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. 2011 Apr 13;11(Suppl 3):S23. doi: 10.1186/1471-2458-11-S3-S23

Table 1.

Quality assessment of overall evidence for effect of zinc supplementation (alone) in reducing morbidity and mortality in children > 5 years of age in developing countries

No of studies (ref) Study Design Limitations Consistency Generalizability to Population of Interest Generalizability to intervention of interest Relative Risk (95% CI)
Outcome: All-cause mortality: Quality of evidence: Low

7 RCTs Sequence generation and allocation concealment was unclear in few of the included studies I2= 50% Yes (all studies were conducted in developing countries) The median dose of supplementation was 10 mg/day and median duration of supplementation was for 6 months. 0.91 (0.82-1.01)

Outcome: Diarrhea specific mortality: Quality of evidence: Low

4 RCTs Allocation concealment was unclear in two of the included studies I2=0% Yes (all studies were conducted in developing countries) The median dose of supplementation was 10 mg/day and median duration of supplementation was for 6 months. 0.82 (0.64-1.05)

Outcome: Diarrhea specific morbidity: Quality of evidence: Moderate

14 RCTs Sequence generation and allocation concealment was unclear in few of the included studies I2=79% Yes (all studies were conducted in developing countries) The median dose of supplementation was 10 mg/day and median duration of supplementation was for 6 months. 0.87 (0.81-0.94)

Outcome: Pneumonia specific mortality: Quality of evidence: Low

4 RCTs Allocation concealment was unclear in two of the included studies I2= 39% Yes (all studies were conducted in developing countries) The median dose of supplementation was 10 mg/day and median duration of supplementation was for 6 months. 0.85 (0.65-1.11)

Outcome: Pneumonia specific morbidity: Quality of evidence: Moderate

6 RCTs Sequence generation and allocation concealment was unclear in few of the included studies I2=0% Yes (all studies were conducted in developing countries) The median dose of supplementation was 10 mg/day and median duration of supplementation was for 6 months. 0.81 (0.73-0.90)

Outcome: Malaria specific mortality: Quality of evidence: Low

1 RCT None NA Study conducted in Zanzibar Dose of supplementation was 10 mg/dl for children > 1 year and 5mg/day for children < 1 years. 0.90 (0.77-1.06)

Outcome: Malaria specific morbidity: Quality of evidence: Low

4 RCTs Allocation concealment was unclear in two of the included studies I2=0% Yes (all studies were conducted in developing countries) The median dose of supplementation was 10 mg/day and median duration of supplementation was for 6 months. 0.92 (0.82-1.04)