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. 2010 Jan 20;2010(1):CD003974. doi: 10.1002/14651858.CD003974.pub3

Colker 1999.

Methods Design: three group parallel trial 
 Purpose: examine the effect of a combination of Citrus aurantium extract, caffeine, and St. John's wort on obesity
Participants Patients: overweight individuals (body mass index > 25 kg per square meter) 
 Baseline comparability: clinically relevant differences in age and body weight were not statistically significant
Interventions Placebo: maltodextrin capsules 
 Untreated: no capsules 
 Experimental: capsules with a compound of Citrus aurantium extract, caffeine, and St. John's wort 
 (Co‐intervention: dietary and exercise program)
Outcomes Weight 
 Percent body fat 
 Fat mass 
 Basal metabolic rate 
 Profile of Mood States questionnaire (POMS)
Notes  
Risk of bias
Bias Authors' judgement Support for judgement
Adequate sequence generation? Unclear risk NS
Allocation concealment? Unclear risk NS
Blinding? 
 Treatment provider Low risk 'Using a double‐masked, randomized, placebo‐controlled protocol...'
Blinding? 
 Outcome assessor Unclear risk NS
Incomplete outcome data addressed? 
 All outcomes Low risk Drop‐out < 15%
Free of selective reporting? Unclear risk No protocol available
Free of other bias? Low risk  
No signs of variance inequality or skewness? Low risk No variance inequality (F‐test not statistically significant) and no skewness (1.64 standard deviations does not exceed the mean)
Trial size > 49? High risk N = 11
Clearly concealed allocation + trial size > 49 + drop‐out max 15% High risk Trial size < 49