Cochrane · systematic review · CD009584

Specially formulated foods for treating children with moderate acute malnutrition in low‐ and middle‐income countries

Lazzerini, M, Rubert, L, Pani, P · Cochrane Database of Systematic Reviews · 2013 · Cochrane Library

SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
23
current version
GRADE rated
23
No studies
0
Included studies
NR
No studies 0 · 0%Ungraded 0 · 0%Very low 1 · 4.3%Low 4 · 17.4%Moderate 13 · 56.5%High 5 · 21.7%

Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.

Questions and results

Summary of findings: Specially formulated foods vs Standard care

Population: children with MAM
7 questions
OutcomeEffectEvidenceStatus / GRADE
Recovered
Summary of findings: Specially formulated foods vs Standard care
RR 1.29 [1.2, 1.38]2 studies · 2152 participantsModerate
Downgraded: risk of bias, imprecision, indirectness
Not recovered
Summary of findings: Specially formulated foods vs Standard care
RR 0.97 [0.74, 1.27]1 study · 1974 participantsLow
Downgraded: risk of bias, imprecision, indirectness
Defaulted
Summary of findings: Specially formulated foods vs Standard care
RR 0.3 [0.22, 0.39]1 study · 1974 participantsModerate
Downgraded: risk of bias, imprecision, indirectness
Weight gain, total
Summary of findings: Specially formulated foods vs Standard care
no estimate extracted1 study · 178 participantsLow
Downgraded: risk of bias, imprecision, indirectness
WHZ final
Summary of findings: Specially formulated foods vs Standard care
no estimate extracted2 studies · 1546 participantsModerate
Downgraded: risk of bias, imprecision, indirectness
MUAC gain
Summary of findings: Specially formulated foods vs Standard care
no estimate extracted1 study · 178 participantsVery low
Downgraded: risk of bias, imprecision, indirectness
HAZ final
Summary of findings: Specially formulated foods vs Standard care
no estimate extracted2 studies · 1546 participantsLow
Downgraded: risk of bias, imprecision, indirectness

Summary of findings: Lipid‐based nutrient supplements (full dose) vs Blended foods (full dose)

Population: children with MAM
9 questions
OutcomeEffectEvidenceStatus / GRADE
Recovered
Summary of findings: Lipid‐based nutrient supplements (full dose) vs Blended foods (full dose)
RR 1.1 [1.04, 1.16]5 studies · 6367 participantsModerate
Downgraded: imprecision, inconsistency, indirectness
Not recovered
Summary of findings: Lipid‐based nutrient supplements (full dose) vs Blended foods (full dose)
RR 0.53 [0.4, 0.69]3 studies · 4537 participantsHigh
Progression to SAM
Summary of findings: Lipid‐based nutrient supplements (full dose) vs Blended foods (full dose)
RR 0.88 [0.72, 1.07]3 studies · 4537 participantsHigh
Died
Summary of findings: Lipid‐based nutrient supplements (full dose) vs Blended foods (full dose)
RR 0.93 [0.54, 1.62]5 studies · 6367 participantsModerate
Downgraded: imprecision, inconsistency, indirectness
Defaulted
Summary of findings: Lipid‐based nutrient supplements (full dose) vs Blended foods (full dose)
RR 1.14 [0.62, 2.11]4 studies · 5107 participantsModerate
Downgraded: imprecision, inconsistency, indirectness
Weight gain, daily
Summary of findings: Lipid‐based nutrient supplements (full dose) vs Blended foods (full dose)
no estimate extracted3 studies · 3223 participantsModerate
Downgraded: imprecision, inconsistency, indirectness
WHZ gain
Summary of findings: Lipid‐based nutrient supplements (full dose) vs Blended foods (full dose)
no estimate extracted2 studies · 3631 participantsModerate
Downgraded: imprecision, inconsistency, indirectness
MUAC gain
Summary of findings: Lipid‐based nutrient supplements (full dose) vs Blended foods (full dose)
no estimate extracted3 studies · 3550 participantsModerate
Downgraded: imprecision, inconsistency, indirectness
Vomiting
Summary of findings: Lipid‐based nutrient supplements (full dose) vs Blended foods (full dose)
RR 1.43 [1.11, 1.85]1 study · 2712 participantsLow
Downgraded: imprecision, inconsistency, indirectness

Summary of findings: Lipid‐based nutrient supplements vs CSB++

Population: children with MAM
7 questions
OutcomeEffectEvidenceStatus / GRADE
Recovered
Summary of findings: Lipid‐based nutrient supplements vs CSB++
RR 1.04 [0.99, 1.09]3 studies · 4758 participantsModerate
Downgraded: inconsistency
Progression to SAM
Summary of findings: Lipid‐based nutrient supplements vs CSB++
RR 0.84 [0.69, 1.02]2 studies · 4081 participantsHigh
Defaulted
Summary of findings: Lipid‐based nutrient supplements vs CSB++
RR 1.27 [0.75, 2.16]2 studies · 4081 participantsHigh
Weight gain
Summary of findings: Lipid‐based nutrient supplements vs CSB++
no estimate extracted2 studies · 3389 participantsModerate
Downgraded: inconsistency
WHZ gain
Summary of findings: Lipid‐based nutrient supplements vs CSB++
no estimate extracted3 studies · 3048 participantsModerate
Downgraded: inconsistency
MUAC gain
Summary of findings: Lipid‐based nutrient supplements vs CSB++
no estimate extracted2 studies · 3730 participantsModerate
Downgraded: inconsistency
Height gain
Summary of findings: Lipid‐based nutrient supplements vs CSB++
no estimate extracted2 studies · 3730 participantsHigh