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Efecto de la administración de suplementos de taurina sobre el crecimiento y el desarrollo de los neonatos prematuros o de bajo peso al nacer

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Referencias

Referencias de los estudios incluidos en esta revisión

Bellentani 1988 {published data only}

Bellentani S, Rocchi E, Casalgrandi G, Pecorari M, Farina F, Cappella L. Effect of enteral taurine supplementation on nutritional indices and hepatic function in preterm infants [Effetto della supplementazione di taurina nell'alimentazione del neonato prematuro su alcuni indici bioumorali di funzionalita' epatica]. Pediatrica oggi 1988;8:402‐7.

Bijleveld 1987 {published data only}

Bijleveld CM, Vonk RJ, Okken A, Fernandes J. Fat absorption in preterm infants fed a taurine‐enriched formula. European Journal of Paediatics 1987;146:128‐30.

Cooke 1984 {published data only}

Cooke RJ, Whitington PF, Kelts D. Effect of taurine supplementation on hepatic function during short‐term parenteral nutrition in the premature infant. Journal of Pediatric Gastroenterology and Nutrition 1984;3:234‐8.

Galeano 1987 {published data only}

Galeano NF, Darling P, Lepage G, Leroy C, Collet S, Giguere R, Roy CC. Taurine supplementation of a premature formula improves fat absorption in preterm infants. Pediatric Research 1987;22:67‐71.

Jarvenpaa 1983 {published data only}

Jarvenpaa AL. Feeding the low‐birth‐weight infant. IV. Fat absorption as a function of diet and duodenal bile acids. Paediatrics 1983;72:684‐9.
Jarvenpaa AL, Raiha NC, Rassin DK, Gaull GE. Feeding the low‐birth‐weight infant: I. Taurine and cholesterol supplementation of formula does not affect growth and metabolism. Pediatrics 1983;71:171‐8.
Jarvenpaa AL, Rassin DK, Kuitunen P, Gaull GE, Raiha NC. Feeding the low‐birth‐weight infant. III. Diet influences bile acid metabolism. Paediatrics 1983;72:677‐83.
Rassin DK, Gaull GE, Jarvenpaa AL, Raiha NC. Feeding the low‐birth‐weight infant: II. Effects of taurine and cholesterol supplementation on amino acids and cholesterol. Pediatrics 1983;71:179‐86.
Watkins JB, Jarvenpaa AL, Szczepanik‐Van Leeuwen P, Klein PD, Rassin DK, Gaull G, Raiha NC. Feeding the low‐birth weight infant: V. Effects of taurine, cholesterol, and human milk on bile acid kinetics. Gastroenterology 1983;85:793‐800.

Michalk 1988 {published data only}

Michalk DV, Ringeisen R, Tittor F, Lauffer H, Deeg KH, Bohles HJ. Development of the nervous and cardiovascular systems in low‐birth‐weight infants fed a taurine‐supplemented formula. European Journal of Paediatrics 1988;147:296‐9.

Okamoto 1984 {published data only}

Okamoto E, Rassin DK, Zucker CL, Salen GS, Heird WC. Role of taurine in feeding the low‐birth‐weight infant. Journal of Pediatrics 1984;104:36‐40.

Tyson 1989 {published data only}

Tyson JE, Lasky R, Flood D, Mize C, Picone T, Paule CL. Randomized trial of taurine supplementation for infants less than or equal to 1,300‐gram birth weight: effect on auditory brainstem‐evoked responses. Pediatrics 1989;83:406‐15.

Zamboni 1993 {published data only}

Zamboni G, Piemonte G, Bolner A, Antoniazzi F, Dall'Agnola A, Messner H, Gambaro G, Tato L. Influence of dietary taurine on vitamin D absorption. Acta Paediatrica 1993;82:811‐5.

Referencias de los estudios excluidos de esta revisión

Harding 1989 {published data only}

Harding GF, Grose J, Wilton AY, Bissenden JG. The pattern reversal VEP in short‐gestation infants on taurine or taurine‐free diet. Documenta Ophthalmologica 1989;73:103‐9.

Wasserhess 1993 {published data only}

Wasserhess P, Becker M, Staab D. Effect of taurine on synthesis of neutral and acidic sterols and fat absorption in preterm and full‐term infants. American Journal of Clinical Nutrition 1993;58:349‐53.

