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. 2016 Dec 20;2016(12):CD009840. doi: 10.1002/14651858.CD009840.pub2

Mathey 2001b.

Methods Parallel randomised controlled clinical trial
Randomisation ratio: 1:1
Superiority design
Participants 67 elderly care home residents; mean age intervention 84.6 (SD 6.1) years; control 83 (SD 5.5) years; 54 female: 13 male
Inclusion criteria: > 65 years, resided in care home > 3 months and consuming cooked meal provided by care home kitchen at least 5 days/week
Exclusion criteria: dementia, hospitalised, depression; in terminal phase; allergy to MSG
Diagnostic criteria: not specified
Interventions Four flavour powders to enhance the cooked meal (chicken, beef, turkey or lemon) using 1 (+ 0.2) g flavour powder
Number of trial centres: 1
Treatment before trial: not stated
Outcomes Outcomes reported in abstract of publication: body weight, energy intake and hunger
Study details Run‐in period: one
Was trial terminated early: no
Publication details Language of publication: English
Funding: commercial funding ‐ flavours donated by IFF BV; funding from Friesland Coberco Research and the Suikerstichting
Publication status: peer review journal
Stated aim for study Quote from publication: "To determine whether the addition of flavour enhancers to the cooked meals over 16 weeks would lead to an increase in food consumption and thereby provide nutritional benefits to elderly nursing home residents"
Notes
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Unclear risk Quote from paper: "subjects were randomly assigned to be in the control group ..or the flavour group.."
Comment: insufficient detail of the method provided
Allocation concealment (selection bias) Unclear risk Comment: not described
Blinding of participants and personnel (performance bias) 
 All outcomes Unclear risk Comment: not described
Blinding of outcome assessment (detection bias) 
 All outcomes Unclear risk Comment: not described
Incomplete outcome data (attrition bias) 
 All outcomes Low risk Comment: all dropouts fully accounted for
Selective reporting (reporting bias) Low risk Comment: all outcomes specified in the methods fully reported
Other bias Low risk Comment: baseline characteristics fully reported; control and intervention groups comparable at baseline