Evidence map›Paper›PMID 36068647›Full record

ArticleBMC nutrition2022

Quintuply-fortified salt for the improvement of micronutrient status among women of reproductive age and preschool-aged children in Punjab, India: protocol for a randomized, controlled, community-based trial.

Christine M McDonald, Kenneth H Brown, Yvonne E Goh, Mari S Manger, Charles D Arnold, Nancy F Krebs, Jamie Westcott, Julie M Long, Rosalind S Gibson, Manu Jamwal and 5 more

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in BMC nutrition, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05166980 (Study of Multiply-fortified Salt Among Women of Reproductive Age and Preschool Children in India), which is not on this map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
1.6field-weighted citation impact, top 19% 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.

NCT05166980 nacompletednot on this map

Study of Multiply-fortified Salt Among Women of Reproductive Age and Preschool Children in India

TypeinterventionalSponsorUniversity of California, San FranciscoRan2022 to 2024Enrolled1,389ConditionsNutrient DeficiencyArmsMutiply-fortified salt, Iodized salt
3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 14 citations in OpenAlex.

  1. Trial
  2. Article
  3. Article
  4. Article
  5. Review
  6. Article
  7. India's tryst with salt: Dandi march to low sodium salts.The Indian journal of medical research · 2023
    Review
  8. 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

15 authors at 6 institutions in 3 countries.

Christine M McDonaldDepartments of Pediatrics, and Epidemiology and Biostatistics, University of California, San Francisco, CA, USA. christine.mcdonald@ucsf.edu.ORCID http://orcid.org/0000-0003-1231-9003
Kenneth H BrownDepartment of Nutrition, and Institute for Global Nutrition, University of California, Davis, CA, USA.
Yvonne E GohDepartments of Pediatrics, and Epidemiology and Biostatistics, University of California, San Francisco, CA, USA.
Mari S MangerDepartments of Pediatrics, and Epidemiology and Biostatistics, University of California, San Francisco, CA, USA.
Charles D ArnoldDepartment of Nutrition, and Institute for Global Nutrition, University of California, Davis, CA, USA.
Nancy F KrebsInternational Zinc Nutrition Consultative Group, Oakland, CA, USA.
Jamie WestcottUniversity of Colorado School of Medicine, Aurora, CO, USA.
Julie M LongUniversity of Colorado School of Medicine, Aurora, CO, USA.
Rosalind S GibsonDepartment of Human Nutrition, University of Otago, Dunedin, New Zealand.
Manu JamwalPostgraduate Institute of Medical Education and Research, Chandigarh, India.
Bidhi L SinghPostgraduate Institute of Medical Education and Research, Chandigarh, India.
Neha DahiyaPostgraduate Institute of Medical Education and Research, Chandigarh, India.
Deepmala BudhijaPostgraduate Institute of Medical Education and Research, Chandigarh, India.
Reena DasPostgraduate Institute of Medical Education and Research, Chandigarh, India.
Mona DuggalPostgraduate Institute of Medical Education and Research, Chandigarh, India.
Post Graduate Institute of Medical Education and Research · INUniversity of California, San Francisco · USUniversity of Colorado Denver · USUniversity of California, Davis · USIndian Council of Medical Research · INUniversity of Otago · NZ

Funding

Thrasher Research Fund 15463
6 · The paper itself

Abstract

backgroundMultiple micronutrient (MN) deficiencies remain highly prevalent among women of reproductive age (WRA) and preschool-aged children (PSC) in many areas within India. Salt is an attractive vehicle for MN fortification in this context, as it is universally consumed in fairly consistent amounts and coverage of iodized salt (IS) is 94%. The overall objective of this trial is to evaluate the nutritional impact of quintuply-fortified salt with iron in the form of encapsulated ferrous fumarate, zinc, vitamin B12, folic acid, and iodine (eFF-Q5S) vs. quintuply-fortified salt with iron in the form of ferric pyrophosphate plus EDTA, zinc, vitamin B12, folic acid, and iodine (FePP-Q5S) vs. IS for the improvement of MN status among non-pregnant WRA and PSC.

methodsThe study is a community-based, randomized, controlled trial that will be conducted in Punjab, India. 780 non-pregnant WRA 18-49 years old and 468 PSC 12-59 months old will be enrolled and assigned to one of three intervention groups. Salt will be provided to participants monthly for 12 months. Primary outcomes include changes in mean concentration of biomarkers of iron, zinc, vitamin B12, folate and iodine. Secondary outcomes include changes in the composition of the gut microbiome, and discretionary salt intake of PSC. DISCUSSION: If proven efficacious, multiply-fortified salt (MFS) has the potential to drastically reduce the burden of MN deficiencies in India, and around the world. Although effectiveness research will be needed to examine the impact of MFS under programmatic conditions, salt fortification will piggy-back on existing platforms to produce IS and doubly-fortified salt (DFS), making it possible to scale-up the intervention quickly.

trial registrationClinicaltrials.gov: NCT05166980; date of registration: December 22, 2021. Clinical Trials Registry-India: CTRI/2022/040332 and CTRI/2022/02/040333; date of registration: February 15, 2022.

Indexed as

FortificationMicronutrientsSaltUndernutrition

Identifiers

PMID36068647
PMCPMC9450288
OpenAlexW4294786241

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.