Referencias adicionales

AAP 1998

American Academy of Pediatrics (AAP). Committee on Nutrition. Soy protein‐based formulas: recommendations for use in infant feeding. Pediatrics 1998;101:148‐53.

Agostini 2000

Agostoni C, Carratu B, Boniglia C, Riva E, Sanzini E. Free amino acid content in standard infant formulas: comparison with human milk. Journal of the American College of Nutrition 2000;19:434‐8.

Ament 1986

Ament ME, Geggel HS, Heckenlively JR, Martin DA, Kopple J. Taurine supplementation in infants receiving long‐term total parenteral nutrition. Journal of the American College of Nutrition 1986;5:127‐35.

Bell 1978

Bell MJ, Ternberg JL, Feigin RD, et al. Neonatal necrotizing enterocolitis. Therapeutic decisions based upon clinical staging. Annals of Surgery 1978;187:1‐7.

Chesney 1998a

Chesney RW, Helms RA, Christensen M, Budreau AM, Han X, Sturman JA. An updated view of the value of taurine in infant nutrition. Advances in Pediatrics 1998;40:179‐200.

Chesney 1998b

Chesney RW, Helms RA, Christensen M, Budreau AM, Han X, Sturman JA. The role of taurine in infant nutrition. Advances in Experimental Medicine and Biology 1998;442:463‐76.

Dhillon 1998

Dhillon SK, Davies WE, Hopkins PC, Rose SJ. Effects of dietary taurine on auditory function in full‐term infants. Advances in Experimental Medicine and Biology 1998;442:507‐14.

Gaull 1977

Gaull GE, Rassin DK, Raiha NC, Heinonen K. Milk protein quantity and quality in low‐birthweight infants. III. Effects on sulfur amino acids in plasma and urine. Journal of Pediatrics 1977;90:348‐55.

Geggel 1985

Geggel HS, Ament ME, Heckenlively JR, Martin DA, Kopple JD. Nutritional requirement for taurine in patients receiving long‐term parenteral nutrition. New England Journal of Medicine 1985;312:142‐6.

Hayes 1975

Hayes KC, Carey RE. Retinal degeneration associated with taurine deficiency in the cat. Science 1975;188:949–51.

Heird 2004

Heird WC. Taurine in neonatal nutrition‐‐revisited. Archives of Disease in Childhood 2004;89:F473‐4.

Horner 1997

Horner KC, Aurousseau C. Immunoreactivity for taurine in the cochlea: its abundance in supporting cells. Hearing Research 1997;109:135‐42.

Howard 1992

Howard D, Thompson DF. Taurine: an essential amino acid to prevent cholestasis in neonates. Annals of Pharmacotherapy 1992;26:1390‐2.

ICROP 1984

ICROP. An International Classification of Retinopathy of Prematurity. Pediatrics 1984;74:127‐133.

Imaki 1993

Imaki H, Jacobson SG, Kemp CM, Knighton RW, Neuringer M, Sturman J. Retinal morphology and visual pigment levels in 6‐ and 12‐month‐old rhesus monkeys fed a taurine‐free human infant formula. Journal of Neuroscience Research 1993;36:290‐304.

Kay 1990

Kay IS, Davies WE. The effect of taurine supplementation on the ototoxicity of neomycin in guinea pigs. European Archives of Otorhinolaryngology 1990;247:37‐9.

Klein 2002

Klein CJ. Nutrient requirements for preterm infant formulas. Journal of Nutrition 2002;132:1395S–577S.

Massieu 2004

Massieu L, Montiel T, Robles G, Quesada O. Brain amino acids during hyponatremia in vivo: clinical observations and experimental studies. Neurochemical Research 2004;29:73‐81.

Papile 1978

Papile LA, Burstein J, Burstein R, Koffler H. Incidence and evolution of subependymal and intraventricular hemorrhage: a study of infants with birthweights less than 1,500 grams. Journal of Pediatrics 1978;92:529‐34.

Rassin 1978

Rassin DK, Sturman JA, Guall GE. Taurine and other free amino acids in milk of man and other mammals. Early Human Development 1978;2:1‐13.

Spencer 2005

Spencer AU, Yu S, Tracy TF, et al. Parenteral nutrition‐associated cholestasis in neonates: multivariate analysis of the potential protective effect of taurine. Journal of Parenteral and Enteral Nutrition 2005;29:337‐43.

