Skip to main content
. 2007 Oct 17;2007(4):CD006164. doi: 10.1002/14651858.CD006164.pub2

1. Risk of bias.

Characteristic Beser 2004 Du 2004 Duhamel 2000 Strand 2002/2003
Intervention 1 (I1) / intervention 2 (I2) / control 1 (C1) I1. vitamin D 400 IU/day per os 
 C1. no placebo or other intervention I1: fortified milk, averaged calcium 245 mg/day per os 
 I2: fortified milk, averaged calcium 245 mg/day per os, vitamin D3 133 IU/day per so 
 C1: no placebo or other intervention I1. vitamin D3 100,000 IU every 3 months per os 
 C1. placebo I1: promoting of exclusive breastfeeding from birth, supplementation of solid foods at age 5 months, weaning at 12 to 18 months, vitamin D 300 IU/day per os during the first 12 months, calcium 378 mg/day per os from age 5 months to 24 months 
 C1: no placebo or other intervention.
Randomised controlled clinical trial (RCT) N Y Y Y
Controlled clinical trial ? 
 (presumed Y) N N N
Prospective cohort study N N N N
Method of randomisation (specify) N/A ? ? ?
Unit of randomisation (individuals, cluster ‐ specify) N/A cluster (pupils of matched 3 x 3 schools) individuals cluster (children of 16 matched villages )
Randomisation stratified for centres N/A N/A ? N/A
Randomisation ratio N/A ? ? ? 
 (intervention group: 14 villages, control group: 2 villages)
Concealment of allocation (specify) N/A ? ? ?
Study population representative of population Y ? ? 
 (recruited from hospital) Y
Method of selection of controls (specify) (*) N/A N/A N/A N/A
Patients in different groups form same population (*) N/A N/A N/A N/A
Exposed/unexposed over same period of time (*) N/A N/A N/A N/A
Ascertainment of group determination (specify) (*) N/A N/A N/A N/A
Ascertainment of outcome (specify) direct measurement direct measurement direct measurement direct measurement
Stated blinding (open; single, double, triple blind) ? ? double ?
Actual blinding: participant/parents N/A ? Y N/A
Actual blinding: caregiver / treatment administrator N/A ? ? N/A
Actual blinding: outcome assessor ? ? ? N
Actual blinding: others ? ? ? ?
Blinding checked: participant ? ? ? ?
Blinding checked: caregiver / treatment administrator ? ? ? ?
Blinding checked: outcome assessor ? ? ? ?
Primary endpoint defined Y N N Y
[n] of primary endpoint(s) 1 ? ? 1
[n] of secondary endpoints 0 ? ? 2
Total [n] of endpoints 1 12 
 (no distinction made between primary and secondary outcomes) 8 
 (no distinction made between primary and secondary outcomes) 3
Prior publication of study design ? ? ? ?
Power calculation ? ? ? ?
[n] participants per group calculated ? ? ? ?
Intention‐to‐treat analysis (ITT) Y 
 (no summary statistic in analysis) Y 
 (no summary statistic for rickets in analysis) Y 
 (no summary statistic for rickets in analysis) N 
 (based on analysed patients)
Per‐protocol‐analysis N N N N 
 (based on analysed patients)
ITT defined N N N N
Dealing with missing data ? ? ? ? 
 (imputing for birth weight which is not relevant for this review)
[n] of screened participants (I1/ I2 / C1 / total) ? ? ? ?
[n] of randomised/included participants (for primary endpoint) I1: 302 
 C1: 374 I1: 238 
 I2: 260 
 C1: 259 I1: 32 
 C1: 34 Total: 259
[n] of participants finishing the study I1: 293 
 C1: 369 I1: 209 
 I2: 242 
 C1: 247 I1: 32 
 C1: 31 Total: 245
[n] of patients analysed (for primary endpoint) no summary statistic provided no summary statistic for rickets provided no summary statistic for rickets provided I1: 183 
 C1: 46 
 Total: 229
Description of discontinuing participants N Y N N
Drop‐outs (reasons explained) N Y N N
Withdrawals (reasons explained) N Y N N
Losses‐to‐follow‐up (reasons explained) N Y N N
[n] of participants who discontinued 14 59 3 14
[%] discontinuation rate 2 8 5 5
Discontinuation rate similar between groups Y Y Y Y
Differences [n] calculated to analysed patients N/A N/A N/A N/A
Adjustment for multiple outcomes / repeated measurements N/A 
 no summary statistic provided Y 
 no summary statistic for rickets provided N/A 
 no summary statistic provided Y
Baseline characteristics: clinically relevant differences ? ? ? Y 
 (more preterm born children in intervention group)
Treatment identical (apart from intervention) ? ? ? ?
Compliance measured ? Y Y Y
Other important covariates measured (specify) ? ? ? ?
Co‐morbidities measured ? ? ? ?
Co‐medications measured ? ? ? ?
Different length of follow‐up (taken into account) (*) N/A N/A N/A N/A
Loss of study patients taken into account Y Y Y Y
Specific doubts about study quality N N N N
Funding: commercial ? N ? N
Funding: non‐commercial ? Y ? Y
Publication status: peer review journal Y Y Y Y
Publication status: journal supplement N N N N
Publication status: abstract N N N N
Publication status: other N N N N
Symbols & abbreviations: Y = yes; N = no; ? = unclear; N/A = not applicable; I = intervention; C = control 
 (*) for prospective cohort studies only