Research paper
Neonatal vitamin A supplementation: effect on development and growth at 3 y of age.
Study answer
What this study found
Neonatal vitamin A supplementation did not produce biologically significant adverse developmental or growth effects by age 3 and showed small possible developmental benefits. The treatment coefficient was positive in all 6 regression models, and orientation-engagement was significant (P = 0.04). In growth analyses, vitamin A in the normal-fontanelle group was associated with 0.68 cm more growth over the first 3 years (95% CI: 0.03, 1.33; P < 0.05), whereas the bulging-fontanelle group tended to grow 0.5 cm less (95% CI: -1.52, 0.52; P = 0.33). The treatment-by-fontanelle interaction was not…
- Study & population
- Randomized neonatal vitamin A trial with 3-year follow-up in Indonesian infants born at Hasan Sadikin Hospital in Bandung, Indonesia.
- Intervention
- A single oral neonatal dose of vitamin A was given on the first day of life at 52 mol, with 23 mol vitamin E.
- Key limitation
- The bulging-fontanelle subgroup was relatively small, limiting precision for subgroup comparisons.
Original abstract
We reported recently that neonatal supplementation with 52 micromol vitamin A reduced infant mortality by 64%; acute side effects were limited to a 3% excess rate of a bulging fontanelle. The current study was conducted to identify developmental chan…