Sturman 1980

Sturman J A, Hayes KC. The biology of taurine in nutrition and development. Advances in Nutritional Research 1980;3:231‐299.

Sturman 1995

Sturman JA, Chesney RW. Taurine in pediatric nutrition. Pediatric Clinics of North America 1995;42:879‐97.

Thibeault 2000

Thibeault DW. The precarious antioxidant defenses of the preterm infant. American Journal of Perinatology 2000;17:167‐81.

Trachtman 1988

Trachtman H, Barbour R, Sturman JA, Finberg L. Taurine and osmoregulation: taurine is a cerebral osmoprotective molecule in chronic hypernatremic dehydration. Pediatric Research 1988;23:35‐9.

Trachtman 1990

Trachtman H, del Pizzo R, Sturman JA. Taurine and osmoregulation. III. Taurine deficiency protects against cerebral edema during acute hyponatremia. Pediatric Research 1990;27:85‐8.

Tsang 1993

Tsang RC, Lucas A, Uauy R, Zlotkin S, eds. Nutritional Needs of the Preterm Infant: Scientific Basis and Practical Guidlines. New York: Caduceus Medical Publishers, 1993.

Vallecalle 1991

Vallecalle Sandoval MH, Heaney G, Sersen E, Sturman JA. Comparison of the developmental changes of the brainstem auditory evoked response (BAER) in taurine‐supplemented and taurine‐deficient kittens. International Journal of Developmental Neuroscience 1991;9:571‐9.

Watkins 1983

Watkins JB, Jarvenpaa AL, Szczepanik‐Van Leeuwen P, et al. Feeding the low‐birth weight infant: V. Effects of taurine, cholesterol, and human milk on bile acid kinetics. Gastroenterology 1983;85:793‐800.

Wharton 2004

Wharton BA, Morley R, Isaacs EB, Cole TJ, Lucas A. Low plasma taurine and later neurodevelopment. Archives of Disease in Childhood 2004;89:F473‐4.

Zelikovic 1990

Zelikovic I, Chesney RW, Friedman AL, Ahlfors CE. Taurine depletion in very low birth weight infants receiving prolonged total parenteral nutrition: role of renal immaturity. Journal of Pediatrics 1990;116:301‐6.

Characteristics of studies

Characteristics of included studies [ordered by study ID]

Bellentani 1988

Methods

Blinding of randomisation: can't tell
Blinding of intervention: no
Complete follow‐up: yes
Blinding of outcome measurement: can't tell

Participants

16 clinically stable low birth weight infants (gestational age 32 to 37 weeks). Infants were excluded if there was evidence of jaundice.

Interventions

Treatment (N=8): Cow milk formula (Similac) with taurine added to a concentration of 45 milligrams/litre.
Control (N=8): Same formula without added taurine.
Intervention assigned for 20 days.

Outcomes

Growth (weight gain) during the 20 days trial period, and biochemical measures of hepatic function.

Notes

Setting: Instituto di Semeiotica Medica, Modena, Italia.

Risk of bias

Bias

Authors' judgement

Support for judgement

Allocation concealment?

Unclear risk

B ‐ Unclear

Bijleveld 1987

Methods

Blinding of randomisation: can't tell
Blinding of intervention: yes
Complete follow‐up: yes
Blinding of outcome measurement: can't tell

Participants

9 fully enterally fed preterm infants (gestational age at birth 28‐32 weeks)

Interventions

Treatment (N=5): Cow milk formula (Almiron AB) with added taurine ( 46 milligrams/litre ).
Control (N=4): Same formula without added taurine.
Infants enrolled during third week after birth then fed study formula for 4 weeks.

Outcomes

Fat absorption.

Notes

Setting: University Hospital Groningen, The Netherlands.

Further data courtesy of Dr Bijleveld.

Risk of bias

Bias

Authors' judgement

Support for judgement

Allocation concealment?

Unclear risk

B ‐ Unclear

Cooke 1984

Methods

Blinding of randomisation: can't tell
Blinding of intervention: no
Complete follow‐up: yes
Blinding of outcome measurement: no

Participants

20 infants of 34 weeks gestation or less, appropriate for gestational age. Infants were excluded if there was evidence of hepatobiliary dysfunction.

