Cochrane · systematic review · CD012610

Lipid‐based nutrient supplements for maternal, birth, and infant developmental outcomes

Das, JK, Hoodbhoy, Z, Salam, RA, et al. · Cochrane Database of Systematic Reviews · 2018 · 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
14
current version
GRADE rated
13
No studies
1
Included studies
NR
No studies 1 · 7.1%Ungraded 0 · 0%Very low 0 · 0%Low 0 · 0%Moderate 13 · 92.9%High 0 · 0%

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: lipid‐based nutrient supplements (LNS) versus iron folic acid (IFA)

Population: pregnant women
7 questions
OutcomeEffectEvidenceStatus / GRADE
Gestational weight gain per week (from < 20 weeks gestation till the time of delivery)
Summary of findings: lipid‐based nutrient supplements (LNS) vs iron folic acid (IFA)
no estimate extracted2 studies · 3539 participantsModerate
Downgraded: risk of bias
Maternal anaemia at term or near term (haemoglobin (Hb) less than 110 g/L)
Summary of findings: lipid‐based nutrient supplements (LNS) vs iron folic acid (IFA)
RR 2.35 [1.67, 3.3]1 study · 536 participantsModerate
Downgraded: risk of bias
Maternal mortality (measured at six weeks postpartum)
Summary of findings: lipid‐based nutrient supplements (LNS) vs iron folic acid (IFA)
RR 0.53 [0.12, 2.41]3 studies · 5628 participantsModerate
Downgraded: risk of bias
Low birth weight (< 2500 g)
Summary of findings: lipid‐based nutrient supplements (LNS) vs iron folic acid (IFA)
RR 0.87 [0.72, 1.05]3 studies · 4826 participantsModerate
Downgraded: risk of bias
Length at birth (in cm)
Summary of findings: lipid‐based nutrient supplements (LNS) vs iron folic acid (IFA)
no estimate extracted3 studies · 4986 participantsModerate
Downgraded: risk of bias
Small‐for‐gestational age
Summary of findings: lipid‐based nutrient supplements (LNS) vs iron folic acid (IFA)
RR 0.94 [0.89, 0.99]3 studies · 4823 participantsModerate
Downgraded: risk of bias
Preterm births (births before 37 weeks of gestation)
Summary of findings: lipid‐based nutrient supplements (LNS) vs iron folic acid (IFA)
RR 0.94 [0.8, 1.11]3 studies · 5924 participantsModerate
Downgraded: risk of bias

Summary of findings: lipid‐based nutrient supplements (LNS) versus multiple micronutrients (MMN)

Population: pregnant women
7 questions
OutcomeEffectEvidenceStatus / GRADE
Gestational weight gain per week (from < 20 weeks gestation till the time of delivery)
Summary of findings: lipid‐based nutrient supplements (LNS) vs multiple micronutrients (MMN)
no estimate extracted1 study · 682 participantsModerate
Downgraded: risk of bias
Maternal anaemia at term or near term (haemoglobin (Hb) less than 110 g/L)
Summary of findings: lipid‐based nutrient supplements (LNS) vs multiple micronutrients (MMN)
RR 1.4 [1.07, 1.82]1 study · 557 participantsModerate
Downgraded: risk of bias
Maternal mortality (measured at six weeks postpartum)
Summary of findings: lipid‐based nutrient supplements (LNS) vs multiple micronutrients (MMN)
no estimate extractedNRNo studies
Low birth weight (< 2500 g)
Summary of findings: lipid‐based nutrient supplements (LNS) vs multiple micronutrients (MMN)
RR 0.92 [0.74, 1.14]3 studies · 2404 participantsModerate
Downgraded: risk of bias
Length at birth (in cm)
Summary of findings: lipid‐based nutrient supplements (LNS) vs multiple micronutrients (MMN)
no estimate extracted3 studies · 2567 participantsModerate
Downgraded: risk of bias
Small‐for‐gestational age
Summary of findings: lipid‐based nutrient supplements (LNS) vs multiple micronutrients (MMN)
RR 0.95 [0.84, 1.07]3 studies · 2393 participantsModerate
Downgraded: risk of bias
Preterm births (births before 37 weeks of gestation)
Summary of findings: lipid‐based nutrient supplements (LNS) vs multiple micronutrients (MMN)
RR 1.15 [0.93, 1.42]3 studies · 2393 participantsModerate
Downgraded: risk of bias