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Evidence found and GRADE certainty

46 questions · 46 findings · 5 reviews · Public Health

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No studies found 13 · 28.3%GRADE not reported 0 · 0%Very low 20 · 43.5%Low 12 · 26.1%Moderate 1 · 2.2%High 0 · 0%

Staple foods fortified with vitamin A vs same unfortified staple foods

Subclinical vitamin A deficiency (serum/plasma retinol 70 μmol/L or less) · general population over 2 years of age

It is very uncertain whether staple foods fortified with vitamin A changes subclinical vitamin A deficiency (serum/plasma retinol 70 μmol/L or… compared with same unfortified staple foods (very low certainty).

1 finding from 1 review

Staple foods fortified with vitamin A vs same unfortified staple foods

Clinical vitamin A deficiency (as defined by night blindness) · general population over 2 years of age

It is very uncertain whether staple foods fortified with vitamin A changes clinical vitamin A deficiency (defined as night blindness) compared with same unfortified staple foods (very low certainty).

1 finding from 1 review

Staple food fortified with vitamin A plus other micronutrients vs no intervention

Subclinical vitamin A deficiency (serum/plasma retinol 0.70 μmol/L or less) · general population over 2 years of age

It is very uncertain whether staple food fortified with vitamin A plus other micronutrients changes subclinical vitamin A deficiency (serum/plasma retinol 0.70 μmol/L… compared with no intervention (very low certainty).

1 finding from 1 review

Staple food fortified with vitamin A plus other micronutrients vs same unfortified staple foods

Subclinical vitamin A deficiency (serum/plasma retinol 0.70 μmol/L or less) · general population over 2 years of age

Staple foods fortified with vitamin A plus other micronutrients probably leads to lower subclinical vitamin A deficiency (serum/plasma retinol 0.70 μmol/L… compared with same unfortified staple foods (moderate certainty).

1 finding from 1 review

Wheat flour or wheat flour products fortified with folic acid plus other vitamins and minerals vs unfortified wheat flours or wheat flour products (not containing folic acid nor any other vitamins and minerals)

Spina bifida · health: non‐randomised studies

It is very uncertain whether wheat flour or wheat flour products fortified with folic acid plus… changes spina bifida compared with unfortified wheat flours or wheat flour products (not containing… (very low certainty).

1 finding from 1 review

Wheat flour or wheat flour products fortified with folic acid plus other vitamins and minerals vs unfortified wheat flours or wheat flour products (not containing folic acid nor any other vitamins and minerals)

Encephalocoele · health: non‐randomised studies

It is very uncertain whether wheat flour or wheat flour products fortified with folic acid plus… changes encephalocoele compared with unfortified wheat flours or wheat flour products (not containing… (very low certainty).

1 finding from 1 review

Wheat flour or wheat flour products fortified with folic acid plus other vitamins and minerals vs unfortified wheat flours or wheat flour products (not containing folic acid nor any other vitamins and minerals)

Fatal anencephaly · health: non‐randomised studies

It is very uncertain whether wheat flour or wheat flour products fortified with folic acid plus… changes fatal anencephaly compared with unfortified wheat flours or wheat flour products (not containing… (very low certainty).

1 finding from 1 review

Wheat flour or wheat flour products fortified with folic acid plus other vitamins and minerals vs unfortified wheat flours or wheat flour products (not containing folic acid nor any other vitamins and minerals)

Folate concentration Serum folate levels, measured between 6 and 12 months after entry to the study · health: non‐randomised studies
1 finding from 1 review

Wheat flour or wheat flour products fortified with folic acid plus other vitamins and minerals vs unfortified wheat flours or wheat flour products (not containing folic acid nor any other vitamins and minerals)

Anaemia · health: non‐randomised studies

It is very uncertain whether wheat flour or wheat flour products fortified with folic acid plus… changes anaemia compared with unfortified wheat flours or wheat flour products (not containing… (very low certainty).

1 finding from 1 review

Wheat flour or wheat flour products fortified with folic acid plus other vitamins and minerals vs unfortified wheat flours or wheat flour products (not containing folic acid nor any other vitamins and minerals)

Anaemia · health outcomes

Wheat flour or wheat flour products fortified with folic acid plus… showed no clear difference in anaemia compared with unfortified wheat flours or wheat flour products (not containing… (low certainty).

1 finding from 1 review

Wheat flour or wheat flour products fortified with folic acid plus other vitamins and minerals vs unfortified wheat flours or wheat flour products (not containing folic acid nor any other vitamins and minerals)

Neural tube defects (All) · health: non‐randomised studies

It is very uncertain whether wheat flour or wheat flour products fortified with folic acid plus… changes neural tube defects (spina bifida, encephalocoele, anencephaly‐fatal… compared with unfortified wheat flours or wheat flour products (not containing… (very low certainty).

1 finding from 1 review