Interventions

Treatment (N=10): Parenteral nutrition and taurine to give daily concentration of 10.8 milligrams/kilogram/day.
Control (N=10): Parenteral nutrition without added taurine.

Outcomes

Hepatic function, plasma taurine levels.

Notes

Setting: University of Tennessee, USA.

Risk of bias

Bias

Authors' judgement

Support for judgement

Allocation concealment?

Unclear risk

B ‐ Unclear

Galeano 1987

Methods

Blinding of randomisation: can't tell
Blinding of intervention: no
Complete follow‐up: yes
Blinding of outcome measurement: no

Participants

Preterm infants appropriate for gestational age, excluded if major congenital abnormality, haemolytic disease, hyaline membrane disease or notable respiratory distress.

Interventions

Treatment (N=8): Nutrient‐enriched ("preterm") cow milk formula with taurine at a concentration of 50 milligrams/litre.
Control (N=7): Same formula without added taurine.
Participants were randomised within the first 48 hours of birth. The milk used was introduced at the commencement of feeds and continued exclusively until 3 months of age.

Outcomes

Urinary taurine excretion, energy balance, nitrogen balance, fat absorption.
Growth during the trial period.

Notes

Setting: Hopital Ste‐Justine and le Centre Hospitalier, Quebec, Canada.

Risk of bias

Bias

Authors' judgement

Support for judgement

Allocation concealment?

Unclear risk

B ‐ Unclear

Jarvenpaa 1983

Methods

Blinding of randomisation: can't tell
Blinding of intervention: no
Complete follow‐up: no
Blinding of outcome measurement: no

Participants

31 infants of between 31 and 36 weeks gestation, birth weight of 2200g or less (appropriate for gestational age).
Setting: Children's Hospital, Helsinki, Finland (late 1970s).

Interventions

Treatment (N=17): Standard ("term") cow milk formula with 38 milligrams/litre of taurine.
Control (N=14): Cow milk formula without added taurine.

Outcomes

Growth, nitrogen balance,bile acid kinetics, fat absorption (35% loss‐to‐follow up for intervention group at 4 months assessment).

Notes

NB. The length and head circumference growth rates data were reported as "per metre at birth". We corrected for this by assuming an average length at birth of 44cm, and average head circumference at birth of 32cm.

Risk of bias

Bias

Authors' judgement

Support for judgement

Allocation concealment?

Unclear risk

B ‐ Unclear

Michalk 1988

Methods

Blinding of randomisation: can't tell
Blinding of intervention: no
Complete follow‐up: yes
Blinding of outcome measurement: no

Participants

20 low birth weight infants.

Interventions

Treatment (N=10): Cow milk formula with taurine at 60 milligrams/litre.
Control (N=10): Cow milk formula without added taurine.
Intervention assigned for 16 weeks.

Outcomes

Growth, nitrogen balance, plasma taurine levels.

Notes

Setting: Universitats‐Kinderklinik, Erlangen, Germany.

Risk of bias

Bias

Authors' judgement

Support for judgement

Allocation concealment?

Unclear risk

B ‐ Unclear

Okamoto 1984

Methods

Blinding of randomisation: can't tell
Blinding of intervention: no
Complete follow‐up: yes
Blinding of outcome measurement: no

Participants

10 infants of birth weight less than 1700 grams, gestational age at birth less than 34 weeks, appropriate for gestational age.

Interventions

Treatment (N=5): Cow milk formula with taurine at concentration of about 30 milligrams/litre.
Control: (N=5): Same formula without added taurine.
Intervention continued until infants reached a weight of 2100 grams.

Outcomes

Growth, plasma taurine concentration, bile salt concentrations, fat absorption.

Notes

Setting: Veterans Administration Hospital, and Columbia University, New York, USA.

Risk of bias

Bias

Authors' judgement

Support for judgement

Allocation concealment?

Unclear risk

B ‐ Unclear

Tyson 1989

Methods

Blinding of randomisation: yes
Blinding of intervention: yes
Complete follow‐up: yes
Blinding of outcome measurement: yes

Participants

47 preterm infants of birth weight less than 1300 grams were enrolled at between 7 and 10 days after birth. Infants receiving (or likely to receive) any human milk were ineligible. Other exclusion criteria: maternal drug misuse, major congenital anomalies, intracerebral or intraventricular haemorrhage, persisting need for ventilatory support, enteral feed intolerance, frequent apnoeas, patent ductus arteriosus.

