Evidence map›Paper›PMID 26578308›Full record

Trial reportTrials2015

Common beans and cowpeas as complementary foods to reduce environmental enteric dysfunction and stunting in Malawian children: study protocol for two randomized controlled trials.

Indi Trehan, Nicole S Benzoni, Alfred Z Wang, Lucy B Bollinger, Theresa N Ngoma, Ulemu K Chimimba, Kevin B Stephenson, Sophia E Agapova, Kenneth M Maleta, Mark J Manary

2 registry-linked trialsOpen access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Trials, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
3.9field-weighted citation impact, top 7% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT02472262 nacompletednot on this map

Randomized, Single-blinded, Prospective Clinical Trials Comparing the Impact of Legumes vs Corn-soy Flour on Environmental Enteric Dysfunction and Stunting in Rural Malawian Children 6-11 Months

TypeinterventionalSponsorWashington University School of MedicineRan2015 to 2016Enrolled355ConditionsEnteropathyArmsCow pea complementary food, Corn soy flour, Common bean
NCT02472301 nacompletednot on this map

Randomized, Single-blinded, Prospective Clinical Trial Comparing the Impact of Legumes vs Corn-soy Flour on Environmental Enteric Dysfunction and Stunting in Rural Malawian Children 1-3 Year Olds

TypeinterventionalSponsorWashington University School of MedicineRan2015 to 2016Enrolled337ConditionsEnvironmental EnteropathyArmscowpeas complementary food, corn-soy flour, common bean complementary food
3 · Its place in the literature

Who cites it

18 citing papers in PubMed, 54 citations in OpenAlex.

  1. Trial
  2. Trial
  3. Trial
  4. Trial
  5. Trial
  6. Article
  7. Proteomic andFood chemistry. Molecular sciences · 2026
    Article
  8. Article
  9. Article
  10. Review
  11. Integrated Management ofJournal of fungi (Basel, Switzerland) · 2020
    Article
  12. Observational
  13. Review
  14. Article
  15. Article
  16. Article
  17. Environmental Enteric Dysfunction and the Fecal Microbiota in Malawian Children.The American journal of tropical medicine and hygiene · 2017
    Article
  18. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 5 institutions in 2 countries.

Indi TrehanDepartment of Pediatrics, Washington University in St. Louis, One Children's Place, Campus Box 8116, Saint Louis, MO, 63110, USA. indi@alum.berkeley.edu.
Nicole S BenzoniDepartment of Pediatrics, Washington University in St. Louis, One Children's Place, Campus Box 8116, Saint Louis, MO, 63110, USA. benzonin@wustl.edu.
Alfred Z WangUniversity of Texas Southwestern Medical School, Dallas, TX, USA. alfred.wang@utsouthwestern.edu.
Lucy B BollingerDepartment of Pediatrics, Washington University in St. Louis, One Children's Place, Campus Box 8116, Saint Louis, MO, 63110, USA. lbollin@wustl.edu.
Theresa N NgomaDepartment of Food Science and Technology, Lilongwe University of Agriculture and Natural Resources, Lilongwe, Malawi. tnakoma@gmail.com.
Ulemu K ChimimbaDepartment of Food Science and Technology, Lilongwe University of Agriculture and Natural Resources, Lilongwe, Malawi. ulemukankwatira@gmail.com.
Kevin B StephensonDepartment of Pediatrics, Washington University in St. Louis, One Children's Place, Campus Box 8116, Saint Louis, MO, 63110, USA. kbstephe@gmail.com.
Sophia E AgapovaColumbia University College of Physicians and Surgeons, New York, NY, USA. shtepaz@gmail.com.
Kenneth M MaletaDepartment of Community Health, University of Malawi, Blantyre, Malawi. kmaleta@medcol.mw.
Mark J ManaryDepartment of Pediatrics, Washington University in St. Louis, One Children's Place, Campus Box 8116, Saint Louis, MO, 63110, USA. manary@kids.wustl.edu.
St. Louis Children's Hospital · USLilongwe University of Agriculture and Natural Resources · MWUniversity of Malawi · MWColumbia University · USSouthwestern Medical Center · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundInterventions to decrease the burden of childhood malnutrition are urgently needed, as millions of children die annually owing to undernutrition and hundreds of millions more are left cognitively and physically stunted. Environmental enteric dysfunction (EED), a pervasive chronic subclinical inflammatory condition among children that develops when complementary foods are introduced, places them at high risk of stunting, malabsorption, and poor oral vaccine efficacy. Improved interventions to reduce the burden of EED and stunting are expected to markedly improve the nutritional status and survival of children throughout resource-limited settings. METHODS/

designWe will conduct, in parallel, two prospective randomized controlled clinical trials to determine whether common beans or cowpeas improve growth, ameliorate EED, and alter the intestinal microbiome during a high-risk period in the lives of rural Malawian children. Study 1 will enroll children at 6 months of age and randomize them to receive common beans, cowpeas, or a standard complementary food for 6 months. Anthropometry will be compared among the three groups; EED will be assessed using a dual-sugar absorption test and by quantifying human intestinal mRNA for inflammatory messages; and the intestinal microbiota will be characterized by deep sequencing of fecal DNA, to enumerate host microbial populations and their metabolic capacity. Study 2 will enroll children 12-23 months old and follow them for 12 months, with similar interventions and assessments as Study 1. DISCUSSION: By amalgamating the power of rigorous clinical trials and advanced biological analysis, we aim to elucidate the potential of two grain legumes to reduce stunting and EED in a high-risk population. Legumes have potential as an affordable and effective complementary food intervention, given their cultural acceptability, nutritional content, and agricultural feasibility in sub-Saharan Africa.

trial registrationClinicaltrials.gov NCT02472262 and NCT02472301 .

Indexed as

DietEnvironmentFabaceaePhaseolusChild DevelopmentGastrointestinal MicrobiomeGrowth DisordersHumansInfantInfant Nutritional Physiological PhenomenaIntestinal DiseasesIntestinesMalabsorption SyndromesMalawiNutritional StatusNutrition Assessment

Identifiers

PMID26578308
PMCPMC4650393
OpenAlexW2178655657

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.