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Cochrane Database of Systematic Reviews

Administración de suplementos de ácidos grasos poliinsaturados de cadena larga para los recién nacidos a término

Información

DOI:
https://doi.org/10.1002/14651858.CD000376.pub4Copiar DOI
Base de datos:
  1. Cochrane Database of Systematic Reviews
Versión publicada:
  1. 10 marzo 2017see what's new
Tipo:
  1. Intervention
Etapa:
  1. Review
Grupo Editorial Cochrane:
  1. Grupo Cochrane de Neonatología

Copyright:
  1. Copyright © 2017 The Cochrane Collaboration. Published by John Wiley & Sons, Ltd.

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Contraer

Autores

  • Bonny Jasani

    King Edward Memorial Hospital for Women and Princess Margaret Hospital for Children, Subiaco, Australia

  • Karen Simmer

    Correspondencia a: Neonatal Care Unit, King Edward Memorial Hospital for Women and Princess Margaret Hospital for Children, Subiaco, Australia

    [email protected]

  • Sanjay K Patole

    School of Paediatrics and Child Health, School of Women's and Infants' Health, University of Western Australia, King Edward Memorial Hospital, Perth, Australia

  • Shripada C Rao

    Centre for Neonatal Research and Education, King Edward Memorial Hospital for Women and Princess Margaret Hospital for Children, Perth, Western Australia, Australia

Contributions of authors

2016 review update:

  • BJ: literature search, assessment of eligibility, data extraction, assessment of risk of bias of included RCTs, writing and reviewing of the manuscript.

  • SR: literature search, assessment of eligibility, data extraction, assessment of risk of bias of included RCTs, entry of data into RevMan and data analysis, contact with study authors for additional information, reviewing of the manuscript.

  • SP: literature search, assessment of eligibility, verification of assessment of risk of bias of included RCTs, verification of data entered into RevMan by SR, reviewing of the manuscript.

  • KS: reviewing of the manuscript, overall supervision for update of the meta‐analysis.

2011 review update:

  • SR: literature search, assessment of eligibility and quality of studies, data extraction, entry of data into RevMan and data analysis, contact with study authors for additional information, writing of the manuscript.

  • SP: literature search, assessment of eligibility and quality of studies, verification of data entered into RevMan by SR, reviewing of the manuscript.

  • KS: assessment of eligibility of studies for inclusion, reviewing of the manuscript, guidance and supervision for update of the meta‐analysis.

2008 review update:

  • SR: literature search, assessment of eligibility and quality of studies, contact with authors of original trials, data extraction, entry of data into RevMan, writing of the manuscript.

  • SP: literature search, assessment of eligibility and quality of studies, verification of data entered into RevMan by SR, reviewing of the manuscript.

  • KS: referee author, checking and editing of the manuscript.

2001:

  • KS: literature search, assessment of eligibility and quality of studies, data extraction and data analysis, writing of the manuscript.

2000:

  • Original review: KS: design and preparation of protocol, literature search, assessment of eligibility and quality of studies, data extraction and data analysis, writing of the manuscript.

Sources of support

Internal sources

  • King Edward Memorial Hospital for Women, Perth, Australia.

  • Princess Margaret Hospital for Childern, Perth, Australia.

External sources

  • Eunice Kennedy Shriver National Institute of Child Health and Human Development, National Institutes of Health, Department of Health and Human Services, USA.

    Editorial support of the Cochrane Neonatal Review Group has been funded with Federal funds from the Eunice Kennedy Shriver National Institute of Child Health and Human Development, National Institutes of Health, Department of Health and Human Services, USA, under Contract No. HHSN275201600005C

  • National Institute for Health Research, UK.

    UK Editorial support for Cochrane Neonatal has been funded with funds from a UK National Institute of Health Research Grant (NIHR) Cochrane Programme Grant (13/89/12). The views expressed in this publication are those of the review authors and are not necessarily those of the NHS, the NIHR or the UK Department of Health

Declarations of interest

None.

Acknowledgements

Maria Makrides, Nancy Auestad, Xiaoming Ben, Eileen Birch, Susan Carlson, Carlo Agostoni, Geraint Morris, Mijna Hadders‐Algra, Dennis Hoffman, Alexandre Lapillone and Peter Willatts for clarifying existing data, clarifying methods and providing additional information from their studies.

