Evidence map›Paper›PMID 33671220›Full record

Trial reportNutrients2021

Efficacy of Docosahexaenoic Acid for the Prevention of Necrotizing Enterocolitis in Preterm Infants: A Randomized Clinical Trial.

Mariela Bernabe-García, Philip C Calder, Raúl Villegas-Silva, Maricela Rodríguez-Cruz, Luis Chávez-Sánchez, Leonardo Cruz-Reynoso, Leovigildo Mateos-Sánchez, Gabriel Lara-Flores, Augusto R Aguilera-Joaquín, Luisa Sánchez-García

Registry-linked trialAbstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in Nutrients, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01745510 (Efficacy of Enteral Administration of the Docosahexaenoic Acid on Necrotizing Enterocolitis, Cytokines and Hospital Stay in Preterm Neonates), which is not on this map. Cited by 15 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 3 pooled it
–field-weighted citation impact
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.

NCT01745510 phase1 / phase2completednot on this map

Efficacy of Enteral Administration of the Docosahexaenoic Acid on Necrotizing Enterocolitis, Cytokines and Hospital Stay in Preterm Neonates

TypeinterventionalSponsorCoordinación de Investigación en Salud, MexicoRan2012 to 2017Enrolled225ConditionsNecrotizing EnterocolitisArmsDocosahexaenoic acid (DHA), Placebo
3 · Its place in the literature

Who cites it

15 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
  2. Effect of enteral supplementation of DHA with or without ARA in preterm infants: a meta-analysis.Archives of disease in childhood. Fetal and neonatal edition · 2025
    Pooled it
  3. Pooled it
  4. Trial
  5. Article
  6. Definitions of neonatal Necrotizing Enterocolitis (NEC) in randomised controlled trials: a systematic review.Journal of perinatology : official journal of the California Perinatal Association · 2026
    Review
  7. Review
  8. Review
  9. [Perinatal benefits and recommendations of docosahexaenoic acid and arachidonic acid].Revista medica del Instituto Mexicano del Seguro Social · 2025
    Review
  10. Prevention Strategies and Management of Necrotizing Enterocolitis.Current treatment options in pediatrics · 2024
    Article
  11. Article
  12. DHA supplementation and pregnancy complications.Journal of translational medicine · 2023
    Review
  13. Review
  14. Review
  15. 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

10 authors.

Mariela Bernabe-GarcíaUnidad de Investigación Médica en Nutrición, UMAE Hospital de Pediatría, CMN Siglo XXI, Instituto Mexicano del Seguro Social, México City 06720, Mexico.ORCID 0000-0001-9970-2077
Philip C CalderSchool of Human Development and Health, Faculty of Medicine, University of Southampton, Southampton SO16 6YD, UK.ORCID 0000-0002-6038-710X
Raúl Villegas-SilvaNeonatología, Hospital Infantil de México Federico Gómez, México City 06720, Mexico.
Maricela Rodríguez-CruzUnidad de Investigación Médica en Nutrición, UMAE Hospital de Pediatría, CMN Siglo XXI, Instituto Mexicano del Seguro Social, México City 06720, Mexico.
Luis Chávez-SánchezUnidad de Investigación Médica en Inmunología, UMAE Hospital de Pediatría, CMN Siglo XXI, Instituto Mexicano del Seguro Social, México City 06720, Mexico.
Leonardo Cruz-ReynosoUnidad de Cuidados Intensivos Neonatales, UMAE Hospital de Gineco-Obstetricia No.3, CMN La Raza, Instituto Mexicano del Seguro Social, México City 02990, Mexico.
Leovigildo Mateos-SánchezUnidad de Cuidados Intensivos Neonatales, UMAE Hospital de Gineco-Obstetricia N° 4 "Luis Castelazo Ayala", Instituto Mexicano del Seguro Social, México City 01090, Mexico.
Gabriel Lara-FloresUnidad de Cuidados Intensivos Neonatales, UMAE Hospital de Gineco-Obstetricia N° 4 "Luis Castelazo Ayala", Instituto Mexicano del Seguro Social, México City 01090, Mexico.
Augusto R Aguilera-JoaquínUnidad de Cuidados Intensivos Neonatales, UMAE Hospital de Gineco-Obstetricia No.3, CMN La Raza, Instituto Mexicano del Seguro Social, México City 02990, Mexico.
Luisa Sánchez-GarcíaUnidad de Cuidados Intensivos Neonatales, UMAE Hospital de Gineco-Obstetricia No.3, CMN La Raza, Instituto Mexicano del Seguro Social, México City 02990, Mexico.

Funding

Consejo Nacional de Ciencia y Tecnología (CONACYT), México Salud-2011-01-161643
6 · The paper itself

Abstract

Necrotizing enterocolitis (NEC) is an inflammatory bowel disease and a leading cause of morbidity and mortality in preterm infants. In this study, a randomized double-blind parallel-group (1:1) trial was carried out in two neonatal intensive care units of two tertiary hospitals. Two hundred and twenty-five preterm newborns with an expected functional gastrointestinal tract were recruited and received an enteral dose of 75 mg of docosahexaenoic acid (DHA)/kg body weight or high-oleic sunflower oil daily for 14 days from the first enteral feed after birth. Confirmed NEC was evaluated with Bell's scale from stage ≥ IIa. Two hundred and fourteen randomized infants were analyzed in terms of the intent-to-treat (DHA-group:

Indexed as

Docosahexaenoic AcidsDouble-Blind MethodEnteral NutritionEnterocolitis, NecrotizingErythrocytesFemaleHumansInfant, NewbornInfant, PrematureMaleMilk, HumanDocosahexaenoic AcidsDHAhospital stayinfantinflammationn-3 fatty acidsnecrotizing enterocolitisneonatal intensive care unitomega-3prematurityvery low birth weight

Identifiers

PMID33671220
PMCPMC7922869

What OpenQuestion holds

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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.