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Table 2 Description of follow-up reports

From: Maternal antenatal multiple micronutrient supplementation for long-term health benefits in children: a systematic review and meta-analysis

Location

Follow-up study

Age at follow- up

Eligibility/exclusion criteria for follow-up

Risk of bias in loss to follow-up

% follow-up in control groupa

% follow-up in intervention groupa

Outcome measures

Bangladesh JiVitA

West et al. [26]

6 months

None reported

5 infants lost to follow-up; assumed to be alive at 180 days

100 %

100 %

Mortality assessed at 1, 3 and 6 months

Bangladesh MINIMat

Persson et al. [27]

5 years

None reported

None

No reported losses

No reported losses

Mortality assessed at 5 years

 

Khan et al. [42]

54 months (monthly to 1 year

3 monthly to 2 years)

Singletons

None; imputation used for missing data points

79.9 % of livebirths; 86.5 % of children with birth anthropometry

78.3 % of livebirths; 87.9 % of children with birth anthropometry

Length or height, weight

 

Khan et al. [45]

54 months

Singletons with birth anthropometry

Children lost more likely to be first born and have lower birthweight

72.3 % children with birth anthropometry

70.9 % children with birth anthropometry

Mid-upper arm circumference, skinfold thickness, body composition by bioelectrical impedance

 

Tofail et al. [48]

7 months

Subgroup of singletons born May 2002 to December 2003

Small but significant differences in children lost to follow-up; mothers had fewer children, higher haemoglobin and shorter gestation; no significant difference in these between allocation groups

Unable to calculate as the number of deaths is only provided for all allocation groups combined

Unable to calculate as the number of deaths is only provided for all allocation groups combined

Cognition (‘Support test’ and ‘Cover test’)

Motor development (Psychomotor Developmental Index of Bayley Scales of Infant Development)

Behaviour (modified Wolke in three domains: activity, emotion and vocalization)

 

Hawkesworth et al. [46]

4 years (mean 4.6 years)

Singletons born at term with birth anthropometry

Children lost to follow-up more likely to have been firstborn and their mothers on average ~9 months younger with 6 months longer education

69.1 % of livebirths; 73.6 % of children with birth anthropometry

67.9 % of livebirths; 74.0 % of children with birth anthropometry

Blood pressure, kidney size by ultrasound (restricted to individuals born during the second half of MINIMat trial, June 2003 to June 2004), and glomerular filtration rate (restricted to individuals born during first y of MINIMat trial, June 2002 to June 2003)

Burkina Faso

Roberfroid et al. [35]

Monthly to 12 months and 30 months

Singletons

None

97.8 %

98.0 %

Length, weight, head, chest and mid-upper arm circumference

China

Wang et al. [41]

3 monthly to 12 months, 6 monthly to 30 months

Subgroup born in middle year of 3.5 years recruitment; congenital disease excluded (n = 3)

Not specified

84.9 % of selected subgroup

81.3 % of selected subgroup

Length, weight

 

Li et al. [49]

3 monthly to 1 year

Subgroup born in middle year of 3.5 years recruitment

Small difference in Apgar scores

89.7 % of selected subgroup

88.6 % of selected subgroup

Cognition

Mental and Psychomotor development (Bayley Scales of Infant Development)

 

Li et al. [50]

7–9 years

Singletons; children who moved away were excluded

None

61.0 %b

60.7 %b

Cognition

Mental development (Wechsler Intelligence Scale for Children)

Guinea Bissau

Andersen et al. [36]

0–2 years

None reported

Lost to follow-up different for maternal weight, age, height and parity; no difference between trial groups

77.1 %

77.8 %

Mortality by routine surveillance every 3 months up to 1 year and every 6 months after 1 year

Indonesia

Prado et al. [37]

42 months

2369 of 41,839 women enrolled randomly assigned to blood tests; children of 549 of these women who gave birth in a 6 month period

None reported

94.5 % of selected subgroup

92.8 % of selected subgroup

Cognition

Adapted, validated tests for motor, language, visual attention/spatial, executive and socio-emotional function; adjusted analyses presented: confounders included ‘home observation and measurement of environment’ inventory score, child haemoglobin, mother’s mid-upper arm circumference, birth weight, MMN adherence

Mexico

Ramakrishnan et al. [38]

3 months

24 months

Singletons; children from antenatal trial subsequently randomised to receive MMN or iron + Vit A

Lost to follow-up younger mothers, more educated and less parous

24.9 % of livebirths in childhood randomisation control group; 69.3 % of children randomised in childhood control

26.2 % of livebirths in the childhood randomisation MMN group; 74.2 % of children randomised in childhood control

Height, weight, head circumference

Nepal Janakpur

Vaidya et al. [43]

2–3 years

None reported

Difference in lost to follow-up in maternal education, urban/rural residence and main household occupation

85.8 %

86.5 %

Height, weight, head, chest, waist, hip and mid-upper arm circumferences, skinfold thickness, blood pressure

 

Devakumar et al. [39]

7–9 years

None reported

Small difference in lost to follow-up in maternal education and urban/rural residence

80.5 %

79.2 %

Height, weight, body composition by bioelectrical impedance, skinfold thickness, head, chest, waist, hip, mid-upper arm and upper leg circumferences, kidney dimensions, blood pressure

 

Devakumar et al. [52]

7–9 years

None reported

Small difference in lost to follow-up in maternal education and urban/rural residence; small number (n = 5) with learning difficulties unable to complete spirometry

80.5 %

79.2 %

Spirometry, respiratory illness, asthma

Nepal Sarlahi

Stewart et al. [44]

6–8 years

3669 also in subsequent childhood trial of iron, folic acid and zinc

Lost to follow-up more likely to be of Pahadi (hill) ethnicity, have a literate mother and own a radio, and less likely to own cattle

89.2 %

91.2 %

Height, weight, mid-upper arm circumference, waist circumference, skinfold thickness

 

Stewart et al. [47]

6–8 years

3673 also in subsequent childhood trial of iron, folic acid and zinc

Loss to follow-up did not differ between groups; large number did not complete all tests; children with missing data less likely to be of Pahadi ethnicity or to have had any schooling, and had slightly lower BMI

Overall 84.1 %; number of participants varied for each test or measurement

Overall 85.1 %; number of participants varied for each test or measurement

Metabolic syndrome

BMI, waist circumference, blood pressure, HbA1c, urine microalbumin:creatinine, cholesterol, glucose, insulin, homeostasis model assessment

 

Christian et al. [51]

7–9 years

In control group of subsequent iron and zinc pre-school trial; children followed up in this study represent 23 % of live births in relevant allocation groups in the original trial

Main loss to follow-up was exclusion of children taking part in postnatal supplementation trial; children lost more likely to be of Pahadi ethnicity, literate mother, own a radio and less likely to own cattle

75.2 % of subgroup

84.2 % of subgroup

Cognition

Universal Non-verbal Intelligence Test Movement Assessment Battery for Children

Finger-tapping test

Executive Function (Stroop Numbers Test, backward digit span, go/no-go)

Environment (Middle Childhood Home Observation for the Measurement of the Environment inventory)

Maternal intelligence (Raven Coloured Progressive Matrices)

 

Christian et al. [40]

6–8 years

None reported

None reported

96.1 %

96.0 %

Mortality

  1. aDefined as total number measured as a proportion of the total number available for measurement (livebirths minus deaths), as a percentage
  2. bThe percentage excludes 1643 families who have moved out of the area
  3. MMN multiple micronutrient supplement