Version history

Published

Title

Stage

Authors

Version

2017 Mar 10

Long chain polyunsaturated fatty acid supplementation in infants born at term

Review

Bonny Jasani, Karen Simmer, Sanjay K Patole, Shripada C Rao

https://doi.org/10.1002/14651858.CD000376.pub4

2011 Dec 07

Longchain polyunsaturated fatty acid supplementation in infants born at term

Review

Karen Simmer, Sanjay K Patole, Shripada C Rao

https://doi.org/10.1002/14651858.CD000376.pub3

2008 Jan 23

Longchain polyunsaturated fatty acid supplementation in infants born at term

Review

Karen Simmer, Sanjay Patole, Shripada C Rao

https://doi.org/10.1002/14651858.CD000376.pub2

2001 Oct 23

Longchain polyunsaturated fatty acid supplementation in infants born at term

Review

Karen Simmer

https://doi.org/10.1002/14651858.CD000376

Keywords

MeSH

PICO

Population
Intervention
Comparison
Outcome

El uso y la enseñanza del modelo PICO están muy extendidos en el ámbito de la atención sanitaria basada en la evidencia para formular preguntas y estrategias de búsqueda y para caracterizar estudios o metanálisis clínicos. PICO son las siglas en inglés de cuatro posibles componentes de una pregunta de investigación: paciente, población o problema; intervención; comparación; desenlace (outcome).

Para saber más sobre el uso del modelo PICO, puede consultar el Manual Cochrane.

Study flow diagram.
Figuras y tablas -
Figure 1

Study flow diagram.

Risk of bias summary: review authors' judgements about each risk of bias item for each included study.
Figuras y tablas -
Figure 2

Risk of bias summary: review authors' judgements about each risk of bias item for each included study.

Forest plot of comparison: 1 LCPUFA supplemented vs control formula, outcome: 1.10 Visual acuity/Teller cards at 12 m (cycles/degree).
Figuras y tablas -
Figure 3

Forest plot of comparison: 1 LCPUFA supplemented vs control formula, outcome: 1.10 Visual acuity/Teller cards at 12 m (cycles/degree).

Forest plot of comparison: 1 LCPUFA supplemented vs control formula, outcome: 1.18 MDI (Bayley Scale score) at 18 m.
Figuras y tablas -
Figure 4

Forest plot of comparison: 1 LCPUFA supplemented vs control formula, outcome: 1.18 MDI (Bayley Scale score) at 18 m.

Forest plot of comparison: 1 LCPUFA supplemented vs control formula, outcome: 1.19 PDI (Bayley Scale score) at 18 m.
Figuras y tablas -
Figure 5

Forest plot of comparison: 1 LCPUFA supplemented vs control formula, outcome: 1.19 PDI (Bayley Scale score) at 18 m.

Forest plot of comparison: 1 LCPUFA supplemented vs control formula, outcome: 1.29 Weight at 12 m, z score.
Figuras y tablas -
Figure 6

Forest plot of comparison: 1 LCPUFA supplemented vs control formula, outcome: 1.29 Weight at 12 m, z score.

Forest plot of comparison: 1 LCPUFA supplemented vs control formula, outcome: 1.31 Length at 12 m, z score.
Figuras y tablas -
Figure 7

Forest plot of comparison: 1 LCPUFA supplemented vs control formula, outcome: 1.31 Length at 12 m, z score.

Forest plot of comparison: 1 LCPUFA supplemented vs control formula, outcome: 1.33 Head circumference at 12 m, z score.
Figuras y tablas -
Figure 8

Forest plot of comparison: 1 LCPUFA supplemented vs control formula, outcome: 1.33 Head circumference at 12 m, z score.

Comparison 1 LCPUFA supplemented vs control formula, Outcome 1 VEP acuity at 4 m (logMAR, steady state).
Figuras y tablas -
Analysis 1.1

Comparison 1 LCPUFA supplemented vs control formula, Outcome 1 VEP acuity at 4 m (logMAR, steady state).

Comparison 1 LCPUFA supplemented vs control formula, Outcome 2 Sweep VEP acuity at 4 m (logMAR).
Figuras y tablas -
Analysis 1.2

Comparison 1 LCPUFA supplemented vs control formula, Outcome 2 Sweep VEP acuity at 4 m (logMAR).

Comparison 1 LCPUFA supplemented vs control formula, Outcome 3 Sweep VEP acuity at 4 m (cycles/degree).
Figuras y tablas -
Analysis 1.3

Comparison 1 LCPUFA supplemented vs control formula, Outcome 3 Sweep VEP acuity at 4 m (cycles/degree).

Comparison 1 LCPUFA supplemented vs control formula, Outcome 4 Visual acuity/Teller cards at 4 m (cycles/degree).
Figuras y tablas -
Analysis 1.4

Comparison 1 LCPUFA supplemented vs control formula, Outcome 4 Visual acuity/Teller cards at 4 m (cycles/degree).

Comparison 1 LCPUFA supplemented vs control formula, Outcome 5 Sweep VEP acuity at 6 m (cycles/degree).
Figuras y tablas -
Analysis 1.5

Comparison 1 LCPUFA supplemented vs control formula, Outcome 5 Sweep VEP acuity at 6 m (cycles/degree).

Comparison 1 LCPUFA supplemented vs control formula, Outcome 6 Visual acuity/Teller cards at 6 m (cycles/degree).
Figuras y tablas -
Analysis 1.6

Comparison 1 LCPUFA supplemented vs control formula, Outcome 6 Visual acuity/Teller cards at 6 m (cycles/degree).

