RT Journal Article
T1 Assessing conflict of interest reporting and quality of clinical trials on infant formula: a systematic review
A1 García, Guadalupe
A1 Pérez-Ríos, Mónica
A1 Ruano Raviña, Alberto
A1 Candal Pedreira, Cristina
K1 Conflict of interest
K1 Infant formula
K1 Industry
K1 Quality
K1 Breast feeding
K1 Funding
AB Objectives: This study aims to assess the quality, risk of bias, and conflicts of interest (COIs) of clinical trials conducted on the effects of fortified infant formula.Study Design and Settting: Systematic review including all randomized clinical trials targeting healthy children and using three arms: fortified infant formula; standard formula; and breastfeeding. We performed a descriptive analysis of the studies reviewed, assessed their quality using the “Risk of Bias 2- RoB 2” tool, and identified COIs.Results: A total of 40 studies were included. All showed a high overall risk of bias, with this being especially noteworthy in the “deviations from intention to treat” and “missing outcome data” domains. Of the total included studies, 29 reported conclusions in favor of the fortified formula; 15 studies reported multiple conclusions that were either contradictory or not in line with the results. COIs with industry were identified in 33 studies, and in 17 studies, these conflicts were not declared in the appropriate section.Conclusion: From a methodological perspective, studies on fortified infant formula display low quality, made evident by the high risk of bias. Additionally, there are frequent COIs. These aspects must be considered by health professionals and the population when drawing up recommendations for the use of this product
PB Elsevier
SN 0895-4356
YR 2024
FD 2024
LK http://hdl.handle.net/10347/33650
UL http://hdl.handle.net/10347/33650
LA eng
NO Journal of Clinical Epidemiology, Volume 169, 2024, 111313
DS Minerva
RD 3 may 2026