Vitamin A Supplementation at Birth Might Prime the Response to Subsequent Vitamin A Supplements in Girls. Three Year Follow-Up of a Randomized Trial Repeated Dosing with Vitamin A
2011

Vitamin A Supplementation at Birth and Its Effects on Girls

Sample size: 4345 publication 10 minutes Evidence: moderate

Author Information

Author(s): Aney Bærent Fisker, Peter Aaby, Amabelia Rodrigues, Morten Frydenberg, Bo Martin Bibby, Christine Stabell Benn

Primary Institution: Bandim Health Project, Indepth Network, Bissau, Guinea-Bissau

Hypothesis

Does neonatal vitamin A supplementation prime the response to subsequent vitamin A supplements in girls?

Conclusion

Neonatal vitamin A supplementation primes the response in girls, leading to lower mortality after subsequent doses.

Supporting Evidence

  • Neonatal vitamin A was associated with lower mortality than placebo.
  • The effect was more pronounced in girls than boys.
  • Children who received both neonatal VAS and FU-VAS had the strongest beneficial effect.

Takeaway

Giving vitamin A to babies might help girls stay healthier when they get more vitamin A later on.

Methodology

A randomized trial comparing neonatal vitamin A supplementation with placebo, followed by a follow-up vitamin A dose at 1 year.

Potential Biases

Selection bias may have occurred due to children not being home for follow-up visits.

Limitations

The study was not originally designed to test the priming hypothesis, which may introduce bias.

Participant Demographics

Children enrolled were normal birth weight infants from Guinea-Bissau.

Statistical Information

P-Value

0.01

Confidence Interval

95%CI: 0.31–0.94

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.1371/journal.pone.0023265

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