Interventions

Treatment (N=23): Adapted cow milk formula supplemented with taurine (45 milligrams/litre).
Control (N=24): Same milk without taurine supplementation (taurine concentration less than 5 milligrams per litre).
Allocated formula continued until infants were discharged from hospital, or attained a weight of 2500 grams, or were withdrawn from the study.

Outcomes

Growth, feed intolerance and necrotising enterocolitis, electroretinography, auditory evoked potentials.

Notes

Setting: University of Texas Southwestern Medical Centre, USA.

Risk of bias

Bias

Authors' judgement

Support for judgement

Allocation concealment?

Low risk

A ‐ Adequate

Zamboni 1993

Methods

Blinding of randomisation: can't tell
Blinding of intervention: no
Complete follow‐up: yes
Blinding of outcome measurement: no

Participants

30 preterm infants, appropriately grown for gestation, healthy and free from problems that would interfere with feeding or limit milk intake.

Interventions

Treatment (N=19): Adapted cow milk formula supplemented with taurine (65 milligrams/litre).
Control (N=11): Same formula without taurine.
Infants were fed milk from commencement of feeds until 3 months of age.

Outcomes

Growth parameters during trial period. Plasma taurine, bile acids, and vitamin D levels.

Notes

Setting: University of Verona, Italy.

Risk of bias

Bias

Authors' judgement

Support for judgement

Allocation concealment?

Unclear risk

B ‐ Unclear

Characteristics of excluded studies [ordered by study ID]

Study

Reason for exclusion

Harding 1989

Harding 1989 assessed the effect of enteral taurine supplementation on visual evoked potentials of preterm infants in a randomised controlled trial. However, the allocation code was not yet broken in the only published report of this trial to date. We have not been able to obtain further data from the trialists.

Wasserhess 1993

Wasserhess 1993 reported a randomised crossover study of taurine supplementation in preterm infants. The intervention period was less than one week.

Data and analyses

Open in table viewer
Comparison 1. Enteral taurine supplementation versus no supplementation

Outcome or subgroup title

No. of studies

No. of participants

Statistical method

Effect size

1 Growth during trial period Show forest plot

6

Mean Difference (IV, Fixed, 95% CI)

Subtotals only

Analysis 1.1

Comparison 1 Enteral taurine supplementation versus no supplementation, Outcome 1 Growth during trial period.

Comparison 1 Enteral taurine supplementation versus no supplementation, Outcome 1 Growth during trial period.

1.1 Weight gain during neonatal period (grams/kilogram/day)

3

81

Mean Difference (IV, Fixed, 95% CI)

‐0.64 [‐1.84, 0.56]

1.2 Weight gain until three/four months (grams/kilogram/day)

4

80

Mean Difference (IV, Fixed, 95% CI)

‐0.25 [‐1.16, 0.66]

1.3 Length change during neonatal period (millimetres/week)

1

37

Mean Difference (IV, Fixed, 95% CI)

‐1.0 [‐2.93, 0.93]

1.4 Length change over three/four months (millimetres/week)

4

80

Mean Difference (IV, Fixed, 95% CI)

0.37 [‐0.23, 0.98]

1.5 Head circumference change during neonatal period (millimetres/week)

1

37

Mean Difference (IV, Fixed, 95% CI)

0.0 [‐1.03, 1.03]

1.6 Head circumference change over three/four months (millimetres/week)

4

80

Mean Difference (IV, Fixed, 95% CI)

0.15 [‐0.19, 0.50]

2 Intestinal fat absorption (percentage of total intake) Show forest plot

4

42

Mean Difference (IV, Fixed, 95% CI)

4.00 [1.43, 6.58]

Analysis 1.2

Comparison 1 Enteral taurine supplementation versus no supplementation, Outcome 2 Intestinal fat absorption (percentage of total intake).

Comparison 1 Enteral taurine supplementation versus no supplementation, Outcome 2 Intestinal fat absorption (percentage of total intake).

3 Electroretinography Show forest plot

1

Mean Difference (IV, Fixed, 95% CI)

Subtotals only

Analysis 1.3

Comparison 1 Enteral taurine supplementation versus no supplementation, Outcome 3 Electroretinography.