Comparison 1 LCPUFA supplemented vs control formula, Outcome 7 VEP acuity at 7‐8 m (logMAR, steady state).
Figuras y tablas -
Analysis 1.7

Comparison 1 LCPUFA supplemented vs control formula, Outcome 7 VEP acuity at 7‐8 m (logMAR, steady state).

Comparison 1 LCPUFA supplemented vs control formula, Outcome 8 Sweep VEP acuity at 12 months (logMAR).
Figuras y tablas -
Analysis 1.8

Comparison 1 LCPUFA supplemented vs control formula, Outcome 8 Sweep VEP acuity at 12 months (logMAR).

Comparison 1 LCPUFA supplemented vs control formula, Outcome 9 Sweep VEP acuity at 12 m (cycles/degree).
Figuras y tablas -
Analysis 1.9

Comparison 1 LCPUFA supplemented vs control formula, Outcome 9 Sweep VEP acuity at 12 m (cycles/degree).

Comparison 1 LCPUFA supplemented vs control formula, Outcome 10 Visual acuity/Teller cards at 12 m (cycles/degree).
Figuras y tablas -
Analysis 1.10

Comparison 1 LCPUFA supplemented vs control formula, Outcome 10 Visual acuity/Teller cards at 12 m (cycles/degree).

Comparison 1 LCPUFA supplemented vs control formula, Outcome 11 Visual acuity at 3 years (Teller acuity cards; cycles/degree).
Figuras y tablas -
Analysis 1.11

Comparison 1 LCPUFA supplemented vs control formula, Outcome 11 Visual acuity at 3 years (Teller acuity cards; cycles/degree).

Comparison 1 LCPUFA supplemented vs control formula, Outcome 12 MDI (Bayley) score at 3 m.
Figuras y tablas -
Analysis 1.12

Comparison 1 LCPUFA supplemented vs control formula, Outcome 12 MDI (Bayley) score at 3 m.

Comparison 1 LCPUFA supplemented vs control formula, Outcome 13 PDI (Bayley) score at 3 m.
Figuras y tablas -
Analysis 1.13

Comparison 1 LCPUFA supplemented vs control formula, Outcome 13 PDI (Bayley) score at 3 m.

Comparison 1 LCPUFA supplemented vs control formula, Outcome 14 MDI (Bayley) score at 6 m.
Figuras y tablas -
Analysis 1.14

Comparison 1 LCPUFA supplemented vs control formula, Outcome 14 MDI (Bayley) score at 6 m.

Comparison 1 LCPUFA supplemented vs control formula, Outcome 15 PDI (Bayley) score at 6 m.
Figuras y tablas -
Analysis 1.15

Comparison 1 LCPUFA supplemented vs control formula, Outcome 15 PDI (Bayley) score at 6 m.

Comparison 1 LCPUFA supplemented vs control formula, Outcome 16 MDI (Bayley score) at 1 year.
Figuras y tablas -
Analysis 1.16

Comparison 1 LCPUFA supplemented vs control formula, Outcome 16 MDI (Bayley score) at 1 year.

Comparison 1 LCPUFA supplemented vs control formula, Outcome 17 PDI (Bayley score) at 1 year.
Figuras y tablas -
Analysis 1.17

Comparison 1 LCPUFA supplemented vs control formula, Outcome 17 PDI (Bayley score) at 1 year.

Comparison 1 LCPUFA supplemented vs control formula, Outcome 18 MDI (Bayley score) at 18 m.
Figuras y tablas -
Analysis 1.18

Comparison 1 LCPUFA supplemented vs control formula, Outcome 18 MDI (Bayley score) at 18 m.

Comparison 1 LCPUFA supplemented vs control formula, Outcome 19 PDI (Bayley score) at 18 m.
Figuras y tablas -
Analysis 1.19

Comparison 1 LCPUFA supplemented vs control formula, Outcome 19 PDI (Bayley score) at 18 m.

Comparison 1 LCPUFA supplemented vs control formula, Outcome 20 MDI (Bayley score) at 2 years.
Figuras y tablas -
Analysis 1.20

Comparison 1 LCPUFA supplemented vs control formula, Outcome 20 MDI (Bayley score) at 2 years.

Comparison 1 LCPUFA supplemented vs control formula, Outcome 21 PDI (Bayley score) at 2 years.
Figuras y tablas -
Analysis 1.21

Comparison 1 LCPUFA supplemented vs control formula, Outcome 21 PDI (Bayley score) at 2 years.

Comparison 1 LCPUFA supplemented vs control formula, Outcome 22 Weight at 4 months.
Figuras y tablas -
Analysis 1.22

Comparison 1 LCPUFA supplemented vs control formula, Outcome 22 Weight at 4 months.

