Evidence map›Paper›PMID 30307945›Full record

Trial reportPloS one2018

Pre- and post-natal macronutrient supplementation for HIV-positive women in Tanzania: Effects on infant birth weight and HIV transmission.

Albert Magohe, Todd Mackenzie, Josephine Kimario, Zohra Lukmanji, Kristy Hendricks, John Koethe, Nyasule Majura Neke, Susan Tvaroha, Ruth Connor, Richard Waddell and 6 more

Registry-linked trialOpen access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in PloS one, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01461863 (Effects of Protein-calorie Supplementation on HIV Disease in Breastfeeding Women), 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
0.3field-weighted citation impact, top 42% 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.

NCT01461863 nacompletednot on this map

Effects of Protein-calorie Supplementation on HIV Disease in Breastfeeding Women

TypeinterventionalSponsorDartmouth-Hitchcock Medical CenterRan2011 to 2013Enrolled96ConditionsLow Birth WeightArmsPorridge protein calorie supplement, multivitamin
3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 3 citations in OpenAlex.

  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

16 authors at 4 institutions in 3 countries.

Albert MagoheMuhimbili University of Health and Allied Sciences, Dar es Salaam, Tanzania.
Todd MackenzieGeisel School of Medicine at Dartmouth and Dartmouth-Hitchcock Medical Center, Lebanon, NH, United States of America.
Josephine KimarioMuhimbili University of Health and Allied Sciences, Dar es Salaam, Tanzania.
Zohra LukmanjiMuhimbili University of Health and Allied Sciences, Dar es Salaam, Tanzania.
Kristy HendricksGeisel School of Medicine at Dartmouth and Dartmouth-Hitchcock Medical Center, Lebanon, NH, United States of America.
John KoetheVanderbilt University School of Medicine, Nashville, TN, United States of America.
Nyasule Majura NekeMuhimbili University of Health and Allied Sciences, Dar es Salaam, Tanzania.
Susan TvarohaGeisel School of Medicine at Dartmouth and Dartmouth-Hitchcock Medical Center, Lebanon, NH, United States of America.
Ruth ConnorGeisel School of Medicine at Dartmouth and Dartmouth-Hitchcock Medical Center, Lebanon, NH, United States of America.
Richard WaddellGeisel School of Medicine at Dartmouth and Dartmouth-Hitchcock Medical Center, Lebanon, NH, United States of America.
Isaac MaroTokyo Medical and Dental University, Tokyo, Japan.
Mecky MateeMuhimbili University of Health and Allied Sciences, Dar es Salaam, Tanzania.
Kisali PallangyoMuhimbili University of Health and Allied Sciences, Dar es Salaam, Tanzania.
Muhammad BakariMuhimbili University of Health and Allied Sciences, Dar es Salaam, Tanzania.
C Fordham von ReynGeisel School of Medicine at Dartmouth and Dartmouth-Hitchcock Medical Center, Lebanon, NH, United States of America.
DarDar-2 Study Team
Muhimbili University of Health and Allied Sciences · TZDartmouth–Hitchcock Medical Center · USTokyo Medical and Dental University · JPVanderbilt University · US

Funding

Dartmouth/Boston University AITRPD43TW006807 · FIC · DARTMOUTH COLLEGE · PI VON REYN, CHARLES FORDHAM · 2003 to 2013
$4.6M
Effects of protein-calorie supplementation on HIV disease in breastfeeding womenR01HD057614 · NICHD · DARTMOUTH COLLEGE · PI VON REYN, CHARLES FORDHAM · 2009 to 2013
$1.7M
FIC NIH HHS D43 TW006807NICHD NIH HHS R01 HD057614
6 · The paper itself

Abstract

objectiveTo determine if a protein-calorie supplement (PCS) plus a micronutrient supplement (MNS) improves outcomes for HIV-infected lactating women and their infants.

designRandomized, controlled trial.

settingDar es Salaam, Tanzania. SUBJECTS,

participantsPregnant HIV-infected women enrolled in PMTCT programs who intended to breastfeed for 6 months.

interventionRandomization 1:1 to administration of a PCS plus MNS versus MNS alone among 96 eligible women beginning in the third trimester and continuing for 6 months of breast-feeding. MAIN OUTCOME MEASURE(S): Primary: infant weight at 3 months. Secondary: maternal BMI at 6 months.

resultsPCS resulted in significant increases in daily energy intake compared to MNS at all time points (range of differences: +388-719 Kcal); and increases in daily protein intake (range of differences: +22-33 gm). Infant birth weight (excluding twins) was higher in the PCS than MNS groups: 3.30 kg vs 3.04 kg (p = 0.04). Infant weight at 3 months did not differ between PCS and MNS groups: 5.63 kg vs 5.99 kg (p = 0.07). Maternal BMI at 6 months did not differ between PCS and MNS groups: 24.3 vs 23.8 kg/m2 (p = 0.68). HIV transmission occurred in 0 infants in the PCS group vs 4 in the MNS group (p = 0.03).

conclusionsIn comparison to MNS the PCS + MNS intervention was well tolerated, increased maternal energy and protein intake, and increased infant birth weight, but not weight at 3 months or maternal BMI at 6 months. Reduced infant HIV transmission in the PCS + MNS group was observed.

trial registrationClinical Trials.Gov NCT01461863.

Indexed as

Breast FeedingDietary SupplementsLactationAdultAnti-HIV AgentsBirth WeightFemaleHIV InfectionsHIV SeropositivityHumansInfant, NewbornInfectious Disease Transmission, VerticalNutrientsPregnancyPregnancy Complications, InfectiousPrenatal CareAnti-HIV AgentsNutrients

Identifiers

PMID30307945
PMCPMC6181269
OpenAlexW2896651217

What Socratic 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 Socratic graph.