Evidence map›Paper›PMID 41554627›Full record

ArticleArchives of disease in childhood. Fetal and neonatal edition2026

Effect of enteral arachidonic acid and docosahexaenoic acid supplementation on brain volumes at term in preterm infants: a secondary outcome analysis of a randomised controlled trial.

William Hellström, Pia Lundgren, Anders K Nilsson, Staffan Nilsson, Anna-Lena Hård, Ulrika Sjöbom, Chatarina Löfqvist, Isabella M Björkman-Burtscher, Dirk Wackernagel, Ingrid Hansen-Pupp and 6 more

Registry-linked trialAbstract read
In one paragraph

Article in Archives of disease in childhood. Fetal and neonatal edition, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03201588 (A Randomized Intervention, Multi-Center Study to Determine the Role of Fatty Acids in Serum in Preventing Retinopathy of Prematurity), which is not on this map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing 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.

NCT03201588 nacompletednot on this map

A Randomized Intervention, Multi-Center Study to Determine the Role of Fatty Acids in Serum in Preventing Retinopathy of Prematurity (MDM)

TypeinterventionalSponsorGöteborg UniversityRan2016 to 2019Enrolled210ConditionsOphthalmological DisorderArmsFormulaid
3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

16 authors.

William HellströmInstitute of Clinical Sciences, Department of Pediatrics, University of Gothenburg, Sahlgrenska Academy, Gothenburg, Sweden william.hellstrom@gu.se.ORCID http://orcid.org/0000-0001-6669-260X
Pia LundgrenSection for Ophthalmology, Institute of Neuroscience and Physiology, Sahlgrenska Academy at University of Gothenburg, Gothenburg, Sweden.ORCID http://orcid.org/0000-0002-7731-1988
Anders K NilssonSection for Ophthalmology, Institute of Neuroscience and Physiology, Sahlgrenska Academy at University of Gothenburg, Gothenburg, Sweden.ORCID http://orcid.org/0000-0003-3631-0783
Staffan NilssonInstitute of Biomedicine, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
Anna-Lena HårdSection for Ophthalmology, Institute of Neuroscience and Physiology, Sahlgrenska Academy at University of Gothenburg, Gothenburg, Sweden.
Ulrika SjöbomSection for Ophthalmology, Institute of Neuroscience and Physiology, Sahlgrenska Academy at University of Gothenburg, Gothenburg, Sweden.
Chatarina LöfqvistSection for Ophthalmology, Institute of Neuroscience and Physiology, Sahlgrenska Academy at University of Gothenburg, Gothenburg, Sweden.
Isabella M Björkman-BurtscherDepartment of Radiology, Institute of Clinical Sciences, Sahlgrenska Academy, University of Gothenburg and Sahlgrenska University Hospital, Gothenburg, Sweden.
Dirk WackernagelDepartment of Clinical Science, Intervention and Technology (CLINTEC), Karolinska Institutet, Stockholm, Sweden.
Ingrid Hansen-PuppDepartment of Clinical Sciences, Lund, Pediatrics, Lund University, and Skåne University Hospital, Lund, Sweden.ORCID http://orcid.org/0000-0003-3573-3311
Lois Eh SmithThe Department of Ophthalmology, Boston Children's Hospital, Harvard Medical School, Boston, Massachusetts, USA.
Boubou HallbergSahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
Karin SävmanRegion Västra Götaland, Dept of Neonatology, The Queen Silvia Children's Hospital, Sahlgrenska University Hospital, Gothenburg, Sweden.
David LeyDepartment of Clinical Sciences, Lund, Pediatrics, Lund University, and Skåne University Hospital, Lund, Sweden.ORCID http://orcid.org/0000-0002-7498-6883
Ann HellströmSection for Ophthalmology, Institute of Neuroscience and Physiology, Sahlgrenska Academy at University of Gothenburg, Gothenburg, Sweden.ORCID http://orcid.org/0000-0002-9259-1244
Rolf A HeckemannDepartment of Medical Radiation Sciences, Clinical Sciences, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveInvestigate whether enteral supplementation with arachidonic acid (AA) and docosahexaenoic acid (DHA), from birth to term-equivalent age (TEA), promotes brain maturation as a prespecified secondary outcome of a multicentre randomised controlled trial.

participants206 infants born at 22-28 weeks gestational age (GA) were randomised into intervention or control groups from three university hospitals in Sweden.

interventionThe intervention group received an oil with AA (100 mg/kg/d) and DHA (50 mg/kg/d) starting at birth until 40 weeks postmenstrual age (PMA) in addition to standard nutrition. Standard-of-care infants received standard nutrition according to national guidelines. MAIN OUTCOME AND MEASURES: MRI volumetrics were defined

resultsMRI data in 117 infants had sufficient quality for inclusion (n=58 intervention). Birth weight, GA at birth, sex distribution, and PMA at MRI were similar in the groups. Infants receiving intervention had significantly larger white-matter volume at TEA, as compared with standard of care, in models adjusted for GA at birth, sex, study centre and PMA at MRI (β=6.8 cm CONCLUSION AND RELEVANCE: Our findings in this hypothesis-generating study suggest that AA+DHA promotes white matter growth, which may protect the developing brain in this vulnerable population. TRIAL REGISTRATION NUMBER: NCT03201588.

Indexed as

Infant DevelopmentMagnetic Resonance ImagingNeonatologyTherapeutics

Identifiers

PMID41554627
PMCPMC13422067

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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.