Comparison 1 Enteral taurine supplementation versus no supplementation, Outcome 3 Electroretinography.

3.1 Cornea negative potential‐ latency (milliseconds)

1

32

Mean Difference (IV, Fixed, 95% CI)

0.40 [‐0.92, 1.72]

3.2 Cornea negative potential‐ amplitude (microVolts)

1

32

Mean Difference (IV, Fixed, 95% CI)

‐1.70 [‐4.23, 0.83]

3.3 Cornea positive potential‐ latency (milliseconds)

1

32

Mean Difference (IV, Fixed, 95% CI)

‐0.20 [‐2.73, 2.33]

3.4 Cornea positive potential‐ amplitude (microVolts)

1

32

Mean Difference (IV, Fixed, 95% CI)

‐3.10 [‐9.06, 2.86]

4 Auditory brainstem‐evoked responses Show forest plot

1

Mean Difference (IV, Fixed, 95% CI)

Subtotals only

Analysis 1.4

Comparison 1 Enteral taurine supplementation versus no supplementation, Outcome 4 Auditory brainstem‐evoked responses.

Comparison 1 Enteral taurine supplementation versus no supplementation, Outcome 4 Auditory brainstem‐evoked responses.

4.1 Wave I latency (milliseconds): 20/second

1

32

Mean Difference (IV, Fixed, 95% CI)

‐0.20 [‐0.63, 0.23]

4.2 Wave I latency (milliseconds): 67/second

1

32

Mean Difference (IV, Fixed, 95% CI)

‐0.5 [‐0.93, ‐0.07]

4.3 Wave III latency (milliseconds): 20/second

1

32

Mean Difference (IV, Fixed, 95% CI)

‐0.30 [‐0.62, 0.02]

4.4 Wave III latency (milliseconds): 67/second

1

32

Mean Difference (IV, Fixed, 95% CI)

‐0.20 [‐0.56, 0.16]

4.5 Wave V latency (milliseconds): 20/second

1

32

Mean Difference (IV, Fixed, 95% CI)

‐0.20 [‐0.70, 0.30]

4.6 Wave V latency (milliseconds): 67/second

1

32

Mean Difference (IV, Fixed, 95% CI)

‐0.30 [‐0.73, 0.13]

5 Neonatal mortality Show forest plot

1

47

Risk Ratio (M‐H, Fixed, 95% CI)

0.35 [0.01, 8.11]

Analysis 1.5

Comparison 1 Enteral taurine supplementation versus no supplementation, Outcome 5 Neonatal mortality.

Comparison 1 Enteral taurine supplementation versus no supplementation, Outcome 5 Neonatal mortality.

6 Incidence of necrotising enterocolitis Show forest plot

1

47

Risk Ratio (M‐H, Fixed, 95% CI)

3.13 [0.35, 27.96]

Analysis 1.6

Comparison 1 Enteral taurine supplementation versus no supplementation, Outcome 6 Incidence of necrotising enterocolitis.

Comparison 1 Enteral taurine supplementation versus no supplementation, Outcome 6 Incidence of necrotising enterocolitis.

Comparison 1 Enteral taurine supplementation versus no supplementation, Outcome 1 Growth during trial period.
Figuras y tablas -
Analysis 1.1

Comparison 1 Enteral taurine supplementation versus no supplementation, Outcome 1 Growth during trial period.

Comparison 1 Enteral taurine supplementation versus no supplementation, Outcome 2 Intestinal fat absorption (percentage of total intake).
Figuras y tablas -
Analysis 1.2

Comparison 1 Enteral taurine supplementation versus no supplementation, Outcome 2 Intestinal fat absorption (percentage of total intake).

Comparison 1 Enteral taurine supplementation versus no supplementation, Outcome 3 Electroretinography.
Figuras y tablas -
Analysis 1.3

Comparison 1 Enteral taurine supplementation versus no supplementation, Outcome 3 Electroretinography.

Comparison 1 Enteral taurine supplementation versus no supplementation, Outcome 4 Auditory brainstem‐evoked responses.
Figuras y tablas -
Analysis 1.4

Comparison 1 Enteral taurine supplementation versus no supplementation, Outcome 4 Auditory brainstem‐evoked responses.

