellen Hertzmark, Karim P Manji, Said Aboud, Ramadhani A Noor, Honorati Masanja, Nahya Salim, Setareh Shahab-Ferdows, Lindsay H Allen and 1 more

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in Nutrients, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00197548 (A Trial of Micronutrients and Adverse Pregnancy Outcomes), which is not on this map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
1.8field-weighted citation impact, top 15% 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.

NCT00197548 phase3completednot on this map

A Trial of Micronutrients and Adverse Pregnancy Outcomes

TypeinterventionalSponsorHarvard School of Public Health (HSPH)Ran2001 to 2006Enrolled8,468ConditionsPregnancy, Premature Birth, Infant, Low Birth Weight, Pregnancy OutcomesArmsMultivitamins-vitamins B-complex, C, and E, Placebo
3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 1 synthesis or guideline pooled it, 12 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Article
  4. Article
  5. Article
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 2 countries.

Omar N LwenoIfakara Health Institute, Bagamoyo Research and Training Center, P.O. Box 74 Bagamoyo, Tanzania.
Christopher R SudfeldDepartment of Global Health and Population, Harvard T.H. Chan School of Public Health, Boston, MA 02115, USA.
Ellen HertzmarkDepartment of Global Health and Population, Harvard T.H. Chan School of Public Health, Boston, MA 02115, USA.
Karim P ManjiMuhimbili University of Health and Allied Sciences, P.O. Box 65001 Dar-es-Salaam, Tanzania.
Said AboudMuhimbili University of Health and Allied Sciences, P.O. Box 65001 Dar-es-Salaam, Tanzania.
Ramadhani A NoorDepartment of Global Health and Population, Harvard T.H. Chan School of Public Health, Boston, MA 02115, USA.
Honorati MasanjaIfakara Health Institute, Bagamoyo Research and Training Center, P.O. Box 74 Bagamoyo, Tanzania.
Nahya SalimMuhimbili University of Health and Allied Sciences, P.O. Box 65001 Dar-es-Salaam, Tanzania.
Setareh Shahab-FerdowsUSDA ARS Western Human Nutrition Research Centre, University of California Davis, CA 95616, USA.
Lindsay H AllenProgram in International and Community Nutrition, Department of Nutrition, University of California, Davis, CA 95616, USA.ORCID 0000-0002-8729-5213
Wafaie W FawziDepartment of Global Health and Population, Harvard T.H. Chan School of Public Health, Boston, MA 02115, USA.
Harvard Global Health Institute · USMuhimbili University of Health and Allied Sciences · TZIfakara Health Institute · TZUniversity of California, Davis · USWestern Human Nutrition Research Center · US

Funding

Tanzania Infectious Disease Research Training ProgramD43TW007886 · FIC · HARVARD SCHOOL OF PUBLIC HEALTH · PI FAWZI, WAFAIE W · 2007 to 2018
$1.9M
FIC NIH HHS D43 TW 007886FIC NIH HHS D43 TW007886
6 · The paper itself

Abstract

The effect of maternal multivitamin supplementation on breast milk vitamin B12 concentrations has not been examined in Tanzania, where the prevalence of maternal plasma B12 insufficiency is 25.6%. Multivitamins (containing 50 µg vitamin B12) or placebo were provided during pregnancy and in the postpartum period. Breast milk samples were collected at or around six weeks postpartum from 491 participants in a trial of multivitamins (NCT00197548). Linear and logistic regression models were used to examine the effect of supplements on vitamin B12 concentration in milk and its associations with other variables including potential confounders. Median vitamin B12 concentration in breast milk was 206 pmol/L and 70% of women had levels indicating inadequacy (<310 pmol/L). Multivitamin supplements did not significantly reduce the odds of inadequate vitamin B12 in breast milk, suggesting suboptimal absorption. A single unit increase in maternal hemoglobin at six weeks was associated with 18% lower odds of inadequate vitamin B12 in breast milk. Participants with higher BMI at baseline had double the odds of having inadequate vitamin B12 than the reference group (<22 kg/m

Indexed as

Dietary SupplementsAdultBody Mass IndexFemaleHumansLactationMaternal Nutritional Physiological PhenomenaMilk, HumanPostpartum PeriodTanzaniaUrban PopulationVitamin B 12VitaminsYoung AdultVitamin B 12Vitaminsbreast milkpostpartumsupplementationUrban Tanzaniavitamin B12

Identifiers

PMID32244279
PMCPMC7230874
OpenAlexW3013687750

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.