Evidence map›Paper›PMID 34213544›Full record

Trial reportJournal of the Pediatric Infectious Diseases Society2021

Effects of Maternal Vitamin D Supplementation During Pregnancy and Lactation on Infant Acute Respiratory Infections: Follow-up of a Randomized Trial in Bangladesh.

Shaun K Morris, Lisa G Pell, Mohammed Ziaur Rahman, Abdullah Al Mahmud, Joy Shi, Tahmeed Ahmed, Michelle C Dimitris, Jonathan B Gubbay, M Munirul Islam, Tahmid Kashem and 8 more

Open access · hybridAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Journal of the Pediatric Infectious Diseases Society, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 6 pooled it
2.1field-weighted citation impact, top 13% 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

11 citing papers in PubMed, 6 syntheses or guidelines pooled it, 24 citations in OpenAlex.

  1. Pooled it
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  6. Vitamin D supplementation for women during pregnancy.The Cochrane database of systematic reviews · 2024
    Pooled it
  7. Trial
  8. Article
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  10. Review
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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

18 authors at 5 institutions in 3 countries.

Shaun K MorrisCentre for Global Child Health, The Hospital for Sick Children, Toronto, Ontario, Canada.
Lisa G PellCentre for Global Child Health, The Hospital for Sick Children, Toronto, Ontario, Canada.
Mohammed Ziaur RahmanInfectious Diseases Division, International Centre for Diarrhoeal Disease Research, Bangladesh, Dhaka, Bangladesh.
Abdullah Al MahmudNutrition and Clinical Services Division, International Centre for Diarrhoeal Disease Research, Bangladesh, Dhaka, Bangladesh.
Joy ShiCentre for Global Child Health, The Hospital for Sick Children, Toronto, Ontario, Canada.
Tahmeed AhmedNutrition and Clinical Services Division, International Centre for Diarrhoeal Disease Research, Bangladesh, Dhaka, Bangladesh.ORCID 0000-0002-4607-7439
Michelle C DimitrisCentre for Global Child Health, The Hospital for Sick Children, Toronto, Ontario, Canada.ORCID 0000-0003-2337-8631
Jonathan B GubbayDepartment of Pediatrics, University of Toronto and The Hospital for Sick Children, Toronto, Ontario, Canada.
M Munirul IslamNutrition and Clinical Services Division, International Centre for Diarrhoeal Disease Research, Bangladesh, Dhaka, Bangladesh.
Tahmid KashemPrimary and Community Health Branch, Ministry of Health, Edmonton, Alberta, Canada.
Farhana K KeyaNutrition and Clinical Services Division, International Centre for Diarrhoeal Disease Research, Bangladesh, Dhaka, Bangladesh.
Minhazul MohsinNutrition and Clinical Services Division, International Centre for Diarrhoeal Disease Research, Bangladesh, Dhaka, Bangladesh.
Eleanor PullenayegumChild Health Evaluative Sciences, The Hospital for Sick Children, Toronto, Ontario, Canada.
Michelle ScienceDepartment of Pediatrics, University of Toronto and The Hospital for Sick Children, Toronto, Ontario, Canada.
Shaila S ShantaNutrition and Clinical Services Division, International Centre for Diarrhoeal Disease Research, Bangladesh, Dhaka, Bangladesh.
Mariya K SumiyaInfectious Diseases Division, International Centre for Diarrhoeal Disease Research, Bangladesh, Dhaka, Bangladesh.
Stanley ZlotkinCentre for Global Child Health, The Hospital for Sick Children, Toronto, Ontario, Canada.
Daniel E RothCentre for Global Child Health, The Hospital for Sick Children, Toronto, Ontario, Canada.
International Centre for Diarrhoeal Disease Research · BDUniversity of Toronto · CAHospital for Sick Children · CAHarvard University · USMinistry of Health · CA

Funding

Bill and Melinda Gates Foundation OPP1066764
6 · The paper itself

Abstract

backgroundWe examined the effect of maternal vitamin D supplementation during pregnancy and lactation on risk of acute respiratory infection (ARI) in infants up to 6 months of age in Bangladesh.

methodsThis study was nested in a randomized, double-blind, placebo-controlled, 5-arm dose-ranging trial of prenatal and postpartum vitamin D supplementation. One group of women received 0 IU vitamin D per week during pregnancy and for 26 weeks post delivery ("placebo" group), one group received high-dose prenatal vitamin D supplementation of 28 000 IU per week and 26 weeks post delivery, and there were 3 additional dose-ranging groups receiving vitamin D supplementation during pregnancy only (4200, 16 800, and 28 000 IU per week, respectively). Episodes of ARI were identified by active and passive surveillance. The primary outcome was microbiologically confirmed ARI, and the primary analysis compared the high-dose prenatal plus postpartum vitamin D vs placebo groups.

resultsIn total, 1174 mother-infant pairs were included. Among infants born to mothers in the placebo group, 98% had a venous umbilical cord 25(OH)D level below 30 nmol/L compared with none in the high-dose prenatal plus postdelivery vitamin D group. Incidence of microbiologically confirmed ARI in the high-dose prenatal plus postpartum vitamin D (1.21 episodes per 6 person-months; N = 235) and placebo groups (1.07 episodes per 6 person-months; N = 234) was not significantly different (hazard ratio of 1.12 [95% confidence intervals: 0.90-1.40]). There were no differences in the incidence of microbiologically confirmed or clinical ARI, upper, lower, or hospitalized lower respiratory tract infection between high-dose prenatal plus postpartum vitamin D and placebo groups.

conclusionsDespite a high prevalence of maternal baseline vitamin D deficiency and significant effects of maternal vitamin D supplementation on infant vitamin D status, the intervention did not reduce the risk of microbiologically confirmed ARI in infants up to 6 months of age.

Indexed as

Respiratory Tract InfectionsVitamin DBangladeshDietary SupplementsDouble-Blind MethodFemaleFollow-Up StudiesHumansInfantLactationPregnancyVitamin Dacute respiratory tract infectionBangladeshinfantinfluenzapregnancyrespiratory syncytial virusvitamin D

Identifiers

PMID34213544
PMCPMC8557369
OpenAlexW3174189736

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.