Evidence map›Paper›PMID 33564825›Full record

Trial reportThe American journal of clinical nutrition2021

Impact of nutritional interventions among lactating mothers on the growth of their infants in the first 6 months of life: a randomized controlled trial in Delhi, India.

Sunita Taneja, Ravi Prakash Upadhyay, Ranadip Chowdhury, Anura V Kurpad, Himani Bhardwaj, Tivendra Kumar, Pratibha Dwarkanath, Beena Bose, Sarita Devi, Gunjan Kumar and 3 more

Open access · hybridAbstract readRandomized Controlled Trial
In one paragraph

Trial report in The American journal of clinical nutrition, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 3 pooled it
1.0field-weighted citation impact, top 26% 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

13 citing papers in PubMed, 3 syntheses or guidelines pooled it, 23 citations in OpenAlex.

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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

13 authors at 3 institutions in 2 countries.

Sunita TanejaCenter for Health Research and Development, Society for Applied Studies, New Delhi, India.
Ravi Prakash UpadhyayCenter for Health Research and Development, Society for Applied Studies, New Delhi, India.
Ranadip ChowdhuryCenter for Health Research and Development, Society for Applied Studies, New Delhi, India.
Anura V KurpadDepartment of Physiology, St John's Medical College, Bengaluru, India.
Himani BhardwajCenter for Health Research and Development, Society for Applied Studies, New Delhi, India.
Tivendra KumarCenter for Health Research and Development, Society for Applied Studies, New Delhi, India.
Pratibha DwarkanathDepartment of Physiology, St John's Medical College, Bengaluru, India.
Beena BoseDepartment of Physiology, St John's Medical College, Bengaluru, India.
Sarita DeviDepartment of Physiology, St John's Medical College, Bengaluru, India.
Gunjan KumarCenter for Health Research and Development, Society for Applied Studies, New Delhi, India.
Baljeet KaurCenter for Health Research and Development, Society for Applied Studies, New Delhi, India.
Rajiv BahlDepartment of Maternal, Newborn, Child, and Adolescent Health, World Health Organization, Geneva, Switzerland.
Nita BhandariCenter for Health Research and Development, Society for Applied Studies, New Delhi, India.
Society for Applied Studies · INSt.John's Medical College Hospital · INWorld Health Organization · CH

Funding

World Health Organization 001
6 · The paper itself

Abstract

backgroundIn lower-middle-income settings, growth faltering in the first 6 mo of life occurs despite exclusive breastfeeding.

objectiveThe aim was to test the efficacy of an approach to improve the dietary adequacy of mothers during lactation and thus improve the growth of their infants.

methodsEligible mother-infant dyads (infants ≤7 d of age) were randomly assigned to either intervention or control groups. Mothers in the intervention group received snacks that were to be consumed daily, which provided 600 kcal of energy-with 25-30% of energy derived from fats (150-180 kcal) and 13% of energy from protein (80 kcal). Micronutrients were supplemented as daily tablets. We provided counseling on breastfeeding and infant-care practices to mothers in both groups. The primary outcome was attained infant length-for-age z scores (LAZ) at 6 mo of age. Secondary outcomes included exclusive breastfeeding proportion reported by the mother, maternal BMI and midupper arm circumference (MUAC), hemoglobin concentrations in mothers and infants, and the proportion of anemic infants at 6 mo of age.

resultsWe enrolled 816 mother-infant dyads. The intervention did not achieve a significant effect on LAZ at 6 mo (adjusted mean difference: 0.09; 95% CI: -0.03, 0.20). Exclusive breastfeeding at 5 mo was higher (45.1% vs. 34.5%; RR: 1.31; 95% CI: 1.04, 1.64) in the intervention group compared with the controls. There were no significant effects on mean hemoglobin concentration or the proportion of anemic infants at 6 mo of age compared with the control group. We noted significant effects on maternal nutritional status (BMI, MUAC, hemoglobin concentration, and proportion anemic).

conclusionsPostnatal supplementation of 600 kcal energy, 20 g protein, and multiple micronutrients daily to lactating mothers did not affect infant LAZ at age 6 mo. Such supplementation may improve maternal nutritional status. This trial was registered at Clinical Trials Registry-India as CTRI/2018/04/013095.

Indexed as

Breast FeedingChild DevelopmentLactationMaternal Nutritional Physiological PhenomenaDietDietary SupplementsFemaleHumansIndiaInfantInfant, NewbornInfant Nutritional Physiological PhenomenaMaleMicronutrientsPregnancyMicronutrientsIndiainfant growthlactationmaternal healthmaternal nutritionmicronutrientsrandomized controlled trial

Identifiers

PMID33564825
PMCPMC8023824
OpenAlexW3128382747

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.