Comparison 1 LCPUFA supplemented vs control formula, Outcome 23 Length at 4 months.
Figuras y tablas -
Analysis 1.23

Comparison 1 LCPUFA supplemented vs control formula, Outcome 23 Length at 4 months.

Comparison 1 LCPUFA supplemented vs control formula, Outcome 24 Head circumference at 4 months.
Figuras y tablas -
Analysis 1.24

Comparison 1 LCPUFA supplemented vs control formula, Outcome 24 Head circumference at 4 months.

Comparison 1 LCPUFA supplemented vs control formula, Outcome 25 Weight at 6 m (kg).
Figuras y tablas -
Analysis 1.25

Comparison 1 LCPUFA supplemented vs control formula, Outcome 25 Weight at 6 m (kg).

Comparison 1 LCPUFA supplemented vs control formula, Outcome 26 Length at 6 m (cm).
Figuras y tablas -
Analysis 1.26

Comparison 1 LCPUFA supplemented vs control formula, Outcome 26 Length at 6 m (cm).

Comparison 1 LCPUFA supplemented vs control formula, Outcome 27 Head circumference at 6 m (cm).
Figuras y tablas -
Analysis 1.27

Comparison 1 LCPUFA supplemented vs control formula, Outcome 27 Head circumference at 6 m (cm).

Comparison 1 LCPUFA supplemented vs control formula, Outcome 28 Weight at 12 m (kg).
Figuras y tablas -
Analysis 1.28

Comparison 1 LCPUFA supplemented vs control formula, Outcome 28 Weight at 12 m (kg).

Comparison 1 LCPUFA supplemented vs control formula, Outcome 29 Weight at 12 m, z score.
Figuras y tablas -
Analysis 1.29

Comparison 1 LCPUFA supplemented vs control formula, Outcome 29 Weight at 12 m, z score.

Comparison 1 LCPUFA supplemented vs control formula, Outcome 30 Length at 12 m (cm).
Figuras y tablas -
Analysis 1.30

Comparison 1 LCPUFA supplemented vs control formula, Outcome 30 Length at 12 m (cm).

Comparison 1 LCPUFA supplemented vs control formula, Outcome 31 Length at 12 m, z score.
Figuras y tablas -
Analysis 1.31

Comparison 1 LCPUFA supplemented vs control formula, Outcome 31 Length at 12 m, z score.

Comparison 1 LCPUFA supplemented vs control formula, Outcome 32 Head circumference at 12 m (cm).
Figuras y tablas -
Analysis 1.32

Comparison 1 LCPUFA supplemented vs control formula, Outcome 32 Head circumference at 12 m (cm).

Comparison 1 LCPUFA supplemented vs control formula, Outcome 33 Head circumference at 12 m, z score.
Figuras y tablas -
Analysis 1.33

Comparison 1 LCPUFA supplemented vs control formula, Outcome 33 Head circumference at 12 m, z score.

Comparison 1 LCPUFA supplemented vs control formula, Outcome 34 Weight at 18 m (kg).
Figuras y tablas -
Analysis 1.34

Comparison 1 LCPUFA supplemented vs control formula, Outcome 34 Weight at 18 m (kg).

Comparison 1 LCPUFA supplemented vs control formula, Outcome 35 Length at 18 m (cm).
Figuras y tablas -
Analysis 1.35

Comparison 1 LCPUFA supplemented vs control formula, Outcome 35 Length at 18 m (cm).

Comparison 1 LCPUFA supplemented vs control formula, Outcome 36 Head circumference at 18 m (cm).
Figuras y tablas -
Analysis 1.36

Comparison 1 LCPUFA supplemented vs control formula, Outcome 36 Head circumference at 18 m (cm).

Comparison 1 LCPUFA supplemented vs control formula, Outcome 37 Weight at 2 years (kg).
Figuras y tablas -
Analysis 1.37

Comparison 1 LCPUFA supplemented vs control formula, Outcome 37 Weight at 2 years (kg).

Comparison 1 LCPUFA supplemented vs control formula, Outcome 38 Height at 2 years (cm).
Figuras y tablas -
Analysis 1.38

Comparison 1 LCPUFA supplemented vs control formula, Outcome 38 Height at 2 years (cm).

Comparison 1 LCPUFA supplemented vs control formula, Outcome 39 Head circumference at 2 years (cm).
Figuras y tablas -
Analysis 1.39

Comparison 1 LCPUFA supplemented vs control formula, Outcome 39 Head circumference at 2 years (cm).

