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. 2021 Feb 5;2021(2):CD013534. doi: 10.1002/14651858.CD013534.pub2

Cooke 2015.

Study characteristics
Methods Study design: pilot, assessor‐blinded RCT
Study data collected: between September 2013 and July 2014 
Treatment arms: 3
AD follow‐up: 4 weeks
Participants Randomised: N = 115 (olive oil n = 38, sunflower oil n = 38, no oil n = 39)
Inclusion criteria: participants with or without a family history of AE 
Exclusion criteria:
  1. Mother 16 years of age or younger or without capacity to consent

  2. Admittance to Special Care Baby Unit

  3. Receiving phototherapy treatment

  4. Participation in another clinical trial

  5. Medical history preventing participation to endpoint

  6. Limb defects

  7. Non‐traumatic impairment of epidermal integrity

  8. Evidence of skin disorder at first assessment

Interventions Intervention: randomization took place within 72 hours of birth, parents were instructed from the day after initial assessment to apply 4 drops of oil to their baby's left forearm, left thigh, and abdomen, twice a day. Parents in all groups were asked not to use any other skin care products at the 3 study sites; water only was advocated. Intervention period was 4 weeks
  1. Group 1: olive oil

  2. Group 2: sunflower oil 


Comparator: the control group was provided no oil and was asked not to use any other skin care products at the 3 study sites; water only was advocated 
Outcomes Primary outcome: the change in structure of the lipid lamellae, a determinant of SC permeability (measured using ATR‐FTIR spectroscopy) and TEWL (measured via Biox Aquaflux Model AF200)
Secondary outcome: stratum corneum hydration (measured via a Corneometer® Model CM825); skin surface pH (measured by skin pH meter® Model PH 905); clinical observations around changes in the skin using a modified Neonatal Skin Condition Score; and erythema (measured by a Mexameter® Model MX18 probe) 
Adverse effects: adverse events, including skin infections, skin reactions, and serious adverse events, were prompted for and collected for all participants
Identification Country: England, UK
Setting: St. Mary's Hospital, Manchester
Sponsorship source: AC was funded by the NIHR, and this paper was independent research arising from the Doctoral Research Fellowship, supported by NIHR 
Declarations of interest None reported
Notes