Lin 2009.
Study characteristics | ||
Methods | Individually randomised trial conducted in rural China | |
Participants |
Eligibility: children aged 6 months to 7 years Excluded: children without informed consent or with acute and chronic diseases Sample: 132 children. Mean age 36.5 months. 50% boys |
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Interventions | 3 intervention groups Experimental group I: vitamin A 100,000 IU every month for 3 months Experimental group II: beta‐carotene Control group: placebo (biscuits) |
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Outcomes | Mean vitamin A serum levels | |
Notes | We included the results for vitamin A group versus placebo only. | |
Risk of bias | ||
Bias | Authors' judgement | Support for judgement |
Random sequence generation (selection bias) | Low risk |
Quote: "The 50 severe vitamin A deficient children and 82 marginal vitamin A deficient children were randomly divided into three groups respectively by using a table with randomly assorted digits". Comment: probably done. |
Allocation concealment (selection bias) | Unclear risk | Comment: no methods of allocation concealment are described in the text. |
Blinding (performance bias and detection bias) Blinding of participants | High risk |
Quote: "Vitamin A intervening group were administered 100,000 IU vitamin A capsules … the beta‐carotene intervening group … was administered 4 mg purified beta‐carotene … dissolved in vegetable oil and dropped into a general little biscuit … the placebo group were just administered a general little biscuit". Comment: vitamin A and placebo were administered in 2 different forms. Vitamin A in capsule form while placebo was in the form of biscuits. |
Blinding (performance bias and detection bias) Blinding of provider | High risk | Comment: vitamin A and placebo were administered in 2 different forms. Vitamin A in capsule form while placebo was in the form of biscuits. |
Blinding (performance bias and detection bias) Blinding of outcome assessor | High risk | Comment: vitamin A and placebo were administered in 2 different forms. Vitamin A in capsule form while placebo was in the form of biscuits. |
Incomplete outcome data (attrition bias) | Low risk | Comment: no dropouts reported, and numbers at baseline and follow‐up appeared to be the same. |
Selective reporting (reporting bias) | High risk | Comment: use of clinic services, hospitalisation, cause‐specific morbidity not reported. |
Other bias | Low risk | Comment: study appeared free of other bias. |