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

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
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)
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.