Evidence map›Paper›PMID 35684031›Full record

Trial reportNutrients2022

Consumption of Micronutrient Powder, Syrup or Fortified Food Significantly Improves Zinc and Iron Status in Young Mexican Children: A Cluster Randomized Trial.

Armando García-Guerra, Juan A Rivera, Lynnette M Neufeld, Amado D Quezada-Sánchez, Clara Dominguez Islas, Ana Cecilia Fernández-Gaxiola, Anabelle Bonvecchio Arenas

Open access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Nutrients, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 pooled it
0.6field-weighted citation impact, top 38% 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

2 citing papers in PubMed, 1 synthesis or guideline pooled it, 5 citations in OpenAlex.

  1. Pooled it
  2. Trial
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

7 authors at 3 institutions in 3 countries.

Armando García-GuerraCentro de Investigación en Nutrición y Salud, Instituto Nacional de Salud Pública (INSP), Universidad N-655, Colonia Santa María Ahuacatitlán, Cerrada los Pinos y Caminera, Cuernavaca 62100, Mexico.ORCID 0000-0003-0377-8136
Juan A RiveraCentro de Investigación en Salud Poblacional, Instituto Nacional de Salud Pública (INSP), Universidad N-655, Colonia Santa María Ahuacatitlán, Cerrada los Pinos y Caminera, Cuernavaca 62100, Mexico.ORCID 0000-0003-2586-4908
Lynnette M NeufeldFood and Agriculture Organization of the United Nations, 00153 Rome, Italy.
Amado D Quezada-SánchezCentro de Investigación en Evaluación y Encuestas, Instituto Nacional de Salud Pública (INSP), Universidad N-655, Colonia Santa María Ahuacatitlán, Cerrada los Pinos y Caminera, Cuernavaca 62100, Mexico.ORCID 0000-0003-3258-8198
Clara Dominguez IslasFred Hutchinson Cancer Research Center, Vaccine and Infection Disease Division, 1100 Fairview Ave. N, Seattle, WA 98109, USA.
Ana Cecilia Fernández-GaxiolaCentro de Investigación en Nutrición y Salud, Instituto Nacional de Salud Pública (INSP), Universidad N-655, Colonia Santa María Ahuacatitlán, Cerrada los Pinos y Caminera, Cuernavaca 62100, Mexico.
Anabelle Bonvecchio ArenasCentro de Investigación en Nutrición y Salud, Instituto Nacional de Salud Pública (INSP), Universidad N-655, Colonia Santa María Ahuacatitlán, Cerrada los Pinos y Caminera, Cuernavaca 62100, Mexico.ORCID 0000-0002-2765-0818
Instituto Nacional de Salud Pública · MXFood and Agriculture Organization of the United Nations · ITFred Hutch Cancer Center · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The objective of this study was to compare the effect of three micronutrient products on biomarkers of iron and zinc status of Mexican children 6−12 months of age. As part of research to improve the impact of a national program, 54 communities were randomly assigned to receive: (1) fortified food (FF), provided by the program at the time, or (2) micronutrient powders (MNP) or (3) syrup. Each product contained 10 mg each of zinc and iron, plus other micronutrients. Children consumed the product 6 days/week for four months. Primary outcomes were changes in serum zinc, ferritin, soluble transferrin receptor, hemoglobin concentrations, and their deficiencies. Zinc concentration increased significantly from baseline to follow-up in all groups, with the largest change in the syrup group (geometric mean difference: +4.4 µmol/L; 95%CI: 3.2, 5.5), followed by MNP (+2.9 µmol/L; 95%CI: 2.1, 3.6) and FF (+0.9 µmol/L; 95%CI: 0.3, 1.6). There was a significant increase in hemoglobin concentration (+5.5 g/L; 2.5, 8.4) and a significant reduction in anemia prevalence (44.2% to 26.8%, p < 0.01) only in the MNP group. Compliance differed significantly among groups (MNP vs. FF, p = 0.04; MNP vs. syrup, p = 0.04), but may not fully explain the greater improvement in zinc and iron status in the syrup and MNP groups. The food matrix may influence nutrient utilization from supplements.

Indexed as

Anemia, Iron-DeficiencyTrace ElementsChildDietary SupplementsFood, FortifiedHemoglobinsHumansIronMicronutrientsPowdersZincHemoglobinsIronMicronutrientsPowdersTrace ElementsZincfortified foodironmicronutrient powderssyrupzinc

Identifiers

PMID35684031
PMCPMC9183015
OpenAlexW4281788711

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.