Summary of findings for the main comparison. LCPUFA supplemented formula compared with control formula for term infants

LCPUFA supplemented formula compared with control formula for term infants for clinical outcomes (visual function, neurodevelopment and physical growth)

Patient or population: term infants
Settings: hospital and community
Intervention: LCPUFA supplemented formula
Comparison: control formula

Outcomes

Illustrative comparative risks* (95% CI)

Relative effect
(95% CI)

Number of participants
(studies)

Quality of the evidence
(GRADE)

Comments

Assumed risk

Corresponding risk

Control formula

LCPUFA supplemented formula

Visual acuity/Teller cards at 12 months (cycles/degree) ‐ DHA and AA vs normal term formula

Mean visual acuity (cycles/degree) ranged across control groups from 3.31 to 10

Mean visual acuity (cycles/degree) ranged across intervention groups from 3.28 to 9.77

MD ‐0.01 (95% CI ‐0.12 to 0.11)

256
(3 studies)

⊕⊕⊝⊝
low

Downgraded 2 levels
Reasons: small sample size, high rate of attrition

Sweep VEP acuity at 12 months (LogMAR) ‐ DHA and AA vs normal term formula

Mean sweep VEP acuity (LogMAR) ranged across control groups from 0.31 to 0.339

Mean sweep VEP acuity (LogMAR) ranged across intervention groups from 0.14 to 0.2

MD ‐0.15 (95% CI ‐0.17 to ‐0.13)

244
(3 studies)

⊕⊕⊝⊝
low

Downgraded 2 levels
Reasons: small sample size, high rate of attrition in 2 RCTs

MDI scores (Bayley) at 18 months ‐ DHA and AA vs normal term formula

Mean MDI ranged across control groups from 98.3 to 105.4

Mean MDI ranged across intervention groups from 94.5 to 105.6

MD 0.06 (95% CI ‐ 2.01 to 2.14)

661
(4 studies)

⊕⊕⊝⊝
low

Downgraded 2 levels
Reasons: small sample size, high rate of attrition in 2 RCTs, high statistical heterogeneity
(I² = 75%)

PDI scores (Bayley) at 18 months ‐ DHA and AA vs normal term formula

Mean PDI ranged across control groups from 96.4 to 102

Mean PDI ranged across intervention groups from 95.9 to 105.8

MD 0.69 (95% CI ‐0.78 to 2.16)

661
(4 studies)

⊕⊕⊝⊝
low

Downgraded 2 levels
Reasons: small sample size, high rate of attrition in 2 RCTs, high statistical heterogeneity
(I² = 61%)

Weight at 12 months (z scores) ‐ DHA and AA vs normal term formula

Mean z scores for weight ranged across control groups from ‐0.21 to 0.35

Mean z scores for weight ranged across intervention groups from ‐0.9 to 0.4

MD ‐0.23 (95% CI ‐0.40 to ‐0.06)

521
(5 studies)

⊕⊕⊝⊝
low

Downgraded 2 levels
Reasons: small sample size, high rate of attrition in 3 RCTs, unclear allocation concealment in 2 RCTs, high statistical heterogeneity
(I² = 83%)

Length at 12 months (z scores) ‐ DHA and AA vs normal term formula

Mean z scores for length ranged across control groups from ‐0.11 to 0.34

Mean z scores for length ranged across control groups from ‐0.04 to 0.16

MD ‐0.04 (95% CI ‐0.19 to 0.11)

521
(5 studies)

⊕⊕⊝⊝
low

Downgraded 2 levels
Reasons: small sample size, high rate of attrition in 3 RCTs, unclear allocation concealment in 2 RCTs

Head circumference at 12 months (z scores) ‐ DHA and AA vs normal term formula

Mean z scores for head circumference ranged across control groups from 0.18 to 0.94

Mean z scores for head circumference ranged across control groups from 0.01 to 0.93

MD ‐0.13 (95% CI ‐0.32 to 0.05)

464
(4 studies)

⊕⊕⊝⊝
low

Downgraded 2 levels
Reasons: small sample size, high rate of attrition in 3 RCTs

*The basis for the assumed risk (e.g. median control group risk across studies) is provided in footnotes. The corresponding risk (and its 95% confidence interval) is based on assumed risk in the comparison group and the relative effect of the intervention (and its 95% CI)
CI: confidence interval; MD, mean difference

GRADE Working Group grades of evidence
High quality: Further research is very unlikely to change our confidence in the estimate of effect
Moderate quality: Further research is likely to have an important impact on our confidence in the estimate of effect and may change the estimate
Low quality: Further research is very likely to have an important impact on our confidence in the estimate of effect and is likely to change the estimate
Very low quality: We are very uncertain about the estimate

Figuras y tablas -
Summary of findings for the main comparison. LCPUFA supplemented formula compared with control formula for term infants
Comparison 1. LCPUFA supplemented vs control formula

Outcome or subgroup title

No. of studies

No. of participants

Statistical method

Effect size

1 VEP acuity at 4 m (logMAR, steady state) Show forest plot

2

Mean Difference (IV, Fixed, 95% CI)

Subtotals only

1.1 DHA and AA vs normal term formula

1

30

Mean Difference (IV, Fixed, 95% CI)

0.01 [‐0.07, 0.09]

