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. 2019 Jul 26;2(7):e197871. doi: 10.1001/jamanetworkopen.2019.7871

Table 1. PICOS Criteria for Trial Selection.

Criterion Pregnancy, All Trimesters Exclusive Breastfeeding Period, 0-6 mo Complementary Feeding Period, 6-24 mo
Population Pregnant women living in LMICs Newborn infants aged 0-6 mo living in LMICs Children aged 6-24 mo living in LMICs
Interventions
  • Micronutrient and calcium supplementation to mother

  • Balanced energy protein (ie, food) supplementation to mother

  • Deworming

  • Maternal education

  • Any WASH intervention

  • Micronutrient and calcium supplementation to mother or to infant

  • Balanced energy protein supplementation to mother

  • Food supplementation or fortification to infant

  • Deworming

  • Maternal and breastfeeding education/support

  • Any WASH intervention

  • Kangaroo carea

  • Micronutrient and calcium supplementation to children

  • Food supplementation to children

  • Deworming

  • Maternal education/support

  • Any WASH intervention

Comparisons
  • Placebo

  • Standard of care (if applicable)

  • No intervention

  • Any of the interventions listed above as monotherapy or in combination that can be used for indirect comparison

Outcomes
  • At least 1 of the following 3 outcomes:

  • Preterm birth (<37 gestational wk)

  • Low birth weight (<2500 g)a

  • Birth weight (continuous)

  • At least 1 of the following 4 outcomes:

  • LAZ z score

  • Proportion of stunted (LAZ less than −2 SDs)a

  • Height/lengtha

  • Head circumferencea

  • At least 1 of the following 2 outcomes:

  • HAZ z score

  • Proportion of stunted (HAZ less than −2 SDs)a

Study design Randomized clinical trial

Abbreviations: HAZ, height for age; LAZ, length for age; LMICs, low-income and middle-income countries; PICOS, population, interventions, comparisons, outcomes, and study design; WASH, water, sanitation, and hygiene.

a

The details on the analyses and results of kangaroo care and other interventions’ magnitude of associations with low birth weight, stunting, height/length, and head circumference will be published elsewhere. To maintain external validity and prevent inflation of findings, trials representing subpopulations, such as infants born to HIV-positive mothers and infants born preterm, with low birth weight, with severe acute malnutrition, or with preexisting health conditions, were excluded for all 3 life-period analyses.