Evidence map›Paper›PMID 34494113›Full record

Trial reportThe Journal of nutrition2021

Fortified Balanced Energy-Protein Supplements Increase Nutrient Adequacy without Displacing Food Intake in Pregnant Women in Rural Burkina Faso.

Brenda de Kok, Alemayehu Argaw, Giles Hanley-Cook, Laeticia Celine Toe, Moctar Ouédraogo, Trenton Dailey-Chwalibóg, Loty Diop, Elodie Becquey, Patrick Kolsteren, Carl Lachat and 1 more

Registry-linked trialOpen access · hybridAbstract readRandomized Controlled Trial
In one paragraph

Trial report in The Journal of nutrition, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03533712 (Effect of a Fortified Balanced Energy-Protein Supplement on Birth Outcome and Child Growth in Houndé District, Burkina Faso.), which is not on this map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
2.0field-weighted citation impact, top 14% 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.

NCT03533712 phase4completednot on this map

Effect of a Fortified Balanced Energy-Protein Supplement on Birth Outcome and Child Growth in Houndé District, Burkina Faso.

TypeinterventionalSponsorUniversity GhentRan2019 to 2022Enrolled1,788ConditionsSmall for Gestational Age at Delivery, Low Birth Weight, Prematurity, Infant MalnutritionArmsFortified balanced energy-protein (BEP) supplement, Fe and folic acid supplement
3 · Its place in the literature

Who cites it

13 citing papers in PubMed, 20 citations in OpenAlex.

  1. Trial
  2. Trial
  3. Trial
  4. Trial
  5. Trial
  6. Trial
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. 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 3 institutions in 3 countries.

Brenda de KokDepartment of Food Technology, Safety, and Health, Faculty of Bioscience Engineering, Ghent University, Ghent, Belgium.ORCID 0000-0002-5267-327X
Alemayehu ArgawDepartment of Food Technology, Safety, and Health, Faculty of Bioscience Engineering, Ghent University, Ghent, Belgium.ORCID 0000-0003-3982-5408
Giles Hanley-CookDepartment of Food Technology, Safety, and Health, Faculty of Bioscience Engineering, Ghent University, Ghent, Belgium.ORCID 0000-0001-9907-594X
Laeticia Celine ToeDepartment of Food Technology, Safety, and Health, Faculty of Bioscience Engineering, Ghent University, Ghent, Belgium.ORCID 0000-0002-4615-5388
Moctar OuédraogoAFRICSanté, Bobo-Dioulasso, Burkina Faso.ORCID 0000-0002-1521-0532
Trenton Dailey-ChwalibógDepartment of Food Technology, Safety, and Health, Faculty of Bioscience Engineering, Ghent University, Ghent, Belgium.ORCID 0000-0002-8204-4925
Loty DiopInternational Food Policy Research Institute (IFPRI), Washington, DC, USA.ORCID 0000-0002-3131-9108
Elodie BecqueyInternational Food Policy Research Institute (IFPRI), Washington, DC, USA.ORCID 0000-0002-8748-7637
Patrick KolsterenDepartment of Food Technology, Safety, and Health, Faculty of Bioscience Engineering, Ghent University, Ghent, Belgium.ORCID 0000-0002-0504-2205
Carl LachatDepartment of Food Technology, Safety, and Health, Faculty of Bioscience Engineering, Ghent University, Ghent, Belgium.ORCID 0000-0002-1389-8855
Lieven HuybregtsDepartment of Food Technology, Safety, and Health, Faculty of Bioscience Engineering, Ghent University, Ghent, Belgium.ORCID 0000-0002-3068-2853
Ghent University · BEInternational Food Policy Research Institute · USAFRICSanté · BF

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIn many low- and middle-income countries, the prevalence of energy and nutrient deficiencies is high among pregnant women. Balanced energy-protein (BEP) supplements are a promising strategy to cover nutritional requirements during pregnancy and improve birth outcomes. However, the displacement of nutrient-dense foods by BEP might attenuate the efficacy of supplementation.

objectiveThis cross-sectional study of participants in a randomized controlled trial evaluated the difference in energy and macro- and micronutrient intakes, food groups, and nutrient adequacy between a control and intervention group receiving either a daily iron-folic acid (IFA) tablet or IFA and BEP supplement during pregnancy, respectively.

methodsWe collected a single multiple-pass 24-h recall from 470 pregnant women from the MIcronutriments pour la SAnté de la Mère et de l'Enfant (MISAME) III study that investigates the efficacy of BEP supplementation on birth outcomes and infant growth. Dietary intake (median and IQR) and nutrient adequacy were assessed using individual recipes and preparation methods of mixed dishes for each participant. Linear regression models were fitted to compare energy and nutrient intakes.

resultsDietary energy, and macro- and micronutrient intakes were significantly higher among women in the intervention group when including BEP [2329 kcal/d (1855, 3008 kcal/d) compared with 1942 kcal/d (1575, 2405 kcal/d) in the control group (all P < 0.001)]. The difference in median energy intake (448 kcal/d; 95% CI: 291, 605 kcal/d) was approximately equivalent to a daily dose of the BEP supplement (393 kcal). Nutrient adequacy ratios for both groups were low for all micronutrients (between 0.02 and 0.66), when excluding BEP (except iron and folic acid, due to standard supplemental doses) from analysis. However, nutrient intakes increased to the Estimated Average Requirement for pregnant women when including BEP supplements.

conclusionsBEP supplementation increases energy and macro- and micronutrient intakes among pregnant women and fills nutrient gaps without displacing food intake. This trial was registered at clinicaltrials.gov as NCT03533712 (https://clinicaltrials.gov/ct2/show/NCT03533712).

Indexed as

Dietary SupplementsPregnant PeopleBurkina FasoCross-Sectional StudiesEatingFemaleFood, FortifiedHumansInfantMicronutrientsNutrientsPregnancyMicronutrientsNutrients24-h recallbalanced energy-protein supplementsBurkina Fasodietary assessmentdisplacementlipid-based nutrient supplementsnutrient adequacypregnant women

Identifiers

PMID34494113
PMCPMC8643591
OpenAlexW3197822882

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.