Evidence map›Paper›PMID 34637505›Full record

Trial reportThe American journal of clinical nutrition2022

Impact of supplementation with milk-cereal mix during 6-12 months of age on growth at 12 months: a 3-arm randomized controlled trial in Delhi, India.

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

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in The American journal of clinical nutrition, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 2 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.

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

5 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Trial
  5. Review
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.

Sunita TanejaCentre for Health Research and Development, Society for Applied Studies, New Delhi, India.
Ravi P UpadhyayCentre for Health Research and Development, Society for Applied Studies, New Delhi, India.
Ranadip ChowdhuryCentre 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 BhardwajCentre for Health Research and Development, Society for Applied Studies, New Delhi, India.
Tivendra KumarCentre 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.ORCID 0000-0002-8344-6897
Gunjan KumarCentre for Health Research and Development, Society for Applied Studies, New Delhi, India.
Baljeet KaurCentre 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 BhandariCentre for Health Research and Development, Society for Applied Studies, New Delhi, India.ORCID 0000-0003-0349-087X

Funding

World Health Organization 001
6 · The paper itself

Abstract

backgroundA large proportion of infants in low- and middle-income countries are stunted. These infants are often fed complementary foods that are low-quality, primarily in terms of protein and micronutrients.

objectivesWe aimed to test 2 milk-cereal mixes supplemented with modest and high amounts of protein during 6-12 mo of age, compared with no supplementation, for their effect on length-for-age z score (LAZ) at 12 mo of age.

methodsEligible infants (6 mo plus ≤29 d) were randomly assigned to either of the 2 interventions (modest- and high-protein) or a no supplement group. The milk-cereal mixes provided ∼125 kcal, 30%-45% energy from fats, and 80%-100% RDA of multiple micronutrients (MMN). The modest-protein group received 2.5 g protein [protein energy ratio (PER): 8%; 0.75 g from milk source] and the high-protein group received 5.6 g protein (PER: 18%, 1.68 g from milk source). One packet was given daily for 180 d. Counseling on continued breastfeeding and optimal infant-care practices was provided to all.

resultsWe enrolled 1548 infants (high-protein: n = 512; modest-protein: n = 519; and no supplement: n = 517). Compared with the no supplement group, there was an improvement in LAZ [adjusted mean difference (MD): 0.08; 95% CI: 0.01, 0.15], weight-for-age z score (MD: 0.12; 95% CI: 0.06, 0.19), weight-for-length z score (MD: 0.11; 95% CI: 0.02, 0.19), and midupper arm circumference z score (MD: 0.10; 95% CI: 0.02, 0.18) in the high-protein group at 12 mo of age. No significant differences for these anthropometric indicators were noted between the modest-protein and no supplement groups or between the high- and modest-protein groups.

conclusionsCereal mixes with higher amounts of milk-based protein and MMN may lead to improvement in linear growth and other anthropometric indexes in infants, compared with no supplementation.This trial was registered at ctri.nic.in as CTRI/2018/04/012932.

Indexed as

Child DevelopmentDietary SupplementsEdible GrainInfant Nutritional Physiological PhenomenaMilkAnimalsAnthropometryDietary ProteinsFemaleGrowth DisordersHumansIndiaInfantMaleMicronutrientsDietary ProteinsMicronutrientsanimal source proteinIndiainfancylinear growthmilk–cereal mixrandomized controlled trial

Identifiers

PMID34637505
PMCPMC8754995

What OpenQuestion holds

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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.