1.2 DHA vs normal term formula

2

60

Mean Difference (IV, Fixed, 95% CI)

‐0.03 [‐0.10, 0.03]

2 Sweep VEP acuity at 4 m (logMAR) Show forest plot

3

Mean Difference (IV, Fixed, 95% CI)

Subtotals only

2.1 DHA and AA vs normal term formula

3

266

Mean Difference (IV, Fixed, 95% CI)

‐0.08 [‐0.10, ‐0.05]

2.2 DHA vs normal term formula

1

41

Mean Difference (IV, Fixed, 95% CI)

‐0.08 [‐0.15, ‐0.01]

3 Sweep VEP acuity at 4 m (cycles/degree) Show forest plot

1

54

Mean Difference (IV, Fixed, 95% CI)

‐0.47 [‐1.16, 0.22]

3.1 DHA and AA vs normal term formula

1

54

Mean Difference (IV, Fixed, 95% CI)

‐0.47 [‐1.16, 0.22]

4 Visual acuity/Teller cards at 4 m (cycles/degree) Show forest plot

3

264

Mean Difference (IV, Fixed, 95% CI)

‐0.11 [‐0.24, 0.02]

4.1 DHA and AA vs normal term formula

3

264

Mean Difference (IV, Fixed, 95% CI)

‐0.11 [‐0.24, 0.02]

5 Sweep VEP acuity at 6 m (cycles/degree) Show forest plot

1

53

Mean Difference (IV, Fixed, 95% CI)

‐0.31 [‐1.04, 0.42]

5.1 DHA and AA vs normal term formula

1

53

Mean Difference (IV, Fixed, 95% CI)

‐0.31 [‐1.04, 0.42]

6 Visual acuity/Teller cards at 6 m (cycles/degree) Show forest plot

3

Mean Difference (IV, Fixed, 95% CI)

Subtotals only

6.1 DHA and AA vs normal term formula

3

256

Mean Difference (IV, Fixed, 95% CI)

0.02 [‐0.11, 0.15]

7 VEP acuity at 7‐8 m (logMAR, steady state) Show forest plot

2

Mean Difference (IV, Fixed, 95% CI)

Subtotals only

7.1 DHA and AA vs normal term formula

1

30

Mean Difference (IV, Fixed, 95% CI)

0.0 [‐0.13, 0.13]

7.2 DHA vs normal term formula

2

52

Mean Difference (IV, Fixed, 95% CI)

‐0.02 [‐0.14, 0.10]

8 Sweep VEP acuity at 12 months (logMAR) Show forest plot

3

Mean Difference (IV, Fixed, 95% CI)

Subtotals only

8.1 DHA and AA vs normal term formula

3

244

Mean Difference (IV, Fixed, 95% CI)

‐0.15 [‐0.17, ‐0.13]

8.2 DHA vs normal term formula

1

40

Mean Difference (IV, Fixed, 95% CI)

‐0.14 [‐0.21, ‐0.07]

9 Sweep VEP acuity at 12 m (cycles/degree) Show forest plot

1

53

Mean Difference (IV, Fixed, 95% CI)

0.0 [‐0.71, 0.71]

9.1 DHA and AA vs normal term formula

1

53

Mean Difference (IV, Fixed, 95% CI)

0.0 [‐0.71, 0.71]

10 Visual acuity/Teller cards at 12 m (cycles/degree) Show forest plot

3

256

Mean Difference (IV, Fixed, 95% CI)

‐0.01 [‐0.12, 0.11]

10.1 DHA and AA vs normal term formula

3

256

Mean Difference (IV, Fixed, 95% CI)

‐0.01 [‐0.12, 0.11]

11 Visual acuity at 3 years (Teller acuity cards; cycles/degree) Show forest plot

1

Mean Difference (IV, Fixed, 95% CI)

Subtotals only

11.1 DHA and AA vs normal term formula

1

68

Mean Difference (IV, Fixed, 95% CI)

‐2.10 [‐2.41, ‐1.79]

11.2 DHA vs normal term formula

1

68

Mean Difference (IV, Fixed, 95% CI)

‐2.80 [‐3.11, ‐2.49]

12 MDI (Bayley) score at 3 m Show forest plot

1

58

Mean Difference (IV, Fixed, 95% CI)

2.48 [‐1.90, 6.86]

12.1 DHA and AA vs normal term formula

1

58

Mean Difference (IV, Fixed, 95% CI)

2.48 [‐1.90, 6.86]

13 PDI (Bayley) score at 3 m Show forest plot

1

58

Mean Difference (IV, Fixed, 95% CI)

3.66 [0.43, 6.89]

13.1 DHA and AA vs normal term formula

1

58

Mean Difference (IV, Fixed, 95% CI)

3.66 [0.43, 6.89]

14 MDI (Bayley) score at 6 m Show forest plot

2

207

Mean Difference (IV, Fixed, 95% CI)

