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. 2016 Sep 16;2016(9):CD009999. doi: 10.1002/14651858.CD009999.pub2

Markestad 1997.

Methods Randomised, double‐blind, cross‐over trial
Participants Sample size: 20 consecutive infants; 1 infant was excluded because of organic disease
Setting: recruited from public healthcare clinics
Sex: 13 boys, 6 girls
Mean age: 7.3 (SD 3.4) weeks; range not reported
Mean weight: 3502 (SD 570) grams
Mean duration of colic: 5.2 (SD 3.0) weeks
Mean crying: 5.7 (SD 2.6) hours
Feeding: breast fed (17 purely breast fed, 2 partially breast fed)
Birth order: not reported
 Inclusion criteria:
  • Colic was defined as crying for a minimum of 3 hours per day 3 days a week for the past 3 weeks.

  • Infants were between 3 weeks and 3 months old.


Exclusion criteria: not specified
Interventions Intervention (19 infants): sucrose, 12% solution in distilled water
Placebo (19 infants): distilled water
Administration: One bottle containing sucrose and 1 containing placebo were arranged in numbered pairs. Parents received oral and written instructions to give 2 mL of the distributed solution by syringe over 30 to 60 seconds, while holding the infant in their arms, when the infant continued to cry after attempts of consoling by feeding, by changing the nappy or by carrying had failed. Repeat visits were scheduled 3 to 4 and 6 to 8 days after the first visit, and a telephone interview was conducted 3 to 4 days after the last visit. On each visit, the bottle was returned, and the other of the pair was distributed.
Duration of study: 8 days
Washout period: no information
Outcomes The infant was examined clinically at repeated visits, and on each contact (visit or telephone contact), the parent described the effect of the last treatment on a 5‐point scale: ‘getting worse’ to ‘no improvement’, ‘some improvement’, ‘marked improvement’, and ‘complete stop of crying after each dose’.
Notes Country: Norway
Funding source: Study authors did not report whether the study had received support.
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Unclear risk Comment: Study authors did not describe the randomisation method.
Quote: "each infant was randomised to a number and which of the pair of bottles to be tried first by two separate draws using the sealed envelope technique".
Allocation concealment (selection bias) Unclear risk Comment: sealed envelope technique; not reported whether the envelopes were opaque.
Blinding of participants and personnel (performance bias) 
 All outcomes Low risk Comment: Sucrose as a 12% solution in distilled water and placebo as distilled water were prepared by a pharmacist, who also arranged and kept the coding, and distributed treatment in identical coloured glass bottles.
Blinding of outcome assessment (detection bias) 
 All outcomes Low risk Comment: Only the pharmacist knew which material the child had received.
Incomplete outcome data (attrition bias) 
 All outcomes Low risk Comment: 19 infants completed the study and were analysed.
Selective reporting (reporting bias) High risk Comment: Study authors did not report results by study period.
Other bias Unclear risk Comment: No information about washout period was reported.