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. 2022 Mar 16;2022(3):CD008524. doi: 10.1002/14651858.CD008524.pub4

Lin 2008.

Study characteristics
Methods Randomised, placebo‐controlled trial conducted in Wuhan, an industrial centre in central region of China
Participants Eligibility: children aged 2–7 years. Children were recruited from kindergarten in the area
Excluded: children with fever, diarrhoea or a recent preventive injection; underweight children with BMI age‐ and sex‐specific 5th percentile of the first US National Health and Nutrition Examination Survey data; children whose protein or energy intake met Chinese RDA
Sample: 105 children. Mean age 55 months. 61% boys
Interventions 3 intervention groups. 2 consisted of children who were vitamin A deficient and 1 with children who were vitamin A sufficient.
Experimental group I (vitamin A deficient):  vitamin A 100,000 IU every month for 3 months
Control group I (vitamin A deficient): placebo
Control group II (vitamin A sufficient): placebo
Outcomes All‐cause mortality, mean serum vitamin A levels
Notes We included data for vitamin A deficient children who were either supplemented with vitamin A or placebo. According to WHO, China does not have a high child mortality rate (i.e. < 40/1000).
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Unclear risk Quote: "The remaining 70 vitamin A‐deficient children were randomly and equally divided into vitamin A deficient‐supplemented group and vitamin A‐deficient placebo group".
Comment: the term 'randomised' is also used to describe a third group that is clearly matched. This may not be a randomised controlled trial.
Allocation concealment (selection bias) Unclear risk Comment: insufficient detail provided to make a judgement.
Blinding (performance bias and detection bias)
Blinding of participants Low risk Quote: "Children of vitamin A‐deficient‐supplemented group were given 100 000 IU (retinol equivalent) vitamin A capsules every 2 weeks for 3 months (Grubesic, 2004). Children of vitamin A‐sufficient placebo group and vitamin A‐deficient placebo group received placebo capsules in the same way".
Blinding (performance bias and detection bias)
Blinding of provider Unclear risk Comment: although study was double randomised trial, no details of how blinding was achieved was described in the district.
Blinding (performance bias and detection bias)
Blinding of outcome assessor Unclear risk Comment: insufficient detail provided to make a judgement.
Incomplete outcome data (attrition bias) Low risk Comment: no attrition reported.
Selective reporting (reporting bias) High risk Comment: main outcome data not reported in a manner that could be analysed.
Other bias Unclear risk Comment: as blinding was not described, potential performance bias and other sources of bias could not be assessed.