‐0.59 [‐2.26, 1.07]

14.1 DHA and AA vs normal term formula

2

207

Mean Difference (IV, Fixed, 95% CI)

‐0.59 [‐2.26, 1.07]

15 PDI (Bayley) score at 6 m Show forest plot

2

206

Mean Difference (IV, Fixed, 95% CI)

0.23 [‐2.47, 2.94]

15.1 DHA and AA vs normal term formula

2

206

Mean Difference (IV, Fixed, 95% CI)

0.23 [‐2.47, 2.94]

16 MDI (Bayley score) at 1 year Show forest plot

4

Mean Difference (IV, Fixed, 95% CI)

Subtotals only

16.1 DHA and AA vs normal term formula

3

298

Mean Difference (IV, Fixed, 95% CI)

‐0.95 [‐3.38, 1.49]

16.2 DHA vs normal term formula

3

160

Mean Difference (IV, Fixed, 95% CI)

‐0.27 [‐4.36, 3.83]

17 PDI (Bayley score) at 1 year Show forest plot

4

Mean Difference (IV, Fixed, 95% CI)

Subtotals only

17.1 DHA and AA vs normal term formula

3

298

Mean Difference (IV, Fixed, 95% CI)

‐2.48 [‐5.83, 0.86]

17.2 DHA vs normal term formula

3

160

Mean Difference (IV, Fixed, 95% CI)

‐1.70 [‐6.62, 3.22]

18 MDI (Bayley score) at 18 m Show forest plot

4

661

Mean Difference (IV, Fixed, 95% CI)

0.06 [‐2.01, 2.14]

18.1 DHA and AA vs normal term formula

4

661

Mean Difference (IV, Fixed, 95% CI)

0.06 [‐2.01, 2.14]

19 PDI (Bayley score) at 18 m Show forest plot

4

661

Mean Difference (IV, Fixed, 95% CI)

0.69 [‐0.78, 2.16]

19.1 DHA and AA vs normal term formula

4

661

Mean Difference (IV, Fixed, 95% CI)

0.69 [‐0.78, 2.16]

20 MDI (Bayley score) at 2 years Show forest plot

1

79

Mean Difference (IV, Fixed, 95% CI)

1.85 [‐5.26, 8.96]

20.1 DHA and AA vs normal term formula

1

38

Mean Difference (IV, Fixed, 95% CI)

‐2.0 [‐13.88, 9.88]

20.2 DHA vs normal term formula

1

41

Mean Difference (IV, Fixed, 95% CI)

4.0 [‐4.88, 12.88]

21 PDI (Bayley score) at 2 years Show forest plot

1

Mean Difference (IV, Fixed, 95% CI)

Subtotals only

21.1 DHA and AA vs normal term formula

1

37

Mean Difference (IV, Fixed, 95% CI)

‐1.0 [‐12.71, 10.71]

21.2 DHA vs normal term formula

1

37

Mean Difference (IV, Fixed, 95% CI)

7.00 [‐3.32, 17.32]

22 Weight at 4 months Show forest plot

2

Mean Difference (IV, Fixed, 95% CI)

Subtotals only

22.1 DHA and AA vs normal term formula

1

46

Mean Difference (IV, Fixed, 95% CI)

0.15 [‐0.22, 0.52]

22.2 DHA vs normal term formula

2

71

Mean Difference (IV, Fixed, 95% CI)

‐0.03 [‐0.33, 0.27]

23 Length at 4 months Show forest plot

2

Mean Difference (IV, Fixed, 95% CI)

Subtotals only

23.1 DHA and AA vs normal term formula

1

46

Mean Difference (IV, Fixed, 95% CI)

0.0 [‐1.45, 1.45]

23.2 DHA vs normal term formula

2

71

Mean Difference (IV, Fixed, 95% CI)

0.03 [1.00, 1.06]

24 Head circumference at 4 months Show forest plot

2

Mean Difference (IV, Fixed, 95% CI)

Subtotals only

24.1 DHA and AA vs normal term formula

1

46

Mean Difference (IV, Fixed, 95% CI)

0.5 [‐0.26, 1.26]

24.2 DHA vs normal term formula

2

71

Mean Difference (IV, Fixed, 95% CI)

‐0.01 [‐0.53, 0.51]

25 Weight at 6 m (kg) Show forest plot

4

830

Mean Difference (IV, Fixed, 95% CI)

0.01 [‐0.11, 0.13]

26 Length at 6 m (cm) Show forest plot

4

830

Mean Difference (IV, Fixed, 95% CI)

‐0.13 [‐0.47, 0.21]

27 Head circumference at 6 m (cm) Show forest plot

4

830

Mean Difference (IV, Fixed, 95% CI)

‐0.06 [‐0.25, 0.13]

28 Weight at 12 m (kg) Show forest plot

6

Mean Difference (IV, Fixed, 95% CI)

