Evidence map›Paper›PMID 39490799›Full record

Trial reportThe Journal of nutrition2025

A Randomized Crossover Trial of Acceptability of Quadruple-Fortified Salt in Women and their Households in Southern India.

Heather M Guetterman, Kripa Rajagopalan, Allison M Fox, Christina B Johnson, Amy Fothergill, Nisha George, Jesse T Krisher, Jere D Haas, Saurabh Mehta, Jennifer L Williams and 2 more

Registry-linked trialAbstract readRandomized Controlled Trial
In one paragraph

Trial report in The Journal of nutrition, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03853304 (A Randomized Trial of Quadruple Fortified Salt for Anemia and Birth Defects Prevention in Southern India), which is not on this map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–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.

NCT03853304 naunknown statusnot on this map

A Randomized Trial of Quadruple Fortified Salt for Anemia and Birth Defects Prevention in Southern India

TypeinterventionalSponsorCornell UniversityRan2023 to 2024Enrolled1,000ConditionsAnemia, Folate Deficiency, Vitamin B 12 DeficiencyArms+ Folic acid, + Vitamin B12, DFS
3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. 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

12 authors.

Heather M GuettermanDivision of Nutritional Sciences, Cornell University, Ithaca, NY, United States.
Kripa RajagopalanDivision of Nutritional Sciences, Cornell University, Ithaca, NY, United States.
Allison M FoxDivision of Nutritional Sciences, Cornell University, Ithaca, NY, United States.
Christina B JohnsonArogyavaram Medical Center, Andhra Pradesh, India.
Amy FothergillDivision of Nutritional Sciences, Cornell University, Ithaca, NY, United States; National Center on Birth Defects and Developmental Disabilities, Centers for Disease Control and Prevention, Atlanta, GA, United States.
Nisha GeorgeArogyavaram Medical Center, Andhra Pradesh, India.
Jesse T KrisherDivision of Nutritional Sciences, Cornell University, Ithaca, NY, United States.
Jere D HaasDivision of Nutritional Sciences, Cornell University, Ithaca, NY, United States.
Saurabh MehtaDivision of Nutritional Sciences, Cornell University, Ithaca, NY, United States; Joan Klein Jacobs Center for Precision Nutrition and Health, Cornell University, Ithaca, NY, United States; Division of Epidemiology, Department of Population Health Sciences, Weill Cornell Medicine, New York, NY, United States; Division of Nutrition, St. John's Research Institute, Bengaluru, Karnataka, India.
Jennifer L WilliamsNational Center on Birth Defects and Developmental Disabilities, Centers for Disease Control and Prevention, Atlanta, GA, United States.
Krista S CriderNational Center on Birth Defects and Developmental Disabilities, Centers for Disease Control and Prevention, Atlanta, GA, United States.
Julia L FinkelsteinDivision of Nutritional Sciences, Cornell University, Ithaca, NY, United States; Joan Klein Jacobs Center for Precision Nutrition and Health, Cornell University, Ithaca, NY, United States; Division of Epidemiology, Department of Population Health Sciences, Weill Cornell Medicine, New York, NY, United States; Division of Nutrition, St. John's Research Institute, Bengaluru, Karnataka, India. Electronic address: jfinkelstein@cornell.edu.

Funding

Coordinating Center for Research to Promote the Health of Children with Birth Defects and People with Developmental and Other DisabilitiesU19DD001218 · DD · UNIVERSITY OF SOUTH CAROLINA AT COLUMBIA · PI CAI, BO, CARLIN, ROBERTA · 2017 to 2021
$7.4M
NUTRITION TRAININGT32DK007158 · NIDDK · CORNELL UNIVERSITY ITHACA · PI PATRICIA A CASSANO, Julia L. Finkelstein · 1986 to 2026
$7.4M
TRAINING IN MATERNAL AND CHILD NUTRITIONT32HD087137 · NICHD · CORNELL UNIVERSITY · PI Laura Bellows, Julia L. Finkelstein · 2016 to 2026
$2.0M
TRAINING IN MATERNAL AND CHILD NUTRITIONT32HD007331 · NICHD · CORNELL UNIVERSITY ITHACA · PI RASMUSSEN, KATHLEEN M · 1987 to 2013
$1.3M
Intramural CDC HHS CC999999NCBDD CDC HHS U19 DD001218NICHD NIH HHS T32 HD007331NICHD NIH HHS T32 HD087137NIDDK NIH HHS T32 DK007158
6 · The paper itself

Abstract

backgroundDouble-fortified salt (DFS; iron, iodine) improved iron status in randomized trials and was incorporated into India's social safety net programs, suggesting opportunities to address other micronutrient deficiencies.

objectivesTo evaluate the acceptability of quadruple-fortified salt (QFS; iron, iodine, folic acid, and vitamin B

methodsWomen 18-49 y (n = 77) and their households were randomly assigned to receive QFS or DFS in a randomized crossover design over a 3-wk period (week 1: QFS/DFS, week 2: iodized salt, week 3: DFS/QFS). Each week, participants completed a 9-point hedonic questionnaire (1 = dislike extremely to 9 = like extremely) to evaluate 5 sensory domains (color, odor, taste, texture, and overall acceptability) of the intervention, and the remaining salt was weighed using a digital scale. Triangle tests were conducted among women to evaluate sensory discrimination of salt consumed in rice dishes prepared using standardized recipes. Mixed models were used to examine hedonic ratings and salt use; salt type, sequence, and period were included as fixed effects, and household was included as a random effect. Binomial tests were used to evaluate sensory discrimination of salt type in triangle tests.

resultsMean hedonic ratings for most of the 5 sensory domains were ≥7 (like moderately) and did not differ by salt type [overall acceptability mean (SD): QFS: 7.8 (0.7) compared with DFS: 7.7 (1.2); P = 0.68]. Household salt use (weighed) did not differ by salt type. During the 3-wk intervention period, weighed salt use and hedonic ratings significantly increased, indicating a period effect independent of salt type or sequence. In triangle tests, rice samples prepared with QFS, DFS, or iodized salt were not distinguishable.

conclusionsAcceptability of QFS was high, based on individual hedonic ratings and weighed household salt use. Rice dishes prepared with DFS, QFS, and iodized salt were not distinguishable. Findings informed the design of a randomized trial of QFS in this population. This trial was registered at clinicaltrials.gov as NCT03853304 and CTRI/2024/04/066208.

Indexed as

Food, FortifiedSodium Chloride, DietaryAdolescentAdultCross-Over StudiesFamily CharacteristicsFemaleFolic AcidHumansIndiaIodineIron, DietaryMiddle AgedSurveys and QuestionnairesVitamin B 12Young AdultFolic AcidIodineiodized saltIron, DietarySodium Chloride, DietaryVitamin B 12acceptabilityfolic acidfortificationIndiapericonceptionaltrialvitamin B(12)

Identifiers

PMID39490799
PMCPMC11795687

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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.