Comparison 1 Enteral taurine supplementation versus no supplementation, Outcome 5 Neonatal mortality.
Figuras y tablas -
Analysis 1.5

Comparison 1 Enteral taurine supplementation versus no supplementation, Outcome 5 Neonatal mortality.

Comparison 1 Enteral taurine supplementation versus no supplementation, Outcome 6 Incidence of necrotising enterocolitis.
Figuras y tablas -
Analysis 1.6

Comparison 1 Enteral taurine supplementation versus no supplementation, Outcome 6 Incidence of necrotising enterocolitis.

Comparison 1. Enteral taurine supplementation versus no supplementation

Outcome or subgroup title

No. of studies

No. of participants

Statistical method

Effect size

1 Growth during trial period Show forest plot

6

Mean Difference (IV, Fixed, 95% CI)

Subtotals only

1.1 Weight gain during neonatal period (grams/kilogram/day)

3

81

Mean Difference (IV, Fixed, 95% CI)

‐0.64 [‐1.84, 0.56]

1.2 Weight gain until three/four months (grams/kilogram/day)

4

80

Mean Difference (IV, Fixed, 95% CI)

‐0.25 [‐1.16, 0.66]

1.3 Length change during neonatal period (millimetres/week)

1

37

Mean Difference (IV, Fixed, 95% CI)

‐1.0 [‐2.93, 0.93]

1.4 Length change over three/four months (millimetres/week)

4

80

Mean Difference (IV, Fixed, 95% CI)

0.37 [‐0.23, 0.98]

1.5 Head circumference change during neonatal period (millimetres/week)

1

37

Mean Difference (IV, Fixed, 95% CI)

0.0 [‐1.03, 1.03]

1.6 Head circumference change over three/four months (millimetres/week)

4

80

Mean Difference (IV, Fixed, 95% CI)

0.15 [‐0.19, 0.50]

2 Intestinal fat absorption (percentage of total intake) Show forest plot

4

42

Mean Difference (IV, Fixed, 95% CI)

4.00 [1.43, 6.58]

3 Electroretinography Show forest plot

1

Mean Difference (IV, Fixed, 95% CI)

Subtotals only

3.1 Cornea negative potential‐ latency (milliseconds)

1

32

Mean Difference (IV, Fixed, 95% CI)

0.40 [‐0.92, 1.72]

3.2 Cornea negative potential‐ amplitude (microVolts)

1

32

Mean Difference (IV, Fixed, 95% CI)

‐1.70 [‐4.23, 0.83]

3.3 Cornea positive potential‐ latency (milliseconds)

1

32

Mean Difference (IV, Fixed, 95% CI)

‐0.20 [‐2.73, 2.33]

3.4 Cornea positive potential‐ amplitude (microVolts)

1

32

Mean Difference (IV, Fixed, 95% CI)

‐3.10 [‐9.06, 2.86]

4 Auditory brainstem‐evoked responses Show forest plot

1

Mean Difference (IV, Fixed, 95% CI)

Subtotals only

4.1 Wave I latency (milliseconds): 20/second

1

32

Mean Difference (IV, Fixed, 95% CI)

‐0.20 [‐0.63, 0.23]

4.2 Wave I latency (milliseconds): 67/second

1

32

Mean Difference (IV, Fixed, 95% CI)

‐0.5 [‐0.93, ‐0.07]

4.3 Wave III latency (milliseconds): 20/second

1

32

Mean Difference (IV, Fixed, 95% CI)

‐0.30 [‐0.62, 0.02]

4.4 Wave III latency (milliseconds): 67/second

1

32

Mean Difference (IV, Fixed, 95% CI)

‐0.20 [‐0.56, 0.16]

4.5 Wave V latency (milliseconds): 20/second

1

32

Mean Difference (IV, Fixed, 95% CI)

‐0.20 [‐0.70, 0.30]

4.6 Wave V latency (milliseconds): 67/second

1

32

Mean Difference (IV, Fixed, 95% CI)

‐0.30 [‐0.73, 0.13]

5 Neonatal mortality Show forest plot

1

47

Risk Ratio (M‐H, Fixed, 95% CI)

0.35 [0.01, 8.11]

6 Incidence of necrotising enterocolitis Show forest plot

1

47

Risk Ratio (M‐H, Fixed, 95% CI)

3.13 [0.35, 27.96]

Figuras y tablas -
Comparison 1. Enteral taurine supplementation versus no supplementation