Subtotals only

28.1 DHA and AA vs normal term formula

5

689

Mean Difference (IV, Fixed, 95% CI)

‐0.11 [‐0.28, 0.05]

28.2 DHA vs normal term formula

2

75

Mean Difference (IV, Fixed, 95% CI)

‐0.43 [‐0.96, 0.09]

29 Weight at 12 m, z score Show forest plot

5

Mean Difference (IV, Fixed, 95% CI)

Subtotals only

29.1 DHA and AA vs normal term formula

5

521

Mean Difference (IV, Fixed, 95% CI)

‐0.23 [‐0.40, ‐0.06]

29.2 DHA vs normal term formula

1

88

Mean Difference (IV, Fixed, 95% CI)

‐0.01 [‐0.50, 0.48]

30 Length at 12 m (cm) Show forest plot

6

Mean Difference (IV, Fixed, 95% CI)

Subtotals only

30.1 DHA and AA vs normal term formula

5

689

Mean Difference (IV, Fixed, 95% CI)

‐0.15 [‐0.57, 0.28]

30.2 DHA vs normal term formula

2

75

Mean Difference (IV, Fixed, 95% CI)

‐0.95 [‐2.05, 0.15]

31 Length at 12 m, z score Show forest plot

5

Mean Difference (IV, Fixed, 95% CI)

Subtotals only

31.1 DHA and AA vs normal term formula

5

521

Mean Difference (IV, Fixed, 95% CI)

‐0.04 [‐0.19, 0.11]

31.2 DHA vs normal term formula

1

88

Mean Difference (IV, Fixed, 95% CI)

0.10 [‐0.35, 0.55]

32 Head circumference at 12 m (cm) Show forest plot

5

Mean Difference (IV, Fixed, 95% CI)

Subtotals only

32.1 DHA and AA vs normal term formula

4

633

Mean Difference (IV, Fixed, 95% CI)

‐0.13 [‐0.36, 0.11]

32.2 DHA vs normal term formula

2

75

Mean Difference (IV, Fixed, 95% CI)

‐0.22 [‐0.80, 0.37]

33 Head circumference at 12 m, z score Show forest plot

4

Mean Difference (IV, Fixed, 95% CI)

Subtotals only

33.1 DHA and AA vs normal term formula

4

464

Mean Difference (IV, Fixed, 95% CI)

‐0.13 [‐0.32, 0.05]

33.2 DHA vs normal term formula

1

88

Mean Difference (IV, Fixed, 95% CI)

0.07 [‐0.33, 0.47]

34 Weight at 18 m (kg) Show forest plot

2

563

Mean Difference (IV, Fixed, 95% CI)

‐0.04 [‐0.25, 0.17]

34.1 DHA and AA vs normal term formula

2

563

Mean Difference (IV, Fixed, 95% CI)

‐0.04 [‐0.25, 0.17]

35 Length at 18 m (cm) Show forest plot

2

565

Mean Difference (IV, Fixed, 95% CI)

‐0.19 [‐0.71, 0.34]

35.1 DHA and AA vs normal term formula

2

565

Mean Difference (IV, Fixed, 95% CI)

‐0.19 [‐0.71, 0.34]

36 Head circumference at 18 m (cm) Show forest plot

2

565

Mean Difference (IV, Fixed, 95% CI)

‐0.07 [‐0.32, 0.19]

36.1 DHA and AA vs normal term formula

2

565

Mean Difference (IV, Fixed, 95% CI)

‐0.07 [‐0.32, 0.19]

37 Weight at 2 years (kg) Show forest plot

1

Mean Difference (IV, Fixed, 95% CI)

Subtotals only

37.1 DHA and AA vs normal term formula

1

39

Mean Difference (IV, Fixed, 95% CI)

‐0.76 [‐1.68, 0.16]

37.2 DHA vs normal term formula

1

43

Mean Difference (IV, Fixed, 95% CI)

‐0.79 [‐1.65, 0.07]

38 Height at 2 years (cm) Show forest plot

1

Mean Difference (IV, Fixed, 95% CI)

Subtotals only

38.1 DHA and AA vs normal term formula

1

39

Mean Difference (IV, Fixed, 95% CI)

0.0 [‐2.07, 2.07]

38.2 DHA vs normal term formula

1

43

Mean Difference (IV, Fixed, 95% CI)

‐0.30 [‐2.09, 1.49]

39 Head circumference at 2 years (cm) Show forest plot

1

Mean Difference (IV, Fixed, 95% CI)

Subtotals only

39.1 DHA and AA vs normal term formula

1

39

Mean Difference (IV, Fixed, 95% CI)

0.5 [‐0.47, 1.47]

39.2 DHA vs normal term formula

1

43

Mean Difference (IV, Fixed, 95% CI)

0.10 [‐0.68, 0.88]

Figuras y tablas -
Comparison 1. LCPUFA supplemented vs control formula